Senior Resident

Narayana Health; India; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Narayana Health in India seeks a Senior Resident in Pathology to join its teaching hospital environment. The role involves responsible gross and microscopic examination, reporting under department guidelines, and mentoring residents and students.

It requires MD Pathology or MD Pathology with DNB and valid medical registration. The incumbent will participate in teaching MBBS students, engage in tumor board discussions, and support quality assurance and laboratory operations as part of a

Qualifications

• Essential qualification: MD Pathology or MD Pathology with DNB recognized by the applicable authority, or equivalent.
• Valid registration with the State Medical Council / National Medical Register as applicable.
• Experience as specified by the institution and recruitment regulations.

Responsibilities

• Verify patient identifiers, specimen labels, requisition forms, specimen type, anatomical site, and clinical details.
• Ensure appropriate specimen fixation, gross examination, tissue sampling, processing, embedding, sectioning, and staining.
• Prepare preliminary or final diagnostic reports according to departmental policies.
• Assess surgical margins, tumor size, grade, depth of invasion, and nodal status.
• Identify cases needing deeper sections, special stains, IHC, or molecular testing.
• Discuss difficult or discordant cases with the responsible faculty.
• Coordinate with immunohistochemistry, cytology, and autopsy sections as required.
• Undergraduate teaching: Conduct practical demonstrations and teaching sessions for MBBS students as assigned by HOD.

Education

MD/DNB Pathology

Job description

Select how often (in days) to receive an alert:

Reporting to

HOD, Pathology / designated faculty member

Job location

Medical college / teaching hospital / diagnostic laboratory

Qualification

MD/DNB in Pathology or an equivalent recognized postgraduate qualification, as specified in the recruitment rules

Registration

Valid registration with the applicable State Medical Council / National Medical Register, as applicable

Experience

As specified by the institution and applicable recruitment regulations

Verify patient identifiers, specimen labels, requisition forms, specimen type, anatomical site, and clinical details.

Ensure appropriate specimen fixation, gross examination, tissue sampling, processing, embedding, sectioning, and routine staining.

Perform or supervise gross examination of specimens within the scope of competence and institutional authorization.

Examine H&E-stained slides and identify relevant pathological findings, including inflammatory, infectious, degenerative, benign, premalignant, and malignant lesions.

Prepare preliminary or final diagnostic reports according to the department's reporting and authorization policies.

Ensure appropriate assessment of surgical margins, tumor size, grade, depth of invasion, lymphovascular invasion, perineural invasion, lymph node status, and other relevant parameters.

Apply standardized cancer reporting protocols and synoptic reporting templates where applicable.

Identify cases requiring deeper sections, special stains, immunohistochemistry, molecular testing, or expert review.

Maintain proper documentation of specimen adequacy, diagnostic limitations, and the need for additional investigations.

Discuss difficult, unusual, or discordant cases with the responsible faculty member.

B. Cytopathology

Examine exfoliative cytology, body fluid cytology, and fine-needle aspiration cytology specimens according to departmental allocation.

Correlate cytological findings with clinical information, imaging, and other laboratory results when relevant.

Recognize inadequate, suspicious, and indeterminate samples and recommend repeat sampling, biopsy, or ancillary testing when appropriate.

Participate in rapid on-site evaluation (ROSE) of cytology specimens where the service is available and the resident is trained.

Escalate difficult or high-risk cases for faculty review before final authorization, as required by departmental policy.

Review complete blood counts, peripheral blood smears, reticulocyte counts, and other hematological investigations assigned to the department.

Recognize morphological features of anemia, hemolysis, leukemia, lymphoma, myeloproliferative neoplasms, and other hematological disorders.

Correlate blood film findings with automated analyzer results, clinical information, and relevant laboratory parameters.

Perform or supervise bone marrow aspiration and biopsy procedures when trained, credentialed, and authorized.

Assess bone marrow morphology and correlate findings with flow cytometry, cytogenetics, molecular studies, and immunohistochemistry when available.

