Pathology Physician Scientist Training Pathway (PSTP)

Overview

The University of Iowa Pathology Physician Scientist Training Pathway (PSTP) seeks to facilitate outstanding biomedical research opportunities balanced with a strong tradition of excellence in anatomic and clinical pathology training, for those trainees who plan to include a significant research component in their career. The training pathway is designed to be flexible in order to accommodate the individual needs and training goals of its members, and to be well integrated within the University of Iowa College of Medicine PSTP. This site provides programmatic structure and guidelines that coordinate the admission and residency/postdoctoral fellowship training of physician scientists under the auspices of the University of Iowa Department of Pathology.

Admission Process

Interested individuals apply to the University of Iowa College of Medicine PSTP, and to the University of Iowa residency program through ERAS. The candidate then interviews for PSTP and Anatomic Pathology (AP), or Clinical Pathology (CP), or both if undecided. If undecided, the trainee must choose either AP or CP by January of PGY1.

The successful candidate generally will have both an MD and PhD in a field of biological or physical science. Those applicants with an MD and significant prior research training (but not a PhD) may be considered on an individual basis.

Training Overview

Each PSTP trainee receives individualized guidance and mentoring from two committees. In the first 12-18 months in the program, the Pathology PSTP Oversight Committee provides mentoring. After a research laboratory has been chosen, a customized PSTP Advisory Committee (PAC) provides continued guidance.

A general training sequence is outlined below as a starting point for trainees and their mentoring committees to discuss. Trainee interests and residency program/postdoctoral laboratory requirements may suggest another superior pathway for a specific trainee.

  • Residency training is initiated at beginning of PSTP training.
  • Clinical rotations generally occur in one of the following recommended sequences (30 months of clinical rotations + 6 months research):
    • 12 months clinical rotations – 6 months research – 18 months clinical rotations.
    • 18 months clinical rotations – 6 months research – 12 months clinical rotations.
  • Research during residency is done in the post-doctoral training lab. This lab should be selected in first six to nine months in the PSTP.
  • The trainee sits for AP or CP board exam within one year of completing clinical training.
  • The trainee will complete activities needed to maintain board certification (MOC) thereafter, as required by the American Board of Pathology.
  • Post-doctoral research training - the trainee will participate in three to four years of Post-doctoral research. The mentor is encouraged (but not required) to be Pathology faculty.
  • Clinical involvement during the postdoctoral research period is determined by the stipulations of the training grant and the nature of the clinical specialty; but will not exceed 20% of the trainee’s effort. Clinical training opportunities include (but are not limited to):
    • attendance at conferences pertinent to clinical specialty
    • limited on-call duties
    • limited on service duties
    • workup of consult cases related to clinical specialty
    • tumor boards
  • A clinical fellowship in The University of Iowa Department of Pathology may be pursued at the end of PSTP training if a position of interest is available.
  • Teaching experience requirement:
    • The trainee will prepare and present of at least two formal lectures.
    • The trainee will preferably lecture as part of a formal course to medical, graduate, or allied health students is preferred, but the requirement can also be met by a formal lecture to residents.
    • Research seminar presentations do not fulfill this requirement.
    • The trainee will also participate in the usual small group teaching experience during residency.
    • The trainee will present research seminars at least three times during training.
      • One presentation must be Pathology Grand Rounds.
      • Other possible venues include:
        • Pathology research day
        • Seminar series sponsored by trainee’s research department/program
        • Regional or national meeting
  • Trainee participation in College of Medicine PSTP seminars and other activities is encouraged.
  • The total training period is capped at seven years, although some trainees may finish sooner.

Research Training Funding

  • During or shortly after research performed during residency, the trainee will apply for funding to sources determined by consultation with the research mentor, PSTP Oversight Committee and/or PSTP Advisory Committee. The trainee should qualify to apply for transitional funding (e.g., K08 award) during postdoctoral training.
  • Pathology guarantees salary/benefits support for research training during 1st year of research if necessary (i.e., grant support is not obtained), contingent on the trainee aggressively pursuing other sources of support.
  • Salary/benefits are supplemented up to PGY level throughout the training period by Pathology if funding is obtained via internal or external training grant/fellowship, or via mentor’s research funding.
  • Support for additional years of research training (e.g., after fellowship or training grant support is complete, or after the initial year of Pathology funding if no training grant salary support is obtained) is the responsibility of the research mentor.
  • At the time of application for K08 or similar funding, the trainee will meet with the Pathology Chair to discuss appointment as instructor should the award be funded.

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