Senior Contact Person:

Jan Frerichs 1000 ML 335-8193

OBJECTIVES :  The student will: 1) increase his/her knowledge of the gross and histologic morphology of a wide variety of diseases and injuries; 2) learn the basic aspects of the postmortem examination and clinicopathologic correlation; 3) become acquainted with the role of the autopsy in quality control, public health and medicolegal death investigation; and 4) improve basic case presentation skills.

These objectives will be achieved by: 1) assisting in the complete postmortem examination; 2) reviewing charts as part of the autopsy examination; and 3) participating in weekly autopsy conferences and brain cutting sessions.

Students will have some opportunity for exposure to surgical pathology.

FACULTY:	Dr. Marcus Nashelsky and other anatomic pathology faculty attending on the autopsy service
MAX ENROLLMENT :	1
OFFERED:	All periods
LENGTH OF ELECTIVE:	4 weeks
ADMINISTRATIVE CONTACT:	Jan Frerichs
REPORT TO:	Autopsy Services, B062 ML

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069:245 HEMATOPATHOLOGY CLERKSHIP

OBJECTIVES :  The student will: Depending on the student’s interest, participate in one or more of the following: 1) develop proficiency in peripheral blood and bone marrow, lymph node, and body fluid cell evaluation; 2) increase skills in recognition of benign and malignant disorders of the hematopoietic system; 3) learn the appropriate laboratory work-up of anemia, leukocytic disorders and disorders of thrombosis and coagulation; 4) increase understanding of the functioning of the hematology laboratory; and/or 5) correlate hematologic findings with molecular, immuno and cytogenetic laboratory findings.

This will be achieved through: 1) performance of written reports on peripheral blood and bone marrow cases; 2) attendance at daily review of bone marrows and abnormal peripheral blood and body fluid films; 3) observation of performance of bone marrow aspiration and biopsy procedures; 4) work up of patients with coagulopathies with emphasis on both clinical and laboratory aspects of the disorder; 5) attendance at hematopathology and coagulation conferences.

The student can tailor the clerkship with individual needs with options of rotation through the bone marrow laboratory, core hematology laboratory, special coagulation laboratory.

FACULTY:	Drs. N. Rosenthal, S. Syrbu and V. Neppalli
MAX ENROLLMENT :	1
OFFERED:	Arranged
LENGTH OF ELECTIVE:	4 weeks
ADMINISTRATIVE CONTACT:	Jan Frerichs
REPORT TO:	Dr. N. Rosenthal, 6233 RCP, 4-8751
SPECIAL CONDITIONS:	Instructor consent required

OBJECTIVES:  1) To become acquainted with the contributions to and limitations of tissue examination to patient care, 2) to learn basic aspects of tissue examination and approaches to anatomic diagnosis, 3) to be exposed to a variety of diseases at the gross and microscopic level.

The student will actively participate in surgical pathology by: 1) assisting in the gross and microscopic examination, clinical pathological correlation and report preparation of current surgical and medical specimens, 2) participating in daily surgical pathology conferences.

FACULTY:	Dr. De Young and Staff
MAX ENROLLMENT :	2
OFFERED:	All periods
LENGTH OF ELECTIVE:	4 weeks
ADMINISTRATIVE CONTACT:	Nancy McAlister, 6-4433
REPORT TO:	Surgical Pathology, 5244 RCP
SPECIAL CONDITIONS:	Scheduling approval by Nancy McAlister or Dr. DeYoung

OBJECTIVES:  To be exposed to all activities and functions of the DeGowin Blood Center. Upon completion of the clinical clerkship the student will:

Be acquainted with Donor Center activities and regulations. 1) Understand the preparation of and indications for the transfusion of components such as platelets cross matched and, HLA -matched platelets, granulocytes, leukocyte-reduced blood components, etc. 2) Be aware of indications for, toxicity of and techniques for performing therapeutic hemapheresis procedures.  3) Answer requests from the clinical services regarding the transfusion of blood components and special services (e.g., therapeutic plasma exchange). 4) Specific procedures to be observed include: plasma exchange, therapeutic phlebotomy, autologous blood donation, peripheral blood progenitor cell collection, platelet collection, granulocyte collection, cytapheresis donor screen and monitoring.

Be familiar with Blood Bank procedures and regulations. 1) Know techniques of erythrocyte typing, compatibility testing, antibody detection and antibody identification.  2) Understand the clinical aspects of antibody and compatibility problems and of transfusion reactions. 3) Specific procedures to be observed include: Pretransfusion compatibility test, RBC type and screen, RBC and platelet antibody detection, RBC antibody identification, emergency issue of blood policy, cryopreservation of progenitor cells.

Be able to apply knowledge of Transfusion Medicine to other specialties of medicine and surgery.

OBJECTIVES:  This elective is designed to allow experience in the Immunopathology Laboratory, in the Primary Immunodeficiency Clinic and in selected Allergy Clinics.  The purpose is to allow the continuum of patient workup from the bedside to the bench. Students will participate in several allergy-immunology conferences weekly including Allergy-Immunology Grand Rounds (Wednesday, 8:00 a.m.).  Students will also follow up laboratory requests and abnormalities in the immunopathology and the cellular immunology diagnostic lab. The intent of this approach is to allow clinical-pathological correlations. A log will be kept on interesting patients.

OBJECTIVES:  Individually arranged by student with approval of the department.

OBJECTIVES:  Individually arranged by student with approval of the department.