Hematopathology Training
The hematopathology fellowship at UPMC-Presbyterian is a broad based experience in all aspects of both clinical and anatomic hematopathology. The Fellowship is fully approved by the Accreditation Council for Graduate Medical Education (ACGME). The program stresses a multiparameter approach to both bone marrow and solid tissue diagnostic hematopathology combining standard morphologic techniques with data obtained from ancillary immunohistologic, in situ hybridization, flow cytometric, molecular and cytogenetic investigations. Bone marrow sign out includes review of peripheral blood and marrow aspirate smears, marrow histologic preparations and other ancillary studies.
The fellowship includes rotations in the following areas: lymph node (and related tissue) sign out, adult bone marrow sign out, flow cytometry, molecular diagnostics, cytogenetics, pediatric hematopathology, general and special laboratory hematology, and coagulation. The precise duration of each rotation is flexible. The fellow is expected to actively participate in a variety of hematopathology teaching conferences. The fellow is also expected to participate in the teaching of medical students, pathology and non-pathology residents, hematology/oncology fellows, and medical technologists. He/she will also interact with hematologists, oncologists, and other interested clinicians. Fellows are strongly encouraged to undertake at least one investigational project and to present at national meetings. The nature of the project will depend on the fellow's interest, the amount of time they wish to devote to it and whether they intend to spend one or two years in the division. Fellows are expected to perform marrow aspirates and biopsies in the Internal Medicine Hematology Section.
Conferences include a hematopathology conference (weekly), an interesting case microscopic conference that alternates with a journal club (weekly),a microscopic slide review with clinical fellows (weekly), a molecular hematopathology working conference (weekly), a pediatric hematopathology slide conference (weekly) and other departmental AP or CP oriented conferences. Fellows take advantage of the department's informatics resources including image archiving, electronic medical record and the World Wide Web.
More details of each of the rotations can be found in the description of Hematopathology Fellow Responsibilities.