Residency

Director’s Letter

Welcome to the webpage for the Anatomic and Clinical Pathology Residency Program of the Department of Pathology and Anatomical Sciences at the University of Missouri. You will find descriptive information about our teaching program: how it is organized, what we cover, what options exist and how to apply. Our program has a considerable history and our residents and graduates do well. The pass rate for first-time takers of American Board of Pathology examinations during the past 5 years is 100% for Clinical Pathology examinations and 91% for Anatomic Pathology examinations, and our residents go on to fellowships in their chosen subspecialties at prestigious major institutions.

Elsewhere on this site you can find information about individual faculty members and our clinical services. For surgical pathology, residents experience a partially subspecialized and partially general sign-out environment: we have subspecialty sign-out for GI and liver biopsies, for neuropathology, for ophthalmological pathology and for hematopathology. All other areas are in general sign-out, although particular members of the faculty are experts in, and are often responsible for sign-out of, bone and soft tissue pathology cases and gynecological pathology cases. Most of the dermatological pathology cases belong to the dermatopathology service in the Department of Dermatology, but the dermatopathologist participates in teaching pathology residents both through rotations on that service and through sign-out and didactic sessions in pathology space.

Cytopathology rotations include performance of, or immediate review for adequacy, of many fine needle aspiration biopsies. Our autopsy rotations include time in the office of the chief medical examiner as well as doing hospital autopsies to qualify to take the AP examination of the American Board of Pathology.

Blood Bank/Transfusion Medicine rotations involve residents in patient care daily, through interactions with clinicians of patients who may need blood products or who may have had an adverse reaction from a blood product. Apheresis procedures are part of a resident’s exposure while in blood banking, depending on when they occur.

We have residents in University Hospital, the Harry S Truman Memorial Veteran’s Affairs Hospital, and our Women’s and Children’s Hospital. Pathology residents have two required outside rotations, one month each at Children’s Mercy Hospital in Kansas City, Missouri, for pediatric surgical pathology experience, and at Cardinal Glennon Children’s Hospital at St Louis University in St Louis for cytogenetics experience. We work hard to keep elective time in each resident’s schedule during the four years.

More Information

Our ACGME-accredited program is dedicated to the thorough education and training of future pathologists, whether their career paths go into academic pathology, community practice, or industry. The program has tracks for traditional four-year integrated training in both anatomic (AP) and clinical pathology (CP), and for three year AP-only or CP-only training. On occasion by special arrangement, residents who began training elsewhere may be accepted at advanced standing for AP, CP, or for a combined program.

AP includes experience in autopsy and surgical pathology (including subspecialties of pediatric pathology, gastrointestinal pathology, gynecologic pathology, neuropathology, hematopathology, and dermatopathology), forensic pathology, exfoliative and aspiration cytology, and renal pathology. Immunohistochemistry is routinely used and diagnostic electron microscopy is available as necessary.

CP includes experience in hematology (including hematopathology crossing lines with anatomic pathology), coagulation, blood bank & transfusion medicine, flow cytometry, immunopathology, clinical chemistry, microbiology and cytogenetics, toxicology and transplantation (HLA) immunology. All residents receive instruction in laboratory management and in pathology informatics (see the syllabus and the accompanying materials).

Molecular genetic pathology testing is applied to a broad range of areas of pathological diagnosis, from surgical pathology and cytopathology through hematology/hematopathology, microbiology, and transfusion medicine. Residents are trained in the ordering and interpretation of molecular genetic pathology testing in each area as it is appropriate to that area.

Detailed information about rotations and electives are available from the program director or residency coordinator (see contacts below). All house staff actively participate in teaching medical students. Research and other teaching opportunities are available and encouraged.

Applications

Candidates should be graduates of approved schools of medicine in the U.S or Canada or of approved foreign medical schools. International medical graduates must have passed USMLE Steps I, IICK, and IICS, must be ECFMG certified, must be eligible for Missouri medical licensure. and must either be US citizens, US permanent residents or hold an appropriate visa to work as resident physicians. Satisfactory references are required. Applicants will find it advisable to be able to demonstrate some experience in pathology (elective rotations in medical school, “observerships” or “externships”, prior residency training in another country) although this is not strictly required.  Normal starting date is July 1. Applications must be submitted electronically through ERAS, preferably soon after it opens up each September.

