Clinical Training

The first year of fellowship is designed to develop clinical skills through direct inpatient and outpatient care. These skills serve as a foundation for all three years of fellowship and for a career in pediatric hematology/oncology. This year is largely clinical with five to six months of service on the inpatient Pediatric Hematology/Oncology/Stem Cell Transplantation Service, and two months focused on inpatient hematology consults and outpatient hematology clinics, including our comprehensive sickle cell clinic.  There is time dedicated exclusively to Stem Cell Transplantation, including outpatient care of patients who have undergone stem cell transplantation, and also time in the stem cell processing and HLA laboratories.  Other required rotations in the first year include focused time on Coagulation and Comprehensive Hemophilia and Thrombosis Care, as well as Blood Bank and Cancer Susceptibility rotations.  There is elective time in the first year, which can be spent with solid tumor pathology or hematopathology, radiation oncology, or in a variety of other experiences.  Each fellow will spend one full day in clinic each week, building a continuity clinic of patients for whom the fellow is the primary provider.

»Sample Schedule of First Year Rotations

Continuity Clinic

Throughout all years of the program, fellows have weekly continuity clinics where they follow and care for their own patients in the clinic. An attending hematologist/oncologist and faculty members with disease-specific clinical expertise supervise all of these clinical activities. Fellows assume primary responsibility (with gradually increasing independence) for care of their own patients -- learning the fundamentals of outpatient management of newly diagnosed and continuing patients with hematologic and oncologic disorders.

 

 

Roles and Responsibilities

The roles and responsibilities of the clinical fellow are to:

  • Be involved in and eventually direct the day-to-day care of patients
  • Be a major part of the decision-making team
  • To diagnose and treat patients with hematology/oncology conditions
  • Perform diagnostic procedures
  • Interpret test results
  • Develop and maintain long-term professional relationships with the children and families they follow
  • Provide short-term and long-term follow-up care
  • Learn about cost-effective medical care and managed care pathways
  • Interact with referring physicians
  • Interact with other health care providers
  • Manage hospice patients both in the hospital and at home
  • Treat cancer survivors

 

Fellowship Opportunities