Yale-New Haven Hospital Rotation
The fellow will be involved in all aspects of the Blood Bank and Apheresis services. The primary task in the Blood Bank is clinical management of difficult cases, including data collection, patient interaction, and coordination and consultation with medical and technical staff. Examples include: investigation of transfusion reactions, special product requests, and unexpected blood group antibodies.
These investigations frequently culminate in the writing and issuing of formal notes for the patient’s medical record. The primary role played in the Apheresis service is the evaluation of new requests for apheresis procedures and management of care for ongoing patients, both in the inpatient and outpatient setting. In addition to a diverse population of patients undergoing therapeutic plasmapheresis, erythrocytaphereis, and leukapheresis, we have a very active peripheral blood stem cell collection program which complements our ongoing autologous and allogeneic bone marrow transplantation program.
The fellow will also be a regular participant in clinical case conference presentations, journal club, teaching of residents and medical students in hematology and transfusion lectures and laboratory courses, and other intellectual and scholarly aspects of the Department of Laboratory Medicine.
In addition, clinical or applied "bench" research projects will be available to be performed in conjunction with members of the faculty.
The fellow will be on-call evenings (about two per week) and weekends (about every third) to provide Blood Bank/Apheresis backup for the on-call Laboratory Medicine resident.
It is expected that the fellow will work closely with the attending staff in the Blood Bank to coordinate clinical decision-making, and to provide a primary means for learning by the fellow.
The ARC is located in Farmington, CT, about a 40 minute drive from YNHH. The goal of this rotation is to provide a complete "donor services" experience.
The fellow will learn about all aspects of blood product collection (including donor apheresis), testing, processing, and distribution.
In addition, the fellow will be exposed to other "reference lab" services the ARC performs, such as HLA testing, platelet crossmatching, HLA antibody screening, and evaluation of difficult allo-and autoantibody workup.
VA Connecticut Healthcare System Rotation
The VA Connecticut Healthcare System is located in West Haven, about a 20-minute drive from YNHH. The VA CT hospital provides trainees with training opportunities in a smaller-scale, community hospital setting.
The fellow spends 4 weeks at the VA CT Blood Bank learning blood utilization and management in the setting of a community hospital, and participating in quality improvement programs.
Clinical and translational research projects are also available during the VA CT rotation.