The Hematology/Oncology inpatient service has approximately 1,500 inpatient admissions per year with an average daily census of approximately 22 patients. The full spectrum of hematologic and oncologic diagnoses are represented at all stages of their care. The ward team consists of an attending, fellow, one senior resident, three interns and three to four medical students, as well as pediatric hematology/oncology nurse practitioners and a clinical pharmacist. Fellows spend three months on this service during the first year. Fellows have ample opportunity to perform procedures, i.e. lumbar punctures and bone marrow aspirates.
The BMT team consists of an attending physician, fellow, pediatric BMT nurse practitioners and a pharmacist and covers all BMT inpatients and outpatient visits. There is a weekly patient management conference, as well as a monthly stem cell transplantation (SCT) specific journal club. Fellows cover this service three months the first year.
In addition, fellows have the opportunity to spend time in rotations focusing on inpatient consultations evaluating hematologic manifestations of other pediatric diagnoses as well as gain extensive experience performing scheduled procedures under sedation. Also, Nationwide Children’s Hospital has an active day hospital through which the fellows have the opportunity to managing patients with a variety of hematologic and oncologic issues.
The Hematology/Oncology clinic at Nationwide Children’s Hospital has over 10,000 visits per year and is staffed by an attending physician at all times. Fellows are assigned to the clinic for six weeks in the first year. During this time, fellows have the opportunity to participate in subspecialty clinics, including the comprehensive sickle cell and hemophilia clinics, menorrhagia, stroke, and immune deficiencies as well as the chance to work hand in hand with national experts in bleeding and thrombosis. From a cancer perspective, Nationwide Children’s Hospital offers a comprehensive long-term follow-up and survivorship clinic, surgical oncology clinic, neurooncology clinic, orthopedic-oncology clinic and lymphoma clinics. All fellows also have an assigned half day per week continuity clinic throughout their fellowship.
The remainder of the clinical experience consists of one month in Hematopathology and two weeks in Radiation Oncology at The OSU James Cancer Hospital and Solove Research Institute and opportunities for a palliative care experience for fellows with interest.
Quite simply, the goal of the fellow’s research experience is to learn basic aspects of experimental design, and equip them with the techniques necessary to prepare them for a career in basic or clinical science. Past fellows have chosen to do projects with investigators from the Centers for Childhood Cancer and Blood Diseases, Cardiovascular Medicine, Biobehavioral Health, Gene Therapy, and Molecular and Human Genetics, but a myriad of other options are available, including opportunities at The Ohio State University/James Cancer Hospital. The fellows independently meet with and choose a laboratory mentor,spending 20 months of their fellowship in research.
The Center for Innovation in Pediatric Practice provides an infrastructure for clinical research allowing fellows to pursue clinical projects in addition to basic laboratory research, and fellows interested in a career in clinical research are encouraged to consider a Master of Public Health or Clinical Science through the Ohio State School of Public Health. Fellows are expected to develop and complete a project that meets criteria for scholarly activity as defined by the American Board of Pediatrics. In addition, it is expected that fellows will submit abstracts to professional meetings and present their research nationally. Application for independent training grant funding is not required, but strongly supported.
Required conferences include a weekly multi-disciplinary meeting, weekly tumor board, monthly journal club, monthly research conference, bi-monthly morbidity/mortality meeting, and bi-monthly fellow's didactic series.
Fellows are expected to take night call every 4th night throughout the fellowship. This consists of covering inpatient calls, BMT calls and calls from parents. Weekends are rotated every 4th to 5th weekend. While on service, the fellow will be on more frequently for the in-house service. Attending backup is always available. Fellows are provided with pagers and a cell phone for home calls. Moonlighting is available at Nationwide Children's in the urgent care.