The HP fellow training experience is 12 months in duration. During those 12 months, the HP fellows rotate through the various disciplines of hematopathology, usually working one-on-one with HP faculty members.
The philosophy of the University of Michigan Hematopathology (HP) Fellowship Program is centered on the principle that hematopathology is a multifaceted discipline and that its practice requires a broad knowledge base and extensive clinical experience ranging from cytologic assessment to molecular and cytogenetic analysis. It is our contention that in order to produce outstanding diagnostic hematopathologists capable of working independently and directing hematology laboratories, an HP training program must be comprehensive and well-rounded and include extensive training in the evaluation of peripheral blood, bone marrow, and lymph node cases as well as an integrated laboratory management program. We believe that a broad exposure of the HP trainees to the scholarly activities of an academic medical center (including teaching and research) will help produce hematopathologists who will be interested in further advancing our understanding of hematopoietic disorders as well as passing on their knowledge to future HP trainees.
While the HP fellows are supervised at all times by the appropriate HP attending faculty, independent analysis and preparation of case material are emphasized in order to build confidence and clinical judgment. The fellows are given graded responsibility for handling diagnostic cases. In the last six months of the fellowship, the HP fellows function as acting staff members on the in-house diagnostic service approximately two days per month. During that time, the HP fellows coordinate and perform the diagnostic sign-out with the HP residents on service and later review the diagnostic case material and their prepared reports with the responsible HP faculty member. HP Fellows are evaluated by faculty and peers on a quarterly basis.
In addition to having responsibility for diagnostic material and laboratory functions, the HP fellows are also directly responsible for preparing and presenting at various clinical conferences Their teaching and leadership responsibilities range from working with the general program residents rotating through hematopathology, giving didactic and slide presentations to other trainees, clinical departments, laboratory staff, and performing one-hour-long didactic presentation to the department. Lastly, the fellows are encouraged to participate in a research project at the beginning of the fellowship year. It is expected that the HP fellows will see their projects to completion with the submission of a manuscript by the end of the year. An associated goal is for the fellow’s research work to be submitted for presentation at a national meeting.