The Hemostasis and Thrombosis Fellowship is an intensive one-year program (July to June) designed for physicians who have completed an ACGME-accredited internal medicine residency program or a hematology or hematology/oncology fellowship. This program offers advanced training in the management of patients with hemostatic and thrombotic disorders.
Overview
The goal of the training is to prepare fellows for a career that includes caring for patients with congenital bleeding disorders.
As instructors, fellows will have clinical responsibilities (inpatient and outpatient), dedicated research time and mentorship for professional development. Fellows will complete eight weeks as the attending physician on the hematology consultation service at Emory University Hospitals. They will be paired with faculty mentors for guidance and directed learning. When not on the consultation service, fellows will have 1 to 1.5 days of clinic per week, including the multidisciplinary comprehensive bleeding disorders clinic.
The aim and expectation of the fellowship is for fellows to acquire and manage patients with a variety of hemostatic and thrombotic disorders. Fellows will also design and complete a research project in their chosen area and participate in the education of our Hematology/Oncology fellows and other trainees.
In 2019, Lorraine Cafuir, MD, MS was named the inaugural recipient of the Hemophilia of Georgia Center for Bleeding & Clotting Disorders Fellowship (now called Hemostasis and Thrombosis Fellowship.)
Curriculum
The curriculum will prepare fellows to:
- Understand normal hemostasis.
- Understand the pathophysiology of congenital and acquired bleeding disorders and how this translates into diagnosis and management.
- Manage acute bleeding events in patients with hemophilia, hemophilia with inhibitor, von Willebrand disease, platelet function defects, fibrinolytic defects, and acquired coagulation disorders secondary to coagulation factor inhibitors, von Willebrand factor inhibitors, and anticoagulants.
- Develop treatment plans to reduce complications of congenital bleeding disorders (hemophilia, hemophilia with inhibitor, Von Willebrand disease, platelet function defects, etc).
- Manage patients with congenital bleeding disorders (hemophilia, hemophilia with inhibitor, von Willebrand disease, platelet function defects, etc.) during invasive and surgical procedures to reduce bleeding complications.
- Work with the multidisciplinary team to manage complications of congenital bleeding disorders, including but not limited to inhibitors, arthropathy, heavy menstrual bleeding, and pain.
- Understand the role that point-of-care ultrasound plays in evaluation of acute and chronic joint pain.
- Evaluate patients with thrombosis for thrombophilia, duration of anticoagulation, and complications of thrombotic disease.
- Manage complications of thrombotic disease and anticoagulation.
- Understand the role of laboratory testing in the management of patients with thrombosis.
- Develop and implement strategies to reduce complications of pregnancy related hemostatic and thrombotic disorders.
Eligibility
- Applicants must have completed an ACGME-accredited internal medicine residency program or an accredited fellowship in hematology or hematology/oncology
- Passed the American Board of Internal Medicine certifying examination
- Qualify to take the American Board of Internal Medicine Hematology subspecialty examination by the start of the Fellowship
- Applicants must also be eligible for licensure as a physician in the state of Georgia
- Applicants must qualify for a DEA license