2024-2025 M3/M4 Course Syllabi
Pathology & Laboratory Medicine
COURSE NUMBER:
15 01 46
TITLE:
DIAGNOSTIC HEMATOPATHOLOGY
An introduction to hands-on diagnosis and work-up of tissues, bone marrows, and body fluids submitted for lymphoma/leukemia investigation is offered in this elective.
PREREQUISITES:
None
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
2
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
2 wks
DIRECTOR:
Ahmad Mansour
mansouau@ucmail.uc.edu
513-584-8170
LMB
Rachel Jug
jugrl@ucmail.uc.edu
513-584-7290
LMB, 4051
ADMINISTRATIVE SUPPORT PERSON:
Lindsay Stover
stoverlr@ucmail.uc.edu
513-584-1323
LMB, 4067
SITE(S):
Laboratory Medicine Building
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
5 09/09/2024 - 09/20/2024 1
6 10/07/2024 - 10/18/2024 1
7 10/21/2024 - 11/01/2024 1
7 11/04/2024 - 11/15/2024 1
8 12/02/2024 - 12/13/2024 1
10 01/13/2025 - 01/24/2025 1
11 02/10/2025 - 02/21/2025 1

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
8:00 a.m. - 5:00 p.m.; Monday - Friday
REPORT 1ST DAY:
Please arrive around 9:00. You are free to wear scrubs if you like. At some point, on your first day, please touch base with Dr. Mansour mansouau@ucmail.uc.edu or Dr. Balog balogaa@ucmail.uc.edu the faculty in charge of your rotation, so that they can go over specific expectations. Report to Lab Medicine Buildings, Suite 110, ask for Hematopathologist on service. To find the lab: If you walk into the front of the hospital, go to the big staircase on the right. Once you walk up to the top turn right and walk straight back passing elevators go until you reach a dead end and 2 doors on the right. That’s pathology. The second door on the right is open and once you get inside the front desk will guide you. Let me know if you need anything else.
COMMENTS:
On the Thursday of your last week, you will give a short (15-20 minute) case presentation as part of the SP Case Conference that week. I would recommend asking either the faculty in charge of your rotation or the attending faculty during your first week if they have an interesting case that you could present so that you have plenty of time to prepare. If the slides need to pulled, co-chiefs can assist you with requesting them. When you are ready, one of the residents will help you take pictures of the slides to use during your presentation.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Discussion-Small Group (Small Group (=12)
  • Journal Club
  • Laboratory
  • Lecture
  • Mentorship
  • Research
  • Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
TEACHING:
70% Attending Physician
30% Senior Resident
FEEDBACK:
ASSESSMENT:
The student is introduced to the basic concepts of hematopathology, daily sign-outs with exposure to bone marrow, lymph nodes, blood, body fluid and tissue morphology, flow cytoemetry and molecular testing are discussed. The studetns might be asked to prepare a short talk at the end of the rotation.

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Multisource Assessment (a formal assessment of performance by supervisors, peers, patients, and coworkers)
Oral Patient Presentation
Participation
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
1.       Robbins Pathologic Basis of Disease, 8th Edition. Diseases of white cells, lymph nodes and spleen, Saunders, 2008.
2.       Hoffman, R. eds. Hematology: Basic Principles and Practice, Church, IL, Livingstone Publishers, 1991.
3.       WHO Classification: Tumors of Hematopoietic and Lymphoid Tissues, 2008.
4.       Kjeldsberg, C. ed. Practical Diagnosis of Hematologic Disorders. 4th Edition. ASCP Press, 2006.
5.       Glassy et al.  Color Atlas of Hematology.  CAP Press, 2006.
6.       Laposata et al.  Laboratory Medicine: The diagnosis of disease in the clinical laboratory.  Lange Basic Sciences, 2010.
Instructional Methods:
Learning activities/Instructional Methods:
  • Case-Based Instruction/Learning
  • Conference
  • Demonstration
  • Discussion-Small Group (Small Group (=12)
  • Independent Learning
  • Laboratory
  • Lecture
  • Mentorship
  • Research
  • Self-Directed Learning
Assessment Methods:
  • Clinical Documentation Review
  • Participation
Knowledge/Skills:
  1.   Demonstrate familiarity with the use of a multiparameter (hematologic, immunologic and morphologic) approach to diagnostic hematopathology and to observe the role of the pathologist in this endeavor.
  2.   Display basic bone marrow and lymph node interpretative skills.
  3.   Review the clinical-pathologic features of some of the more common disorders of the hematopoietic and lymphoid organ systems.
Main Course Topics :
1.       lymphoma
2.       leukemia
3.       reactive immune responses
4.       myeloproliferative disorder
5.       myelodysplastic syndrome
6.       myeloma
7.       flow cytometry
8.       cytogenetics
9.       immunophenotype
Procedures:
  1. Perform cytologic procedures - touch imprint air-dried Wright-Giemsa on fresh lymph node/spleen/bone marrow biopsies.
  2. Prepare peripheral blood smear and enumerate accurate differential count.
Remediation Plan:
 Self directed assignements

