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Pathology & Immunology

Houston, Texas

Pathology and Immunology
Pathology & Immunology
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Blood Banking/Transfusion Medicine Fellowship

Program Director: Jun Teruya, M.D., DS.c.

Program Description

Jun Teruya, Rocky Hui, Karen Eldin pic

Fellowship training at Division of Transfusion Medicine, Baylor College of Medicine, offers a broad range of transfusion medicine and coagulation experience. Fellows rotate through multiple institutions with differing strengths and expertise. The majority of the fellowship year is spent at Texas Children's Hospital (TCH) and St. Luke's Hospital (SLH).

TCH is a level 1 trauma center and houses active programs in critical care medicine, ECMO (extracorporeal membrane oxygenation) service, neonatology ICU, fetal surgery, cardiac surgery, and solid organ and bone marrow transplantation. The adjacent Pavilion for Women, which opened in 2012, provides obstetric and pediatric care to unborn children and newborns. TCH has an active special coagulation laboratory and offers many specialized tests. Five TCH blood bank physicians are active consultants with ICU, obstetrics, and the apheresis service that includes FACT accredited pediatric stem cell collection. A day starts at 7 am for morning rounds with Dr. Teruya. Blood Bank plays a major role of anticoagulation management for ECMO. Fellows actively participate in busy coagulation and blood bank laboratory sign outs and clinical consultations. Common consultative scenarios included platelet refractoriness, autoimmune hemolytic anemia, granulocyte transfusion, massive transfusion, bleeding risk assessment, and hemostasis management.

SLH houses a unique and active transfusion medicine service. Home of the Texas Heart Institute, SLH is a nationally recognized center for cardiology and cardiac surgery. The 4 transfusion medicine physicians serve as clinical consultants to cardiac surgeons, managing intra- and post-operative bleeding in surgical patients. The trainee will utilize rapid laboratory testing to guide transfusion therapy in a massive transfusion setting and in patients with antiplatelet medications. Common transfusion consults include transfusion and coagulation management of patients on ventricular assist devices (VADs) and ECMO. SLH has an active donor center and apheresis service, offering trainees a complete experience from blood collection to transfusion.

Month long rotations are provided at several area institutions including Ben Taub Hospital, Gulf Coast Regional Blood Center, and Houston Methodist Hospital. Ben Taub Hospital is an active level 1 trauma center and has a busy obstetrics service. Transfusion medicine fellows are afforded autonomy with regard to transfusion management, antibody identification, and inpatient apheresis.

Gulf Coast Regional Blood Center (GCRBC) is the regional blood collection facility for much of Houston and the Texas Medical Center. Trainees spend one month exploring donor collection, donor testing, and component processing. GCRBC also houses a busy reference laboratory, and trainees are able to tackle complex serologic workups.

Houston Methodist Hospital rotation offers the trainee experience with HLA testing and pheresis. Houston Methodist Hospital is a busy transplant center and HLA reference laboratory. Trainees participate in the processing and interpretations of HLA related testing (utilizing Luminex and flow cytometry technology) and attend various solid and hematopoietic transplant conferences. In addition to the HLA experience, Houston Methodist Hospital has a thriving outpatient apheresis center and is a collection site for the National Marrow Donor Registry, offering the trainee experience with peripheral blood stem cell collections.

There are ample opportunities for clinical research available in collaboration with other services at participating institutions. Fellows can attend AABB annual meeting, which is usually in October, with the support of the program. Overall, the Transfusion Medicine Fellowship at Baylor College of Medicine offers comprehensive training in adult and pediatric transfusion medicine and coagulation throughout a rich mix of well renowned institutions.

Two positions for 1-year training are available. We do not support H1-B visa. FMGs without US citizenship or permanent resident status should obtain J-1 visa sponsored by ECFMG. Interviews are started 2 years prior to fellowship begins.

Direct inquiries to:

Jun Teruya, M.D., D.Sc. (
Professor and Vice Chair for Education, Baylor College of Medicine
Director, Division of Transfusion Medicine & Coagulation, Texas Children's Hospital

Office: 832-824-1879, Fax: 832-825-5858
6621 Fannin St. Suite WB1100
Houston, TX 77030

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