Acting Internship-Hematopathology

Catalog Description: Over the course of the 4 week rotation, students (acting as a first year LMP resident) will be fully integrated into the blood and bone marrow biopsy service, with “ownership” of their cases and graduated responsibility for their level of training. They will learn to preview/interpret blood smears and write up preliminary diagnostic reports. Once they are competent with blood smears, they will progress to bone marrow aspirate and biopsy interpretation, including drafting a diagnostic report. Special studies are often performed simultaneously and may include immunohistochemistry and flow cytometry; the student will learn how these influence overall diagnosis and how they are integrated into the report. There are weekly multidisciplinary and unknown teaching conferences, as well as a daily consensus/teaching conference. The student will become acquainted with the various complimentary modalities used to distinguish between reactive etiologies and malignant neoplasms and learn how to classify the more common types of hematopoietic neoplasms, including leukemias and lymphomas. The student will typically work individually with each of the 7 faculty over the course of the month. The evaluation is done as a group to gather input from each faculty member. The course grade is based on the appraisal of the student's ability to recognize and describe the more common types of hematolymphoid disorders, both reactive and neoplastic as well as all core competencies including professionalism and medical knowledge. The student is required to select a topic in hematopathology, review the medical literature and present a 20-minute talk to the residents, fellows and faculty. The talk is usually case-based, with a brief presentation followed by literature review.

Syllabus

Sites:  

View site addresses by clicking on the site name below or visiting the site codes table.

Required session attendance: Consensus conference, T/Th hemepath lectures/unknowns, CP conference, LMP Grand Rounds, resident didactics as applicable, adult and pediatric hematologic malignancy conferences as applicable

Typical weekly schedule/Delivery Mode:  M-F, 8:00am - 5:00pm

Direct patient care: No

Consent Requirement: Arranged. Please submit a request to schedule using the form linked below.

LAMP Arranged Electives Form

Course Objectives: By the end of this rotation, acting interns will be able to:

• satisfactorily evaluate blood cell morphology and integrate findings into a written report
• correlate bone marrow and peripheral blood morphology to formulate an overall hematologic diagnosis
• integrate morphologic and immunophenotypic data to augment a hematologic diagnosis
• recognize and describe the more common types of hematolymphoid disorders, both reactive and neoplastic

Graded Components:

• Regular attendance at worksites and conferences, as scheduled
• Participation in conferences and discussions
• Professionalism in interactions with faculty, residents and staff
• Generates a timely report including key elements for a simple case with a hematolymphoid diagnosis, with assistance
• Independently applies knowledge of peripheral blood and bone marrow morphology to identify simple pathologic diagnoses
• Coordinates care of patients/specimens in routine cases effectively using interprofessional teams
• Takes appropriate ownership and performs tasks and responsibilities in a timely manner with attention to detail
• Communicates information effectively with all health care team members
• End-of-rotation presentation to faculty, fellows, residents and staff

Grading Scale: P/N

Allow repetition of course: Repetition not allowed

Course equivalency: Does not apply