Division of Hematology & Thromboembolism

Overview & Rotation Description

The adult Hematology program fulfills the specialty training requirements in Hematology as defined by the Royal College of Physician and Surgeons of Canada and is designed to provide residents with training that ensures flexibility in their future career choices in Hematology.

Over forty hematologists and allied health care professionals participate in the two-year residency training program. Trainees move through 4-week block rotations structured to provide exposure to both clinical hematology and laboratory medicine. Rotations are based at Hamilton sites with a major interest and expertise in the content area to be covered. Participating sites include Hamilton Health Sciences (McMaster University Medical Centre, Juravinski Hospital and Cancer Centre, and Hamilton General Hospital sites), and St. Joseph’s Healthcare.

The first year of training encompasses the laboratory based rotations including Transfusion Medicine, Hemostasis/Coagulation, Red Cell Disorders (hemoglobinopathies), Cellular Diagnostics (morphology, flow cytometry and molecular testing) and Surgical Hematopathology (lymph node, spleen and bone marrow biopsy pathology). The remaining blocks are predominantly clinical in nature and include Bone Marrow Transplantation (allogenic and autologous peripheral stem cell and marrow transplantation), Thromboembosis 1 and Junior Hematology Attending. Concurrent with these rotations, residents participate in a Longitudinal Clinic experience. In the second year of the program, exposure to inpatient and outpatient malignant hematology is the focus, along with Pediatric Hematology and further exposure to Consultative Hematology, Thrombosis 2, Cell Diagnostics 2 and a four month Elective block that allows for focused research or clinical elective experiences.

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PGY4

Transfusion Medicine

Red Cell Disorders
Hemostasis/ Coagulation
Cell Diagnostics 1
Surgical Hematopathology
Thrombosis 1
Junior Attending
Bone Marrow Transplantation
Longitudinal Clinic Experience
PGY5
Inpatient Malignant Hematology
Outpatient Malignant Hematology Clinics
Consultative Hematology
Pediatric Hematology
Thrombosis 2
Elective
Cell Diagnostics 2

During the two year training program, residents work closely with hematologists whose interests span diverse areas of clinical hematology, clinical research, and basic research. Basic science teaching is incorporated into all aspects of laboratory and clinical training, as well as during formal (Academic Half-Day) and informal teaching sessions. Biostatistics and critical appraisal are emphasized throughout the teaching program, including in Academic Half-Day sessions and Journal Clubs. The intrinsic CanMEDS roles are addressed within the different rotations and are also the areas of focus in the Academic Half-Days. Quality control and quality assurance are covered in both laboratory and clinical rotations.