This conference is held biweekly alternating with the Fellow Interesting Case Conference. Dr. Friedman is the Case Discussion Leader.
There are two objectives for this conference
- To supplement our fellows’ clinical experience with cases that represent diseases or complications of hematological diseases that are rare enough that they will be seen only several times during a hematologist’s career.
- To use “Case Method Teaching” as a “learner-centered” teaching technique, providing fellows with the case to analyze and medical references to read prior to the conference.
Principal Teaching Method
A Case Study and a Case Discussion, providing both initial data and subsequent information about the patient, are written for each patient. The Case Study and several learning objectives are distributed to each fellow one week prior to the conference. The Fellows then meet to discuss the case, with Dr. Friedman serving as the discussion leader. The discussion is scheduled for 45 minutes and then 15 minutes are spent discussing further information about the patient, including review of blood smears or bone marrows if appropriate.
Most Important Educational Content
Each of these cases represents an example of an unusual hematological disorder presenting as a common hematological clinical problem. For example, an AIDS patient with severe anemia that was proven to be secondary to Parvo B19 by PCR and a patient with Gray Platelet syndrome who presented as vaginal bleeding and iron deficiency anemia. Fellows are expected to read on the general topic and to learn how to broaden their differential diagnoses in order to remember that common things are common, but that rare things will go undiagnosed if they cannot consider them in the initial evaluation of a problem.
Dr. Friedman has a series of patients that she has cared for which are used for these conferences. Blood smears, bone marrow samples, and a variety of other primary materials have been saved and will be part of the case materials used for the conference.