Hematology and Coagulation

• Residents gather essential and accurate clinical information about the patients on whom they review slides of fluids or peripheral blood and coagulation assays including
  • Discussion of history with clinical housestaff and/or attendings,
  • Preview of laboratory reports of previous pathologic specimens
  • Review of the online medical record when applicable.
• Residents are able to be actively involved with hematology/coagulation consultations and are able to handle clinical questions with increasing degrees of independence including:
  • Researching and reviewing medical information.
  • Preparation and interpretation of clinical consults.
  • Timely and effective communication with clinicians.
• Residents demonstrate competence in the performance of procedures considered essential for hematology practices, including:
  • Interpretation of peripheral blood smears.
  • Review of body fluids.
  • Interpretation of automated hematology tests.
  • Review of coagulation testing.
• Residents make informed decisions regarding diagnostic workup of clinical consults:
  • Consider specialized testing, such as coagulation mixing and factor assays etc. based on patients’ clinical history, up-to-date scientific evidence gleaned from textbooks, journal articles, internet-based searches, and clinical judgment. 
  • Expected to be able to handle more difficult cases and their approach and diagnoses should more closely correlate the final diagnoses as they progress through their residencies.
• Residents make informed decisions regarding diagnostic workup of clinical consults:
  • Consider special stains, specialized testing, etc. based on patients’ clinical history, up-to-date scientific evidence gleaned from textbooks, journal articles, internet-based searches, and clinical judgment. 
  • Expected to be able to handle more difficult cases and their approach and diagnosis should more closely correlate the final diagnosis as they progress through their residencies.
• Operate available information technology (hospital and laboratory information systems, internet-based literature searches)
  • To support workup and diagnosis of hematology and coagulation consults.
  • To help educate clinicians by providing relevant literature references.
• Residents work with health care providers, in the generation of accurate and clinically useful clinical pathology reports and effective communication of results to clinicians.

Evaluation:

• Rotation evaluation
• Presentations to medical technologists and clinical consult cases. 
• 360o Global evaluation