Elective Program

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Department: MEPAT-Pathology
Course: 575-Clinical Pathology

Course Director: Christine Garcia Roth, MD
Course Faculty: Mike Perez, M.D.,Clilford Ryan Blieden,Arthur W. Bracey,Elizabeth Hartwell
Elective Location: BSL
Elective Offered Terms:
Months: 1C,2B
Two Week Periods:
Min. Number of Students: Max:  1
Elective Type: Clinical
Matriculating prior to fall 20158
Matriculating fall 2015 and beyond4
Pre-requisites: Medicine or Pediatrics or Psychiatry or Surgery or OBGYN or Family/Community Medicine or Neurology
Open to US Visiting Students: No
Open to International Visiting Students: No
Grading: H,HP, P, MP, F Narrative Evaluation
Faculty Approval:

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): 5 days/wk; 8 hrs/day Inpatient Ward:
Night Call: No Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: No Surgery:
Course Description & Learning Objectives:
Clinical pathology is a diverse specialty that impacts nearly all patients, however, it is difficult for future clinicians to get a sense of the different roles played by clinical pathologists. It is important for future physicians to understand the crucial role of clinical pathology in the diagnostic process, and also how clinical pathologists provide consultative and therapeutic services.

Clinical pathology at Baylor St. Luke's Hospital services a general adult patient population, as well as unique subpopulations including solid organ transplantation (heart, lung, liver, kidney) recipients, as well as patients with implantable cardiac assist devices and artificial hearts. In this general clinical pathology (CP) elective, the future physician will be exposed to the wide array of clinical pathology services at Baylor-St. Luke Medical Center, including hemotherapy, therapeutic apheresis, the blood donor center, hematopathology, routine chemistry and immunochemistry. The goal is is to teach the future clinician the role of the general clinical laboratory and associated specialties in patient diagnosis and management using an integrated curricular approach. The appropriate utilization of clinical tests, blood products and pharmaceutical agents as tailored to the patients' clinical context will be emphasized. The future physician will be exposed to the highly collaborative nature of clinical pathology, which works closely with other medical specialties and medical personnel as part of a multi-specialty team providing high quality clinical care.

Learning Objectives

-Formulate a differential diagnosis for common types of anemia based on the clinical laboratory parameters
-Distinguish various blood components, assess the appropriateness of transfusion requests, and recognize various post-transfusion reactions
-Obtain informed consent for therapeutic apheresis procedures and assist in clinical consultations for bleeding disorders
Learning Activities
Approximate Times for Daily Activities:

9am (daily) -- review patient list for therapeutic apheresis and hemotherapy consults & patient rounds with the attending on service (Dr. Bracey, Dr. Reyes, Dr. Hartwell, Dr. Perez)
(daily, to be scheduled with attending on service (Dr. Hartwell) -- sign-out of immunology gels and other chemistry tests
(daily, to be scheduled with the director of coagulation (Dr. Reyes) -- review of abnormal coagulation studies
(daily, to be scheduled with attending on service - Dr. Roth, Dr. Perez, Dr. Blieden) -- peripheral smear review and sign-out of hematopathology cases
(daily) -- self-directed learning time, including self-directed review of CP case studies

Standing Meetings & Conferences: 12-1pm (Mondays) -- Pathology Grand Rounds
12- 1 pm (Tuesdays) -- Hematopathology consensus conference
12-1pm (Wednesdays) -- Citywide Hematology Conference
11:30-12:30 (Fridays) -- Transfusion Medicine Conference
Evaluation Methods
Completion of Case Studies 20%
Clinical Performance 80%

Students work closely with faculty and residents. The required evaluation forms are completed based on consensus of those who worked closely with the faculty.

When and Where to report on first day of service:
For additional information regarding this elective contact:
Contact Name: Yvetter Boney
Contact Phone: 713-798-5490
Contact Fax: 713-798-3665
Contact Location: One Baylor Plaza Houston TX 77030 Pathology Dept 213B
Address: BCM315
Email: yboney@bcm.edu
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