Wet Heme Rotation

The Wet Heme rotation is 3 weeks in duration with the last week of the rotation experience on Coag for a total of 4 weeks.  During this rotation, the resident will gain knowledge in interpreting hematological and coagulation testing data, evaluating peripheral blood smears and body fluids, investigating significant abnormal results in the hematology and coagulation laboratories and provide consultative guidance to clinicians. The resident will also gain knowledge in the modern concepts of hematopoiesis and coagulation, and recognizing normal and neoplastic hematopoietic cells.

A Resident's day-to-day on the Wet Heme Rotation

The wet heme rotation is typically structured for the first year resident to get started with the basis of Hematopathology. Resident responsibilities include studying peripheral blood smears to understand normal morphology of blood cells and any deviation from normal. We get to preview a spectrum of non-neoplastic disorders like hemoglobinopathies, nutritional deficiency, infections to neoplastic hematoplymphoid malignancies. After resident-preview in the morning, cases are signed out in the afternoon with active faculty teaching. This is coupled with attending bone marrow sign outs which focus on important morphologic parameters of myeloid/lymphoid/megakaryocytic lineage maturation and associated aberrancy.

Additionally, residents spend dedicated time at the core hematology lab, bone marrow lab and biopsy clinic to mechanistically study hematological tests and sample processing. The rotation is scheduled for four weeks.