During this 3-year fellowship program, clinical expertise in the care of patients with hematologic and oncologic diseases is gained through supervised rotations on key services (inpatient hemonc wards, consultation service, blood and marrow transplantation, palliative care, transfusion medicine, ambulatory care, radiation oncology, and related electives). Fellows have a 36-month weekly half-day continuity clinic at the primary hospital (Froedtert Hospital) and a weekly half-day clinic at the secondary hospital (VA Medical Center) in which they care for patients specifically assigned to them under the supervision of an attending faculty member.
The first year of training consists primarily of monthly rotations on the key services: 3 months each on the inpatient Hemonc services at FMLH and VAMC, 2-3 months on the Consult service, 1 month on Palliative Care, and 2 months on BMT. First year fellows are closely supervised and all chemotherapy orders written by them need to be countersigned by an attending physician.
In the second year, some of the above rotations are repeated but fellows now have 4-6 months of elective time for research and other electives. Second year fellows are given more responsibility to manage patients and supervise the internal medicine residents. They are also permitted to sign chemotherapy orders without a countersignature by their attending physicians. The electives exist to provide fellows with additional experience in neuro-oncology, gyne-oncology, radiation oncology, transfusion medicine, hematopathology, palliative care, clinical research design, pediatric oncology, and additional ambulatory disease-focused clinics.
In the third year, fellows are provided with approximately 8-9 months for electives and research and are expected to pursue scholarly activities as evidenced by the writing of research protocols, publications, and presentations at national meetings. The third year fellows are expected to function at a higher level of supervisory capacity with the internal medicine resident team and to take a leadership role in the management of patients during rotations on the hemonc wards, BMT, and consult services. The third year fellows work with the Program Director in organizing conferences and meetings related to the fellowship program.
During their training, fellows are expected to participate in conferences, journal clubs, teaching, and research leading to publications and presentations at national meetings.