The Hematology/Oncology service sees about 1500 inpatient admissions yearly. The ward team consists of an attending, fellow, one senior resident, 2 or 3 interns and 4 medical students as well as the Hematology/Oncology nurse practitioners. The average daily census is 25 patients. The fellow covers this service for 3 months the first year then one additional month in the second and third year. The fellow has ample opportunity to perform lumbar punctures and bone marrow aspirates.
The Bone Marrow Transplant service covers inpatient BMT patients, BMT outpatients, and the apheresis patients. The average BMT inpatient census is 5 - 6 patients. The BMT patients are seen by the attending, fellow and nurse practitioner. While on the BMT service the fellow in conjunction with the consult attending physician, is also responsible for answering inpatient consults on other wards. The fellow covers this BMT service three months the first year and one month the second year.
The Hematology clinic is staffed by an attending physician at all times. Fellows are assigned to this clinic for 3 months the first year. In addition to seeing patients on current therapy, the fellow participates in subspecialty clinics. Subspecialty clinics include a weekly sickle cell clinic, bi-monthly hemophilia clinics, long term follow-up clinics, and chronic ITP clinic. All fellows also have an assigned 1/2 day per week continuity clinic throughout their fellowship.
The remainder of the clinical experience consists of one month in Hematopathology, one month in HLA and bone marrow processing laboratories at The Ohio State University, and 2 weeks in Radiation Oncology at the Arthur G. James Comprehensive Cancer Center.
Fellows are assigned to a laboratory mentor and spend 20 months of their fellowship in research. Laboratories within the Division of Hematology at the Wexner Center for Pediatric Research provide opportunities in stem cell research, complement studies, leukemia, and retinoblastoma. In addition, investigators at OSU provide additional research opportunities. Fellows may pursue clinical projects in addition to the basic laboratory research. The goal of research is to learn experimental design, and basic laboratory techniques as applied to the individual project. Fellows are expected to write a grant, submit abstracts to professional meetings and present their research nationally.
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.
Salary and Benefits
Fellows are paid at a level commensurate with their post-graduate year. Fellows are provided health care insurance, 15 days of vacation and 15 days ill time per year. Maternity and paternity leaves are also available. The Hitchcock-Wilson endowment provides each fellow with an education fund to pay for society dues, books and meeting fees.