Residency & Fellowship Programs: AP Rotations

Hematopathology

General Aims

To help residents achieve competency through training in the principles and practice of hematopathology.

To provide a system of graduated responsibilities through which residents first are closely supervised, then given increasing responsibility, and finally allowed to achieve proficiency in description, diagnosis, and reporting of specimens related to hematopathology.

Overall Duties

The resident is responsible, in conjunction with the fellow, for the smooth operation of the hematopathology service. Specifically, the residents will obtain all useful information (clinical history, slides, ancillary studies) for all cases and present that information in an organized manner to the attendings.

In addition, they will write or enter in CoPath provisional diagnoses for the cases prior to review by an attending. In summary, the residents are responsible for every activity of the hematopathology service except the final diagnosis.

The resident’s responsibilities are graduated by level of training (see below). In the first rotation, the residents will receive close supervision and training by the fellow. During this training, the residents are strongly recommended to actively seek out and perform increasing amount of the service independent of the fellows. Eventually, the goal of the residents must be to obtain the knowledge and confidence to perform the service activities at the level of the fellow.

Click here for Instructions for Submission of Cases to Hematopathology.

Graduated Responsibilities By Level of Training


Rotation: Responsibilities:
Junior Rotation
(1st Month)
  1. Learn routine service activities.
  2. Learn the fundamentals of microscopic interpretation.
  3. Learn to completely work–up bone marrow and tissue samples with help from the fellow (this includes taking responsibility for cases from the gross room to signout).
  4. Develop an understanding of the pathophysiology of the common hematological disease states encountered in bone marrow, lymph nodes, and soft tissue.
  5. Achieve basic competency in the interpretation of common immunohistochemical stains used in hematopathology.
Senior Rotation
(2nd and 3rd month)
  1. Become proficient in managing the routine service activities.
  2. Achieve a higher level of accuracy in ability to independently evaluate hematopathology cases.
  3. “Act as a fellow” to render preliminary diagnosis.
  4. Learn the role of a hematopathologist as a consultant.

Self–Study Material

The resident is responsible for reading the material from this textbook independently during the first month on service. Slides from study sets available in the division can be used in conjunction with reading materials. Other self–study material should also be utilized.

World Health Organization Classification of Tumours: Pathology and Genetics, Tumours of Haematopoietic and Lymphoid Tissue.
IARC Press, 2001. (new edition expected August 2008)

Required Conferences

Day Time Event
Monday
1–2 times
per month
8:30 AM – 9:30 AM Hematopathology Conference for
Pathology Residents
Monday
2nd & 4th week
12:30 PM – 1:30 PM Hematopathology Journal Club
Thursday
Weekly
9:00 AM – 11:00 AM Clinical Hematology Rounds
Friday
Weekly
9:30 AM – 10:30 AM Cytogenetics/DNA/Cytogenetics Rounds
 
 
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