Overview and Objectives
The Accreditation Council for Graduate Medical Education (ACGME) accredited Transfusion Medicine Fellowship at Hoxworth Blood Center, second oldest blood center in the country, is designed to offer physicians career development training which will enable them to assume leadership positions as Directors/Medical Directors of regional or community blood centers or hospital transfusion services.
The program has six full-time faculty members, each representing one or more special interests within the general field of Transfusion Medicine. Active research interests of the faculty include, platelet hemostasis, optimization of blood component storage, pathogen reduction of blood products, hematopoietic stem cell biology in health and disease, and microenvironment control of hematopoiesis.
Location of Training
Training is conducted primarily at Hoxworth Blood Center, a division of the University of Cincinnati Academic Health Center. It's the only blood center in the country located within a large university medical center.
Hoxworth Blood Center distributes more than 300,000 blood components annually The trainees take call at University Hospital, and Cincinnati Children’s Hospital Medical Center Because of this, there are unique opportunities to participate in the evaluation and resolution of clinical problems associated with an active level I trauma center and transplantation center for liver, kidney and stem cells. Transfusion support for neonatal and oncology patients provides an additional facet to the fellow's education.
Hoxworth is located on the grounds of the University of Cincinnati Academic Health Center. One advantage of the affiliation with the Academic Health Center is the availability of the Health Sciences Library and UCiT. Both services encompass and support the Health Sciences Library, the Nursing Library, the Center for the History of the Health Professions and information technology units that support computing at the University of Cincinnati (UC) Academic Health Center.
Clinical and Educational Activities
Program of Study
The fellowship year is intended to develop and enhance the unique competencies of the blood bank physician. In addition, opportunities are provided to develop management, communication and teaching skills. Problem solving in each of these areas is emphasized. Candidates with a special interest in research may wish to continue the program for an additional year. Such requests are reviewed on an individual basis.
Candidates completing the year of fellowship training will be eligible to apply for the sub-specialty examination in blood banking given by the American Board of Pathology (ABP) if other ABP criteria are met. It is expected all trainees will successfully take the board exam.
Clinical Training includes
- Donor selection
- Automated blood collection
- Therapeutic apheresis
- Transfusion reactions
- Transfusion practice
- Hemolytic disease of the newborn
- Autoimmune hemolytic anemia
- Neonatal & pediatric transfusion practice
- Solid organ transplant support
- Cellular therapies
- Transfusion support of oncology patients
- Blood component therapy
- Trauma & emergency medicine
- Coagulation & hemorrhagic disorders
- Technical knowledge
- Pretransfusion testing
- Blood component preparation and storage
- Serological problems/reference laboratory operations
- Histocompatibility testing
- Cryopreservation of blood
- Stem cell collection & processing
- Management and Teaching
- Hospital transfusion committee
- Designated & autologous blood donor programs
- Quality assurance
- Good manufacturing practices
- Laboratory management
- Inspection and accreditation
- Inventory control
- Donor recruitment
- Communication of scientific information
- Budget preparation
The fellows are required to participate in AABB audio conferences, journal clubs and prepare transfusion medicine grand rounds. Fellows are to attend clinical conferences offered at the Academic Health Center especially to include coagulation rounds, hematology oncology rounds and medical grand rounds.
Each fellow is expected to investigate a clinical, technical, or management problem; gather and analyze data; develop solutions; and present a summary report to the Hoxworth staff. Presentation at a regional or national meeting is also encouraged.
Information regarding contracts, benefits and stipends may be found here.