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We have one opening for a Surgical Pathology fellow for 2022-23, and have 2-3 openings for 2023-24.

Program Description

The UNC School of Medicine Department of Pathology and Laboratory Medicine offers one-year Fellowship/Clinical Faculty Instructorships in Surgical Pathology. The training year is intended for board-eligible or board-certified anatomic pathologists who want progressive responsibility and to develop excellent diagnostic skills in Surgical Pathology in an academic practice environment.

This is a hybrid fellowship-instructorship position with independent sign-out responsibility for a portion of the year.  Graduated responsibility is a hallmark of our fellowship. Fellows have an initial period of supervision in working up the full range of Surgical Pathology cases accessioned in our division, and then are credentialed for independent sign-out. The Fellows are initially responsible for outside cases referred for review before treatment or for second opinion, then progress to signing out half a normal Faculty workload (shared with the other Fellow), and eventually to signing out a full workload. UNC Surgical Pathology is organized in a subspecialty sign-out model, with services including breast, gynecologic oncology, OB/GYN, GI/liver biopsies, large GI resections, Head and neck, Thoracic/endocrine/oral, GU and bone/Soft tissue. Fellows rotate on all services at least 3 times (once with supervision primarily writing up cases and handing off for sign-out, once with independent sign-out at half volume, at least once with independent sign-out at full volume). Faculty members with subspecialty expertise are available for all areas, and work closely with the Fellows to develop diagnostic and reporting skills.  Frozen sections are a part of every service week (4-5 hours/week).  Participation in tumor boards is paired with the rotations on the outside consultation/referral service.  There are no responsibilities for grossing or autopsies, and there is minimal night call (2 weeks/yr). The fellowship schedule includes generous off service time (12-14 weeks) that can be used for electives or research.

The Surgical Pathology Division at University of North Carolina will accession approximately 40,000 in house cases in 2021 (36,000 inside cases, 4,000 outside consult/referral cases). Complex oncology resections are emphasized. These numbers do not include cytology, hematopathology, dermatopathology or nephropathology cases. There are opportunities for elective experiences in any area of pathology.

Individuals completing this fellowship have gone on to a variety of positions, both in private practice and academics. This fellowship provides a wonderful opportunity to develop skills and confidence in independent sign-out required to succeed in any high volume, high complexity practice environment.

Program Requirements

Applicants must possess an MD or DO degree, be board-eligible/board-certified in Anatomic Pathology, and be eligible for medical licensure in North Carolina and appointment to the faculty of UNC Healthcare.


Fellowship stipends are commensurate with postgraduate year of training, with an increase during the Instructorship appointment.


The Standardized Application for Pathology Fellowships from the College of American Pathologists, 3 current letters of recommendation (one of which must be from your Program Director), and ECFMG certification should be submitted to the program director. Electronic submissions are encouraged. Letters of recommendation should be addressed to the program director, Dr. Maygarden, at the address below.

Program Director

Susan J. Maygarden, MD
Professor, Department of Pathology and Laboratory Medicine
Director of Surgical Pathology Fellowship Program
CB 7525 UNC Chapel Hill
Chapel Hill, NC 27599-7525

Phone: 984-974-9150

Faculty Members