Training & Curriculum
This one-year program provides comprehensive training in all facets of transfusion medicine, including the technical, administrative and clinical aspects of blood donor collection, immunohematology, transfusion practices, therapeutic apheresis, tissue banking and stem cell processing. On-site and mobile blood collection provides fellows with invaluable experience in donor center operations. A state-of-the-art immunohematology laboratory, including molecular typing to determine extended red cell phenotype and identify variant red cell alleles, provides the fellow with numerous research opportunities and experience with leading-edge laboratory testing methods. The transfusion service supports numerous clinical services such as comprehensive cancer care, multi-organ transplantation and blood and marrow transplantation, as well as trauma, neonatal and cardiac surgical services, allowing the fellow an opportunity to manage complex clinical cases. The fellow also gains experience with inpatient and outpatient standard apheresis therapies, as well as low-density lipoprotein apheresis, photopheresis, and peripheral blood progenitor cell collection and processing. Supplemental rotations with the Pathology and Laboratory Medicine Department’s Coagulation and HLA/Immunogenetics Laboratories, as well as outside rotations at Children's Hospital Los Angeles and the American Red Cross reference laboratory can be arranged.
Cedars-Sinai is home to a blood donation facility that has 13 donor chairs, as well as 3 mobile units, used to collect approximately 25,000 blood components annually, including autologous and directed donations. The transfusion service is composed of a state-of-the-art compatibility and immunohematology testing laboratory, including molecular typing to increase red blood cell matching capabilities. Approximately 55,000 units of blood and blood components are required each year for patient treatment and care at Cedars-Sinai, including the Samuel Oschin Cancer Institute, Smidt Heart Institute, Ruth and Harry Roman Emergency Department, transplant services and related facilities. The coagulation service helps to guide appropriate use of blood components. The Therapeutic Apheresis Unit consists of 6 beds and provides a variety of procedures, including plasma exchange, red blood cell exchange, low-density lipoprotein apheresis, stem cell collection, photopheresis and platelet/white blood cell depletion to both inpatients and outpatients. Approximately 2,300 therapeutic apheresis procedures are performed annually.
The Transfusion Medicine Fellowship teaching service includes direct patient and medical staff interaction via daily patient rounds and clinical consultation for all matters related to transfusion support of the complex medical and surgical patients in our tertiary care center. The fellow has graduated responsibility for performing apheresis consults, managing donor and patient care issues, and consulting with clinicians regarding appropriate blood component utilization.
Transfusion Medicine Fellow Responsibilities
- Review donor notification letters.
- Review daily blood utilization report.
- Complete immunohematology workups and consultative reports.
- Complete transfusion reaction workups and consultative reports.
- Write orders, consultations and progress notes for therapeutic apheresis patients.
- Advise the donor facility regarding donor suitability and deferral.
- Advise the transfusion service regarding component utilization.
- Perform monthly blood administration audits.
- Coordinate rotating resident activities, including bench rotations.
- Participate in one week of Blood Bank call per month.
- Presentation and/or participate at conferences (see Conferences section below).
- Assist with education of pathology residents (see Teaching Responsibilities section below).
- Execute administrative functions (see Administrative Responsibilities section below).
- Transfusion Medicine Journal Club, quarterly
- Resident clinical pathology (CP) didactic, at least 1/year
- Resident CP Case Presentation, monthly
- Resident CP Call Review, monthly
- Transfusion Medicine Quality Assurance (QA)/Management meeting, monthly
- Hematopoietic Progenitor Cell Transplant (HPCT)/Transfusion Medicine QA meeting, quarterly
- Transfusion Committee, quarterly
- HPCT Patient Management meeting, weekly
- HPCT QA meeting, monthly
- CP Performance Improvement Committee meeting, quarterly
- Blood administration audits
- New method assessment and validation
- College of American Pathologists checklist assessment
- Foundation for the Accreditation of Cellular Therapy checklist assessment
- At least one quality improvement project
- Review of proficiency testing results
- Transfusion Medicine and HPCT QA meetings attendance
If you have questions or would like to learn more about the Blood Banking/Transfusion Medicine Fellowship Program at Cedars-Sinai, please call or send a message to Program Coordinator, Jean Havercroft.
Blood Banking/Transfusion Medicine Fellowship
Pacific Theater Building, 5th Floor
116 N. Robertson Blvd.
Los Angeles, CA 90069