Yale-New Haven Hospital (YNHH), a combined tertiary care and community-based medical center and the main teaching hospital for Yale School of Medicine (YSM), is the primary training location for the fellow. In addition to serving the greater New Haven metropolitan area, YNHH is also part of the Yale New Haven Health System which includes Bridgeport, Greenwich, and Westerly Hospitals. YNHH serves as a major reference pathology center (especially hematopathology samples and advanced technology procedures) from other system hospitals and also from many other hospitals and medical center/physician offices in New England and also outside the region.
The Yale New Haven Medical Center is a designated NIH Comprehensive Cancer Center (for over thirty years). The medical center also has major referral populations in red cell diseases (especially hemoglobinopathies and membrane disorders) and coagulopathies. It includes a large obstetrical population and a major integrated Children's Hospital. Hematology patients are cared for by a multidisciplinary team including internal medicine hematologist-oncologists, surgeons, radiation therapists, and, prominently, hematopathologists. Advanced diagnostic procedures (complex molecular diagnostics, flow cytometry, image analysis, cytogenetics) are routinely well-integrated into patient care.
The VA Connecticut Healthcare System (VA-CT), primarily based in West Haven, CT but also providing all anatomic and clinical pathology services for major additional facilities in Newington, CT and for a series of outpatient clinics located around the state and into Massachusetts, provides 20% of the training to the fellow. The VA-CT, a major teaching hospital of YSM, has a very active hematology-oncology service and a consequent active hematopathology service led by a board-certified hematopathologist. The VA experience provides the fellow, not only with additional material for study, but also with important additional management experience in a smaller laboratory setting and in a setting of more extensive AP/CP integration into a regional (New England) coordinated government health care system (the New England "VISN"). The VA provides some services for all the other hospitals in the system and receives services from other facilities in the system.