Veteran's Administration Healthcare VA-1 and VA-2 (CP-1 and CP-2)
The VA-1 rotation provides the resident with the opportunity to practice Clinical Pathology in the setting of an integrated Pathology and Laboratory Medicine Service. Residents cover all sections of the clinical laboratories and have the option to interact more closely with the Anatomic Pathology laboratories. This allows the resident to gain a broader view of patient diagnostic services than is possible in the more specialized rotations.
Of particular interest are two national reference laboratories for virology and mycobacteriology. These laboratories serve the entire Veterans Administration health care system, as well as many non-government medical facilities. The VA has a recently established molecular diagnostics laboratory with state-of-the-art equipment, which provides opportunities for residents to participate in new test development.
During this rotation, the resident also has the opportunity to observe and perform bone marrow aspirations and biopsies, and to interpret those tissues for final diagnosis, providing a 360-degree experience in aspirate procedures.
The VA-2 rotation provides residents with a formal graduated responsibility with senior level duties. The resident may elect to act as the assistant director of a subspecialty laboratory, handling all procedural and personnel issues, CAP surveys, budget and capital issues, and of course, all interpretative aspects of that laboratory. In addition, the VA-2 rotation offers specialized experience at the central virology laboratory, the state epidemiologic center, and other VA sites of excellence.
Additional Resident Duties and Responsibilities on the VA-1 Rotation
- Learn the practice of general Clinical Pathology integrating lab diagnostics with medicine and surgery ward teams
- Consult, investigate, and approve all send-out tests for non-routine laboratory studies
- Observe and perform bone marrow aspirations and biopsies
Additional Goals and Objectives for the VA-1 Rotation
- Understand appropriate use of blood products and esoteric testing
- Learn to interpret molecular diagnostic tests, Lyme disease results, and antibody screens
- Evaluate transfusion reactions
- Learn to assess and discuss test methodology and evaluate application of new technology
- Utilize and critically evaluate medical literature
Additional Resident Duties and Responsibilities on the VA-2 Rotation
- Formal graduated responsibility with senior level duties supervising junior residents
- Act as the assistant director of a subspecialty laboratory
- Investigate lab-specific procedural and personnel issues
- Interpret and assist in signing out of CAP proficiency testing
- Address budget and capital issues
- Obtain specialized experience at the state epidemiologic center and other VA sites of excellence
- Participate in test development at two national reference laboratories for virology and mycobacteriology
Additional Goals and Objectives for the VA-2 Rotation
- Become proficient in reference lab consultations
- Perform mock-CAP inspection of subspecialty labs and make recommendations
- Become proficient in mycobacterial and viral diagnoses