Diagnostic & Molecular Pathology Residency Program (formerly Anatomical Pathology)

Welcome to the Diagnostic & Molecular Pathology Residency Program (formerly Anatomical Pathology) at the 海角社区.

 

DEDICATED TEACHING STAFF

WITH RESIDENT TO FACULTY RATIO OF 1:8

 

WIDE REFERRAL AREA

ENCOMPASSING ALL OF NORTHERN ALBERTA AND BEYOND, LEADING TO A GREAT BREADTH AND DEPTH OF CASES

 

ABUNDANT ELECTIVE TIME

TO ALLOW RESIDENTS TO DEEPLY EXPLORE AREAS OF INTEREST AND HAVE A PERSONALIZED LEARNING EXPERIENCE

 


Interview/CaRMS Specific Information 

Candidates will be interviewed via Zoom by a panel comprised of the residency program director, program administrator, faculty members involved in residency training and one or more residents. The Diagnostic & Molecular Pathology interviews are held in tandem with the Diagnostic & Clinical Pathology interviews.

Contact Us

Dr. Erin Chapman
Program Director, Diagnostic & Molecular Pathology

Ms. Kathryn Tomlinson  
Program Administrator

Phone: 780-407-2606
Fax: 780-407-7660
Email: katomlin@ualberta.ca


Dr. Erin Chapman

Dr. Erin Chapman
Program Director


program-coordinatorkathryn.jpg

Kathryn Tomlinson
Program Administrator

Welcome to our program

We are a medium-sized program that allows for the formation of close working relationships with faculty, staff and resident colleagues. We are fortunate to have passionate and dedicated clinical faculty who provide our residents with excellent teaching and mentorship throughout their training and beyond.

Training

Our first year of training includes a two-block introduction to pathology followed by nine blocks of basic clinical training, then two additional blocks of pathology orientation. This leads into second year, and the start of in-depth pathology training. 

Teaching locations

Our program is distributed across seven teaching locations in Edmonton, with each focusing on different areas of specialty and expertise. Each site is unique and offers residents the opportunity to participate as part of each of these teams, setting them up well for future employment. This ranges from community hospitals where residents see a wide variety of “bread-and-butter” cases to tertiary care centers with complex and subspecialized material, to the Medical Examiner’s Office for forensic pathology. Our teaching sites have wide referral areas, encompassing all of northern Alberta. This results in a great breadth and depth of pathology and teaching cases. 

Rotations

Our rotations are a mix of subspecialty rotations (including autopsy/forensics, breast, dermatopathology, gynecology, genitourinary, hematopathology, neuropathology, cytopathology, molecular pathology and pediatric pathology) and non-subspecialty surgical pathology rotations, where the practice of a more general sign-out is learned. 

Electives

There is ample elective time in our program to allow our residents the ability to tailor their training towards their own specific career goals. This may include focusing on research or a specific area of subspecialty. Electives outside of the city, province and country are encouraged and supported. We have a dedicated staff lead and process to ensure residents meet their research requirements.

Supports

We have funding available to support residents for travel associated with research presentations at conferences in addition to funding available for continuing medical education. As well, the program supports resident-led wellness initiatives with funding.

Additional resources

In addition to our training rotations, we have several resources in place to complement our residents’ clinical training and help facilitate their preparation for Royal College Examinations. These include: 

  • weekly academic half-days with a revolving two-year curriculum
  • numerous interdisciplinary and pathology rounds (i.e., province-wide pathology interesting case rounds, one-on-one cytology teaching with experienced cytotechnologists)
  • twice yearly in-house examinations modeled after the Royal College exam
  • funding for senior residents to attend a pathology exam preparation review course
  • dedicated faculty who participate in mock oral examinations to support senior residents in preparation of their Royal College exams

We hope this site provides you a bit of a snap-shot about our training program, and we look forward to meeting with you!

Dr. Erin Chapman
Program Director

Our Program

Our program trains highly competent anatomical pathologists for practice in both academic and community settings. They make substantial contributions to patient care, education and/or research in the field of pathology. Our trainees become medical experts in anatomical pathology, collaborators with colleagues inside and outside of the laboratory, leaders, and teachers. We train residents to meet the needs of patients not only in Alberta, but across Canada.

