Hematology and Oncology
Clinical Training

Clinical Training

The primary objective during the first year of the Hematology / Oncology Fellowship at Cincinnati Children’s is to gain extensive clinical knowledge in the areas of hematology, oncology and blood and bone marrow transplantation (BMT). The combination of individualized learning from subspecialty attending physicians and practical experience in managing complex clinical situations allows fellows to develop proficiency and confidence in dealing with diverse clinical situations in these fields.

During the first year, the five new fellows will rotate on service in 15 3½-week blocks in leukemia / lymphoma / oncology service (three blocks), solid tumor / neuro-oncology service (three blocks), hematology consult / inpatient service (three blocks), bone marrow transplant (three blocks) and outpatient hematology / oncology / immunology rotation (three blocks).

The leukemia / lymphoma and solid tumor / neuro-oncology service fellows will cover their respective service patients and consult patients (including PICU patients). They will perform the procedures on inpatients. The hematology fellow will be the primary service fellow who will cover all hematology inpatients and hematology inpatient consults. The BMT fellow will be the primary service fellow covering all inpatients on the BMT floor and ICU. During the miscellaneous / outpatient / elective rotation, fellows will be exposed to the Hematology / Immunobiology Laboratory, the Hoxworth Blood Center (blood banking), radiation oncology and subspecialty clinics of their choice.

Fellows are entitled to four weeks of vacation during outpatient rotations. During each of the clinical rotations, primary service fellows work closely with the attending on service on the inpatient units. Fellows will never be on call alone, but are the first on call with an attending in their respective service as backup. Calls are beeper calls taken from home.

Fellows will be on call on a rotation usually two weekdays per week. First-year fellows will cover calls for two weekends per month. Senior fellows will take the remaining calls. Weeknight calls cover either BMT service or hematology / oncology services. Weekend calls cover only BMT, hematology or oncology.
Second- and third-year fellows have no service months, providing them with protected time for basic, translational or clinical research.

Third-year fellows may choose to be the “pretending attending” of the month on any service of their choice (optional). Senior fellows will cover a maximum of one night per month on BMT. Senior fellows will cover anywhere from half a weekend to 1½ weekends a month on hematology, oncology or BMT service.
All fellows will be assigned a set outpatient clinic day for one day per week. First-year fellows in clinic are encouraged to see new patients.
The primary objective during the first year of the Hematology / Oncology Fellowship at Cincinnati Children’s is to gain extensive clinical knowledge in the areas of hematology, oncology and blood and bone marrow transplantation (BMT).
  

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