January 13, 2009

"What are you looking for in a Resident?"

On a recent Saturday morning our Department held its second and final session of interviews for the Laboratory Medicine and Pathology Residency program. The format is a change for us; we used to bring in applicants throughout the interview season (Fall-early new year) and each of us would meet with 2-3 of them on the interview days. Now we take 2 Saturday mornings when we bring in about 20 applicants and the faculty members individually meet with about 6. This format has some definite advantages for both the candidates and the faculty. For candidates, they get the benefit of a reduced airfare commonly associated with a Saturday night stay-over. They don't have to miss a full day of class. They get to meet their future colleagues in Pathology. We cover their Friday night stay in the hotel if they are from out of town, and provide breakfast and lunch on Saturday. For the faculty, it's a less hectic interview without the usual workday interruptions (phone calls, urgent lab issues etc.).

One of the questions I'm often asked by residency candidates is "what are you looking for in a resident?" It's a good question, and one that I thought I'd share here with this class of Medical Students.

The former head football coach for the Gophers, Lou Holtz, was looking for three characteristics in his players: ability, motivation, and attitude. This is similar to what I tell our resident applicants: I am looking for enthusiasm. Using Holtz's terminology, and thinking of the challenges that medical students have faced from kindergarten to getting into medical school, I take it as a given that you have learning ability, that is, the ability to study, acquire knowledge, and regurgitate it for exams. This ability is probably one of your fortes. I know less about your motivation although I assume it's also excellent, but I know practically nothing about your attitude, yet in the long run all three are critical to success. Of course, they overlap to one degree or another. A motivated student can improve his or her ability with intensive and focused effort. A good attitude is important for motivating oneself and one's teammates (and trust me, modern Medicine is a team activity). What I mean by enthusiasm encompasses something of all the characteristics that Holtz was looking for, but I am particularly interested in attitude.

Every resident applicant is required to write a personal statement. One that I will always remember from years ago was from a student who described how she, as a child, performed the autopsies on her neighborhood's dead pets! Her friends would come over with a dead guinea-pig, hamster, bird or whatever animal the Grim Reaper had visited, and her job was to figure out the cause of death. As I read her essay I thought she must be either really weird or had found her life's calling at an early age, but what came across very clearly was her enthusiasm. It's usually immediately obvious when I meet with a residency applicant that he or she is someone who is really interested and eager to learn.

Enthusiasm has a positive effect on most interviewers when they see it because it's such a differentiator in a group that already has proven academic ability and motivation. And beyond just interviews, enthusiasm is what most of us hope to find in the people we work with. At least it's what I'm looking for.

[First posted Dec 31, 2007]

December 12, 2008

Welcome to the Course!

Welcome to the Laboratory Medicine Course!

In this course, we will be introducing you to the clinical laboratory and providing you with practical exposure to some lab procedures that you will use frequently in your future medical practices. As with most courses, you get out of it in proportion to what you invest in it. You should attend all of the laboratory sessions and read the text. Many of the Course materials will be accessible at the Course website (built in Moodle) and accessible for registered students through

The clinical laboratory plays a central role in modern health care. It has been estimated that at least two-thirds of all diagnoses rely to some extent on a laboratory finding. The clinical laboratories at the University of Minnesota Medical Center, Fairview, cover numerous sub-disciplines including clinical chemistry, microbiology, hematology, coagulation, blood banking, molecular and cytogenetics, and tissue typing. The professional field that is responsible for medical directorship of all of these areas is known as Clinical Pathology (sometimes called Laboratory Medicine or "CP"). In the organization of Pathology, the major fields are Anatomic Pathology ("AP") and Clinical Pathology.

Clinical Pathology at Minnesota
You might have noticed that our department has a double-barreled name, “Laboratory Medicine and Pathology". Originally those were two separate departments, with Laboratory Medicine being an offshoot of Internal Medicine, and one of the first such departments in the country. For the last few decades, these have been a unified department that covers all clinical laboratory testing at this medical center. We also serve as a reference laboratory for numerous physician office and hospital clients both in Minnesota and out-of-state. Our department is a highly rated academic department and our laboratories are known for their excellence. Please feel like you’re a member of our department during your course, and at any time, feel free to contact me or the Course Coordinator, Mary Ramey, with any questions or concerns.

Anthony A. Killeen, MD, PhD, FCAP
Associate Professor
Director of Clinical Pathology
Course Director

X.500: kille001