Stanford Clinical Chemistry Rotation

The clinical chemistry and immunology rotation provides three months of comprehensive training in the laboratory and administrative skills required to manage clinical chemistry issues that arise in both the critical care setting (Stanford University Hospital Core Lab) and a specialized reference laboratory (Special Chemistry Laboratory at Hillview).  The first two months provide an introduction to the major themes and topics of clinical chemistry: methods and instrumentation, critical care chemistry, endocrine disorders, growth and development, organ injury and dysfunction, toxicology and therapeutic drug monitoring, and immunologic disorders. These topics are covered in a series of one-on-one didactics with the chemistry faculty and facilitated by a handbook of resident exercises and case-based studies. One of these first two months is spent in the Core Laboratory at Stanford Hospital and the other is spent in the Special Chemistry Laboratory at Hillview. Throughout both rotations the resident takes first call for all clinical questions addressed to the laboratory. Additional clinical responsibilities include the review and sign-out of toxicology cases, protein electrophoresis and immunofixation electrophoresis, as well as the review of infectious disease serology testing, in particular, syphilis and hepatitis B virus.

In the third month, the resident functions as the medical director, handling all medical and administrative issues, as well as reviewing quality control and proficiency test results.

Stanford Clinical Chemistry
Stanford Hospital and Clinics Clinical Laboratory

Raffick Bowen, Ph.D.
James Faix, M.D.

Run Shi, Ph.D.

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