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Chemistry:
5 months
Chemistry, Special Chemistry, Toxicology, Urinalysis, Referral 
The resident performs consults and interprets test results (liver function
tests, hepatitis panels, serum, urine and spinal fluid electrophoresis
and immunofixation, hemoglobin electrophoresis, and hemoglobin identification
by high performance liquid chromatography). The resident reviews urine
and synovial fluid microscopics as well as anti-nuclear antibody patterns.
Utilization review studies for referral as well as routine testing are
also performed. The resident is encouraged to participate in all evaluations
of new instruments, tests, or methodologies.
Hematology: 4
months
Hematology, Coagulation, Flow Cytometry, Medical Microscopy
The resident participates in daily Hematopathology (Bone Marrow) sign
out conferences where all Hematopathology materials are reviewed (peripheral
smears, fluids, bone marrows, lymph nodes, spleen, hematopoietic malignancies
of other tissues, flow cytometry, coagulation cases, immunohistochemistry
results, as well as cytogenetic and other molecular pathology results
as indicated). Residents participate in hematology/oncology rounds and
perform bone marrow procedures. Residents attend Hematopathology tumor
conferences as well as a biweekly bone marrow transplant conference.
Microbiology: 4
months
Bacteriology, Mycology, Parasitology, Virology
The resident learns to perform all major laboratory procedures. The resident
may also participate in Infectious Disease Rounds, Infection Control Committee
meetings, Infectious Disease Journal Club, and epidemiologic studies.
Transfusion Services: 4
months
Blood Bank, Transfusion Services, Serology, Histocompatibility
The resident learns to perform all major laboratory procedures as well
as how to identify antibodies and discuss their significance. The resident
reviews and investigates all transfusion reactions. Residents perform
consults and therapeutic apheresis procedures and make recommendations
for transfusion therapy. The resident also participates in prospective
utilization review as well as retrospective utilization review in the
Blood Utilization Review Committee. Residents are encouraged to participate
in the biweekly bone marrow transplant conference. Residents also rotate
through a regional blood donor facility.
Cytogenetics/Molecular Genetics:
2 months
Residents are exposed to all theoretical and clinical aspects of molecular
pathology and cytogenetic studies in hematologic disease, cardiovascular
disease, infectious diseases, and malignancies. Residents learn to perform
cytogenetic and molecular studies, to interpret these studies and to correlate
the results with other clinical findings. Residents learn to evaluate
new reagents, procedures, techniques, and equipment.
Management: 1
month
The resident receives core lectures in laboratory management including
safety, compliance, Joint Commission for Accreditation of Healthcare Organizations
(JCAHO), CAP, budgets, and billing. The residents participate in CAP self-inspections.
Residents also inspect other facilities with teams from Louisiana State
University Health Sciences Center (LSUHSC). Residents learn to use the
Laboratory Information System. Residents also attend monthly laboratory
and departmental administrative meetings at which quality assurance issues,
administrative decisions, problems, needs assessments, personnel problems,
staffing problems, safety issues, and other administrative issues are
discussed.
Electives:
8 months
The resident may elect to perform additional months in any of the Clinical
Pathology rotations or may perform more extensive training in selected
Clinical Pathology fields: Cytogenetics, Molecular Pathology, Immunology,
etc.
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