Residents gather essential and accurate clinical information about the patients on whom they review bone marrows, lymph nodes, and flow cytometry including:
Discussion of history with clinical housestaff and/or attendings,
Preview of laboratory reports of previous pathologic specimens
Review of the online medical record when applicable.
Residents are able to be actively involved with LN/BM/Flow consultations and are able to handle clinical questions with increasing degrees of independence including:
Researching and reviewing medical information.
Preparation and interpretation of clinical consults.
Timely and effective communication with clinicians.
Residents demonstrate competence in the performance of procedures considered essential for hematology practice, including:
Obtaining bone marrow aspirates and biopsies.
Evaluation of bone marrow aspirates and biopsies.
Evaluation of lymph node biopsies.
Interpretation of cytochemical and immunohistochemical stains to assist in the diagnosis of neoplastic hematologic disorders.
Interpretation of flow cytometry and cytogenetics results.
Residents make informed decisions regarding diagnostic workup of clinical consults:
Consider specialized testing, such as immunohistochemistry and cytogenetics etc. based on patients’ clinical history, up-to-date scientific evidence gleaned from textbooks, journal articles, internet-based searches, and clinical judgment.
Expected to be able to handle more difficult cases and their approach and diagnosis should more closely correlate the final diagnosis as they progress through their residencies.
Operate available information technology (hospital and laboratory information systems, internet-based literature searches)
To support workup and diagnosis of LN/BM/Flow consults.
To help educate clinicians by providing relevant literature references.
Residents work with health care providers, in the generation of accurate and clinically useful clinical pathology reports and effective communication of results to clinicians.
Evaluation
Rotation evaluation
Statistical analysis of a resident portfolio of cases generated by COPATH with concordance of resident vs. attending pathology diagnoses and cases screened (this is reviewed with regard to PGY)
Presentations to medical technologists and clinical consult cases.