All rotations are done at the University of Iowa Hospitals and Clinics. The core of training is provided by the clinical rotation core accounting for the vast majority of the training year. This core consists of frozen section, “hot seat”, gross room supervision, and consultation case rotations. During the frozen section rotation, the fellow is responsible for assessing, preparing and interpreting frozen sections with the assistance of ancillary staff and house staff, under supervision from faculty. The primary fellow function during the gross room supervision rotation is responsibility for oversight of more junior house staff in their specimen grossing activities. In addition, they cover after hour frozen sections with faculty backup. The “hot seat” rotation necessitates an evaluation of all slides generated for the day with the issuing of a preliminary diagnosis, which is available to medical center personnel. The consult case rotations deal with difficult cases submitted to the faculty for their expert opinion or review of those cases where the patient is being referred to UIHC for definitive therapy.