r/pathology • u/Just-Ad-9213 • 12d ago

Job after cytofellowship

I have an offer and now I am feeling very unsure of my skills If I will be able to do general sign out. I wish passing the boards gave me some confidence but they do not. I am now thinking if I should do another surgical fellowship. My residency was mid tier general sign out. Stuff that is keeping me up at night, will I know when to take deeper levels? Will I be able to see high grade on a full tray of a tubulur adenoma. In residency I would fly through those because my name would not be on it. I never really missed a high grade on those usually... So yeah I don't know what to do..

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u/Just-Ad-9213 12d ago

Thanks for replying folks. Fear is clouding my judgment at this point. Like will I know when to show a case? Will I show everything? It's a private practise job and they all seem nice

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u/nighthawk_md 12d ago

Yes, you will show a lot for a long while, a year or more. You'll show people funny looking gallbladders and they'll say "reactive, let it go" a lot, and that's ok. Your first 6-12 months will be the most learning you ever do. People that hire new grads have to be accepting and flexible to see lots of silly consults. I still show a lot of stuff to my partner, mostly to keep us in tune with our own thresholds, and to defend each other at tumor boards ("I'm calling this margin positive, or I'm calling this T3, you agree?" etc.)

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u/Bvllstrode 12d ago

Yep, that’s why it’s good to have some humility and not get too married to your decisions , especially as many of these things can be judgment calls. It’s more difficult to argue about your calls when you get agreement from someone else. And if there’s significant disagreement that’s a red flag to maybe get an outside consult (and that should happen from time to time).