Fellows will be spending ½ of their time in dermatopathology sign out.  The fellow will be expected to formulate a diagnosis and a differential diagnosis in all cases before the supervising attending signs out.  With approximately 20,000 accessions per year, the fellow will be exposed to a variety of common and uncommon diseases.  The fellow will also be responsible for dictation of over 400 consult cases received from other pathologists and dermatopathologists.  The three staff dermatopathologists have an extensive teaching collection of interesting cases that the fellow will be expected to review.  All fellows will be expected to perform research and publish a research project based upon their interests.  The department of Pathology has internal grants available for funding projects requiring monetary support, along with a full time research technician.

Additional Training of Dermatology Trained Fellows

The fellow will spend one morning a week in the surgical pathology gross room where the fellow will participate in gross dissection, especially specimens of interest to dermatopathology such as skin, soft tissue, and lymph nodes.  Two mornings a week will be spent participating in surgical pathology sign out.  One morning a week the fellow will have elective time to participate in subspecialty sign out of interest such as hematopathology, cytology and neuropathology.  Throughout the year the fellow will participate in any autopsies with dermatologic findings or diseases of interest. 

Additional Training of Pathology Trained Fellows

Pathology trained fellows will spend 3 (½) days a week in Dermatology clinic.  In these clinics the fellow will see patients, write the notes, dictate referral letters, write the prescriptions, and be responsible for follow up just like a first year Dermatology resident  This active learning rather than passive observation will help provide a good clinical foundation for a career in dermatopathology.  One half day a week will be open for elective time in Moh’s surgery, or other specialty clinics of interest.

In Summary, the fellow regardless of his or her background should receive an excellent training in Dermatopathology which should serve as a solid foundation for a future career in either private practice or academics.

Required Conferences

Fellows will be required to participate in the weekly Dermatology journal club, the weekly dermatopathology conference, the monthly Dermatology grand rounds, monthly Dermatology patient conference, and monthly Dermatology consult conference.  The fellows will be responsible for presenting the pathology for the Dermatology grand rounds and discussing clinical-pathologic correlation (Dermatopathology attending physicians are always in attendance at these sessions).  The fellow will also prepare brief (5 -10 minute) discussions of topics to be covered during the weekly dermatopathology conference.

Optional Conferences

The Milton S. Hershey Medical center has numerous other conferences the fellow will be able to attend if the conference is of interest or pertaining to dermatopathology. Some of the pathology conferences include:


Name of Conference Frequency Held Individual(s) or Department Responsible for Organization of Sessions
Department of Pathology Conferences:    
     Gross Pathology Conference Weekly Dr. Ruggiero
     Surgical Pathology Conference Weekly Dr. Crist
     Didactic lecture series Weekly Chief resident (primarily given by faculty)
     Journal Club Quarterly Dr. Stairs
     Clinical Pathology Conference Bi-weekly  
     On-call Review Monthly  
     Lunch with the Program Director, Chair, and Division Chiefs Monthly Chief Resident
Interdisciplinary Conferences:    
     Pediatric Mortality Conference Monthly Faculty and Residents
     Hematology Conference Bi-monthly  
     Breast Conference Weekly Dr. Han
     Renal Biopsy Monthly Drs. Abendroth,Baccon,Chen
     ENT Tumor Board Monthly Chief Resident
     Bone Conference Monthly Dr. Frauenhoffer
     GI Tumor Board Monthly Dr. Ruggiero
     Neuropathology Bi-monthly Dr. Specht
     Lymphoma Conference Weekly Dr. Bayerl
     Dermatopathology Weekly Drs. Helm, Ioffreda, Chung
     Uropathology Monthly Dr. Crist
     GI Fellows' Conference Monthly Dr. Ruggiero


This is a fully-funded one year ACGME-accredited position that includes training in all aspects of Dermatopathology.  Faculty include three academic Dermatopathologists, and academic anatomic pathologists and dermatologists.  The service accessions over 20,000 cases per year, including in-house and referred samples.  Applicants should be board-certified or board-eligible in either Anatomic Pathology or Dermatology.

All Dermatopathology Fellowship positions through academic years 2015-2016 and 2016-2017 are filled. We are currently accepting applications for our 2017-2018 and 2018-2019 positions.

To apply, please forward your complete application electronically via email to Your complete application will include: CAP Standardized Pathology Fellowship Application, a cover letter with personal statement, curriculum vitae, a copy of USMLE test scores (or equivalent), a letter of recommendation and verification of training from current/most recent program director, and two to three additional letters of recommendation.  Letters of recommendation may be sent under separate cover directly from your referees but should still be sent electronically. Please note, our program is NOT participating in the ERAS application system.  All applications should be forwarded via email directly to the Program Coordinator. 

Milton S. Hershey Medical Center is an Affirmative Action/Equal Opportunity Employer; Women and Minorities are Encouraged to apply.

Klaus Helm, MD
Fellowship Director

Beth Shultz
Resident/Fellowship Coordinator