Address inquiries to:

Douglas C. Miller, MD, PhD
Residency Program Director
Department of Pathology & Anatomical Sciences
University of Missouri Medical Center
M263 Medical Science Building
One Hospital Drive
Columbia, MO 65212
Phone: 573-882-3014
Email: millerdc@health.missouri.edu
Shannon Wetzel
Residency Program Coordinator
Department of Pathology & Anatomical Sciences
University of Missouri Medical Center
M263 Medical Science Building
One Hospital Drive
Columbia, MO 65212
Phone: 573-882-3014
Email: wetzels@health.missouri.edu
The Pathology Residency at the University of Missouri is a 48-month combined Anatomic and Clinical Pathology training program. We have a 100% board pass rate and consistently place residents into competitive fellowships.

 

Class of 2017

Eric Ewing, MD

Eric Ewing, MD

Fellowship: Oregon Health & Science University, Women’s Health Pathology
Medical School: University of Missouri
Undergraduate: Truman State University, Kirksville, Missouri
Hometown: St. Charles, Missouri

Dr. Eric Ewing grew up in St. Charles, Missouri, outside of St. Louis. He received a bachelor’s degree in biology with a minor in chemistry and environmental science at Truman State University in Kirksville, Missouri. Before attending medical school, he worked in a microscope facility. In 2013, he received a medical degree from the University of Missouri School of Medicine. Eric said he enjoyed the cooperative and supportive environment within the school’s Department of Pathology and Anatomical Sciences, and decided to continue his academic pursuits in residency. Outside of work, Eric enjoys hiking and biking trails surrounding Columbia, gardening, brewing and attempting to cook new recipes from around the world.

Rohini Kannuswamy

Rohini Kannuswamy

Fellowship: (interviewing), Surgical Pathology
Medical School: Coimbatore Medical College, India
Hometown: Southern India

Dr. Rohini Kannuswamy grew up in a village in southern India. She attended medical school in Coimbatore Medical College in India, where she developed a desire to pursue her career in pathology and completed her medical degree in May 2010. With great interest to further her training in pathology, she came to the United States to start her residency at the University of Missouri. She loves to spend her free time with her family and friends and enjoys traveling.

Zhongbo Yang

Zhongbo “Jerry” Yang

Fellowship: (interviewing), Cytopathology
Medical School: Shandong Medical University, China
Undergraduate: Shandong University, China
Hometown: Shanxi Province, China

Dr. Zhongbo (Jerry) Yang grew up in a small town in northern China. After he received his medical degree from Shandong Medical University in China, Jerry attended graduate school at Beijing Medical University and was trained as a resident specializing in hematology. Dr. Yang came to the United States in 2001 and studied biology at Rutgers University in New Jersey. Upon receiving a master’s degree in biology, Jerry joined the Mayo Clinic at Arizona and conducted brain tumor research.In his free time, Jerry enjoys traveling, hiking, biking, music, movies and spending time with friends.

 

Class of 2018

Zongxian Cao, MD, PhD

Zongxian “Jason” Cao, MD, PhD

Fellowship:
Medical School: Shandong Medical University, China
Undergraduate: Shandong Medical University, China
Hometown: Rizhao, Shandong Province, China

Dr. Zongxian (Jason) Cao grew up in a rural area of the coastal city Rizhao in eastern China. After receiving his medical degree from Shandong Medical University in China, he completed five years of residency training in general surgery. For three years he worked on research in molecular oncology at Peking University Health Science Center, where he received a master’s degree in medicine. In 2001, Jason received a full scholarship to study cancer cell biology in the Department of Microbiology, Immunology, and Cell Biology at West Virginia University, where he received a PhD degree in 2006. Jason then devoted seven years to postdoctoral research, first at the University of Pittsburgh Medical Center (UPMC) and then at the National Institutes of Health (NIH).

Having recently become a U.S. citizen through naturalization, Jason decided to develop a long-term profession in this country by pursuing a career in pathology. During his residency interview for MU’s program, Jason said he was very impressed by the program director, Dr. Miller, and his philosophy and vision for residency education, the friendly and supportive learning environment, the excellent teaching faculty and the quality of current residents. Jason said he looks forward to continued excellence in the coming years that will lead to a successful career in pathology. In his free time, Jason loves to spend time with his family, jogging, occasionally practicing Taiji KungFu, browsing masterpieces of Chinese calligraphy, listening to traditional Chinese music and cooking Oriental food.

Zongxian Cao, MD, PhD

Sara Johnston

Fellowship:
Medical School: University of Missouri
Undergraduate: Missouri Southern State University, Springfield
Hometown: Joplin, Missouri

Dr. Sara Johnston grew up in Joplin, Missouri. She received bachelor’s degrees in biology and biochemistry with a minor in German from Missouri Southern State University. She received a medical degree in May 2014 from the University of Missouri School of Medicine. In her free time, Sara enjoys spending time with her husband, John, whom she married in December 2013 at Silver Dollar City, and her dachshunds. She enjoys visiting zoos, aquariums, museums and amusement parks, with the goal of eventually visiting every Disney park in the world.

