Pathology residents spend three months on the Transfusion Medicine rotation. Two and a half months are spent in the hospital transfusion service at Froedtert Hospital and Children’s Hospital of Wisconsin, while two weeks are spent at a regional blood center, BloodCenter of Wisconsin.
The first month of the rotation is dedicated to learning the basic concepts of transfusion medicine. During this time, they learn laboratory practices, make daily rounds and see patient problems and are involved in therapeutic plasmapheresis.
Two weeks of the second month of rotation are spent at BloodCenter, our regional blood supplier. During this time they are exposed to blood collections, processing, and component preparation. They are also exposed to special aspects of transfusion medicine, such as autologous and directed blood donation, the acquisition of HLA-matched platelets and granulocytes for transfusion therapy. Residents spend time in a number of reference laboratories: Platelet and Neutrophil Immunology Laboratory; Hemostasis Laboratory, HLA Laboratory, Immunohematology Reference Laboratory and a Molecular Diagnostic Laboratory.
During the third month of rotation the residents solidify their basic knowledge and begin to learn newer aspects of transfusion medicine, i.e, role of acellular oxygen carriers effect of blood transfusion on immune modulation, blood transfusion for neonates, etc.
These three months of clinical rotation are divided into one month in each of three separate years. In addition to their time spent on transfusion medicine, residents also take day call during their transfusion medicine rotations, particularly during the second and third months. Residents on Clinical Pathology night call handle all blood bank calls with a blood banks staff physician providing back up.