AP/GP Residents 21-22

Program Highlights

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We have highly dedicated teaching faculty, including staff pathologists, pathology assistants, and cytotechnologists. The ratio of residents to faculty is 1:8.

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Opportunities for interprovincial and international electives are available and encouraged (COVID pandemic allowing).

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 There are no mandatory rural rotations but these are easily arranged and encouraged (COVID pandemic allowing).

This is a comprehensive program providing experiences in all facets of anatomical pathology. This includes tertiary academic hospitals, community hospitals, and private facilities. The regional model of health care delivery provides all residents access to a broad range of cases and complexities.

Research is actively encouraged, and research electives are available to all interested residents. Residents present their research at the annual departmental resident day. In addition, they can present at national or international meetings during the course of their training with funding assistance available.


Program Supports

Career Planning
Career planning is discussed every 6 months with the program director during one-on-one 6-month reviews. In addition, residents are encouraged to talk to their mentors, other residents, and other teaching faculty in this regard. Formal lectures on career planning are part of academic half day lecture series.

Mentorship
We have an informal mentorship program to aid residents and provide another avenue for support. Residents are encouraged to ask any faculty member from any teaching facility to act as their mentor. We suggest choosing a mentor by the end of the PGY2 year.

Competency By Design (CBD)
Academic advisors are assigned to each resident to help guide them through CBD and their learning journey.
Residents get continuous, specific feedback through the CBD program and regular direction from the Competence Committee.

The Office of Advocacy & Wellness (OAW) 
is an excellent resource to obtain confidential counselling; they also advocate on behalf of residents in a variety of matters. 

Alberta Medical Association’s  
Provides confidential support, and is open 24/7.


Residency at a Glance

In Competency By Design (CBD), the previous structure which divided the programs into PGY years will instead be replaced by the following 4 stages. The overall length of the program is expected to be 5 years for most residents.

1) Transition to Discipline

Includes basic skills and concepts not necessarily covered in medical school, including laboratory safety, microscopy skills, principles of specimen handling and workflow in the laboratory, and basics of laboratory testing.

Transition to Discipline (2 blocks): (1 block = 4 weeks)

Orientation to Histology, Anatomy, and Basic Pathology (2 blocks)

2) Foundations of Discipline
  • Includes rotations in relevant clinical specialties (General Surgery, Internal Medicine, Dermatology, Medical Oncology, Radiology, etc.).
  • Experiences in normal histology/morphology, frozen section, autopsy, grossing of simple specimens, and reporting simple specimens are included, with one-on-one guidance from a senior resident.

Foundations of Discipline (FD, 8 blocks):

Emergency Medicine (1)
Internal Medicine (1)
Gynecologic Oncology (1)
Medical Oncology (1)
Surgery (1)
Vacation (1)
Re-Orientation to Pathology (1)
Surgical Pathology Junior UAH (1)
3) Core of Discipline
  • This stage comprises the bulk of the program (at least three years) and includes rotations in anatomic pathology and subspecialty areas including neuropathology, cytopathology, molecular pathology, breast and gynecological pathology, and pediatric pathology.
  • Trainees will gain experience in autopsy, intraoperative consultation, and fine needle aspiration.
  • Trainees will acquire skills and knowledge to become effective and knowledgeable laboratory consultants.

Core of Discipline (CD, 43 blocks):

Autopsy Junior MEO/UAH (1 block)
Autopsy Junior UAH/ RAH (1)
Senior Autopsy UAH/RAH (1)
Surgical Pathology Junior UAH (6)
Surgical Pathology Junior RAH (1)
Surgical Pathology Junior GNH (1)
Surgical Pathology Junior MCH (1)
Surgical Pathology Junior DLDx (2)
Surgical Pathology Senior UAH (2)
Surgical Pathology Senior RAH (2 blocks PGY3; 2 blocks PGY4; 4 blocks total)
Surgical Pathology Senior GNH (1)
Surgical Pathology Senior MCH (1)
Surgical Pathology Senior DLDx (1)
Cytology Junior UAH/ DLDx (2)
Cytology Senior UAH/ DLDx (1)
Dermatopathology UAH (1)
Breast Pathology MCH (1)
Pediatric Pathology (2)
Lymph Node Pathology (1)
Molecular Pathology #1 (1)
Molecular Pathology #2 (1)
Neuropathology (2)
Forensic Pathology (2)
Electives (4)
Study Leave #1(1)
Study Leave #2 (1)
4) Transition to Practice

In this stage, trainees consolidate their skills to work independently and demonstrate leadership in rounds, teaching and other activities.

