This 4 to 8 week hematology laboratory elective will be coordinated with the Hartford Hospital Pathology Residency Training program. The elective will emphasize current hematological concepts with special emphasis on the laboratory approach to the diagnosis hematological disorders.
The Hematology elective includes interaction with three laboratory hematopathologists
(Drs. Rezuke, DiGuiseppe and Sherburne), one hematopathology fellow and at least one pathology resident, all of whom are available to review morphology and other hematology/coagulation studies with the hematology/oncology fellow on elective
Goals and Objectives
The fellow will be able to understand and interpret the various laboratory tests used in the diagnostic evaluation of patient with malignant blood disorders.
Activities and Responsibilities of Fellows:
The hematology/oncology fellow will be under the guidance of the hematology laboratory Director and Assistant Directors, and will also work with pathology fellows and residents also on rotation in the Hematology Laboratory.
The fellow will attend to activities in the laboratory on a daily basis which will include (but not limited to) participation in daily sign-out activities with hematopathologists, review blood smears, bone marrows and lymph node specimens, review flow cytometry reports, review molecular diagnostic reports, review hemoglobin electrophoresis
Evaluation:
At the end of the rotation, the fellow will be evaluated utilizing the locally adapted evaluation form available electronically on MEC. This will be a composite evaluation completed by the director of the elective. Additionally, the elective director will discuss the evaluation with the fellow.
Competencies
I. Patient Care
A. The fellow will develop the ability to properly triage pathology specimens.
B. The fellow will clearly and timely review the results of pathology with the referring physician to ensure optimal patient care.
C. The fellow will integrate the patient history and physical examination findings with the laboratory data so the most appropriate and precise diagnosis can be made.
II. Medical Knowledge
A. The fellow will successfully complete the review of ASCP blood cell morphology study sets of peripheral blood and bone marrow.
B. The fellow will understand and be able to apply the results of the various panel of antibodies used in flow cytometry.
C. The fellow will examine of molecular diagnostics and apply this to the interpretation of hematologic tissue.
D. The fellow will understand the principles of hemoglobin electrophoresis and be able to interpret those tests.
III. Practice Based Learning and Improvement
A. The fellow will use daily feedback from attending pathologists in order to improve their diagnostic skills.
B. The fellow will apply the various diagnostic tests available to provide the most precise diagnosis for an individual patient.
IV. Interpersonal and Communication Skills
A. The fellow must be able to communicate effectively with clinicians to both understand the patient history and physical examination and to communicate clearly and interpret for the clinician the myriad of laboratory tests.
B. The fellow will assemble clear and complete written reports based on the laboratory data.
C. The fellow will relate well with other laboratory personnel.
D. The fellow will learn how to prepare and organize material at multidisciplinary conferences in a clear and concise fashion.
V. Professionalism
A. The fellow will treat all members of the laboratory team with respect, acknowledging that all functions in the laboratory are important in order to have a meaningful test function.
B. The fellow will be mindful of confidentiality issues when reviewing laboratory specimens.
VI. Systems Based Practice
A. The fellow will be able to integrate knowledge from the laboratory into the total care of the patient.
B. The fellow will be able to evaluate the importance of specific laboratory tests in the diagnosis of different blood disorders.