 

Class of 2019

Dong Chen

Fellowship:
Medical School: Medical Center of Fudan University, China
Hometown: Shanghai, China

Dr. Dong Chen was born and raised in Shanghai. He received a medical degree from the Medical Center of Fudan University, formerly named Shanghai Medical University. He received a PhD in experimental pathology from Virginia Commonwealth University in Richmond. In his free time, he enjoys soccer and plays badminton. He likes to spend time with friends and family.

Rong Chen

Fellowship:
Medical School: Tianjin Medical School, China
Hometown: Tianjin, China

Dr. Rong Chen was born in Tianjin, China. She received a medical degree from Tianjin Medical University, and a master’s degree from the University of Nebraska. In her free time, Rong enjoys watching movies, traveling, cooking and playing with her children.

Jessica Kneib, Pathology

Jessica Kneib

Fellowship:
Medical School: Kansas City University of Medicine and Biosciences, Kansas City, Missouri
Undergraduate: Truman State University, Kirksville, Missouri
Hometown: Lee’s Summit, Missouri

Dr. Jessica Kneib is originally from Lee’s Summit, Missouri. She received a bachelor’s degree in biology from Truman State University in 2011. She attended medical school at the Kansas City University of Medicine and Biosciences and received a doctor of osteopathic medicine degree in 2015. In her free time, Jessica enjoys traveling, drawing, reading and spending time with her family and friends.

 

Graduates

2016 Graduates

JaJared Coberly, MDred Coberly, MD

Fellowship:
The University of Texas Southwestern Medical Center (Dallas), Hematology

 

Sarah Hackman, MDSarah Hackman, MD

Fellowship:
University of Texas Health Science Center (San Antonio), Surgical Pathology

 

Ying Wang, MDYing Wang, MD

Fellowship:
New York University, Genitourinary Pathology

 

2015 Graduates

Qing-Qing Ding, MD, PhD

Qing-Qing Ding, MD, PhD

Fellowship:
MD Anderson, Surgical Pathology; MD Anderson, Breast Pathology

 

Shunhua Guo, MD, PhD

Shunhua Guo, MD, PhD

Fellowship:
Vanderbilt University, Surgical Pathology

 

2014 Graduates

Emily Coberly, MD

Emily Coberly, MD

Fellowship:
Vanderbilt University, Transfusion Medicine

 

Deiter Duff, MD

Deiter Duff, MD

Fellowship:
Saint Louis University, Forensic Pathology

 

Brian Odum, DO

Brian Odum, DO

Fellowship:
University of Nebraska, Surgical Pathology

 

Yumei Fu, MD, PhD

Yumei Fu, MD, PhD

Fellowship:
Washington University in St. Louis, Cytopathology; Albert Einstien College of Medicine, Women’s Health Pathology

 

2013 Graduates

Jamie Odem, MD

Jamie Odem, MD

Fellowship:
Mayo Clinic, Hematology

 

Shuaib Okponobi, MD

Shuaib Okponobi, MD

Fellowship:
Geisinger, Cytopathology; Washington University in St. Louis, Hematology

Gabor Oroszi, MD, PhD

Gabor Oroszi, MD, PhD

Fellowship:
University of Chicago, Transfusion Medicine; North Shore Long Island, Hematology

 

2012 Graduates

Jason-Scott Holly, MD

Jason-Scott Holly, MD

Fellowship:
University of California (Los Angeles), Surgical Pathology with emphasis in GI Pathology

Nicole Pele, DO

Nicole Pele, DO

Fellowship:
University of California, David Medical Center (Sacramento), Surgical Pathology

 

2011 Graduates

Derek Ellingson, MD

Derek Ellingson, MD

Fellowship:
United State Air Force

 

Jessica (Wieberg) Kozel, MD

Jessica (Wieberg) Kozel, MD

Fellowship:
Saint Louis University, Dermatopathology; University of Nebraska (Omaha), Surgical Pathology

 

Eric Johannesen, MD

Eric Johannesen, MD

Fellowship:
University of Nebraska (Omaha), Surgical Pathology

 

2010 Graduates

Kaidi Mikhitarian, MD

Kaidi Mikhitarian, MD

Fellowship:
University of Michigan, Surgical Pathology

 

Brett Sramek, MD

Brett Sramek, MD

Fellowship:
Yale, Gastrointestinal Pathology

 

Paul McGowan, MD

Paul McGowan, MD

Fellowship:
Houston Methodist, Hematopathology

 

