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Hematology & Medical Oncology Fellowship Program Description

The Winship Cancer Institute's Hematology & Oncology Fellowship is a three year fellowship, which allows for board eligibility in both Hematology and Medical Oncology. The three years are made up of 18 months of clinical rotations, both inpatient and outpatient, and 18 months of research.

Fellowship Descriptions by Year

Year 1 (Clinical Rotations)
The first 12 months is spent on clinical rotations throughout the four hospitals. Fellows spend three to four months at Grady Memorial Hospital and the Grady Cancer Center of Excellence. Their time there is divided between month long rotations on the Grady Hematology and Medical Oncology rotations. The Grady Hematology rotation includes rounding on inpatients, and consults on patients, with malignant and benign hematologic disorders. The Grady Oncologic rotation includes rounding on patients receiving chemotherapy on the inpatient oncology service and seeing consults on patients with newly diagnosed cancers. Fellows spend one to two months on the VA Hematology/Oncology service, which involves seeing consults of patients with a wide range of hematologic, both benign and malignant, and oncologic disorders. Fellows spend approximately 6 months at Emory University Hospital and the Winship Cancer Institute. Fellows rotate for one month on the busy Bone Marrow Transplant service, learning all aspects of autologous and allogeneic transplantation.

Fellows spend one to two months on the malignant hematology service. This is a busy service, which focuses on patients with acute leukemias and other acute hematologic disorders. Fellows also spend one to two months on the hematology consult service, which focuses primarily on benign hematology disorders. Fellows spend one to two months on the medical oncology service. This is predominantly an outpatient rotation, where fellows rotate through specialty medical oncology clinics. Fellows are also responsible for rounding on selected patients, receiving chemotherapy, on the medical oncology inpatient service, and for selected consults. Fellows may spend up to one month at Emory University Hospital Midtown, where they gain experience in both inpatient and outpatient hematology and medical oncology.

Year 2 (Research)
The second 12 months is spent performing research projects. During this time, the fellow's time is protected from clinical responsibilities apart from their continuity clinic. Fellows can choose between basic, clinical or translational research projects. Fellows will identify a research mentor within the first 6 months of their fellowship. There are multiple research laboratories, which focus on basic and translational research that the fellow can choose from. If fellows choose to do a clinical research project, they will be encouraged to obtain a Masters in Clinical Research, available at Emory University.

The fellows will be continually monitored throughout their research months. Fellows will be assigned a research oversight committee, which includes their mentor, who will meet monthly to access their progress. The expectation is for the fellow to present at national meetings and to write peer-reviewed publications, in anticipation of a career in academic hematology and oncology.

Year 3 (Research and Clinical Rotations)
The last year of fellowship is divided between 6 months of research and six months of clinical rotations. Fellows are expected to complete their research during this year. Fellows will rotate through a number of clinical rotations, which include some of the rotations from the first year, as well as elective rotations. Elective rotations include Emory University Hospital Midtown Hematology/Oncology rotation, radiation oncology, gynecologic oncology, hematopathology, blood transfusion, and breast cancer.

Clinics
All fellows are required to have a continuity clinic throughout the three years of fellowship. Continuity clinics are generally hematology or oncology clinics at the Grady Cancer Center of Excellence. Fellows will be assigned specific patients in these clinics who they will be responsible for during the three years of fellowship.

First year fellows generally have a weekly clinic in the Atlanta VA hospital. Fellows are assigned patients in this clinic who they will follow for the 12 months. Fellows can have elective clinics throughout their fellowship, which may be at any of the four hospitals. Fellows can spend anywhere from one month to two years in their chosen clinics. Fellows are generally discouraged from excessive clinic responsibilities during their 18 months of research, but may choose to have extra clinics if they are involved in clinical research.

Education
There is continuous teaching throughout the three years of fellowship. There are didactic teaching sessions twice weekly, which are available both at the Grady Cancer Center of Excellence and at the Winship Cancer Institute via webcast. Lectures are given in blocks focusing on a specific cancer or hematologic disorders in 6 monthly cycles, which are followed by an in-service examination on these subjects. Throughout a two year period, fellows will receive didactic teaching on all aspects of hematology and medical oncology, in preparation for board examinations. Additionally, there are regular journal clubs, case presentations, and M&M conferences. Fellows are required to attend grand rounds, which takes place weekly from September through June All fellows are required to present a 30 minute presentation at grand rounds annually on hematologic/oncologic topics or on their research. There is extensive teaching on all inpatient and outpatient rotations. Fellows are allowed to attend one national meeting annually and are encouraged to submit abstracts to the meeting of their choice.