Transition to Practice (TP, 12 blocks):

Surgical Pathology Senior UAH (2 blocks)
Surgical Pathology Senior RAH (1)
Surgical Pathology Senior DLDx (1)
Electives (8) *ideally used for training in area of special interest


Teaching Hospitals

We are a fully accredited program that follows the guidelines set out by the Royal College of Physicians and Surgeons of Canada. Our residents will be learning at multiple different sites.

: #200, 10150 - 102 Street, Edmonton, AB, T5J 5E2

UAH and STARS helicopter

Frequently Asked Questions

What are some strengths about your specialty? What draws and keeps people in your specialty?

The opportunity to understand the nature of disease in an in-depth way that isn't achieved in any other specialty.  You get to practice scientific diagnostic medicine over a broad range of subjects and you have a fair degree of control over your schedule.

What are some common complaints about your specialty?

There is limited direct patient contact - you'll never have an office full of patients who regard you as their doctor, but limited patient contact does not mean you will sit alone in the basement! The work you do is at the foundation of all medicine, and patients cannot be managed without your diagnosis. In order to do this, you must interact and communicate constantly and effectively with your pathology and technical colleagues regarding cases and to troubleshoot problems. You will also be in frequent contact with clinicians by phone, email, or in person to provide advice, discuss cases and diagnoses, or for frozen sections. Tumour boards are an essential component of pathology practice, in which your effective interaction and communication with clinicians, radiologists and other pathologists is integral to providing optimum patient care.

Why did you choose your specialty?

Opportunity to have an academic career that readily incorporates teaching, research, and clinical pathology with an excellent work-life balance. Prefer an intellectual specialty with non-stop interesting diagnostic puzzles over a procedural specialty. You always learn something new everyday and are at the forefront of medical discovery.

What types of clinical cases do you commonly see?

Anatomical pathology, by definition, encompasses the entire medical spectrum.  Think of any disease process, from pediatrics to geriatrics, neurosurgery to dermatology, pathologists diagnose diseases in all organs. Many pathologists choose to subspecialize in one organ system (breast, GI, lymphoma, etc.) and may focus their practice mostly or even exclusively in that system.

Briefly describe a typical day.

Depends upon the setting.  Most pathologists are involved in clinicopathologic rounds, laboratory supervision, and direct diagnostic work in biopsies, surgical pathology, hematology, etc.  Academic pathologists teach students and residents, and may have dedicated time for research in addition to their clinical sign out duties; community-based pathologists usually sign out cases for the majority of their time, but often have major administrative roles in their institutions/medical staff organizations.  Some community hospitals also train residents, and the pathologists will be involved in teaching.  There is very little to no evening/weekend call in most settings.  Call is always taken from home and usually problems can be solved over the phone or by a brief hospital visit, typically for a frozen section.

What are the varieties of lifestyles within your field?

The lifestyle in pathology is hard to beat.  It is possible to do pathology and do it well and still have a life outside medicine.  Most pathologists work regular office hours and do not haunt the hospital halls at night!  Working hours are often flexible in many settings, as non-urgent cases do not complain about having to wait a few hours, unlike a waiting room full of patients!

Specifically, how able is your specialty to accommodate family life?

Very easily.  Working hours are very regular for pathologists and call duties are minimal.  In pathology, one can achieve a very satisfactory work-life balance that is ideal for raising a family.

Range of incomes?

In Alberta, pathologists receive a fixed income according to a standard contracted grid determined by experience.  Starting incomes are very competitive compared to other non-surgical specialties.  Pathologists generally have no or minimal overhead and do not deal with hassles of billing.

How do you see your discipline changing over the next decade?

