The Clinical Laboratory and the Hematologist Barbara A. Konkle, M.D. Medical Director, Hemostasis Reference Laboratory Puget Sound Blood Center Professor of Medicine/Hematology University of Washington Seattle, WA

Disclosures Nothing to disclose

Potential Role of Hematologist Board Certification in Hematology or Heme/Onc –Direct a Hematology and/or Hemostasis Laboratory Hematology subspecialty certification requires a year of training in hematology and an ABP approved year –Eligible for one year Transfusion Medicine fellowship and subsequent certification –Direct services such as apheresis/stem cell collection CLIA Laboratory Director 1 year of laboratory training during fellowship or 2 years of supervisory experience in laboratory

Advantages of Lab Role Better understanding of laboratory evaluation and interpretation Better understanding of transfusion issues Salary support Avenues for clinical/translational research

Challenges in Lab Role Training Relationship to Pathology Hospital Structure

Current Training Results of Survey (26/40 responses) 26/40 responses to survey 25/26 combined heme/onc training Percent of fellows who take Heme Boards:

Laboratory Training LabElectiveMandatory Hematology/Hematopathology52.2%47.8% Molecular Diagnostics63.2%36.8% Hemostasis63.6%36.4% Transfusion Medicine48.9%52.0% Lab 0%1-10%11-25%26-50%51-75%76-100%Total # Heme/Hematopathology Molecular Diagnostics Hemostasis Transfusion Medicine

Lectures in Core Curriculum Lecture TopicPercent Response Peripheral Blood Smear Interpretation88% Bone Marrow Interpretation92% Hemostasis Testing92% Hemoglobin Analysis72%

Discussion Role of clinical laboratory positions for hematologists Training avenues