Department of Pathology

Clinical Pathology Core Rotations

 

Blood Bank/Transfusion Medicine

Rotation Overview  

Pathology residents rotating through the Blood Bank are responsible directly to the Blood Bank Medical Director or his/her delegate. During the three-month rotation, the residents will perform specific duties and assignments as well as meet defined education goals and objectives.  More 

Faculty Instructor:
Joan Uehlinger, MD

 

Clinical Chemistry

The Chemistry rotation in the MMC Department of Pathology will consist of four months during the AP-CP residency.  During this time, residents will be under the supervision of Dr. Herbert Rose, Director of Chemistry (Moses Division) and Dr. Tylis Chang, Director of Laboratories (Einstein Division) and will be educated by Directors, Supervisors, and Clinical Laboratory Technologists.  

Faculty Instructors:
Tylis Chang, MD
Herbert Rose, PhD

 

Cytogenetics 

Faculty Instructors:
Linda Cannizzaro
KH Ramesh 

The four-week rotation covers the following: 

  • Week 1:  Prenatal Cytogenics
  • Week 2:  Perinatal Cytogenics
  • Week 3:  Cancer Cytogenics
  • Week 4:  Molcular Cytogenics - (FISH & aCGH) 
 

Hematology  

Faculty Instructors:
Jacob Rand, MD

 

Overview 

  • Introduction to Hematology (Didactic Session with Director)
  • The Automated CBC and Differential (With Director and Lab Supervisor)
  • Medical Microscopy (With Director and Clinical Staff)
  • Hemostasis (Didactics with Director; Hands on with Supervisors)
  • Special Hematology (With Supervisor)
  • Recommended Text
  • Resources
  • Resident Responsibilities
  • Conferences
  • Informatics. The two-week Informatics Course covers how computers work within the medical environment. This short course will start with bits and bytes and end with database design and data mining. 
Introduction to Hematology (Didactic Session with Director)

Faculty Instructor: 

Tylis Chang, MD 

Lab Management

Faculty Instructor:
V Solomon 

  • Administrative models: traditional cost center and service line.  The Pathology Service Line – historical background and development
  • Pathology Administrative Structure
  • Budgeting
  • Human Resource Management
  • Material Management
  • Laboratory Accreditation
  • Management rotation evaluation criteria
  • Sample Rotation Schedule 

Medical Microbiology 

Faculty Instructors: 


Michael Levi, ScD
John McKitrick, PhD  

Overiew
The residents training in microbiology consists of a three month rotation in the microbiology laboratory and its subunits, plus one month of rounding with the Clinical Infectious Disease Service.  The residents are given intensive bench training and are supervised for the entire three months by Drs. Levi and McKitrick and the Senior Microbiology Supervisory staff.  Supervisors and/or senior technologists provide much of the bench training.  Microbiology is in many ways analogous to tissue pathology.  A high degree of observational skills are needed.  Residents are taught the basic elements as prescribed by the ACGME regarding specimen collection and processing, examination of cultures, identification of microorganisms and the clinical relevance of the organisms.  They are also taught antibiotic susceptibility testing and interpretation.  The understanding and interpretation of serologic assays, immunofluorescent assays, enzyme immunoassays and molecular probes are also an integral part of their training.  Clinical correlations of microbiology are provided as much as possible during the bench rotation but is also taught in other forms as will be delineated later.  The resident’s practice based learning and improvement competency is evaluated as residents progress through each rotation.  Their medical knowledge should increase in such a manner that allows them to accumulate the scientific evidence and apply this knowledge to future rotations and their consultations.

 

The broad based learning objectives of the rotation are as follows: 

  • Learning enough of the technology at each workstation so that the testing procedures can be analyzed and trouble shoot as is necessary.
  • Learn the inherent limitation of biologic test systems.
  • Build on the basic knowledge in items 1 and 2 which, when combined with clinical knowledge will lead to the ability to do test interpretation and consultations.
  • Learn lab management skills and communication skills which will lead to a foundation for the ability to direct a laboratory.
 
 

Molecular Pathology 

Faculty Instructor:
Rizwan Naeem, MB, BS  

 

Overview
The Molecular Pathology rotation is designed to provide the Pathology resident with the basic knowledge of the principles of molecular biology and genetics and applications of molecular biology techniques to clinical laboratory testing.  Duration: Four weeks in conjunction with Cytogenetics. [More] 

Topics to cover: 

  • Nucleic acid basics
  • Isolation of nucleic acids (DNA & RNA)
  • Primers and probes
  • PCR
  • Reverse transcription
  • Real-time PCR
  • Fragment analysis – gels, capillary electrophoresis, melting curve, etc.
  • DNA sequencing
  • Micro-Array
  • Assay design
  • Regulatory and billing issues
  • Proper selection of controls, QC issues
  • Other uses of molecular biology

 

Technical Training:
Residents will be trained and will be expected to become competent in the following areas: 

  • Aseptic technique, unilateral flow, and the importance of contamination prevention
  • Nucleic acid isolation
  • PCR design, set-up and performance
  • RT-PCR design and set-up
  • Real-time PCR design, set-up and performance
  • Product detection
  • Analysis of results

 

Point of Care 

Faculty Instructor:
Amy Fox, MD 

 

Overview:  

  • Point of Care (POC) Administration and Operations
  • Residents attend site visits with members of the POC team
  • Residents are educated as to the focus and goals of a POC laboratory
  • Practical Methods

 

Virology 

Faculty Instructor:
Amy Fox, MD  

Overview:
The Virology rotation is intended to provide the Pathology resident with the basic knowledge of the underlying principles and currently applied methods and procedures in the laboratory diagnosis of viral infection.  During the 3 week rotation (combined with POC) the Resident will be exposed to and participate in all the activities of the diagnostic Virology service.

 

At conclusion of the rotation the resident must provide seminar on topic of his/her choice to the Virology staff.  The seminar should demonstrate his/her proficiency with the items listed as educational goals.

 

 

 
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