The Hematology, Oncology and Bone Marrow Transplant inpatient teams are divided into three separate hematology, oncology and bone marrow transplant services. Fellows spend a total of 12 weeks on each of the Hematology and Oncology services during their first year, providing inpatient and consultative care. Twelve weeks are also devoted to the Bone Marrow Transplant service in the first year, with eight weeks of required inpatient experience and the other four weeks of either inpatient or outpatient training, at the fellows’ discretion. Fellows also have ample opportunities to perform procedures, i.e. lumbar punctures and bone marrow aspirates.
The Hematology/Oncology clinic 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, Young Women’s clinic and Stroke clinic, while also working hand in hand with national experts in bleeding and thrombosis.
From a cancer perspective, Nationwide Children’s offers a comprehensive long-term follow-up and survivorship clinic, surgical oncology clinic and orthopedic-oncology clinic. Also, fellows spend two weeks of dedicated time with our neuro-oncology team and four weeks with Hemato-pathology during the first year. All fellows have an assigned half day continuity clinic per week throughout the fellowship.
The goal of the fellow’s research experience is to learn basic aspects of experimental design and implementation, and to understand the necessary techniques needed to prepare for a career in basic or clinical science. Past fellows have chosen to do projects with investigators from our Centers for Childhood Cancer and Blood Diseases, Cardiovascular Medicine, Biobehavioral Health, Gene Therapy or Molecular and Human Genetics laboratories, but a host of other laboratory options are available, including opportunities at The Ohio State University Wexner Medical Center and James Cancer Hospital and Solove Research Institute at OSUCCC – James.
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’s Degree in Public Health or Master of Medical Science through The Ohio State University.
Fellows are expected to develop and complete a project that meets criteria for scholarly activity as defined by the American Board of Pediatrics. Fellows have four weeks in the first year to independently meet with and choose a research mentor, and the subsequent two years of the fellowship is protected research time. Application for independent training grant funding is not required, but strongly supported. All fellows are expected to submit abstracts to professional meetings and present their research at national meetings; most complete the program with multiple publications.
A full didactic series is offered to fellows. Required conferences include a weekly multidisciplinary patient management meeting, tumor board, monthly problem conference, bi-monthly journal club, quarterly morbidity/mortality meeting and the fellowship didactic lecture series. Fellows play an active role in these didactics.In addition, the education department at Nationwide Children’s provides a required core curriculum lecture monthly, as well as a weekly research seminar.
Fellows are also strongly encouraged to attend divisional research meetings, disease specific management meetings, pediatric grand rounds and any of the other outstanding educational opportunities offered in the other divisions at Nationwide Children’s.
Fellows take home call an average of one night/week during the first year and once every third week in the second year, without scheduled weekday call in the third year. Weekend call is approximately every fourth weekend throughout fellowship. This consists of covering calls on inpatients from nurses and residents, as well as home calls from parents.
Attending backup is always available and communication with the attending physician is encouraged. Moonlighting opportunities are available with program director approval.