Fellowship Training Summary by Year

First Year

Inpatient Hematology/Oncology
22 weeks
Inpatient Blood and Marrow Transplant
10 weeks
Consult Service
12 weeks
Outpatient Clinic
4 weeks
Continuity Clinic (General Hematology Oncology)
One full day per week regardless of rotation
Vacation
4 weeks

Inpatient Hematology and Oncology

Team is comprised of an attending, a fellow, an NP, a senior resident, 2-3 interns and up to 3 medical students

Pharmacy and nutrition often round with the team

Case management and social work are closely involved with the team

The fellow is responsible for leading the team and inpatient oncology consults

The census is usually 10-20 patients

Inpatient Bone Marrow Transplant

Team is comprised of an attending, 1-2 NP/PAs and a fellow

Pharmacy and nutrition often round with the team

Case management, social work and psychology are closely involved with the team

The fellow is responsible for individual patients, and later in the year often runs the team

The census is usually 5-10 patients

Consult Service (Hematology)

Team is comprised of an attending and fellow. At times, there may also be a 4th year coagulation fellow, residents or medical students.

Consults most commonly occur in PICU, NICU, PCTU and general floors.

Common consults include cytopenias, VTE (DVT, stroke, PE), immune deficiency, and HLH

The census is typically 10-20 patients, with an average of 4-6 seen each day.

Hematology consults are covered Monday-Friday, with PHO team covering hematology consults on the weekends.

Outpatient Clinics

 7 half-days of different clinics (plus 1 full day of your continuity clinic)

1 half-day for research, doctor’s appointments, etc.

Options include: Long-Term Follow Up Clinic, Phase I Clinic, Neuro-Oncology Clinic, Sickle Cell/Hemoglobinopathies Clinic, Coagulation Clinic, Immunohematology Clinic, Hematopathology, Radiation Oncology and Blood Bank        

Continuity Clinic

You will have the same day of clinic with the same Attendings for all 3 years

Each patient is assigned a primary attending, primary fellow and primary NP

During first year you are assigned new oncology patients

Second Year/Third Year

Research

Second and third year fellows are primarily research fellows with one day of clinic per week

You may choose to do basic science, translational or clinical research

Your primary research mentors may be part of the department or not

Your Scholarly Oversight Committee will meet with you during first year to help you identify potential research mentors based on your interests

You are expected to present two research seminars, one at the end of each research year

Continuity Clinic

During second and third year you keep your oncology patients and see new hematology patients

Second and third years may elect to split time between their continuity clinic and another clinic of interest (e.g. neuro-oncology, sickle cell/hemoglobinopathies, coagulation, immunohematology)

Pre-Attending Weeks

Second year fellows can do an optional 1 week of “pre-attending” on the inpatient hematology/oncology service

Third year fellows are required to do 2 weeks of “pre-attending” on the inpatient hematology/oncology service

Education Conference Schedule

First year begins with 4 days of a “Crash Course” taught by faculty

The fellow education series is divided into different topics by month

1 week of board review, 1 week of journal club, 1 week of attending lecture and 1 week of “other”

Every 1st Thursday at noon is a multi-site immunohematology case presentation/discussion

Call Schedule

On call you are responsible for the hematology, oncology, and blood and marrow transplant and cellular therapy patients

There is a resident team in house as first call for the hematology/oncology patients

There is an NP or PA in house as first call for the blood and marrow transplant and cellular therapy patients

You take calls from the inpatient teams, parents, our ED and outside EDs

There are always Attending on for Hematology/Oncology and Blood and Marrow Transplant and Cellular Therapy