Blood Banking/Transfusion Medicine Fellowship

This one-year accredited Blood Bank/Transfusion Medicine Fellowship position is intended for physicians wishing to acquire special expertise in all aspects of transfusion medicine. A second non-accredited research year may be available for interested candidates at the discretion of the department chair and program director.

Overview

The fellow will spend ten months on the UT Southwestern Medical Center campus and two months at Carter BloodCare in Bedford, Texas. The time on the UTSW campus will be divided into 7 months clinical transfusion medicine, two months research/elective, and one month divided between the UTSW HLA Laboratory and Children’s Medical Center.

The participant will be integrally involved in the activities of both an independent community blood collection center and three hospital transfusion services. The hospitals are conveniently located on UTSW campus. Clements and Zale-Lipshy University Hospitals are private tertiary referral hospitals with emphasis in cardiac surgery, neurosurgery, and transplantation. Parkland Hospital and Health System is a major trauma center with one of the largest obstetric services in the country. Children’s Medical Center is one of the nation’s leading pediatric hospitals.

Active transplantation services include kidney, bone marrow, heart, lung, and liver. Apheresis services are well utilized, both for cell collection and therapeutic procedures. The apheresis service at University hospital performs over 3,000 outpatient and inpatient procedures annually, while Parkland Hospital performs about 1200 procedures annually. The blood donation center collects approximately 400,000 whole blood donations per year and is involved in peripheral blood progenitor cell harvesting and cryopreservation as well as bone marrow processing.

The emphasis of the Blood Bank/Transfusion Medicine Fellowship will be on clinical consultation with physicians, patients, and donors, with excellent laboratory exposure to both serologic techniques and blood component processing. The responsibilities will include participation in resident education and attendance at policy-making and utilization review organizations. Opportunities for research are available and encouraged.

Return to Top

Educational Goals

The program is designed to provide extensive training of the highest quality targeted at the following three main objectives:

  • Educate a physician who is considered to be a specialist and expert in transfusion medicine in the management of patients requiring various blood component therapy and therapeutic apheresis.
  • Develop a physician who is a specialist in blood banking with regards to blood donor eligibility and processing
  • Develop the physician as a researcher and trainer. The primary vehicle to accomplishing these goals will be practice-based learning by direct involvement in patient management. Fellow responsibilities fall under the areas listed below:

Return to Top

Patient Care

Under the direct supervision of the Transfusion Medicine Faculty, the Fellow is responsible, in a graduated fashion, for:

  • Managing transfusion-related issues at Parkland Hospital and Clements & Zale-Lipshy University Hospitals.
  • Evaluating patients referred for therapeutic apheresis at Parkland and University Hospitals.
  • Assisting in day-to-day management of the outpatient and inpatient therapeutic apheresis service at Parkland Hospital.
  • Attending daily patient transfusion medicine rounds with faculty, residents, and medical students.

Return to Top

Academic Aspects

Fellow will participate in various clinical discussions and conditions requiring the latest in the medical literature. This exercise should produce a physician who:

  • Is familiar with apheresis and blood banking techniques and equipment.
  • Is knowledgeable with the etiology and features of situations/diseases particular to Transfusion Medicine. Fellow should be able to develop an appropriate diagnosis management
  • Is thoroughly knowledgeable in hemostasis and is able to advise clinicians on appropriate component therapies including clotting factor concentrates, Rh immune globulin, recombinant FVIIa, prothrombin complex concentrate, etc.
  • Is knowledgeable with the clinical outcomes of treatments and alternative therapies
  • Possesses the skills necessary for effective teaching and communications with primary care and referring physicians regarding all aspects of diagnosis and management of Transfusion Medicine diseases.
  • Possesses the skills and desire to effectively impart this knowledge in a teaching and presentation related environment.

Return to Top

Conferences

Name of Conference

Frequency

Organizers

Transfusion Medicine Journal Club

Monthly

Transfusion Medicine Residents & Fellow

Transfusion Medicine Rounds

Daily

Transfusion Medicine faculty, residents and fellows

Hemostasis Conference

Weekly

 

Blood Bank directors meeting

Bi-weekly

CUH Transfusion Services staff, transfusion medicine faculty

AABB and ASCP teleconference

Periodic

 

Return to Top

Faculty

Return to Top