Patient Care
- 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.
- 360o Global evaluation