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The Hematopathology Fellowship at Tufts Medical Center offers broad in-depth training in adult and pediatric hematopathology, flow cytometry, cytogenetics and immunopathology. The goal of the 1-year hematopathology fellowship is to prepare the Fellow to independently function as a primary diagnostician and consultant in all areas of hematopathology and clinical laboratory hematology. Fellows should have a strong background in general diagnostic pathology, and acquire skills though the fellowship training to become an independent attending pathologist able to practice in either an academic, community hospital, or commercial laboratory setting, or pursue further subspecialty fellowship training.
Tufts Medical Center presents a rich diversity of cases and the state of the art Clinical Hematology Laboratory has the diagnostic capacity to support the diagnostic needs of patients across various disciplines and to provide subspecialty diagnoses for patients with hematologic disorders. The hematology laboratory performs about one million tests annually and the annual bone marrow volume is up to 800 cases with around 300 additional consultation cases for lymph nodes and other biopsies; approximately 25% of the volume consists of pediatric cases.
The fellow will be mentored and will assume graduated responsibility for diagnostic sign out of cases with the hematopathology faculty at Tufts Medical Center. The fellow also will participate in conference presentations, tumor boards, pathology laboratory administration, and the education of Pathology and Laboratory Medicine residents.
The Hematopathology Fellowship is ACGME-accredited as of January 2019. The graduating fellow will be eligible for Hematopathology boards with the American Board of Pathology. The fellowship meets the American Board of Pathology criteria for Maintenance of Certification credit and is modeled on hematopathology fellowship programs at other major academic medical centers. Opportunities exist to become involved in ongoing clinical or translational research in the Department of Pathology and Laboratory Medicine, particularly in partnership with other clinical services. Available diagnostic and research techniques include immunohistochemistry, in situ hybridization, cytogenetic techniques, and some molecular applications.
The goal of the one-year hematopathology fellowship is to prepare the candidate for advanced practice in hematopathology. The fellowship is based on a model of practice under supervision, rather than a program of didactic and practical exercises.
In general, the practice of hematopathology occurs in one of three major practice settings: academic practice, community hospital based group practice, or commercial laboratory. Each of these settings varies in terms of their typical workloads, spectrum of case types, case complexity, and involvement in teaching and scholarly activity. This fellowship takes place in an academic practice setting and will adequately prepare the candidate for practice in any of the major pathology practice models.
At the end of the one-year Hematopathology Fellowship, the successful candidate will be expected to:
1. Provide competent diagnostic interpretation of all hematopathology and hematology material. The Fellow’s expertise will include the following:
2. Develop an analytical approach to diagnoses, which includes the appropriate selection, interpretation, and integration of ancillary techniques such as, immunohistochemistry, flow cytometry cytogenetics and molecular pathology.
3. Recognize own limitations and ask for appropriate consultations.
4. Serve as a consultant to health care providers:
6. Have demonstrated effective management of the Clinical Hematology Laboratory
7. Professional responsibility for patient care: The fellow will inform the fellowship director and the attending hematopathologist of any planned or unplanned absence and will make arrangements for coverage of their service and cases.
8. Participate in lifelong learning: The fellow is expected to attend:
The program is structured to provide all necessary core training over a one year period and to assure that learning the techniques and skills required for excellence in hematopathology practice (adult and pediatric hematopathology, flow cytometry, cytogenetics and immunopathology) is accomplished in a coordinated fashion.
The year is divided a follows:
Days are structured with sign-out every morning with an additional sign-out session in the afternoon. In addition to their day-to-day service work responsibilities, the Fellow will participate in additional departmental and interdepartmental activities listed below.
The fellow has administrative responsibilities as part of the program structure; this affords an opportunity to learn skills that are required for academic and private practice and are critical to master. Administrative Quality Assurance activities include:
During the year, the Hematopathology Fellow's mandatory conferences include:
The fellow is expected to prepare for and be present at the above conferences. Cases with questions should be discussed with the appropriate faculty member prior to the conference. Fellows may attend other departmental and interdepartmental conferences and educational opportunities to maintain competence in general pathology.
Tufts Medical Center has an anatomic and clinical pathology residency program with 10 residents. The fellow is expected to take an active role in resident education. The fellow teaching activities are:
Our department thrives through the efforts of a dedicated and caring faculty working in close collaboration with our residents. Our faculty consists of experienced and nationally recognized general and sub-specialty pathologists who are committed to guiding and mentoring the residents through their training.
Barbarajean Magnani, PhD, MD
Elizabeth M. Genega, MD, Chief, Anatomic Pathology
Knarik Arkun, MD, Director of Autopsy and Neuropathology
Jeffrey Arnold, MD, Cytopathologist and Surgical Pathologist
Natalie Ciomek, MD, Surgical Pathologist, Hematopathologist
Janet M. Cowan, PhD, Medical Director, Cytogenetics
Stephen P. Naber, PhD, MD, Senior Pathologist, Medical Director, Biorepository
Monika Roychowdhury, MD, Acting Medical Director, Cytology, Surgical Pathologist
Daniel Rust, MD, Surgical Pathologist, Pediatric Pathology
Arthur S. Tischler, MD, Senior Surgical Pathologist (Endocrine Pathology)
Julie Y. Tse, MD, Dermatopathologist
Ying Wang, MD, PhD Surgical Pathologist, Cytopathologist
Barbarajean Magnani, PhD, MD, Chief, Clinical Pathology
Steven A. Bogen, PhD, MD, Medical Director, Clinical Chemistry
Raymond L. Comenzo, MD, Medical Director, Blood Bank and Transfusion Medicine
Nicholas Heger, PhD, Assistant Director Clinical Chemistry
Gary Horowitz, MD, Medical Director, Informatics and Point of Care
Monika Pilichowska, MD, PhD, Medical Director of Hematology
Arthur R. Rabson, MD, Medical Director of Immunology & Microbiology, Tissue Typing, Andrology, and Molecular Laboratories
John J. Xin, MD, PhD Associate Director, HLA Lab
Fellowship Program Administration
Monika Pilichowska, MD, PhD, Program Director, Hematopathology Fellowship
Rouette Hunter, Manager, Clinical Hematology Laboratory
Coby Horowitz, Academic Program Coordinator
Tufts Medical Center is a world-class academic medical center located in Boston and the principal teaching hospital for Tufts University School of Medicine. It also sponsors nineteen specialty ACGME-accredited clinical training programs.
Tufts Medical Center is a 415-bed robust organization, providing everything from routine medical care to treating the most complex diseases affecting adults and children. Tufts Medical Center is also home to the Floating Hospital for Children, a full-service children's hospital dedicated exclusively to all levels of pediatric care.
Tufts Medical Center provides heart, kidney and bone marrow transplants, is a level I trauma center, provides comprehensive neurological and neurosurgical care, and offers cutting-edge cancer treatments.
Tufts Medical Center is also home to The Boston Gamma Knife Center, the first and only Gamma Knife Center in Massachusetts and northern New England.
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