Residents spend six months in the integrated hematopathology rotation. This rotation incorporates all aspects of hematopathology practice as this prepares residents for the roles a hematopathologist encompasses. These include the performance and interpretation of bone marrow biopsies and aspirates, interpreting and writing up peripheral smear reviews, platelet aggregometry, hemoglobin electrophoresis and coagulation consultations. The rotation also includes the diagnosis of lymph node and spleen specimens with appropriate immunohistochemistry and the application of immunohistochemistry to tumors and tissue evaluation as well. New stains are being added as clinically indicated, and residents may be involved in the implementation of the new antibody staining procedures. In addition FISH, southern blot and PCR, and flow cytometry with immunophenotyping are incorporated into the rotation. Finally this rotation encompasses the principles, use and interpretation of tests associated with immunologic and related diseases such as serologic tests, protein electrophoresis, and immunofixation.
This busy service offers a wide range of hematology experience and cases, brought in to Cedars-Sinai by the 40 plus full time and attending Hematology/Oncology specialists. There are more than 400 lymph node and spleen specimens per year. The Hematology Division has two fellows who actively participate in resident teaching along with the faculty, offering guidance and mentoring in this area.