Benefits

2015-16 Pay Scale

Annual Salary

Program Year 1 $51,007
Program Year 2 $52,797
Program Year 3 $54,538
Program Year 4 $56,781

For additional information and a detailed list of benefits, please refer to http://medicine2.missouri.edu/gme/salaries.html

Conferences

The residents have didactic conferences daily, Monday through Friday, from 8AM to 9 AM; this is protected time. There are additional didactic sessions specific to clinical pathology rotations as a group. There is a Hematology/Hematopathology didactic session with a senior clinical hematologist/oncologist as well as pathology faculty once per week from 9 to 9:30 AM. There is a weekly dermatopathology conference at a multi-head microscope with a dermatopathologist, usually starting at 1:30 PM and lasting as long as necessary into the afternoon. There is a weekly Brain Cutting Conference for the autopsy service, starting at 9:15 AM and lasting as long as necessary to finish the week’s cases.

Additionally, residents present at, and participate in, multiple conferences for clinical services. These include Multidisciplinary Oncology conferences (weekly; one per month is neuro-oncology), a Nephrology Conference, a Breast Conference, a Pulmonary Medicine conference, Infectious Disease Rounds, the Transfusion Committee, and Hematology/Hematopathology rounds, among others.

Curriculum

 

Surgical Pathology sign-out happens

Surgical Pathology sign-out happens in a bright, third-floor suite with windows, multi-headed microscopes, and computers for every workstation. With all the attendings and residents in one room, collaboration is the rule, not the exception.

 

Dr. Sara Johnston

Dr. Sara Johnston, PGY3, reviews cases during preview time. Surgical pathology residents have protected time every day to preview their cases.

 

Troy Leewright

In addition to cutting in specimens, Troy Leewright, pathology assistant, assists with frozen sections and teaches new residents how to be fast in the gross room.

 

Tom Andrews

Most days start at 8 a.m. with a morning conference. Tom Andrews, a former Post-Sophomore Fellow, practices grossing skills on a hard-boiled egg during a conference on GU pathology.

 

Sarah Hackman, MD

Sarah Hackman, MD, (PGY4), lectures fellow residents on laboratory methods as part of the CP curriculum. Residents participate in many teaching opportunities: resident lectures, multidisciplinary tumor boards, interdisciplinary conferences, medical student lectures and continuing education for laboratory technologists. Every resident is given a desk with lockable shelves, computer, and a microscope. The resident’s office also has a library and multi-headed scope, so that senior residents can teach junior residents (especially useful with unknown conferences). Residents also receive a book fund.

 

Tom Andrews 2

Our labs are equipped with state-of-the-art analyzers. Tom Andrews, a Post-Sophomore Fellow, works up a lymphoma with eight-color flow cytometry.

 

2014 ASCP Annual Meeting

Residents and faculty at the 2014 ASCP annual meeting in Tampa, Florida. Research is encouraged by the department, including financial support to attend and present at national meetings.

 

Tracks

Most residents follow a 4 year, Anatomic Pathology and Clinical Pathology track, culminating in eligibility for board certification in both AP and CP. A few residents opt for 3 year AP-only or, very rarely, CP-only tracks leading to eligibility for only one of those certifications.

 

Locations

All training programs are under the sponsorship and direction of the University of Missouri School of Medicine. University facilities include the 430-bed University Hospital, Women’s & Children’s Hospital, the Ellis Fischel Cancer Center, Outpatient Clinics, Medical Sciences Building of the School of Medicine, the Diabetes and Eye Research Centers, and the Health South Rehabilitation Center. Residents also rotate to Children’s Mercy Hospital in Kansas City for pediatric surgical pathology, and to Cardinal Glennon Children’s Hospital in St. Louis for cytogenetics and molecular genetic pathology. The closely affiliated 104-bed Harry S Truman Memorial Veterans Administration Hospital is across the street, and there are regular rotations to or other tasks at this affiliated VA hospital. Our blood bank, coagulation and HLA laboratories are coordinated with the American Red Cross Laboratories located one-half mile from the University Medical Center and all clinical services provided by these laboratories are directed by faculty of this department.

Specimen volumes (yearly approximations) are: surgical pathology well over 20,000, clinical pathology 1,100,000, cytology 17000 including an active fine needle aspiration service, bone marrows 245, and hospital autopsies 60. Over 600 Medical Examiner’s cases are also used for resident training. The Medical Examiner’s facility is located in the University medical center complex and is an integral part of the Department; the MEs are full-time faculty. Research facilities include various core laboratories within the department, and University-wide core laboratories. Excellent, cross-referred photographic files, paraffin tissue blocks, and glass slide collections include specimens since the 1970’s, and are in addition to digital photographic collections.