Goals of the Program
To provide a comprehensive experience in adult and pediatric hematopathology, including
- morphologic evaluation of lymphoid tissues, bone marrow biopsies and aspirate smears, blood smears and body fluid smears;
- the proper technique for performing bone marrow aspirations and biopsies;
- evaluation of cellular antigens on leukemias, lymphomas, myeloma and other hematolymphoid conditions by flow cytometry and immunohistochemical analysis;
- interpretation of molecular diagnostic assays in context of leukemia and lymphoma;
- interpretation of conventional and molecular cytogenetics in the context of leukemia, myeloma and lymphoma;
- interpretation of coagulation tests in the context of hemostasis;
- interpretation of serum protein electrophoresis, hemoglobin electrophoresis, and other special hematology tests;
- operation of automated hematology, such as CBC analyzer;
- involvement in management issues associated with various laboratories and regulatory policies that support the hematopathology program.
The annual case volume consists of about 3,000 bone marrow specimens, 1,600 lymph nodes, 5,000 diagnostic flow cytometic assays, 25,000 molecular diagnostic assays, and 3,500 cytogenetics/FISH assays. The program's faculty consists of six full-time hematopathologists and five additional faculty who specialize in laboratory evaluation of hemostasis, molecular diagnostics, and cytogenetics. The fellow will be exposed to a wide variety of clinical and basic investigations and is encouraged to participate in research projects.
Thirteen 4-week blocks of rotation are divided as follows:
- 7 blocks of diagnostic hematopathology (bone marrow, lymph node, blood smear and body fluid smear evaluations as well as flow cytometric interpretation)
- 1 block of flow cytometry
- 1 block of cytogenetics
- 1 block of molecular diagnostics
- 1 block of coagulation/automated hematology
- 1 block of research
- 1 block of elective
Board eligible or certified in AP / CP.
Selective Service System Registration:
- All male applicants (as determined by gender assigned at birth for purposes of this requirement) who are US citizens or immigrants must have registered with the Selective Service System within 30 days of their 18th birthday, or arrival date into the USA. Individuals are eligible to register until the age of 26. Failure to register is a violation of federal law, and can face significant penalties, including loss of eligibility for citizenship for immigrants. Individuals who have not registered are not eligible for a variety of benefits including federal student aid, federal job training, and any job in the Executive Branch of the government (e.g. VA, Medicare, federal prisons), and are not allowed to work in federal facilities even as a resident or fellow.
- Most Duke GME programs require rotations at federal facilities such as VA hospitals or prisons. All trainees in those programs must be eligible to work at those facilities. All applicants should ensure that they have registered for the Selective Service System if appropriate. If they have not registered, they should discuss this with their potential program director. Additional details can be found at https://www.sss.gov.
The Duke University Health System is a tertiary health care system serving patients from several mid-Atlantic states. It currently is comprised of three hospitals with 1498 beds.
An affiliation with the Durham Veteran's Affairs Hospital (274 beds) provides additional training opportunities as does the Duke Cancer Institute.
Commensurate with level of training.
2024-2025 Hematopathology Fellowship: 1 spot available
2025-2026 Hematopathology Fellowship: Filled
2026-2027 Hematopathology Fellowship: We have agreed to participate in the upcoming NRMP-sponsored match for the Hematopathology Fellowship. Details about the match are forthcoming.
Email your application package to Program Coordinator Brittany Harris.