Pediatric Pathology Fellowship
Curriculum and Schedule

Fellowship Curriculum and Schedule

The Pediatric Pathology Fellowship at Cincinnati Children’s is designed to equip future pediatric pathologists with the necessary skills and expertise to make accurate and timely diagnoses. 

The program offers a structured, immersive curriculum that combines core service rotations with interdisciplinary conferences and hands-on training in pediatric surgical and autopsy cases. The curriculum is tailored to high-yield topics in pediatric pathology, delivered over a two-year cycle of didactic sessions and slide seminars, guided by expert faculty dedicated to advancing fellows’ diagnostic and practical skills.

This program is ACGME-accredited.

Core Service Rotation Summary

Each week, fellows engage in varied clinical rotations, simulating both academic and community practice settings. 

The surgical pathology rotation covers a broad range of pediatric pathology. Fellows receive in-depth exposure to non-urgent cases ranging from routine simple specimens to complex resections in a post-treatment setting.

Fellows are typically scheduled for a total of 9-10 weeks in this service.

The surgical pathology rotation is focused on rapid diagnosis cases, including biopsies for Hirschsprung’s disease, suspected malignancies and allograft biopsy evaluations. Fellows gain experience with frozen sections and fine-needle aspirations. They also participate in after-hours call responsibilities on weekends and holidays.

Fellows are typically scheduled for a total of 9-10 weeks in this service.

The gastroenterology rotation provides exposure to luminal gastrointestinal (GI) tract biopsies, covering a range of conditions such as childhood enteropathies, eosinophilic gastrointestinal disorders, polyposis syndromes and pediatric inflammatory bowel disease (IBD).

Fellows are typically scheduled for a total of 4 weeks in this service.

As one of the largest pediatric autopsy services in the country, this rotation provides comprehensive training in autopsy procedures across age groups, with cases spanning perinatal, pediatric and stillbirth autopsies. Emphasis is placed on placental pathology, procedural skills, clinical-pathological correlations and preparing detailed, structured reports.

Fellows are typically scheduled for at least 10 weeks in this service.

During the outside consults rotation, fellows work with attending pathologists on external cases for second opinions. Here trainees gain valuable diagnostic and consultation experience, enhancing their ability to manage complex and rare cases.

Fellows are typically scheduled for at least 4 weeks in this service.

This rotation is focused on diagnosing blood disorders in children, including leukemia, lymphoma and other blood-related diseases. Trainees will develop proficiency in interpreting bone marrow biopsies, peripheral blood smears and flow-cytometry.

Fellows are typically scheduled for a total of 2 weeks in this service.

Fellows receive targeted training in the pathology of pediatric nervous system disorders—including brain and spinal cord tumors, developmental abnormalities and congenital neuropathies.

Fellows are typically scheduled for a total of 2 weeks in this service.

This rotation provides tailored experiences in perinatal and placental pathology, medical renal, electron microscopy, molecular pathology and research. Electives can be customized to each trainee’s interests and career goals.

Fellows are typically scheduled for a total of 2 weeks in this rotation.

We value work-life balance. All fellows are given designated off-service time to decompress, work on research or other projects, catch up on outstanding work or engage in personal activities. During this time, trainees are not assigned to a specific service but are still expected to attend conferences, assist with gross specimens and support complex autopsies as needed.

Typical Day in the Life of a Pediatric Pathology Fellow

While no two days are exactly the same, each day's structure is designed to provide maximum opportunities for collaboration and learning.

8–9 am | Fellows Conference
The first hour of the day is a dedicated, protected time for fellows to participate in in-person didactics. These sessions occur every Monday and Wednesday in the pathology conference room and offer a consistent opportunity for focused learning and professional development.

9–9:30 am | Morning Prep & Coffee
Fellows gather in the fellows' room for a brief coffee break and preparation time. This time is used to organize their day and connect with peers before clinical duties begin.

9:30–9:45 am | Morning Huddle
Fellows attend a daily informal huddle in the gross room, where they meet with pathologist assistants and faculty to discuss the OR schedule and anticipated cases. The fellow assigned to the Surgical Pathology Rapids service leads the huddle. This process builds teamwork and refines communication skills.

9:45 am–5 pm | Core Clinical Work & Conferences
Fellows spend this time previewing cases, grossing specimens or performing autopsies, depending on their assigned rotation. Throughout the week, they also attend various interdisciplinary conferences where they can collaborate closely with clinical team members. These weekly conferences may include QA Consensus Meetings, tumor boards and autopsy QA discussions.

5–6 pm | Daily Wrap-Up
At the end of each day, fellows finalize tasks, review any pending assignments and prepare for the next day. Fellows on-call will continue duties as needed.