header-logo
GettyImages-609179959-hero

MCW APP Adult Hematology and Oncology Fellowship Program

The APP Adult Hematology and Oncology Fellowship at the Medical College of Wisconsin is a 12-month training program designed to prepare NPs and PAs in the multidisciplinary, evidence-based care of complex patients. Fellows gain hands-on clinical experience, didactic learning, and professional mentorship to strengthen clinical decision-making and develop specialized skills.
A provider comforts a female hospital patient

Who should consider an APP hematology and oncology fellowship?

APPs with interest in advancing their clinical skills to assess, diagnose, and treat complex, critically ill patients in hematology and oncology subspecialties.

APPs interested in transitioning to practice in a mentored environment to build a professional network and clarify through experience a best fit for clinical practice and starting their career.

What are the benefits of an APP hematology and oncology fellowship?

Gain the hands-on experience and dedicated learning time needed to develop confidence and competence in Hematology and Oncology – a fast-paced, high-acuity field.

Structured, supportive training helps newly graduated APPs or those transitioning from other specialties thrive in a new clinical environment.

Experience inpatient, outpatient, and specialty care with one-on-one guidance and a flexible curriculum tailored to your career goals.

Work closely with physicians, nurses, and other healthcare professionals, while contributing meaningfully to team-based care for complex patients.

Advance your clinical decision-making and problem-solving skills in diverse, real-world environments.

Develop leadership skills, build resilience, and prepare to lead in a rapidly evolving healthcare system.

Apply to the APP Adult Hematology and Oncology Fellowship Program

Fall start dates are available; up to 2 fellows are selected annually. Practice locations include Froedtert Hospital (Inpatient and Clinical Cancer Center) and community sites.

Learn more about application details, including information about interviews, salary, and benefits.

Apply now

A Day in the Life of an APP Hematology and Oncology Fellow

Clinical Rotations

Clinic Day
Fellows can expect a traditional 8 a.m. – 5 p.m., Monday through Friday patient care day in the outpatient setting. In collaboration with the APP preceptor and MD seeing 3–6 patients in the clinic setting providing follow up care, chemotherapy care, episodic visits for focused problems and new patient consults.

Inpatient Day
Fellows can expect a 10-hour work day, variable times (i.e. 7 a.m. – 5p.m.), 4 shifts/week – may include an occasional weekend. In collaboration with the APP preceptor and attending MD, fellows will see 3–6 patients in the hospital setting, assessing and managing their day to day care with the interdisciplinary team.

Continuity Clinic/Administrative Day
For 48 weeks of the year, fellows will have a weekly 4-hour clinic once a week. With an assigned preceptor the fellow will rotate through a dedicated clinic and a community site, each site for half of the year. In the afternoons, the fellow will then have administrative time to complete self-study, attend lectures, work on their research project and on any other assignments or required learning.

A Typical Day

  • 0730: Arrive to assigned clinic, review schedule for the day. Follow up any EPIC in-basket patient messages, RN messages and medication refill requests.
  • 0800-0830: Discuss with preceptor and attending plan for seeing patients for the day.
  • 0830-1600: See patients assigned to the clinic schedule, present patients to and discuss assessment/plan with the attending and preceptor. Complete clinic notes, work with RNs to address any clinical issues from patients calling in to the RN triage line, continue to complete and respond to any in-basket requests throughout the day. May need to see or respond to acute issues or rapid response situations in the Day Hospital where patients are being seen outpatient for treatment. Order entry for treatments or chemotherapies needed in the Day Hospital.
  • 1600-1700: Wrap up any outstanding clinical documentation, discuss patient assignments for the following day with the preceptor. Debrief and discuss any patient cases, scenarios, discuss progress in clinic.

How We Learn

The APP Adult Hematology and Oncology Fellowship Program focuses on hands-on, clinical experiences across all sub-specialties of cancer care with a mix of outpatient and inpatient clinical rotations. Our rotations include required clinical rotations which focus on the most common cancers in the United States. There are also opportunities for elective rotations, which include sub-specialties in hematology and oncology. In addition to clinical rotations, our curriculum provides hands-on skill development through simulation labs, journal clubs and other didactic educational opportunities throughout the 12-month program.

Doctors standing in hospital hallway
all
Didactic Education

The program includes dedicated time for didactic opportunities to enhance clinical learning experiences including:

  • In-Person Lectures
  • Case Presentations
  • Online learning modules
  • Reflective journaling
  • Journal Clubs
  • APP professionalism curriculum
  • Research/QI Project
  • Simulation Labs
Hematology and Oncology Curriculum

During the first month, the fellow will go through “Boot Camp” to address critical topics to prepare them for the next 11 months of rotations.