While histo/cytomorphology will remain the mainstay of diagnosis, there is also increasing usage of molecular techniques for diagnosis, prognostic determination and treatment responses.  These are exciting changes, particularly as new tests are developed and brought into daily practice. Molecular pathology is an extremely popular fellowship as a result. Digital pathology and computer-aided diagnosis will come into play, helping the pathologist with tedious tasks, but NOT replacing the pathologist (certainly unlikely in the next 50 years)!


Residency Program Questions

What are you looking for specifically in an impressive candidate?

Someone who is hard-working, self-motivated, and passionate about understanding the nature of disease.  Someone who is a team-player, and has excellent communication skills.  It is also important to have strong clinical knowledge which serves as a basis for everything we do in pathology.

What can a potential candidate do now, in order to be an appealing applicant to your program?

Acquire a sound foundation of medical knowledge, develop excellent communication skills both with patients and other medical colleagues, and explore other specialty areas to ensure that pathology is the right choice for you.  Doing a pathology elective at any institution in North America is a good way to understand what we do (when there isn't a global pandemic happening!) and research is strongly encouraged.

What is your residency program's orientation and focus?

To produce top-quality diagnostic pathologists who are passionate about what they do.  This is done by ensuring exposure to a large volume of cases, exposure to teaching and research opportunities and a full range of practice patterns in a collegial and collaborative environment.  We support the development of both academic pathologists and hospital/community based pathologists in this program.

What is the availability of experiences in subspecialty areas during training?

There is built in time to experience all the subspecialties of pathology from pediatrics to molecular pathology.  In addition, there is ample elective time that can be used to pursue subspecialty training.

What is the on-call schedule during each year of residency?
  • Clinical rotations:  determined by the clinical service.
  • Pathology rotations:  residents cover UAH surgical pathology after-hours call for one week at a time, approximately every ten weeks.  It is home call, and most issues can be dealt with by phone. On rare occasions, you may have to go to the hospital, typically for a frozen section.  Residents rotating at UAH also cover daytime call to triage "rush" specimen requests or inquiries from clinicians, which typically comprises one or two phone calls a day.
What distinguishes the 海角社区 program from other programs?

The greatest strengths of the program includes the huge volume of cases and excellent teaching with ever-expanding opportunities for research and teaching. The 海角社区 department is strong in all laboratory disciplines and able to mount strong specific programs in anatomical pathology.  Our various hospital sites allow you to experience pathology practice in a variety of settings and learn from different preceptors and hospital "cultures" without even leaving the city. Success rates on the first attempt at the Royal College exam has been 100% for CMGs in the last five years.

Who can we contact for more information or to set up electives?
Our program administrator, Ms. Kathryn Tomlinson.  She can be reached by email at katomlin@ualberta.ca.
Specifically, is there a list of residents whom we can call or email?
Yes - please contact Ms. Tomlinson for contact information.
How competitive is it to get in, and then to succeed in your field?

Almost all students who want pathology as their first choice will be matched in the first round; most will also get their first choice location. You should have no difficulty in securing a residency position and succeeding in the FRCPC examinations.  

Is there active and/or required research in your residency program?

A research project is required, and must be presented at an intradepartmental or external scientific meeting.

What role does research play in your career?

Research is present in varying degrees among pathologists.  Our research strengths include a world-renowned renal and transplantation pathology research program.  Some are 75% research, 25% clinical practice, while others do no research at all.  It is pathologist dependent.

What local, national or international conferences would be of benefit to candidates interested in your residency program?

The annual pathology Banff course, the Canadian Association of Pathologists (CAP) annual meeting and the United States and Canada Association of Pathologists' (USCAP) annual meeting are all regularly attended by residents and pathologists.