Review coagulation profiles and investigate discrepancies or clinically significant abnormalities according to laboratory protocols.

Ensure appropriate smear preparation, staining quality, specimen integrity, and documentation.

Communicate critical findings promptly to the treating clinical team under established escalation procedures.

Assess physical, chemical, and microscopic findings as applicable.

Recognize abnormal and critical findings that require urgent communication.

Correlate laboratory results with the clinical context and recommend further evaluation where appropriate.

E. Laboratory operations and quality assurance

Review and document quality indicators such as turnaround time, specimen rejection, amended reports, and diagnostic discrepancies.

Identify nonconformities, investigate errors, and participate in corrective and preventive actions.

Monitor reagent expiry dates, stock levels, storage conditions, and appropriate disposal of expired materials.

Maintain proper records for laboratory audits, inspections, accreditation assessments, and departmental reviews.

Support compliance with applicable institutional policies and relevant laboratory accreditation standards, such as NABL requirements where applicable.

Follow biomedical waste management rules, chemical safety procedures, and infection prevention practices.

F. Immunohistochemistry, special stains, and ancillary investigations

Identify cases requiring special stains, immunohistochemistry (IHC), immunofluorescence, flow cytometry, or molecular pathology investigations.

Select appropriate ancillary tests in consultation with the responsible faculty member and based on diagnostic requirements.

Interpret IHC staining patterns, controls, and results within the scope of competence.

Correlate ancillary findings with morphology and clinical information.

Recognize technical limitations, inadequate controls, and discordant results.

Coordinate with the histotechnology team and ancillary diagnostic laboratories to ensure proper specimen handling and timely reporting.

Maintain records of test selection, results, quality control, and any additional investigations recommended.

Participate in frozen section examinations and intraoperative consultations where the facility is available.

Assess specimen suitability, tissue morphology, and technical limitations of frozen section examination.

Communicate preliminary findings promptly to the surgical team.

Identify cases requiring deferral for permanent sections or additional studies.

Ensure proper documentation of the intraoperative consultation and subsequent correlation with the final diagnosis.

H. Autopsy and postmortem pathology

Participate in clinical autopsies and pathological examinations where required and authorized.

Assist in the systematic examination and documentation of gross pathological findings.

Correlate gross findings with microscopic findings and clinical diagnoses.

Follow consent, authorization, infection control, and legal requirements applicable to the type of postmortem examination.

Participate in clinicopathological discussions and mortality reviews where appropriate.

I. Undergraduate teaching

Conduct practical demonstrations and teaching sessions for MBBS students as assigned by the HOD.

Teach basic histopathology, cytology, hematology, clinical pathology, and laboratory principles.

Demonstrate normal histology and common pathological changes using slides, specimens, images, and case-based discussions.

Assist faculty in tutorials, practical classes, seminars, integrated teaching sessions, and formative assessments.

Assist in preparation and maintenance of teaching slides, museum specimens, teaching collections, and digital learning materials.

Participate in attendance monitoring, student feedback, and academic documentation as delegated.

Participate in academic activities for MD/DNB Pathology residents and other trainees.

Conduct or assist with slide seminars, gross specimen demonstrations, journal clubs, case presentations, and departmental seminars.

Discuss differential diagnoses, diagnostic criteria, ancillary testing, and common interpretive pitfalls.

Supervise junior residents and trainees in assigned activities within the limits of competence and institutional policy.

Participate in practical and theory examinations, internal assessments, and mock examinations when assigned.

Encourage evidence-based practice, critical thinking, ethical conduct, and appropriate use of diagnostic resources.

K. Clinical coordination and multidisciplinary communication

Coordinate with clinicians, surgeons, radiologists, oncologists, hematologists, and other relevant departments.

Review relevant clinical history and imaging findings when they contribute to diagnostic interpretation.

Participate in multidisciplinary team meetings and tumor boards as assigned.

