Coagulation Medicine Fellowship Program Curriculum
Pathophysiology and approach to diagnosis and treatment of congenital and acquired bleeding and clotting disorders.
Comprehensive care approach to hemophilia comprising, but not limited to: nursing, physical therapy, social work, home infusion, patient programs, national data collections, hemophilia treatment center networks.
Complex and comprehensive management of patients with hemophilia (+/- inhibitors), von Willebrand disease, and other rare bleeding disorders, including their management in the inpatient and outpatient settings.
Management of women with bleeding disorders. Participate in monthly combined Heme-Ob/Gyn clinic. Participate in the ongoing development of a new focus for “Women with Bleeding Disorders” (care, outreach).
Management of hereditary hemorrhagic telangiectasia (HHT). The UC San Diego Center for Bleeding and Clotting Disorders has been certified as a center of excellence for HHT https://curehht.org/.
Management of patients with venous thromboembolism and cancer.
Diagnosis and management of Chronic Thromboembolic Pulmonary Hypertension (CTEPH) in collaboration with Pulmonary/Critical Care.
Differences and indications for anticoagulants, including direct oral anticoagulants (DOACs).
Hemostasis and coagulation assays and their appropriate diagnostic use with rotations through the special coagulation laboratory.
Incorporate point-of-care musculoskeletal ultrasound for rapid bleed detection, synovitis, and other common joint abnormalities into clinical decision-making and guided treatments.
Incorporate vascular point-of-care ultrasound imaging for the management of deep venous thromboembolism.
Acquire competence regarding the pathobiology of hemophilic arthropathy, and current options for interventions, indications, risks, and side effects for orthopedic procedures, synovial embolization, and (radio)synovectomies.
Participate in outreach activities involving patient advocacy groups, local Hemophilia Chapters, and national and international organizations such as the National Hemophilia Foundation and the World Federation of Hemophilia, Hemophilia Camp.
Participate in ‘transition of care’ from pediatric centers to adult treatment centers
Exposure to self-infusion training and teaching venues for patients with hemophilia and bleeding disorders.
Opportunities for global involvement to advocate for diagnosis and treatment of bleeding disorders in the developing world, especially at the HTTC’ WFH Twinning site in Maputo, Mozambique.
Exposure to the clinical trial program encompassing gene therapy and novel clotting factor preparations.
Point-of-care (POC) musculoskeletal ultrasound (MSKUS) program, comprising virtual and hands-on training classes (CME-accredited), with the opportunity to directly apply the new knowledge during clinics and rotations in the hemophilia clinic. (funding provided)
Center for Bleeding and Clotting Disorders at UCSD is an international leader in the field with several state-of-the-art ultrasound equipment. In addition, interested fellows will be outfitted with hand-held probes that they can use at all times. Annette von Drygalski (APD) is certified in MSKUS by the Alliance for Physician Certification & Advancement (APCA).
Point-of-care ultrasound (POCUS) for vascular imaging, particularly deep venous thromboembolism (DVT). - A CME-curriculum class is in development. Participants will be enabled to work towards APCA certification after completion of this program. As with the MSKUS program fellows will be outfitted with a hand-held probes that they can use at all times.
Pre-ASH and pre-HTRS workshops.
Hemophilia Academy (applications will be supported)
Participation in weekly Friday ACGME-curriculum conference from 8-9 am as pertinent to Hemostasis/Thrombosis and non-malignant Hematology.
Participation in weekly Fellow case conferences from 9-10 am if Heme cases are discussed.
Participation in the weekly ACGME Hematology/Oncology Fellowship curriculum conference if Heme cases are discussed.
Participation in the weekly ACGME Hematology (HFFTP) Fellowship curriculum conference if Heme cases are discussed.
