Four fellowship positions in hematology and medical oncology are available yearly to physicians eligible for the American Board of Internal Medicine certifying examination. A minimum two-year fellowship is required for completion of training in either hematology or oncology. A third year of fellowship is required for certification in both subspecialties. The first year of fellowship training consists principally of clinical experience with the rotations through the in-patient and consultation services. In addition, each fellow is assigned to two half-days per week in the Hematology/Oncology ambulatory clinics, working with one faculty member and their patients for 6 months to a year and rotating with another clinic in three to four-month blocks. First-year Fellows also do one month of Coagulation and one Hematopathology month.
The second year of fellowship provides advanced clinical, teaching and research responsibilities. Second-year fellows are expected to devote the majority of their time to either clinical or basic research. Second-year Fellows also do one month of Blood Bank.
A third year of fellowship is available for those fellows who have an interest in pursuing a career in academic medicine, and those who wish to become board certified in both hematology and oncology. The majority of the third year will be devoted to basic clinical research and advanced clinical training. Third-year Fellows also do one month of Gyn-Onc.
Training achieved by:
- Clinical hematology and/or oncology rotations involving (1) primary patient care and (2) directing care as a consultant involved with a medical care team
- Electives – participating on a health care team that provides important service for the hematology and/or oncology patients, but is generally not run by a hematologist or oncologist (e.g., hematopathology, Gynecologic Oncology, etc.)
- Participation in care provided in an outpatient clinic setting
- Participation in an after hours call schedule
- Participation in clinical conferences (i.e., Monday Morning Case Presentation Conference, Tuesday Core Curriculum Conference, Hematology/Oncology Grand Rounds, Tumor Board, and Wednesday Afternoon 'Heme Path' review)
- Participation in weekly clinical Journal Club (2nd and 3rd year Fellows each present one basic science article each year).
- Attendance at didactic Introductory Summer Lecture Course (approx. 17-20 lectures per year).
- Monthly evaluation of the fellow by the faculty member who attended the clinical service for that month
- Semi-annual evaluation by clinic attending
- Semi-annual overall assessment by Program Director based on the above evaluations, conference participation, learning portfolio,
- Periodic self-evaluation by Fellows
- Semi-annual evaluation of research by mentor (2nd and 3rd year).
- Periodic evaluation by NP's, social workers and other healthcare professionals.
- Periodic evaluation by patients.
Fellows are evaluated based on the ACGME's Six General Competencies:
- Patient care;
- Medical knowledge;
- Practice-based learning and improvement;
- Interpersonal and communication skills;
- Professionalism; and
- Systems-based practice.
The Learning Portfolio is intended as a systematic collection of materials representative of work, skills, ideas and values. It will provide evidence of each Fellow's significant educational endeavors and achievements and over time will reflect growth in thinking, evolution in skills, and changes in attitudes.
The Portfolios are electronic, and can be accessed from any computer on the E-Value website. The Fellow owns his or her portfolio and is responsible for its content. We provide an initial list of suggested inclusions, and the portfolio is reviewed at each 6-month evaluation with the Program Director.
Including everything from personal goals to research and evaluations, ultimately the Portfolio will serve as a tool to show advancement and achievement throughout the three years of Fellowship. Fellows are encouraged to include items such as ABIM's Charter of Medical Professionalism, which they receive in their orientation binders.