The program is located at Barnes-Jewish Hosp in St Louis which is a large tertiary referral hospital with active clinical service & strong cytopathology section with the department of Pathology & Immunology at Washington University in St Louis. The fellow participates in a diverse fine needle aspiration biopsy service & is actively involved in providing on-site evaluation & superficial biopsies. There is a mixture of gynecological & non-gynecological cytopathology & focused elective rotations.