Training Provided by Organized Teaching Sessions

Fellow Specific Seminars in Hematology

Weekly advanced seminars involving one faculty member and all fellows. Pertinent literature on the weekly topic is discussed, with mentoring and education provided at the Fellow level by all faculty throughout the year.

Hematology Grand Rounds Conference

A formal Hematology Grand Rounds is held weekly, at which time a case is presented and the topic is discussed by invited discussants. The fellows are responsible for supervising the preparation of a case protocol, which is distributed at the Conference, and for the preparation and presentation of microphotographs of pertinent morphologic material. About 40 individuals attend this weekly Conference: all full-time faculty, voluntary attending faculty on service, members of the Hematopathology Section of the Department of Pathology, house staff, students, and technologists. Additionally, each fellow is responsible for serving as chief discussant at one Grand Rounds per year.

The purpose of this Conference is to discuss, in a clinical setting and at a sophisticated level, a variety of hematologic disorders, including clinical manifestations, histopathology, pathophysiologic mechanisms, and treatment.

Hematology Patient Care Conference

This weekly conference is held one time each week, and has been ongoing for over 30 years. It is attended by the clinical hematologists, hemato-pathologists, radiologists, and radiotherapists. Members of the hematology section provide a brief clinical review of the patient’s problem, which is then followed by a display of the patient’s morphologic material, scans, and radiographs. Further diagnostic and therapeutic recommendations are then discussed by the multidisciplinary team. Each week, a fellow is responsible for providing an overview of the literature concerning the case under discussion.

Cancer Center Grand Rounds

This multidisciplinary weekly conference includes all of the departments and divisions involved in the care of patients with various types of cancer. This is a mandatory conference for all combined Hematology-Oncology fellows.

Hematology Seminars

Two one-hour didactic seminars are held each week. The topics are regularly assigned to faculty. However, during the Fellowship Program, the fellow is expected to select four topics for presentation. The subjects are repeated at four-week intervals and assignments are rotated between faculty (first 6 months) and fellows (second 6 months). The purpose of these sessions is to present common hematological subjects in a more didactic but informal atmosphere. The preparation for and presentation at this session is a superb training experience since the fellow must organize his/her own thoughts on each subject. The following topics are covered:

• Hemolytic anemias and hemoglobinopathies
• Qualitative platelet disorders
• Lymphomas
• Hodgkin’s disease
• Acute leukemias
• Chronic leukemias
• Multiple myelomas
• Iron metabolism
• Megaloblastic anemias
• Hemostasis
• Myeloproliferative disorders
• Thrombotic disease and anticoagulant therapy

Hematology Ward Rounds

During daily rounds, faculty and the fellow and ward team go over all cases on ward 14-600. The purpose of these sessions is to teach clinical malignant hematology at the bedside and microscope, with a small group in an informal atmosphere, while allowing provision of optimal patient care.

Consultative Rounds

During these daily rounds, patients with general hematologic problems are seen on the various wards of the hospital and their morphologic material is reviewed. The cases are selected for faculty by the fellows either because they present difficult clinical decisions or because of their clinical teaching value. Once weekly, the services have combined rounds with one of the senior voluntary attending staff. Although one purpose of these rounds is to obtain faculty advice on difficult problems, the other purpose is to provide an additional setting for clinical teaching by the senior fulltime and voluntary faculty both at the bedside and at the microscope.

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