The hematopathology rotation at MCW consists of a 3-month block during the second year, followed by a 1-month senior rotation during the 3rd or 4th years. Because MCW/Froedtert is tertiary referral center with a large adult bone marrow transplant program, and by virtue of the fact that we are the only academic medical center in Southeast Wisconsin, residents are exposed to a wide range and large volume of neoplastic and non-neoplastic hematologic disorders. Teaching occurs in the context of daily signout sessions at a 10-headed microscope, including all trainees and students rotating on service at a given time, as well as through a comprehensive series of didactic lectures, monthly unknown conferences, and journal clubs. A weekly working conference around an 18-headed microscope with faculty and fellows from the division of Hematology/Oncology provides an opportunity to build professional, consultative relationships with our clinical colleagues, and also provides valuable insight into the way our work impacts the care of patients.
The overall goal of the hematopathology resident rotation is to provide broad-based training in the laboratory approach to diagnosis of hematologic disorders, both benign and malignant, as well education in the structure and function of the routine hematology laboratory. A multimodality approach is stressed, with incorporation of information from multiple sources, including clinical, hematologic, cytogenetic, flow cytometric, and molecular data. Eight-color flow cytometry analysis and interpretation is integrated into the microscope signout sessions, as well as into the final interpretations and reports. Although all resident work proceeds under the supervision of an attending pathologist, development of increasing degrees of independence and responsibility commensurate with the resident’s ability and level of training is fostered. The ultimate goal is to allow the resident to function as effective laboratory consultants to their clinical colleagues, both in the interpretation of pathologic material, as well as by providing input into the proper utilization and interpretation of laboratory tests for the patient work-up.
In addition to resident training in hematopathology, the MCW Pathology department also maintains a competitive, ACGME-accredited hematopathology fellowship program.