Typical First year
Inpatient Hematology/Oncology and consult service 6 months
Outpatient Clinic 2 months
Continuity clinic 1 full day each week
Bone Marrow Transplantation 1 month
Combined Path/lab medicine rotation 1 month
Combined Adult/Pediatric hematology/coagulation 1 month
Radiation Oncology – integrated into Outpatient time
3 weeks vacation to be taken during "outpatient" weeks after checking with Program Director and/or Division Head.
Pathology/lab medicine Month
1. Hematopathology. Attend daily hematopathology sign-out, review cases as assigned.
2. Follow 1-2 leukemia cases each through flow cytometry and cytogenetics to gain understanding of the techniques involved.
3. Arrange with attending in Pediatric Pathology to review solid tumor study set (min 2 hours/ week with a faculty member and review slides independently); attend sign-out of new solid tumors at PCMC (mornings), write up case report in conjunction with Pediatric Path staff where appropriate.
4. Blood Bank lectures and hands-on experience.
5. Night call for Pediatric Hematology/Oncology per routine schedule.
6. This is a combined rotation with exposure to hematopathology, pediatric solid tumors, blood banking, cytogenetics, and flow cytometry. This rotation requires the fellow to contact the appropriate individuals to schedule times.
Two weeks of Radiation Oncology rotation : fellows will follow patients through radiation oncology consults, planning and simulation at University of Utah radiation oncology.
Pediatric Stem Cell transplantation (SCT)
Four weeks with SCT service covering Pediatric SCT patients both in and out. Night call for Pediatric Hematology/Oncology per routine schedule.
Adult hematopoietic malignancies and coagulation patients when they have clinic days.
Night call for Pediatric Hematology/Oncology per routine schedule.
Remainder of time in Pediatric Hematology/Oncology outpatient clinic.
Scientific career building - Year two and beyond
The major focus of the next two (or more) years of the program is research training. The program strives to provide the requisite flexibility to allow trainees to achieve their goals. Thus, fellows may choose basic science, translational, or clinical research focused projects. The choice of a research direction is made by the fellow in association with members of the Division. In this way fellows are assured of identifying a robust training environment that will also fulfill the requirements of fellowship. Fellows may choose to join research programs going in virtually any department in the University. Based on the fellow's research program, clinical responsibilities (call, clinic, and inpatient service) will be tailored to ensure an appropriate balance of ongoing research and clinical training. The fellow's research progress is monitored by an oversight committee, whose charge is to ensure that the fellow is on-track to complete all fellowship requirements, and is getting strong training in their chosen field.
Fellows who choose lab-based research programs will benefit from close relationships with various Institutes, Programs, and Departments at the University. These include (but are not limited to) the Huntsman Cancer Institute, the Eccles Institute of Human Genetics, the Howard Hughes Medical Institute, the graduate program in Molecular Biology, the Department of Oncological Sciences, the Department of Human Genetics, and the Department of Pathology. A partial list of faculty and their research programs can be viewed at www.bioscience.utah.edu.
Fellows who choose clinically- or translationally-focused research training will benefit from Clinical Research Curriculum Award (K30) training program from the NIH available on-campus. The course objective is to provide formal training with physicians planning academic careers as clinical and translational investigators. The curriculum includes core courses and two specific research training tracks. The first track focuses on the inherited basis of human disease and reviews the general principles of molecular biology and genetics applicable to clinical research. The second track focuses on epidemiology, clinical outcomes, clinical trials and health services outcomes. This program further facilitates the professional development of young clinical investigators by offering a specific, mentored research experience to complement its didactic programs.
Faculty members in the Division of Pediatric Hematology/Oncology are well-poised to mentor trainees to achieve their ultimate goals. The Division is an active participant in the Children's Oncology Group (COG), and many Division and associated faculty members sit on COG committees. Division members also have active clinical, translational, and basic-science research programs, and have a strong interest in education. These wide-ranging interests allow Division members to participate in the mentorship of trainees, and to ensure that appropriate career opportunities are provided to the trainees as they complete their fellowship program. Taken together, the training environment provided by the Pediatric Hematology/Oncology Division, in association with other programs at the University of Utah, allow for comprehensive training and mentorship through all phases of fellowship training.