Hematology/Oncology Fellowship Program

Introduction | Application Requirements | Curriculum | Lombardi Clinic
About Georgetown & Washington, DC

 

Curriculum

 

The Clinical Training Program

Georgetown's fellowship training program is accredited by the Accreditation Council for Graduate Medical Education (ACGME) for subspecialty training as a combined hematology/oncology program and offers clinical training to prepare fellows for certification:

  • Three-year program leading to eligibility for hematology-oncology subspecialty certifying examination.

The first year of clinical training for medical oncology and hematology fellows is focused on an in-depth clinical experience that integrates the fellows into the primary care of the division's patients. The faculty member shares in caring for each patient and provides year-to-year continuity in managing the patient.

The weekly outpatient schedule is divided into disease-specific clinics, which are attended by faculty with expertise in these diseases. The outpatient clinics are a major focus for clinical teaching. During patient visits, faculty members and fellows review patient management, disease response, and treatment selection. An integrated approach to patient management is stressed, including coordination of care with research nurses, nurse practitioners, social workers, and the psychiatry liaison service.

Combined Hematology and Oncology Program: Year I and II - Medical Oncology and Hematology, Year III - Research projects and outpatient continuity clinics

PGY-4

 

Oncology Inpatient unit, Georgetown University Hospital (GUH)

3 months

Hematology Inpatient Unit, Georgetown University Hospital (GUH)

2 months

Outpatient Clinic, Lombardi Comprehensive Cancer Center (LCCC), continuing care

4 months

Washington Veterans Hospital, Washington, DC (VA)

3 months

Vacation (taken during outpatient rotations)

4 weeks

 

 

 

PGY-5

Hematology Inpatient Unit, Georgetown University Hospital (GUH)

4 months

Outpatient clinic, Lombardi Comprehensive Cancer Center (LCCC)

2 months

Bone marrow transplant (inpatient and outpatient clinic)

2-3 months

Hematology Elective/Outpatient Clinic

  • Blood Bank
  • Pheresis
  • Pathology, Molecular Hematology
  • Pediatric Hematology
  • Coagulation
  • Hematology Clinical Laboratory

 

3-4 months

Vacation

 

4 weeks

 

 

 

PGY-6

 

 

Vacation

 

4 weeks

Each Fellow elects whether to spend the third year at a clinical or laboratory research project. Fellows who elect a laboratory project will have a one-half day clinic as continuity clinic at the VA for the 12 months and another one-half day continuity clinic at the Lombardi outpatient clinic. Fellows who elect clinical research will have two half-day clinics related to their clinical research at Lombardi Clinic and one half-day continuity clinic each at the VAH and GUH. During the last several years, Fellows have spent the third year in these sectors: laboratory research, Clinical Breast Cancer research, Development Therapeutic program, GI program, and Coagulation.



Clinical Responsibilities

All first and second year Fellows spend 3 to 5 months each year on the MedStar Georgetown University Hospital hematology/oncology inpatient unit. The Fellows supervise the house staff and take responsibility for ordering and overseeing chemotherapy administration on the inpatient service. Fellows participate daily in formal teaching rounds with the attending physician of the month. The oncology consult service is covered by the Oncology Fellow on the inpatient service, while the hematology consult service is assigned to one of the two hematology fellows on the inpatient service. The fellows continue to have one half-day clinic while on the hematology consult service. During the inpatient rotation fellows are excused from outpatient assignments, except the continuity clinic, and the hematology consult fellow as noted above The inpatient medical team also integrates services with research nurses, social workers, and members of the pain control and psychiatry service staffs.

Fellows participate in follow-up outpatient clinics. The clinics are divided into disease-specific sessions. Fellows are responsible for the evaluation and work-up of all new patients, as well as seeing established patients for chemotherapy and follow-up.

On Call Rotation

First and second year Fellows are responsible to take first call during evening hours and weekends. The faculty member who is the month's ward attending provides backup. Fellows take calls from home. When Fellows are not on call at night or over the weekend, they have no responsibilities for patient coverage. Third year Fellows will have to cover the Veterans Affairs Medical Center three to four weekends/year.

Blood Services Interaction

Fellows rotate through the University Hospital's Blood Bank Blood Donor Service and Hemapheresis Unit. The Blood Bank is accredited by the American Association of Blood Banks and performs a full range of services, including irradiation of compounds on-site, antibody identification, and red cell-washing using a fully computerized system. The Blood Donor Service is the only full-service American Red Cross blood collection site in the country operating within a medical center. It offers autologous- and directed-donor collection, as well as platelets, pheresis, and special collections. The Hemapheresis Unit collects stem cells for transplant and provides therapeutic plasmapheresis for a wide range of diseases.

Electives

Rotations are available in molecular hematology, pediatric hematology, hematology clinical laboratory, blood bank/pheresis and coagulation.