PODCAST


 

Resident Testimonials

We asked our residents what they like about Edmonton, their highlights of the program, and one piece of advice for applicants about the interview process. Here is what a few of them had to say.
Rebecca Brassington
What I like about Edmonton:
(spoiler alert, pretty much everything!!)
  • The SUN. Edmonton has more sunny days than almost any other Canadian city. On summer solstice, the sun rises at 5am and doesn't set until after 10pm.
  • The NATURE. We have the largest expanse of urban parkland in Canada. The river valley has mountain biking trails as well as lots of walking/running trails.
  • So. many. festivals. Whether it's music or food or art or diverse cultures, the festival city has you covered!
  • We have Duchess Bakery (named the best bakery in Canada by Buzzfeed!) and fantastic dining (quality farm-to-fork local ingredients)
  • Good bike lanes, good (and expanding) public transportation, driving (and parking) is convenient as well.
  • Close to a gorgeous national park (Elk Island) which is also a dark sky preserve! I've seen a meteor shower there and it's awesome. 
  • Friendly city, very liveable. Great place to meet people, also a great place to raise a family.

 Training program highlights:

  • World-class experts and educators; global reputation of the 海角社区
  • Incredibly diverse cases, including transplant 
  • Proactive approach to CBD
  • Very supportive Program (seriously!)
  • Responsive to resident feedback
  • Great research opportunities
  • Well-equipped facilities and lab
  • Excellent track record of success (licensing exams, fellowships, careers) for residents

 One piece of advice for candidates going through CaRMS?

Read over your CV prior to CaRMS and ensure you can explain and elaborate upon everything within (including your hobbies/extracurriculars!) I was asked about yoga, which I had listed as an interest. I told the story of how I went into a new class in a popular and busy hot yoga studio. I was surprised & happy to find a good-size space left by the wall and I took it. This class was the hottest and hardest of my life, absolutely miserable. After it finishes, the teacher stops by my mat and smiles. "Great work! People don't usually like being by the vent!" ...Own your successes, own your failures, and don't be shy about sharing your stories!
Dr. Rebecca Brassington (Graduate 2025)

Conrad Moher
What do I like about Edmonton?
Edmonton has been my home since moving from Grande Prairie after high school, and it continues to captivate me with its vibrant urban lifestyle. The city offers a plethora of activities throughout all four seasons, making it an ideal place for both work and leisure:
- Diverse festivals year-round
- Access to Rogers Place for concerts and hockey games
- Extensive river valley for outdoor activities
- Multiple golf courses for enthusiasts
- ESSC (Edmonton Sports and Social Club) intramural teams
- Competitive sports teams for active individuals (I am biased towards rugby)
- Varied culinary scene and nightlife options
- Proximity to Elk Island National Park for water-based endeavors, picnics, and the Dark Sky Preserve

What are the highlights of your training program?

 The 海角社区's Diagnostic and Molecular Pathology program stands out for several reasons:
- High case volume: Our large catchment area provides exposure to a wide range of pathologies.
- Diverse case mix: Rotations at various sites, both community and academic, offer a comprehensive learning experience.
- Expert mentorship: Experienced pathologists in various subspecialties are always eager to share their expertise.
- Resident autonomy: The program values adult learning, offering independence in elective choices and preparing residents for future independent practice.

One piece of advice for candidates going through CaRMS?
For those considering applying to the program, I offer this piece of advice:
Cultivate a deep curiosity about the "why" of medicine. Success in Diagnostic and Molecular Pathology stems from a genuine interest in understanding the inner workings of organs, tissues, and cells down to the molecular level. This drive will fuel your motivation and lead to success in the program.
For your application:
- Demonstrate your curiosity and passion for understanding disease processes
- Try to complete electives in Diagnostic and Molecular Pathology to gain hands-on experience
In summary, the Diagnostic and Molecular Pathology residency at the 海角社区 offers a perfect blend of comprehensive training, diverse case exposure, and a supportive learning environment, all set against the backdrop of Edmonton's vibrant city life.
– Dr. Noah Pardell (PGY-4)
Peter Dromparis
What do you like about Edmonton:
Edmonton is a highly underrated city and the secret is getting out. I almost don’t want to answer this question and will be deliberately vague. What makes it stand out is just how liveable it is - from it being one of the last large yet still affordable cities in Canada to its multitude of amenities (see other resident testimonials!) which in my opinion are vastly disproportionate to its size, being a “smaller” big city.

I haven’t fully appreciated until recently the famous Edmonton River Valley (the largest urban park in the continent) which is practically its own ‘green’ city. This isn’t your standard “park” with picnic tables, streets, and outhouses, but rather totally undeveloped, middle of the forest, surrounded by untouched wildlife, within 5 minutes walk from the big city. 

