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Hematopathology Resident / Fellow Manual - Department of ...

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4. Flow Cytometry Laboratory Experience (2½ days)<br />

Understanding <strong>of</strong> flow cytometric immunophenotypic techniques and interpretation <strong>of</strong> the<br />

resultant data is an integral part <strong>of</strong> all the bone marrow and lymph node rotations. In<br />

addition, however there is a brief concentrated exposure to the flow cytometry laboratory<br />

including the technical aspects <strong>of</strong> flow cytometry and the basic operation <strong>of</strong> a flow<br />

cytometry laboratory. The resident should report to Karen Freilino or their designate.<br />

Goals and Objectives:<br />

1. Understand sample preparation; basic flow cytometry, quality control, gating on<br />

specific cell populations, and determination <strong>of</strong> positive versus negative staining<br />

and methods <strong>of</strong> data presentation.<br />

2. Know indications for testing, taking into account cost effective medicine<br />

3. Complete flow cytometry checklist.<br />

5. Adult Bone Marrow Experience (~ 4 weeks)<br />

A. Limited Sessions with Adult Bone Marrow Technologist.<br />

B. Responsibility for review <strong>of</strong> selected cases prior to sign-out.<br />

C. Participation in sign-out with staff.<br />

D. Review <strong>of</strong> educational materials (See Adult Bone Marrow Experience section).<br />

Goals and Objectives:<br />

1. Learn normal and abnormal blood cell morphology.<br />

2. Learn basic approach to bone marrow aspirate, biopsy and particle preparation<br />

interpretation.<br />

3. Begin to become familiar with the use <strong>of</strong> ancillary studies used in the diagnosis <strong>of</strong><br />

bone marrow examinations.<br />

4. Begin to develop a basic understanding <strong>of</strong> the more common neoplastic and nonneoplastic<br />

disorders which involve the marrow: acute and chronic leukemias,<br />

myelodysplasias, myeloproliferative disorders, anemias, thrombocytopenias,<br />

leukopenias, thrombocytosis, leukocytosis, infections (including HIV), and<br />

metastatic neoplasms. Be able to diagnose straightforward cases <strong>of</strong> the above.<br />

5. Complete bone marrow rotation checklist.

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