Elective Program

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Department: MEPAT-Pathology
Course: 207-Hematopathology - 2 week

Course Director: Natalia Golardi, M.D.,Andrea Nicole Marcogliese, M.D.
Course Faculty: Merritt, Brian Yang, M.D., B.S.,Choladda Curry, M.D.,Mohamed Tarek Elghetany, M.D.,Jyotinder Punia, M.D.,Marwan Yared, M.D.,Natalia Golardi, M.D.,Christie Jean Finch, M.D.,Andrea Nicole Marcogliese, M.D.
Elective Location: BTH,TCH
Elective Offered Terms:
Two Week Periods: 3,4,5,6,7,8,9,10,12,13,14,15,16,17,18,19,20,21,22,23,24
Min. Number of Students: Max:  1
Elective Type: Clinical
Matriculating prior to fall 20154
Matriculating fall 2015 and beyond2
Pre-requisites: None
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/week x 2 weeks; average 9 hours/day Inpatient Ward:
Night Call: Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: Surgery:
Course Description & Learning Objectives:
This elective is designed to provide the learner with an introductory exposure to laboratory hematology and hematopathology, which includes bone marrows, lymph node biopsies, flow cytometry, peripheral blood smears, body fluids, and urine sediments with particular emphasis on interpretative reporting of bone marrows, peripheral blood smears, and lymph node biopsies. Students rotating at Ben Taub will see primarily adult cases, while students rotating at Texas Children's will see primarily pediatric cases.

Students will work with residents and fellows rotating on the hematopathology service and share service responsibilities with them. The first week, students will largely observe, assisting the resident/fellow in gathering pertinent clinical history and laboratory findings from the electronic medical record and then sit with the resident/fellow while previewing cases and then again at sign out with the attending faculty. Students will learn peripheral smear and bone marrow morphology and be expected to be able to identify and distinguish different cell types and stages of differentiation by the end of their two week rotation. Students will be assigned peripheral smears to review independently during the second week. They will get an introduction to flow cytometry and learn how it is used in the diagnosis of leukemias and lymphomas. They will learn how ancillary diagnostic testing (flow cytometry, cytogenetics, molecular diagnostics) is used in the diagnosis and classification of leukemias and lymphomas. They will observe and may assist in lymph node specimen triage and grossing, including intraoperative lymph node evaluation for lymphoma protocol. They will also have an opportunity participate in discussion of differential diagnosis and work up of cases.

Learning Objectives

1. Identify various types of hematopoietic cells and their maturational stages
2. Identify types of ancillary diagnostic testing and explain how they each contribute to the diagnosis of hematologic neoplasms in conjunction with clinical history and histopathologic findings

Learning Activities
1. Gather pertinent clinical history and results of laboratory studies for peripheral blood and bone marrow cases reviewed that day and correlate with morphologic findings
2. Participate in daily case review and sign out with Pathology residents, fellows, and attending physicians
3. During the 2nd week, students will be assigned some peripheral smear cases to review independently
4. Assist with the triaging and gross exam of lymph node biopsies and surgical specimens submitted for lymphoma work up
5. Attend daily teaching conferences with Pathology residents and fellows and attend weekly interdisciplinary tumor boards and case conferences

Daily schedule:
8-9: teaching conference with BCM Pathology resident/fellows

rest of morning: review of clinical case work for the day (peripheral smears/bone marrows) in conjunction with Pathology residents and fellows

afternoons: participate in case sign out with Pathology residents/fellows and Hematopathology faculty on clinical service and draft reports as appropriate; participate in interdisciplinary conference (on days when there is one); independent study time once case work is complete - read about cases seen that day/review provided study/learning materials

Interdisciplinary conferences (per hospital)
TCH - Tumor board (Tuesdays at 4pm, lymphoma Team Meeting (1st Thursday), Lymphoma SPORE case review (4th Thursday), Hematology Inservice (4th Friday)
BTH - Interesting case conference at 12 pm.

Evaluation Methods
clinical performance 100% - using student performance evaluation form

When and Where to report on first day of service:
If assigned to TCH: Suite AB135 (Pathology Department) at 9am
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 MS: BCM315
Email: yboney@bcm.edu
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