As someone who exclusively takes public transit, I am also incredibly proud of Edmonton’s transit system - with a comprehensive bus system, 29 train stations (45 in 2028), including a train station at 6/7 (soon to be 7/7 in 2028) pathology hospitals and training sites. 

What are the highlights of your training program?
- Freedom! Residents are afforded liberty in workload (above minimum expectations) and case selection based on interest and areas of weakness.
- CBD is manageable. Staff understand CBD and largely empathize with rather than punish residents for some of the challenges of the system.
- Exceptional rotation coordinators at each of the main hospital sites who actively seek feedback from residents about their rotation experience.
- Excellent one-on-one autopsy teaching from the staff who perform the majority of hospital autopsies.
- Royal College-representative biannual in-house exams including recent formation of an Assessment Sub-Committee to further these efforts. 
- Fantastic lab culture, including a team of pathology assistants and lab staff who are motivated in building your grossing skills and are just generally really fun people to work with.

Advice going through the CARMs process:
You’ve likely noticed that much of the superficial information about program highlights is largely the same between programs. For that reason my most important piece of advice is to talk to residents to learn very specific details beyond what is available on the website. This will allow you to understand the program better and set you apart from other candidates if you share this knowledge in an interview. 

This may be controversial (and depend on the specialty in medicine you’re applying to) but I also believe when your CaRMS interviewers are your direct future colleagues (vs medical school interviewers), the addition of personal anecdotes is a better approach than having a perfect answer to a standard interview question. I would also really consider the little things which really may end up making a big difference. For example, try to schedule the last interview slot for your top program - recency bias exists :)
– Dr. Jonas Szelewicki (PGY-3)
Jackie Chan
What do you like about Edmonton?
- The people – are some of the nicest I’ve ever met. NINE days into my residency, my colleagues threw me a birthday party. (Let it be known I did not know any of them before the start date). This was especially heart warming for me because at that time, everything, the city, the residency pathology and my social network were all brand new
- The plethora of eats and shops – I live close to Whyte Ave, our second downtown which is fabulous for getting a great meal in a pinch. But I also appreciate that Edmonton has a great food scene. For example, I recently vacationed in the Twin City area of MN, USA.  I compared the best bakery in Minnesota to one of Edmonton’s best bakeries. Truthfully, I thought Duchess (Edmonton) won this comparison hands down! Edmonton is at least punching above its weight class
- The LRT – highly accessible and has access to stop at all but of the hospitals with the last currently under construction. 
- The West Edmonton Mall - (where I can buy anything my heart desires all with 0 PST!)
- The festivals! 

What are the highlights of your training program?
- The resident group! It is full of excellent mentors who are genuinely kind people. I am so grateful to have the seniors that I do, and, I am forever indebted to my senior residents for their help as I transitioned to pathology. For example, one meets with me before every new block to give me the tea. Another shared a survival guide for a more challenging off-service block and helped me set up my EMR. Others kept me going by sending me handwritten notes and reminder emails encouraging me on my journey. They all are always there to answer questions or listen to me vent
- The Resident Room – is a large, clean and spacious room I can call my own. It is also well supplied thanks to our Wellness Rep. I did a few electives at other schools in pathology as an MS4 and I can say that this was the best room by far. Not only does this provide the benefits of comfort, but my productivity is improved because of the highly functional space at the UAH.
- The AHD teachings – are taught by fellowship trained pathologists for the respective topics, (as we would expect with the bigger schools in Canada) but the program retains the tight-knit feel of a smaller program
- The Staff – I’ve worked with a lot of really great staff at the UAH; one in particular has been instrumental for me. They are such a great support and they clearly care about their students on a personal level. From buying the residents pizza, to me bawling in their office, they have always been there for me. I know this staff and others will be there for our future learners as well.
 
What is one piece of advice you would give candidates going through the CaRMS interview process?
- Be prepared for the standard interview questions and be honest. The interview is a large component and ultimately the interviewers are looking for somebody who they would want to work with as a colleague in the future.
- Go to the CaRMS meet and greet nights to see if your vibe matches with the vibes of the residents and the program!
– Dr. David Marchese (PGY-2)