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, benchmarking, point-of care testing, reference and referral lab testing, outreach and network systems, and strategic planning. 

Duration: one month

Goals and Objectives:

General:

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. 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:

1)  Attend all sessions.

2)  Participate in interactive lectures and site visits.

3)  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, a comprehensive final exam administered by the rotation directors, 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.

Faculty and Staff:

Director: 

Gregory J. Pomper, MD, Vice Chair of Clinical Pathology

Medical Director, Clinical Laboratories

Faculty: 

Anita Bently, [degrees, position] Pathology Department

Beverly Essick, RNC, MSN, Director Clinical Compliance, WFBMC

Scott Evans, Information Services, Department of Pathology

Melanie Haire, MT, Compliance Department

Mike Hitchcock, MD, [position]

Greg Horton, MT, Core Lab, Pathology Department

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

Mary R. Jones, MT, SBB, Manager, Blood Bank

Linda Kuzio, MT, Manager, Quality Assurance and Safety, Pathology Department

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

Amy Massey, [degrees, position]

Catherine McMann, Human Resources Department

Elizabeth Palavecino, MD, Medical Director, Microbiology Laboratory

Gregory Pomper, MD, Medical Director of Clinical Laboratories

Brian Reynolds, MBA, Associate Director of Laboratories, Outreach Program and Central Processing

Marc Sears, [degrees, position] Human Relations Department, WFBMC

Meghan Shapiro, MHA, Interim Administrative Director, Pathology Department

Beverly Smith, MT, Manager, Referral and Reference Lab Testing

Kimberly Stevens, Outreach Program, Pathology Department

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

Trish Warren, Technical Services Manager, Pathology Department

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

 

 

 

 

 

 

 

 

 

 

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: 07-11-2014
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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.