Specific rotations - 7 months
The fellow rotates through the following lab areas.
- Stat lab (4 weeks)
- Point of care testing (during stat lab rotation)
- Automated chemistry - main lab (5 weeks)
- Urinalysis (2 weeks)
- Special testing - 1st floor/special chemistry (4 weeks)
- Special testing - 2nd floor/immunology (5 weeks)
- Toxicology (6 weeks)
- Lab administration and informatics (4 weeks)
- Outreach, send-out lab, quality assurance, phlebotomy (1 week)
During lab rotations the fellow rounds and interacts on a daily basis with the appropriate clinical chemist and/or pathologist in order to experience developments and problems within the section. The fellow is expected to assist in investigations that may be necessary, whether laboratory - or patient - related. The approach to such investigations is gradual, the intent being for technologists/supervisors to eventually contact the fellow directly, rather than going through a pathologist/clinical chemist. This graduated level of responsibility is ultimately achieved based upon repeated direct observations by the faculty. However, all decisions are reviewed with the appropriate senior staff.
During assigned rotations, time is also spent at work-stations to learn about methods and instruments used in different areas of the lab. Specific goals and activities for each lab rotation are listed under the appropriate lab section. In addition, a General checklist (includes items such as method comparisons, CAP proficiency problem review) is included. Items on the latter checklist should be completed during the year’s training.
During lab rotations, the trainee is expected to assist with test interpretation. This occurs on a regular basis, but is scheduled such that the trainee has sufficient time to work on assigned projects. The clinical chemist or pathologist is responsible for discussing other relevant laboratory issues that arise during rotations.