Faculty Profiles

Paul, Hosking
Hosking, Paul, MDClinical Assistant Professor
Email: phosking@buffalo.edu
Phone: (716) 8592232

Specialty/Research Focus:
Clinical Pathology; Hematology - Clinical Pathology; Hematopathology; Transfusion Medicine

Research Summary:
As a pathologist in the Department of Pathology and Anatomic Sciences, my clinical and administrative duties span the arenas of anatomic and clinical pathology. I am a fellowship trained hematopathologist acting as the section director for Laboratory Hematology of the Kaleida Health System as well as the Medical Director for Laboratory Hematology and Transfusion Services at the Erie County Medical Center. My clinical practice at Buffalo General Medical Center involves the interpretation of cases from across the community including all Kaleida sites, as well as those from Oishei Children’s Hospital of Buffalo and Erie County Medical Center. As such, I have the privilege of seeing cases from across a broad spectrum of clinical scenarios, and have had the opportunity to build relationships with hematologists and oncologists with a wide array of expertise. The scope of my diagnostic responsibilities includes the tissue diagnosis of lymphomas/leukemias and benign lymph node pathology, peripheral blood analysis including morphologic assessment, coagulopathy evaluation, and hemoglobiopathy identification, and oversight of transfusion practices including monitoring of compatibility testing and assessment of adverse transfusion reactions. I have developed a strong professional interest in medical education. Serving as the associate director for the pathology residency training program with a focus on clinical pathology, I facilitate the development of our trainees as effective laboratory consultants to our clinical colleagues and provide them opportunities to understand the responsibilities of the laboratory medical director. In addition, I am heavily involved in medical education at the undergraduate level. Currently, I give multiple lectures to the medical and dental student and am engaged in small group pathology activities across all organ systems. A current focus is the development of a didactic lecture series and elective pathology rotation that allow for a deeper understanding of concepts in laboratory medicine. The goals of this endeavor are to provide an opportunity for students to understand how the clinical pathologist oversees laboratory operations to ensure appropriate ordering practices, processing of specimens, analysis of these specimens, and how the results are reported. In addition, concepts including laboratory accreditation and quality assurance, specimen collection and mechanisms of testing interference, variability in testing between laboratories, reference ranges, and ordering practices/utilization as they pertain to diagnostic testing in hematology are also emphasized.

Keith, Krabill
Krabill, Keith, MDClinical Assistant Professor
Email: krabill@buffalo.edu
Phone: (716) 323-2036

Specialty/Research Focus:
Anatomic Pathology; Blood Banking/Transfusion Medicine; Clinical Pathology; Cytopathology; Hematology - Clinical Pathology; Immunopathology; Surgical Pathology; Transfusion Medicine; Toxicology; Microbiology; Bioinformatics; Virology

Research Summary:
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 John R Oishei Children‘s Hospital and the Center for Laboratory Medicine, Williamsville (Flint). I also provide more specialized medical support for the Forensic Toxicology laboratory, the Virology Laboratory, and the fetal defect screening program at the Center for Laboratory Medicine in Williamsville, 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. In 2013 I served as the laboratory director of the Erie County Public Health Laboratory and continue there as assistant laboratory director for Virology. Since January 2018 I have served as the assistant laboratory director for Transfusion Services and Hematology at the Erie County Medical Center. 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.