Laboratory Management

Overview:

The rotation consists of a structured curriculum in laboratory and health care management, presented as a one-month required rotation during the last half of the fourth year. All PGY-4 residents attend as a group, and fellows in other pathology department programs, such as Cytopathology, are allowed to attend sessions of interest to them. The small group size provides a flexible format and offers a more interactive experience between the faculty and the residents than would be possible with a larger group.

An important feature of the program is that the sessions are presented by senior leaders, instructors, and experts from throughout the medical center, including pathology faculty, hospital laboratory administration, and leaders from the hospital and medical school. The format is intentionally diverse and includes lectures, discussion groups, site visits, and assigned tasks with follow-up review.  

The subject matter is presented in sessions that include an overview and selective analysis of relevant federal and state regulations, performance standards, accrediting agencies and organizations, risk management, human relations, interpersonal relations and leadership, health and safety standards, information management, QA/QI systems and methods, billing and coding, budget processes, capital equipment, laboratory design, bench-marking, point-of care testing, reference and referral lab testing, outreach and network systems, and strategic planning.   

Duration:  one month             

Goals and Objectives:
 

General:  

  1. Using small group sessions and senior institutional leaders, the rotation will provide the residents with basic knowledge of laboratory management within the context of health care delivery in a variety of systems.
  2. Topics include regulatory standards; accreditation oversight and organizations; inspection and certification; QA/QI; benchmarking, tools such as Six Sigma, LEAN, and FMEA; safety requirements; risk management; liability and malpractice; professional credentialing; pathologist contracts in academia, private practice, and industry; billing and coding; HR and benefits; supervision and leadership skills; selection and validation of laboratory information systems; outreach, networks, and centralized lab service models; budgeting and capital equipment; staffing models; managed care; compliance; automation in chemistry, hematology, microbiology, blood bank; basic IS networks and telecommunications; point of care testing; reflex, reference and referral testing.  

Specific sessions:            

At the beginning of each session, instructors are expected to provide a list of the objectives specific to their presentation or activity.  

Resident Responsibilities:  

  • Complete online CAP inspector training
  • Attend all sessions.
  • Participate in interactive lectures and site visits.
  • Complete and pass any examinations.    

Resources:  

Reading Materials:  

1) R. A. McPherson, M. R. Pincus (eds). Henry’s Clinical Diagnosis and Management by Laboratory Methods. (2007), chapters 1-12. [recommended]  

2) Handouts provided by individual instructors.

Supplementary Materials: Provided by individual instructors as handouts, web links, and slide presentations.   

Evaluation:  

Residents: Residents are evaluated based on attendance at scheduled activities, level of participation during interactive sessions, and performance on examinations. Exams include those administered individually by the presenting faculty and the nationally administered RISE exam.  

Program: The program is evaluated by the following methods: 1) At the end of the rotation, the residents complete an on-line comprehensive critique of the program and of the individual faculty presentations. 2) The residents are interviewed as a group by the director at the final session of the rotation to provide feedback and recommendations. 3) The rotation faculty are asked to provide feedback and specific recommendations. 4) The pathology department Residency Committee reviews the program for changes. 5) The RISE exam is reviewed for content elements and for the performance of the residents in each of the 4 years.    

Milestones:  Laboratory Management
 

  1. SBP2: Lab Management: Regulatory and compliance: Explains, recognizes, summarizes, and is able to apply regulatory and compliance issues (AP/CP)
  2. SBP3: Lab Management: Resource Utilization (personnel and finance): Explains, recognizes, summarizes, and is able to apply resource utilization (AP/CP)
  3. SBP4: Lab Management: Quality, risk management, and laboratory safety: Explains, recognizes, summarizes, and is able to apply quality improvement, risk management and safety issues (AP/CP)
  4. SBP5: Lab Management: Test utilization: Explains, recognizes, summarizes, and is able to apply test utilization (AP/CP)
  5. SBP6: Lab Management: Technology assessment: Explains, recognizes, summarizes, and is able to apply technology assessment (AP/CP)      

Faculty and Staff:

Director:  

Gregory J. Pomper, MD, Vice Chair of Clinical Pathology
Assistant Program Director Pathology Residency Program

Medical Director, Clinical Laboratories  

Faculty:  

Barry DeYoung, MD, Chair of Pathology

Jennifer Bandy, Human Resources Department

Anita Bently, Manager of Billing and Coding, Department of Pathology

JB Collins, Senior Performance Improvement Advisor

Scott Evans, Information Services, Department of Pathology

Jane Henderson, Manager, Laboratory Information Services

Melanie Haire, MT, Director of Quality, Department of Pathology                                                                            

Mike Hitchcock, MD, Pathologist

Greg Horton, MT, Core Lab, Department of Pathology

Jane Houska, MT, SBB, Associate Director, Clinical Laboratories

Mary R. Jones, MT, SBB, Manager, Blood Bank, Department of Pathology

Patrick Lantz, MD, Medical Director, Autopsy Service, Department of Pathology

Amy Massey, Finance Department, WFBH

Elizabeth Palavecino, MD, Medical Director, Microbiology Laboratory, Department of Pathology

Gregory Pomper, MD, Medical Director of Clinical Laboratories, Department of Pathology

Joel Mabe, MBA, Associate Director of Laboratories, Outreach Program, Department of Pathology

Camey Thomason, Administrative Director, Department of Pathology

Beverly Smith, MT, Manager, Referral and Reference Lab Testing, Department of Pathology

Kimberly Stevens, Outreach Program, Department of Pathology

Angie Thayer, MT, Point-of-care Coordinator, Department of Pathology

Trish Warren, Technical Services Manager, Department of Pathology

Stephen Wong, PhD, Director, Chemistry Lab, Department of Pathology

Quick Reference

Pathology Residency Training Program
Program Director:
Ryan T. Mott, MD

Tel: 336-716-4311
Fax: 336-716-7595

Wake Forest Baptist Medical Center
Medical Center Boulevard
Winston-Salem, NC 27157
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Last Updated: 05-13-2016
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.