Elective Program

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Department: MEPAT-Pathology
Course: 518D-Hematopathology

Course Director: Natalia Golardi, M.D.,Andrea Nicole Marcogliese, M.D.
Course Faculty: 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:
Months: 1C,2A,2B,2C,3B,3C,4A,4B
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: Yes

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): 5 days/wk; 9 hrs/day Inpatient Ward: 0
Night Call: No Inpatient consultations: 0
Number on-call nights: 0 Outpatient clinics: 0
Weekends: No Surgery: 0
    Laboratory 0
  Didactic: 15
  Other: 85
Course Description & Learning Objectives:
This elective is designed to provide the learner with an in-depth exposure in certain sections of 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 nodes. Students rotating at Ben Taub will see primarily adult cases, while students rotating at Texas Children's will see primarily pediatric cases.

Learning Objectives

-Interpret peripheral blood smear findings and describe their relevance in a clear, concise report

-Identify various types of hematopoietic cells and perform a 200 cell bone marrow differential count

-Integrate morphologic, immunophenotypic, and cytogenetic findings to evaluate lymph node, peripheral smear, and bone marrow specimens, and render an accurate diangosis of benign and malignant hematologic disorders

Learning Activities
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. Thereafter, students will be assigned peripheral smears and bone marrows to work up independently. For bone marrows, students will perform 200 cell manual differentials of the aspirate smear and be expected to present their preliminary findings from the aspirate and biopsy at signout with the attending. Students will have the opportunity to craft reports for peripheral smears and bone marrows, under the careful supervision of residents, fellows, and faculty on service and be able to integrate results of immunophenotypic (flow cytometry and immunohistochemistry) and cytogenetic findings with their diagnoses. Students will also be involved in grossing and triage of lymph node tissue for ancillary studies as well as review and diagnosis of the tissue slides.

A variety of departmental and hospital based conferences are available, and students will be expected to attend morning teaching conferences with pathology residents as well as hospital based tumor boards, grand rounds, and interdisciplinary conferences. Students will be expected to prepare and present a 30 minute case based presentation and discussion for the residents, fellows, and faculty on service.
Evaluation Methods
Clinical Performance 100% - student will be evaluated on their diagnostic accuracy, completeness and accuracy of their case reports, accuracy of the manual differentials, and ability to distinguish between benign reactive hematologic conditions and leukemias/lymphomas at a level appropriate for a medical student (what is a leukemia versus lymphoma, acute versus chronic, common types of leukemias and lymphomas, differential diagnosis for leukemias, leukemoid reaction versus leukemia)

When and Where to report on first day of service:
TCH, AB135 (Pathology Dept) Sue Jackson sajackso@texaschildrens.org
For additional information regarding this elective contact:
Contact Name: Yvetter Boney
Contact Phone: 713-798-5490
Contact Fax: 713-798-3665
Contact Location: BCMOne Baylor Plaza Houston TX 77030 Pathology Dept 213B MS: BCM315
Address: BCMC 215B
Email: yboney@bcm.edu
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