Mission

Faculty

Research

Clinical Services

Education

NCIC Clinical Trials Group

Hematology Training Program

HemeTeam

Department of Medicine Home Page

Secretaries

Lillicrap Laboratory

Patient Referral

Physicians info

Mailing Address

Queen's University Department of Medicine

Division of Hematology

Website updated:1 Aug 2011

Mission

The Hematology Division exists to ensure excellence in the care of patients with blood diseases, to educate undergraduates and postgraduates in clinical hematology, and to conduct research on diseases of the blood.

Faculty

Name Department Description
John Matthews

Medicine

Training Program Director, Adult Hematology
Stem Cell Program Director
Attending Hematologist
David Lee Division Chair, Service Chief
Attending Hematologist
Paula James Attending Hematologist
Thrombosis & Hemostasis
Jill Dudebout
Attending Hematologist
Mariana Silva Pediatrics Attending Pediatric Oncologist
Pat Farmer

Pathology

Hematopathology
David LeBrun Lymphoma
David Lillicrap Hemostasis & thrombosis
Dilys Rapson Chief, Division of Hematopathology
General Hematopathology
Immunophenotyping and coagulation
Lois Shepherd Blood Bank Director
Training Program Director
General Hematopathology
Michael Rauh
Hematopathology. Myelodysplasia
Ralph Meyer NCIC* Director
Elizabeth Eisenhauer NCIC* Director, Investigational New Drugs Program
Jackie Duffin History Hannah Chair, History of Medicine

Clinical Services

Inpatient Services

The Hematology in-patient service is staffed by Drs Matthews, Dudebout, Lee and James from the Department of  Medicine. The service is allocated 7  beds on Kidd 9 and provides specialized care for patients with  hematological disorders and those undergoing autologous stem cell transplantation.

Hematopoietic stem cell transplant program

Dr. Matthews is the current director of the stem cell transplant program, which began operation in late 2004. The stem cell unit is located on Kidd/Davies 4 extension 6627. The current stem cell cordinator is Rose-Marie Boyd. Approximately 25 patients are transplanted annually for multiple myeloma, lymphoma and testicular cancer.

Outpatient Services

All referrals are triaged and can be faxed to 613-533-6855, or telephoned to 613-533-6641

General Hematology: Seven hematology clinics per week are held in the Fraser Armstrong Patient Centre by Dr Matthews, Dr Lee, Dr Dudebout and Dr James. Secondary-care referrals are taken from family physicians in Kingston and the Region. Tertiary care referrals come from the regional hematologists in Belleville, Oshawa and Peterborough. An urgent clinic is run by the training residents once weekly.
Hemostasis & Thrombosis: subspecialty clinics are held by Dr Lillicrap and Dr James.  A regional Anticoagulation Management Service has been operational since 2005.  It is staffed by Rhonda RN, and is under the directorship of Dr. Lee.
Malignant Hematology: patients with leukemia, multiple myeloma, and lymphoma are split between the Fraser Armstrong Patient Centre, and the Cancer Centre of Southeastern Ontario. Dr Matthews, Dr Lee and Dr Dudebout care for all patients with leukemia, myeloma, myeloproliferative disease, and a proportion of patients with lymphoma. Chemotherapy services are conducted in the Cancer Centre of Southeastern Ontario in seven clinics per week. Supportive blood transfusions and other procedures are conducted in the Out Patient Procedures Unit and elsewhere.


General Hematology
(Matthews, Lee, Dudebout)

Hemostasis & Thrombosis
(Lillicrap/James)

Out Patient Procedures Unit
(Matthews,Lee,Dudebout)

Kingston Regional CancerCentre
(Matthews,Lee,Dudebout)

Number of Patients

Approx 3000

Approx 300

Approx 500

Approx 3600

Case-Mix (most common only)

1. Anemia
2.Thrombocytopenia
3. Chronic Lymphocytic Leukemia
4. Coagulopathy
5. Myeloma
6. Polycythemia
7. Lymphoma

1. Coagulopathy
2. Thrombophilia

1. Blood transfusion for bone marrow failure
2. Pamidronate for multiple myeloma

1. Lymphoma
2. Myeloma
3. Leukemia
4. Other


Pediatric Hematology/Oncology
Division of Pediatric Hematology/Oncology, chaired by Dr Silva, provides services in outpatient and inpatient pediatric hematology, and a comprehensive children's cancer service.

