Department of Pathology & Laboratory Medicine
Hematology
The philosophy of the training program in Laboratory Hematology is to educate the resident in the broad aspects of hematology which should enable him/her to handle most general problems in a hematology laboratory. The resident will be exposed to peripheral blood and bone marrow pathology, coagulation, flow cytometry, hemoglobinopathies, body fluids, and routine hematology over a 5-6 month period during their training.The peripheral blood and bone marrow training will emphasize a multifactored approach, including morphology, cytochemistry, flow cytometry, cytogenetics, electron microscopy, and molecular hematology. The resident will be exposed to a variety of hematologic disorders, including leukemias, lymphomas, carcinomas, anemias, and platelet disorders. The resident will be involved in a daily sign-out with the director, during which time cases will be discussed in detail. Lymph nodes will also be evaluated during this rotation and discussed with the hematopathologist.
More than 800 patients a year are studied for hemostatic abnormalities. The resident will be able to gain some bench experience in coagulation during the rotation. In addition, cases will be discussed with the coagula- tionist in regard to diagnostic testing and treatment. The hemostatic testing will include platelet function studies, factor assays, inhibitor assays, and fibrinolytic analysis.
The resident will have an important role in teaching medical students and interacting with technologists. Also, the resident will be responsible for preparing cases for hematological conferences and a weekly presentation to the director or associate director.
Research projects of a limited nature will be available,including projects in molecular hematology involving minimal residual disease and retroviral cellular integration.
The resident also has the added advantage of being exposed to a fellow or fellows in hematology. The fellow will provide additional teaching and information in hematology that will increase the effectiveness of the program. The fellowship has been established for the late Dr. Helen Glueck, a long time beloved teacher of coagulation.
Finally, the hematology program for the resident is clinically oriented. The resident will attend clinical hematology rounds and conference once weekly, and make bone marrow rounds. During the latter, the resident will be able to perform bone marrows under the supervision of a hematologist/oncologist.
All in all, this program will be most exciting for the resident and provide a potpourri of varied learning experiences in hematology - experiences designed to produce a well-trained resident in hematopoietic disorders.
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