Daily Duties and Responsibilities

The resident is expected to learn about performing bone marrow biopsy and aspiration. The resident is then expected to perform a differential on bone marrow aspirate material and integrate clinical history/laboratory findings into the assessment of peripheral blood, bone marrow aspirate material and bone marrow biopsy findings to formulate an accurate interpretation of the bone marrow problem being investigated. The resident is expected to learn appropriate triage of lymph node biopsy material as well as appropriate triage of material for other types of hematologic neoplasms including skin, conjunctival lesions, gut biopsies, mediastinal masses, CNS biopsies, and any other source of material for hematologic neoplasms. The resident should be able to review histologic findings and make appropriate assessments regarding the neoplastic or reactive nature of the material.

If ancillary studies, such as immunohistochemistry, flow cytometry, cytogenetics evaluation, or gene rearrangement studies have been pursued, integration of this data into the final assessment is expected. The resident diagnosis is reviewed by the hematopathology staff prior to electronic sign out. Each resident will be graded as to “agree, partially agree, or disagree” for each microscopic diagnosis. The resident will receive a written evaluation with summary statistics for him/herself compared to the overall resident mean. The resident can review all the cases in which he/she had a discrepancy with the faculty pathologist by requesting a print-out of such cases from Mr. Ed Grey, the informational technology specialist for Co-Path. The number of cases reviewed independently and the accuracy of both cytology diagnoses as measured by percentage agreement and the rotation evaluation are expected to increase with increasing resident seniority.

There are no fellows.