Communicate urgent, critical, unexpected, or clinically significant findings through approved channels.

Discuss clinicopathological discrepancies with the concerned clinical team and supervising faculty.

Recommend appropriate additional testing or repeat sampling when supported by the findings.

Maintain professional communication and ensure that clinical discussions are documented appropriately.

Participate in departmental research projects, clinical audits, and laboratory-based studies.

Assist with study design, literature reviews, data collection, slide review, and interpretation of findings.

Contribute to abstracts, posters, presentations, manuscripts, and publications, as appropriate.

Follow institutional ethics committee approvals, informed consent requirements, and data protection policies.

Maintain accurate research records and avoid fabrication, falsification, plagiarism, and inappropriate authorship practices.

M. Administrative responsibilities

Maintain accurate records of specimens received, cases examined, reports issued, and investigations pending.

Help prepare duty rosters, academic schedules, laboratory activity reports, and monthly performance summaries when delegated.

Assist in maintaining inventories of reagents, consumables, equipment, and other laboratory supplies.

Report equipment breakdowns, reagent shortages, workflow delays, and staffing issues to the designated authority.

Perform other duties assigned by the HOD or authorized hospital administration that are relevant to the position.

N. Biosafety, infection control, and biomedical waste management

Follow standard precautions and laboratory biosafety protocols while handling potentially infectious specimens.

Use appropriate personal protective equipment (PPE) and ensure safe handling of sharps, formalin, xylene, stains, and other hazardous substances.

Ensure proper segregation, labeling, storage, and disposal of biomedical waste in accordance with applicable rules.

Ensure compliance with chemical hygiene, ventilation, fire safety, and occupational health requirements.

Participate in staff training and safety audits as assigned.

Report laboratory accidents, occupational exposures, and safety hazards promptly.

O. Professional ethics and patient confidentiality

Ensure correct patient and specimen identification at every relevant stage of the diagnostic process.

Follow applicable medical ethics requirements and institutional policies.

Avoid unauthorized disclosure of reports or diagnostic information.

Maintain impartiality, professional integrity, and appropriate boundaries in all professional interactions.

Disclose and manage potential conflicts of interest appropriately.

Ensure that diagnostic reports are accurate, appropriately qualified, and released only through authorized procedures.

For a Senior Resident position in Pathology in India, the final eligibility criteria must follow the applicable recruitment advertisement and regulatory requirements.

Essential qualification: MD Pathology / MD (Pathology and related nomenclature recognized by the applicable authority) or DNB Pathology, subject to the specific recruitment rules.

Medical registration: Valid registration as required by applicable medical registration regulations and the recruiting institution.

Experience: Prior experience in histopathology, cytopathology, hematology, laboratory management, or teaching may be desirable or required depending on the post.

Technical competence: Ability to interpret routine pathological specimens, correlate laboratory findings with clinical data, and recognize cases requiring further review.

Computer skills: Familiarity with laboratory information systems, electronic medical records, digital reporting, and presentation software is desirable.

Personal attributes: Diagnostic accuracy, attention to detail, teamwork, communication skills, accountability, and commitment to patient safety.

The National Medical Commission's Medical Institutions (Qualifications of Faculty) Regulations, 2025 contain provisions on Senior Resident eligibility, including postgraduate qualifications and an upper age limit for broad-specialty appointments. The regulations specify a maximum Senior Resident tenure of three years. The applicable rules and any institution-specific conditions should be checked before issuing the JD.

National Medical Commission

+1

The Senior Resident shall:

Work under the administrative and academic supervision of the HOD and designated faculty.

Perform diagnostic and laboratory duties within the scope of training, competence, and institutional authorization.

Review and report cases independently only where permitted by institutional policy.

Supervise junior residents and laboratory personnel only to the extent delegated by the department.

Escalate critical results, diagnostic discrepancies, and laboratory safety incidents promptly.

Maintain accountability for assigned duties, records, and departmental