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CLINICAL PATHOLOGY RESIDENT EDUCATION AT THE BROOKLYN VETERANS ADMINSTRATION HOSPITAL

The Clinical Pathology rotation at the Brooklyn Veterans Administration Hospital is a four month rotation during which the resident spends equal time in the four disciplines of Chemical Pathology, Medical Microbiology, Hematopathology, and Transfusion Medicine. The basis of training centers around patients and patient specimens referred to our clinical laboratory, specimens referred from other facilities, and the equipment used in the determination of these tests. One of the most important learning tools is the video tapes made by faculty members solely used for education of our residents and laboratory technicians. At the end of the training, the resident is expected to gain skills in the interpretation of laboratory testing. Residents meet with faculty and technologists on a daily basis and are assigned specific projects which will provide opportunities for scholarly activity and professional growth.

The specific goals and objective of this rotation are to:

Patient Care:
1. Serve as a consultant in the analysis of clinical data and other relevant information.
2. Communicate with clinicians to obtain pertinent information used in the interpretation of laboratory test results.
3. Complete all required work in a timely fashion.


Medical Knowledge:
1. Develop knowledge of basic disease processes
2. Demonstrate knowledge of technologies used throughout the laboratory
3. Demonstrate diagnostic skills in interpreting clinical laboratory tests.
4. Use and demonstrate familiarity with the clinical laboratory information.
5. Present up to date and scientifically valid information in departmental and interdepartmental conferences.
6. Demonstrate familiarity with clinical pathology literature.
7. Describe and evaluate the laboratory for safe laboratory practices.
8. Demonstrate basic computer skills.


Practice-Based Learning and Improvement.
1. Actively participate in clinical laboratory quality programs.
2. Describe steps necessary for validation of new testing methods.
3. Assimilate regulatory and medical-legal information and limit our risks.
4. Review scientific literature to identify potential medical laboratory improvements.
5. Demonstrates ability to critically assess scientific literature
6. Understands principles of quality control and quality improvement.
7. Is able to effectively utilize local computer networks.

Interpersonal and Communication skills
1. Communicates effectively with clinicians and other health care providers to obtain information and provide consultative information
2. Effectively teaches physicians, medical students, laboratory employees, and other health care providers.
3. Interacts effectively with administrative, secretarial and technical staff members,
4. Demonstrates willingness to present cases at departmental and multidisciplinary conferences.
5. Demonstrates effective verbal and visual communication skills n case presentations and other meetings.
6. Effectively uses and responds to e-mail and other electronic communication.


Professionalism
1. Demonstrates positive work habits of punctuality, dependability and responsibility
2. Displays good follow-up skills in completing required assignments or collecting needed information
3. Adheres to ethical principles
4. Recognizes limits of abilities and need to consult with others
5. Effectively works with other members of the healthcare team
6. Demonstrates sensitivity to diversity of coworkers and patients
7. Engages in ongoing learning: shows initiative in seeking new information; asks knowledgeable and well-informed questions.
8. Implements improvement activities; changes behavior in response to feedback
9. Understands and complies with HIPAA and other regulations regarding patient confidentiality and handling of tissues for diagnosis and research.


Systems Based Practice
1. Participates in institutional conferences dealing with management, quality assurance, graduate medical education, and other hospital and medical center functions
2. Has an awareness of issues related to cost-conscious medical care: avoids unnecessary procedures but does not compromise quality of care.
3. Demonstrates knowledge of the laboratory regulatory environment.
4. Attends interdisciplinary conferences.
5. Is able to contrast health care at the V.A. with other models of health care.