Consultant histopathologists work to assess biopsy material (and cytology of fluids) by both microscopy and digital images, in order to provide a diagnosis. They are skilled in the selection of ancillary studies (such as immunohistochemistry and molecular tests) to aid diagnosis. They also dissect and assess surgical specimens to determine grading and staging information, therefore playing an integral role in the treatment and prognosis of patients with cancer.
Histopathologists have an in-depth understanding of disease processes and acquire specialist skills in problem solving and attention to detail. They work closely with clinical colleagues as part of the multidisciplinary (MDT) team, to reach the best management decisions for patients. Some pathologists also perform autopsies in the mortuary to determine cause of death. As a histopathology doctor in training, you will work closely with a dedicated team of expert laboratory and medical staff, in addition to spending independent time dissecting specimens, performing microscopy and writing reports, attending teaching and MDT meetings.
Run-through training in Cellular Pathology takes a minimum of 5 years, whole time equivalent. Doctors in training initially enter a period of integrated cellular pathology training (ICPT). This includes training in general histopathology, basic autopsy training, cytopathology and molecular pathology. In addition, doctors usually have exposure to the subspecialties of forensic pathology, perinatal/paediatric pathology and neuropathology. After two years of ICPT, doctors in training will either decide to continue in general histopathology specialty training or instead apply for training in one of the three subspecialties through a national recruitment process.
Higher specialty training commences from 2.5 years and will require the accrual of more specialised and in-depth generic and specialty competencies. Doctors in training can also choose whether to undertake additional modules in higher autopsy and cervical cytology training. Higher specialty training in histopathology is anticipated to require an indicative 2.5 years of training, with each module comprising a further three months. There are also other training opportunities like undertaking research or out-of-programme training.
Assessment is by annual appraisal (ARCP) process, underpinned by a comprehensive portfolio. The Fellowship Examination of the Royal College of Pathologists (FRCPath) Part 1 examination is usually undertaken in year 2. Doctors will then undertake a Part 2 examination according to their specialty, usually undertaken in year 4. There are additional examinations for the optional modules.
We have a dynamic and experienced group of trainers who will ensure that the training meets the individual needs of our doctors in training.
The Lead Employer Trust (LET) employs 33 training-grade histopathology training doctors, 2 forensic pathology trainees, 1 perinatal/paediatric trainee and 1 neuropathology trainee across the North East of England. These doctors may achieve a certificate of completion of training (CCT) in one of the following:
Histopathology
Forensic Pathology
Perinatal/Paediatic Pathology
Neuropathology
Our interactive map marks Cellular Pathology placements
Royal Victoria Infirmary
Queen Victoria Road, Newcastle upon Tyne, NE1 4LP
James Cook Hospital
Marton Road, Middlesbrough, TS4 3BW
Queen Elizabeth Hospital Gateshead
Queen Elizabeth Avenue, Gateshead, NE9 6SX
North Tyneside General Hospital
Rake Lane, North Shields, NE29 8NH.
University Hospital of North Tees
Hardwick Rd, Stockton-on-Tees,TS19 8PE
University Hospital of North Durham
North Road, Durham, DH1 5TW
Meet Emmy Abu, a year five histopathology trainee in the North East and North Cumbria. She chose this region after searching for a city in England with an airport and a beach, with Newcastle being the top result.
Emmy appreciates the region’s beautiful countryside, friendly cities, and the support of experienced medical teams during her training. The blend of work and leisure, along with the welcoming community, has made her relocation a rewarding decision.
As she advances in her career, Emmy looks forward to contributing to the healthcare excellence of the North East and North Cumbria.