Program
Curriculum
Facilities
Application
Faculty
Current Trainees
Past Trainees
| The Program
| | The Blood Banking and Transfusion Medicine Fellowship is a one-year accredited program designed to develop, in-depth, the skills of a transfusion medicine specialist. The graduate will be qualified to act as medical director in any blood banking/transfusion medicine setting, from a large and diversified transfusion service in an academic medical center to a community blood bank. Program applicants must be board certified or eligible in clinical pathology, anatomic pathology/clinical pathology, hematology or other relevant specialty.
| The Curriculum
| | Fellows receive training in all facets of modern blood banking, including therapeutic apheresis, peripheral blood stem cell collection and cryopreservation, blood collection, donor infectious disease testing, coagulation work-ups, HLA and serological evaluations. Direct clinical intervention in patient care is emphasized through daily transfusion medicine rounds. Fellows consult on difficult transfusion problems, investigate transfusion reactions and manage stem cell collections and therapeutic apheresis procedures.
Approximately 70,000 units of blood and components are transfused annually. The transfusion service collaborates closely in management of the transfusion support of patients within the solid organ and bone marrow/stem cell transplantation services. Experience in blood center operation comes from a large hospital-based platelet apheresis program and from autologous whole blood collections. Fellows become familiar with blood processing into individual components, as well as various aspects of blood preservation and long-term storage. They also develop skills in the administrative management of the blood bank, including dealing with personnel, developing standard operating procedures and quality control. Fellows participate actively in teaching activities at all levels including laboratory technicians, medical students and residents.
An important aspect of the clinical training program is supervised clinical or laboratory research. Fellows conduct a relevant literature review, prepare a research proposal and collect data - ultimately preparing a report for presentation and possible publication.
| The Facilities
| | The blood bank of Barnes-Jewish Hospital, under the medical directorship of the Program Director, provides the basic setting for the educational training. The overall blood bank space includes areas devoted to compatibility testing, component processing, a reference lab, viral serology testing, cryopreservation, and records/administration and library areas.
Another major unit for clinical experience and training is the combined blood donor center/pheresis unit located down the hall from the Barnes-Jewish Hospital blood bank. The unit has 14 pheresis machines, and collects single donor pheresis platelets and whole blood, and performs therapeutic pheresis on outpatients and inpatients, all under the medical supervision of fellows and faculty.
A second pheresis unit located in the bone marrow transplant unit with 6 pheresis machines is the site of peripheral blood stem cell collections (autologous and allogeneic). These procedures are also medically supervised by the fellows.
Additional space and facilities come from the Division of Laboratory Medicine, which provides office space for the fellows, two teaching classrooms (all across from the blood bank), audiovisual equipment for the classrooms and a specialized clinical pathology medical library in the fellows' office area.
| The Application
| | Fellowship Application
For additional information, please contact:
Douglas Lublin, MD, PhD
Program Director
Department of Pathology and Immunology
Division of Laboratory Medicine
Washington University School of Medicine
660 South Euclid Avenue, Box 8118
St. Louis, MO 63110
Phone: 314-362-8847
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