SAMPLE WEEK

Monday:
8:00AM 9:00AM Teaching Conference
9:00AM 10:00AM Literature Review
10:00AM 12:00PM Case review & follow-up of clinically relevant information done with help of resident or fellow in hematopathology
12:00PM 1:00PM Lunch Break
1:00PM 5:00PM Sign out of cases; present topics assigned; review slides on interesting cases
Tuesday:
8:00AM 9:00AM Teaching Conference
9:00AM 10:00AM Literature Review
10:00AM 12:00PM Case review & follow-up of clinically relevant information done with help of resident or fellow in hematopathology
12:00PM 1:00PM Lunch Break
1:00PM 5:00PM Sign out of cases; present topics assigned; review slides on interesting cases
Wednesday:
8:00AM 9:00AM Teaching Conference
9:00AM 10:00AM Literature Review
10:00AM 12:00PM Case review & follow-up of clinically relevant information done with help of resident or fellow in hematopathology
12:00PM 1:00PM Lunch Break
1:00PM 5:00PM Sign out of cases; present topics assigned; review slides on interesting cases
Thursday:
8:00AM 9:00AM Teaching Conference
9:00AM 10:00AM Literature Review
10:00AM 12:00PM Case review & follow-up of clinically relevant information done with help of resident or fellow in hematopathology
12:00PM 1:00PM Lunch Break
1:00PM 5:00PM Sign out of cases; present topics assigned; review slides on interesting cases
Friday:
8:00AM 9:00AM Teaching Conference
9:00AM 10:00AM Literature Review
10:00AM 12:00PM Case review & follow-up of clinically relevant information done with help of resident or fellow in hematopathology
12:00PM 1:00PM Lunch Break
1:00PM 5:00PM Sign out of cases; present topics assigned; review slides on interesting cases
SCHEDULE NOTE:

You will work with the Heme Pathologist and residnets on service for this rotation. When you arrive, please ask the front desk staff to show you back to the resident’s room.  Our co-chief residents will help get your oriented to the department and show you were to go on your first day. Please arrive around 9:00. You are free to wear scrubs if you like. At some point, on your first day, please touch base with Dr. Mansour or Balog the faculty in charge of your rotation, so that they can go over specific expectations.

As far as departmental conferences go, I would ask that you attend morning conferences, except your first day (scheduled for 8:00-9:00), SP Case Conference (Thursdays 12:00-1:00) and Unknown Sessions (Fridays 12:00-1:00).  You can consider the other conferences as optional but highly recommended. 

On the Thursday of your last week, you will give a short (15-20 minute) case presentation as part of the SP Case Conference that week.  I would recommend asking either the faculty in charge of your rotation or the attending faculty during your first week if they have an interesting case that you could present so that you have plenty of time to prepare.  If the slides need to pulled, Alex or Vinay can assist you with requesting them.  When you are ready, one of the residents will help you take pictures of the slides to use during your presentation.

Conferences on 4th floor meeting room:

  • Monday
    • Morning Didactic 8:00-9:00
  • Tuesday
    • Morning Didactic 8:00-9:00
    • MIDAS Review 1:00-2:00
    • Consensus Conference 3:00-4:00
  • Wednesday
    • Morning Didactic 8:00-9:00
  • Thursday
    • DLM Rounds 8:00-9:00
    • Micro Plate Rounds 9:30-10:00
    • SP Case Conference 12:00-1:00
    • Consensus Conference 3:00-4:00
  • Friday
    • Morning Didactic 8:00-9:00
    • Unknown Session 12:00-1:00

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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