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Focus areas that shape the job
Most hematologists narrow down after fellowship, sometimes with an extra year.
Malignant hematology
Leukemia, lymphoma and myeloma. Chemotherapy, immune therapies and transplants. Intense, and the patients are very sick.
Classical hematology
Clots, bleeding disorders, anemia and sickle cell disease. Clinic based, fewer emergencies, chronically short of specialists.
Transfusion medicine
Running a hospital blood bank and deciding how a limited blood supply gets used. Laboratory based, with its own accreditation standards.
Stem cell transplant
Replacing a patient's entire blood-forming system with donor cells. Only done at major centers.