Hematology

Objectives:

The Division of Hematologys mission statement is to provide world-leading patient care, medical education and research in our two predominant programs of malignant hematology and thrombosis/hemostasis. Hematology is the field of Internal Medicine that includes the study, diagnosis and treatment of diseases of the blood. Hematologists evaluate and treat patients with anemia, thrombocytopenia, enlarged lymph nodes or spleen, bleeding and clotting disorders, and other abnormalities of the blood. Hematologists manage chemotherapy for the treatment of hematologic malignancies. They prescribe blood product administration and removal of excess blood components as needed for a variety of blood disorders. Hematologists also prescribe anticoagulants, antiplatelet agents, immunosuppressive, growth factor, and biological therapy for benign and malignant blood disorders. Bone marrow and stem cell transplants are considered part of the specialty of hematology.

Our Division of Hematology at The Ottawa Hospital is a multi-disciplinary team of physicians, advanced practice nurses, nurse practitioners, liaison nurses, pharmacists, MBAs, social workers, MSc trained research associates, genetic counsellor and RN research associates. We work closely with the Division of Hematopathology. We provide core training in hematology to hematopathology trainees, internal medicine trainees, and provide electives for trainees in any other Royal College certified program. Research projects for trainees are always available and we provide summer research projects for medical students, undergraduate and postgraduate trainees.

Description:

The Blood and Marrow Transplant Program

The Blood and Marrow Transplant Program is a multi-disciplinary group that provides transplant care for patients from around the world. Clinics currently run daily. Between 90 and 120 transplantations are performed per year.

Leukemia Therapy and Research Program

We offer comprehensive care for patients with acute and chronic leukemia. This program is integrated into our Blood and Marrow Transplant Program. Clinics are run two days per week for patients with acute leukemia research.

Lymphoma Program

This program also integrates closely with the Blood and Marrow Transplant Program, as a number of patients with lymphoma will require transplantation.

The Thrombosis and Hemostasis Program

The Thrombosis and Hemostasis Program runs on both campuses of the Ottawa Hospital. Currently, at the Civic Campus, we offer clinics five days per week for trainees to attend.  There are also clinics on the weekends from 10 am to 2 pm.  These clinics offer all ranges of services in the area of thrombotic diseases. We evaluate patients with suspected DVT and pulmonary embolism, patients with suspected hypercoagulable states, we treat new venous thromboembolic events, post-phlebitic syndrome, superficial phlebitis and we provide prophylaxis advice and intervention for high risk patients during pregnancy and in the post-partum period and in the post-operative period. We provide management of patients on chronic oral anticoagulant therapy who require bridging over time of operative procedures, and we provide an oral anticoagulation clinic.

The hemostasis part of the program includes the running of the Eastern Ontario Regional Hemophilia Program which operates out of our General Campus and provides service to hemophilia patients with a multi-disciplinary clinic involving rheumatologists, physiotherapists, orthopedic surgeon, nursing and hematology once per month.

General Hematology Program

Most of the members of our Division remain very active in clinical care of patients with general hematological disorders. All of the general hematological problems are looked after in clinics that take place almost every day.  We, of course, offer a consultation service in the hospital, for patients with general hematological disorders. We offer electives / selectives for students and residents in this area. The rotation through our Hematology program for Internal Medicine trainees is either a ward or a consultative and ambulatory care General and Malignant Hematology exposure.

Student Electives:

For third and fourth year students, we offer 4 week electives. This elective can be on our inpatient Malignant Hematology ward and depending on time, there may be some time spent in outpatient clinics. We also offer an elective in Ambulatory Consultative Hematology with inpatient consultations as part of this rotation. In this rotation, students would also attend General Hematology clinics. Unfortunately, the students may not necessarily have the choice of which one of these rotations they will be assigned to. The assignment will be determined by Dr. Gonsalves, Rotation Supervisor in the Division of Hematology.

For first and second year medical students, short electives are offered. This will mainly include attending general hematology clinics, with an option to attend some of the subspecialty clinics depending on availability. Most clinics are currently held in the am, and therefore many pre-clerkship students choose to do rotations with us during their summer months.  There is also the option to organize short electives with individual CBL tutors during hematology block.

Haematology Rotation Supervisor: Dr. Carol Gonsalves
Location: The Ottawa Hospital, General Campus or Civic Campus.
No. of Students: Maximum of three (3) third or fourth year students at a time.

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