Hematopathology
Hematopathology services are provided by the Department of Pathology, which includes Drs Lillicrap, Rapson, Shepherd, Rauh and LeBrun. Together they comprise the Division of Hematopathology.

Palliative Care
The Palliative Care Medicine Program provides consultative services to Kingston General Hospital, Kingston Regional Cancer Centre, St. Mary's of the Lake Hospital, the local community, and the region. There are 6 inpatient beds at St. Mary's of the Lake Hospital. Beds for complex palliative cases exist on Connell 10 at KGH.

Research Programs

Hemostasis/Thrombosis: The Division has a major focus on the basic science of thrombosis and hemostasis. Dr Lillicrap studies the molecular genetics of von Willebrand’s disease and gene therapy of hemophilia. Dr James has taken a lead role in developing a clinical research program into the genetics of von Willebrands disease and other disorders of coagulation and thrombosis.

Epidemiology and Clinical Trials:  Dr. Meyer and Dr. Eisenhauer are respectively Director, and Director of the IND program, at the National Cancer Institute of Canada Clinical Trials Group. Dr Lois Shepherd is a Physician Co-coordinator in the same organization. The attending physicians in Hematology contribute to NCIC clinical trials. Dr Silva contributes to a number of pediatric studies.

Dr Michael Rauh has a major committment to research into myelodysplasia

Educational Programs

Postgraduate Training Programs

 1. Adult Hematology . This 2 year comprehensive hematology training program received full accreditation by the Royal College at its last review in 2005. The program director is Dr David Lee. 

2. Other postgraduate education:
House staff from Internal Medicine, Family Medicine and other programs rotate through the hematology/oncology and palliative care services. CME courses are given each year in in palliative care. Bioethics education is given in CME sessions and to various Queen's training programs. Hematology contributes regularly to Mid-Day Medicine rounds, and to the Core Internal Medicine academic half-day series.

Undergraduate

        Phase IIA: Dr Paula James chairs the phase IIa hematology block, a three-week course of                 lectures, seminars, medical science rounds, case presentations, and practical sessions in                 hematology. The program is widely regarded as one of the best in phase IIA and has been                 studied by the educationalists because of this.

Clinical Skills: Members of the Division contribute to the phase I and phase 2 clinical skills sessions

Problem-Based Learning: division members contribute to this program

Clerkship: Clinical clerks rotate through the inpatient unit, clinics and consulations

Summer Students are supervised on a regular basis in hematology (e.g. the ASH scholarship)

HemeTeam: Dr PR Galbraith (emeritus professor of hematology) has devised an interactive teaching program as a companion to the study of hematology, aimed at undergraduates and trainees in internal medicine. It is also available on CD ROM from Dr Galbraith: instructions on how to obtain it are on the HemeTeam home page.

Referrals and clinical enquiries: all referrals are triaged within 1 working day of receipt and are seen by whichever physician has the soonest appropriate clinic slot. Please call for urgent problems, or if you wish a particular physician to see the patient.
Phone: 613-533-6641
Phone out of hours: 613-548-2473 and ask for the hematologist on-call
Fax: 613-533-6855

Secretaries
Sandra Dudley (Division Secretary and Program Assistant) 613-533-6329 (phone) 613-533-6855 (fax) email dudleys@queensu.ca
Shelley Cox (Dr James, Dr Swain) 613-533-2946 (phone) 613-533-6855 (fax) email sac2@queensu.ca
Amanda Carquez (Dr Matthews, Dr Lee) 613-533-6803 (phone) 613-533-6855 (fax) email carquez@queensu.ca

Physicians
Dr JH Matthews:
613-533-6803 (phone) 613-533-6855 (fax) email matthewj@queensu.ca
Dr David Lee: 613-533-6803 (phone) 613-533-6855 (fax) email leedh.hematology@gmail.com
Dr Paula James: 613-533-2946 (phone) 613-533-6855 (fax) email jamesp@queensu.ca
Dr Jill Dudebout: 613-533-2946 (phone) 613-533-6855 (fax) email dudebout@queensu.ca

Mailing Address for all: 

Division of Hematology, Etherington Hall, Room 2015
Queen's University
94 Stuart Street
Kingston, Ontario, Canada. K7L 3N6.

Last Updated: 1 Aug 2011
URL: http://meds.queensu.ca/medicine/deptmed/hemonc/hemaonc.html
author matthewj@queensu.ca
Disclaimer: Anyone using this information does so at his/her own risk and releases Queen's University from any injury or damage arising from such use.