Description

Students spend the morning hours making rounds on one of Mayo's two hematology hospital services, and spend the afternoons evaluating and managing patients on the hospital service. The Hematology-3 Service consists of patients with lymphoma, multiple myeloma, acute leukemia and other myeloid diseases, and general hematologic problems. 

Students may also be prescheduled on the Hematology Consultation Service. This service sees patients on the other Mayo inpatient services. Students will see patients with anemia and other cytopenic work-ups, coagulation problems, diagnostic and staging work-ups for hematologic malignancies, and evaluation of myeloproliferative diseases.

Specific goals

1. Elicit histories, perform physical examinations, and interpret laboratory findings in your evaluation of patients with common hematological disorders. These may include:
   • Hodgkin's lymphoma
   • Non-Hodgkin lymphoma
   • Acute myelogenous leukemia
   • Non-myelogenous leukemia
   • Chronic lymphocytic leukemia
   • Multiple myeloma
   • Myeloproliferative diseases
   • Medical complications of hematological malignancies (e.g., neutropenic fever)
   • Inherited or acquired thrombophilias
   • Inherited or acquired bleeding disorders
2. Elaborate a differential diagnosis and strategy for evaluation of common hematological abnormalities which may include:
   • Anemia
   • Thrombocytopenia
   • Leukopenia
   • Polycythemia
   • Leukocytosis
   • Thrombocythemia
   • Pancytopenia
   • Monoclonal Gammopathy
   • Lymphadenopathy
   • Prolonged aPTT, PT, and bleeding time
   • Acute venous thrombosis
3. Recognize RBC and WBC findings on blood peripheral smears in the following diseases:
   • Iron deficiency anemia
   • B-Thalassemia
   • Anemia of chronic disease
   • Microangiopathic anemias
   • B12 or folate deficiency
   • Liver disease
   • Acute myelogenous leukemia
   • Chronic lymphocytic leukemia
   • Reactive lymphocytosis

Activity outline

Students will join the Hematology team for morning rounds on the hospital inpatient service or consult service daily Monday through Friday. Students will be expected to perform comprehensive H&P's on new patients (goal at least one per day) under the supervision of the resident or fellow on the service. The student will be expected to present the case to the consultant on rounds the following day. The student should evaluate their patients daily except on the weekend and also write progress notes on the inpatients. There are Hematology conferences including: Tuesday Fellows' Core Hematology Curriculum Conference and Thursday Divisional Hematology Clinical Conference. In addition, the student will benefit from daily teaching sessions on rounds.

Students spend the morning hours making rounds on one of Mayo’s two hematology hospital services and spend the afternoons evaluating and managing patients on the hospital service. The Hematology-I Service consists of patients with lymphoma, multiple myeloma and general hematologic problems. The Hematology-II Service consists of patients with acute leukemia and other myeloid diseases.

Students may also be prescheduled on the Hematology Consultation Service depending on scheduling availability. This service sees patients on the other Mayo inpatient services. Students will see patients with anemia and other cytopenic workups, coagulation problems, diagnostic and staging work-ups for hematologic malignancies, and evaluation of myeloproliferative diseases.

Method of evaluation

The consultant and the fellow evaluate students daily. At the end of each clerkship, an evaluation is completed by the hospital service staff who directly worked with the student. No formal examinations are given at the end of the clerkship. Honors are available.

Per Mayo Clinic institutional policy, faculty and residents/fellows will not complete any outside evaluations. You will be provided with an electronic performance evaluation via Mayo Clinic’s MedHub portal. A final summative evaluation will be sent to you and your school official upon completion of your clerkship.

Location: Rochester
Eligible Students: MMS & VMS
Length of rotation: 1-4 weeks
Faculty Coordinator: Dr. Naseema Gangat
Administrative Support: Samantha Trende