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.