The training to obtain an M.Med. degree in haematology extends over a period of 4 years. In the first 18 months of registrarship, students must pass a primary examination in physiology and also attend a course (TNM 800) in research methodology. Registrars in haematology rotate through various sections of the laboratory (core laboratory, platelet functions, flow cytometry, bone marrow processing) in order to familiarize themselves with all aspects of departmental operations.
Training in theoretical haematology covers the following: Haemopoiesis General aspects of anaemia Microcytic anaemias and iron overload Megaloblastic and other macrocytic anaemias Haemolytic anaemias Genetic disorders of haemoglobin Bone marrow failure Stem cell transplantation Benign disorders of white cells Genetics of haematological malignancy Acute leukaemias Chronic leukaemias Myelodysplastic syndromes Malignant lymphomas Multiple myeloma Myeloproliferative disorders Haemostasis (platelets and coagulation factors) Bleeding disorders Thrombophilia Thrombosis and anti-thrombotic therapy Haematological change in systemic disease Blood transfusion Haematology of pregnancy Neonatal haematology Practical training includes assessment and reporting on peripheral blood slides and bone marrow aspirates, blood grouping, coagulation studies, platelet functions, flow cytometry and special haematology tests (Ham's test, osmotic fragility ets.) Registrars are also actively involved with the work-up and management of patients in the haematology clinic and they provide a consultative service to clinicians from all disciplines. As part of their training, registrars spend some time working at the South African Blood Transfusion Service
Published by Marianna Kotze
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