Anatomic Pathology; Blood Banking/Transfusion Medicine; Clinical Pathology; Cytopathology; Hematology - Clinical Pathology; Immunopathology; Surgical Pathology; Toxicology; Transfusion Medicine; Bioinformatics; Microbiology; Virology
I serve the Department of Pathology and Anatomic Sciences as a general pathologist in anatomic and clinical pathology. My primary areas for service work include surgical pathology and cytopathology as an attending pathologist rotating among the Kaleida hospital sites and clinical pathology activities in clinical chemistry, transfusion medicine, microbiology and hematology. I serve as the laboratory medical director for the clinical laboratories at the Women and Children‘s Hospital of Buffalo and the Center for Laboratory Medicine, Williamsville (Flint). I also provide more specialized medical support for the forensic toxicology laboratory at the Women and Children‘s Hospital, the fetal defect screening program at the Center for Laboratory Medicine in Williamsville, the Virology laboratory at Women and Children‘s Hospital and the Therapeutic Plasmapheresis program at the Buffalo General Medical Center. I have developed an interest in Clinical Informatics and regularly employ those skills to retrieve and analyze data from Kaleida and elsewhere to support clinical decision making, research activities, EHR development and business development. Within the department, I am the pathologist overseeing the Transfusion Service across Kaleida and also provide pathology direction to the Kaleida Clinical Chemistry and Microbiology programs. In addition, I support the leadership of Kaleida in their Utilization Program, the Gainsharing Program, Peer Review and as Chair of the Site specific Transfusion Committees. Since January 2013 I have also served as the laboratory director of the Erie County Public Health Laboratory. Previously I have served as the laboratory director at the Center for Laboratory Medicine, Amherst (Suburban), Buffalo General Hospital and as an assistant laboratory director at Gates Circle. Each of these positions has been valuable to me in learning how different groups work together and how different groups of clinicians see and set expectations for a pathology department. Outside of Kaleida, I serve the region as representative to the Erie County Medical Society Legislative Committee and the Economic Affairs Committee. I have also served as president of the Western New York Society of Pathologists (1999-2000) and as Delegate to the College of American Pathologists House of Delegates (2005 - present). The overall theme of these activities is to leverage the skills cultivated by any practicing pathologist to recognize patterns. Those patterns recognized are then directed to purposes that can be quite diverse, ranging from diagnosis to data integrity. Data retrieved from multiple sources are used to provide an unbiased review for departmental and hospital leaders to troubleshoot, drive test menus or to review patterns of practice. Good data can drive good decisions, but only to the degree that the data can be recognized and understood. My professional time is divided in four parts, with anatomic pathology service work comprising about one quarter of my time, clinical pathology service work a second quarter, administrative activities a third quarter and clinical informatics the last quarter (plus or minus 5%), but with the added bonus that on any one day, these duties can shift dramatically to address the needs of the department and hospital. One of the most rewarding parts of my career has been the opportunity do all of these to the best of my ability and to support the efforts of the excellent professionals around me. The variety of responsibilities I have translate into a job that is never dull. I have used my own situation as a model for the pathology residents I train to provide a live demonstration that the field of Pathology is big enough to have something of interest for any interested person.
Blood Banking/Transfusion Medicine; Hematology - Clinical Pathology
My main interests are Transfusion Medicine (Blood Banking) and Hematology Laboratory. As Medical Director of the Blood Bank and the Hematology Laboratories at ECMC, I have the following Duties and Responsibilities: 1. Direct Scientific & Technical Operations of the ECMC Blood Bank/Hematology Labs 2. Ensure that the Blood Bank Hematology Labs Test Procedures are according to Standards/Rules/Regulations of the governing bodies (JC/NYSDOH/AABB). 3. Adhere to the Laboratory Services Quality management Standards & ensure accurate reporting of test results 4. Provide consults/advice to referring Physicians/providers regarding the significance of Blood Bank/Hematology Lab findings & interpretation of data 5. Maintain effective working relationship with applicable accrediting & regulatory agencies, administrative officials and the Medical & Nursing communities. 6. Define, implement & monitor Standards of performance in Quality Control & Quality Assurance for the Blood Bank & Hematology Labs. 7. Prepare/Update Quality Plans for the Blood Bank & hematology lab, and ensure that these Quality Plans are being complied with. 8. Monitor ALL work in the Blood Bank & Hematology labs to ensure that medically reliable & accurate test results are generated. 9. Ensure that both Blood Bank & Hematology Staff participate in monitoring & evaluating the quality appropriateness of services rendered within the context of the Quality Management Program. 10. Ensure that sufficient qualified Personnel are employed with documented training and/or experience, and that they have valid licenses. 11. Ensure that all Staff participate in Continuing Education activities: By attending live sessions, or via webinars, teleconferences and online sessions. 12. Work closely with the Patient Blood Preservation Committee, to ensure that all patients are adequately receiving blood/blood products.
Anatomic Pathology; Cytopathology; Hematology - Clinical Pathology; Hematopathology
My professional interests are focused in the areas of Hematology, Hematopathology, Cytopathology, Laboratory Administration and Education. 1. I am actively involved in patient care, interpreting biopsies of lymph nodes, bone marrow, spleen, thymus, and extra-nodal lymphoid lesions. I review and diagnose abnormal peripheral smears and body fluids for the hematology laboratories of the Kaleida System. I specialize in the diagnosis of leukemias, lymphomas, and benign reactive processes. I also interpret flow cytometry and lymphocyte stimulation tests including cases for patients immunologically compromised as well as those with neoplastic processes. I rotate on the Cytology Service and sign out Pap smears and Non-Gynecologic samples (such as fine needle aspirations of lesions, body fluids, urines, and bronchial brushings/washings). 2. I am actively involved in laboratory administration and presently am the Medical Laboratory Director for the Clinical Laboratories based at the Buffalo General Medical Complex. I also over see and am the Medical Director of Hematology and Hematopathology for the five hematology laboratories of Kaleida Health. 3. I am very involved in medical education and am the Residency Program Director for the Pathology Residency Program. I teach Hematology and Hematopathology to the Pathology Residents as well as to the medical and dental students at the University of Buffalo School of Medicine.