The Cleveland Clinic

Program Information

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The Robert J. Tomsich Pathology and Laboratory Medicine Institute at Cleveland Clinic offers a four-year Anatomic and Clinical Pathology (AP/CP) training program designed to provide its graduates an exceptional education and foundation in pathology. The world of pathology is constantly changing as new knowledge, technology and clinical treatment paradigms evolve. Our program is designed to train residents to be prepared for the changing needs of future pathologists in practice. The Cleveland Clinic Pathology Residency Program’s overall mission is to train a well-rounded pathologist who can act as an effective diagnostician and clinical consultant, is able to critically assess the medical literature and research, and is qualified to practice independently in any setting.

To accomplish these goals our program offers a wealth of clinical material, an outstanding subspecialty faculty and up-to-date facilities in a structured, but flexible educational environment in order to prepare residents to obtain certification by the American Board of Pathology. Core rotations in Anatomic and Clinical Pathology are augmented by elective opportunities that encourage development of subspecialty expertise. Many research opportunities are available, and residents are encouraged to contribute. Residents interact one-on-one with world-renowned faculty in each subspecialty area. Many faculty members are sought-after speakers at national and international conferences and collaborate on research that is changing the field of pathology. Many of our faculty author and edit highly respected pathology textbooks and journals. Residents learn in this highly academic environment, as well as develop mentor-mentee relationships and engage in translational research. We strive to maintain an optimal educational and working environment, while emphasizing high-quality patient care and maintaining the wellbeing of all employees and physicians.

The Institute is approved for 28 residency positions in the Anatomic and Clinical Pathology Program. Subspecialty fellowships are available at the fifth-year/sixth-year level in Cytopathology (3/year), Bone and Soft Tissue Pathology (2/year), Women’s Health (Breast/GYN Pathology), Dermatopathology (3/year), Gastrointestinal/Hepatic Pathology (3/year), Genitourinary Pathology, Head and Neck Pathology, Clinical Chemistry, Clinical Microbiology, Hematopathology (2/year), Transfusion Medicine, and Molecular Genetic Pathology.

The Cleveland Clinic Health System is composed of the 1,400-bed Cleveland Clinic Main Campus hospital and outpatient facilities, 9 regional hospitals and 18 regional Family Health and Ambulatory Surgery Centers, the Lerner Research Institute, the Lerner College of Medicine, and the Cleveland Clinic Educational Foundation. The main campus occupies 167 acres and 44 buildings. More than 3,584 physicians and scientists are members of the professional staff. Annual statistics for the Cleveland Clinic Health System include more than 7.1 million total visits, 220,059 admissions, 207,610 surgical cases, and nearly 2,000 Residents and Fellows in Training in more than 107 accredited training programs. The Robert J. Tomsich Pathology and Laboratory Medicine Institute is housed in a dedicated multistoried building of 185,000 square feet of floor space that is interconnected to all Cleveland Clinic facilities, in addition to a spacious surgical pathology desk and frozen section facility in the adjacent surgery pavilion. A three-story 136,000 square foot laboratory building is located at the east end of Cleveland Clinic’s main campus. Overall, in excess of 18.6 million laboratory tests and procedures are performed each year. Annual accessions include approximately 190,000 surgical pathology cases, 85,000 cytopathology cases, and 250 autopsies. The Pathology Education complex includes 2 conference rooms, multiple huddle rooms, resident cubicles, a resident pathology library and two multi-headed microscopes for teaching sessions. An adjacent five story education building houses an auditorium, additional conference rooms, library, and editorial offices. The Alumni Library contains 9,000 volumes and maintains electronic access to over 24,000 full-text journals and eBooks from many different sources. All library services are provided at no charge.

Located in Ohio on America’s North Coast of Lake Erie, Cleveland is a Rust Belt city in the midst of a renaissance and still retains its old-world charms. Its seventh place ranking in Times 2015 Best Food Cities in America shouldn’t come as a surprise, as it is home to world famous chefs Michael Symon, Zach Bruell and Jonathon Sawyer; a variety of cuisines, including Middle Eastern, Turkish and Slovenian; and to top it off, local favorite, Mitchell’s Homemade Ice Cream. Cleveland’s Westside (Edgewater, Ohio City, Tremont, etc.) and Eastside (Cleveland Heights, Shaker Heights, University Circle, etc.) each has a character of its own. CLE Metroparks are great for recreation. To access downtown take the RTA and visit Tower City-Public Square, Rock and Roll Hall of Fame and enjoy a Cleveland Cavaliers, Indians, or Browns game. Trip Advisor is a good resource for top attractions in CLE and check out The Cleveland Bucket List. For family-oriented info visit Cuyahoga Kids.

Application Instructions

Residencies in pathology are granted by the Cleveland Clinic Educational Foundation. Candidates eligible to be considered for training include graduates of medical schools in the US and Canada accredited by the Liaison Committee on Medical Education (LCME); graduates of osteopathic medical schools in the US accredited by the American Osteopathic Association; graduates of medical schools outside the US and Canada who have received a currently valid certificate from the Educational Commission for Foreign Medical Graduates; and graduates of medical schools outside the US who have completed a Fifth Pathway program provided by an LCME-accredited school. The Cleveland Clinic sponsors both J1 and H1b visas for international applicants; completion of Step 3 is preferred prior to application. Applications for PGY1 appointments are received only through ERAS and must be complete by December 31 in order to be considered. Satisfactory references and a personal interview are required. Residency positions are renewed annually on the basis of satisfactory performance.


The resident stipend (4/2020) is $58,642 first year, $60,618 second year, $62,577 third year, and $65,025 fourth year. Uniforms are furnished without charge. Each resident is eligible for $800 per academic year for educational materials. Residents are encouraged to attend regional and national meetings to present research projects. The Education Institute provides support for 1 meeting/year, $1,500 stipend/meeting, with presentation requirement, for residents in PGY2-PGY4. In addition, the Pathology and Laboratory Medicine Institute provides support for 1 meeting/year in PGY2-PGY4, $1,500 stipend/meeting, with presentation requirement for PGY2 residents.