  • Cancer 101
  • Oncologic Emergencies
  • Sexual Health in Cancer Patients
  • Billing and Coding
  • Precision Medicine
  • Immunotherapy Basics
  • Library Resource Training
  • APSHO Cancer Therapy Prescribing Course
Certification
  • BLS
  • ACLS
  • AOCNP (as available-post graduation)
Procedural Opportunities
  • Bone marrow biopsies
  • Intrathecal chemotherapy administration via lumbar puncture
  • Ommaya reservoir access
Clinical Rotations

Required core rotations in the following areas (1-4 weeks):

  • Thoracic oncology
  • Genitourinary oncology
  • GI oncology
  • Breast oncology
  • Malignant hematology (Leukemia, Lymphoma, Multiple myeloma, BMT-CT)
  • Head and neck oncology
  • Gynecological oncology
  • Continuity clinic (weekly throughout the year)
  • Palliative medicine
  • Benign hematology
  • 24-hour cancer clinic
  • Long rotation (APP fellow selects 1 specialty for an 8-week rotation)

Elective rotations (1 week): shadow experience(s) only, fellow selects 2 rotations

  • Psych oncology
  • Interventional radiology
  • Sarcoma
  • Phase 1/precision medicine
  • Neuro oncology
  • Radiation oncology
Simulation Labs

The APP Heme/Onc Fellow(s) will participate in seven (7) simulation labs throughout their fellowship year. Our simulation labs are designed to provide engaging learning experiences and serve as a catalyst for honing the clinical skills essential for success in Hematology and Oncology. These subspecialized spaces are designed to replicate real-life clinical scenarios that allow our learners to engaged in hands-on, immersive experiences that challenge and refine their decision-making processes, procedural competency and overall clinical acumen. Our fellows will be provided real-time feedback by our instructors, which allows for learners to review and reflect on their actions in each scenario and apply skills and knowledge learned to future endeavors.

Highlighted Fellow Presentations

Melatonin for the Management of Cancer Related Fatigue in Breast Cancer: An Integrative Review
Jill Pontinen, PA-C
Published in the Journal of the Advanced Practitioner in Oncology (JADPRO) in October 2024

Chest x-ray versus Chest Computed Tomography in the Initial Evaluation of Cancer Patients Presenting with Neutropenic Fever: An Integrative Review
Christin Lissmann, MSN, A-GNP-C, APNP

Featured Voices

Jill Pontinen, MPAS, PA-C

"I had the opportunity to rotate with the MCW Hematology/Oncology team as a PA student and greatly enjoyed my experience. I then chose to pursue my Hematology/Oncology APP Fellowship at MCW because I wanted to learn more about the complexities of managing oncology patients in the outpatient and inpatient settings. Being a new physician assistant, I wanted to grow my knowledge and my practice in a safe learning environment that would foster my growth. The leadership team and preceptors were caring and supported my learning. The fellowship built my confidence as a provider, and I will utilize what I learned throughout my career. I am grateful for the experience I have gained over the fellowship year and decided to stay in MCW as an inpatient APP. I want to continue to be involved with APP fellowships to support future fellows since I know what it is like to be in their shoes!"

Jill Pontinen, MPAS, PA-C

Mitch Fowler, PA-C

"Becoming a preceptor was an easy decision for me. I simply enjoy three things about it: 1) teaching what I know about medicine, 2) teaching what I have learned about the intricacies of practicing medicine, and 3) observing the fellow develop and grow into a high-quality provider for their patients. I have the rewarding opportunity to help our fellows strengthen their knowledge, clinical judgement, and clinical skills in their journey to becoming a well-rounded and exceptional hem/onc clinician. Our Hem/Onc APP Fellowship program offers our fellows a very high level of education, mentorship, and hands-on experience involving many hem/onc specialties with excellent preceptors. I am honored to be a small part of the process as the fellow completes our innovative and collaborative program here at Froedtert & MCW."

Mitch Fowler, PA-C

Current Fellow

headshot

Karmel Torres, DNP, APNP, AGACNP-BC

APP Adult Hematology and Oncology Fellow

Meet Our Program Team

Education for the APP Adult Hematology and Oncology Fellowship program is supported by APP, MD, and education coordinator leadership team in addition to APP and MD specialists and educators from various specialties and key acute care rotations.

headshot

Kristine Broge-Reynen, MS, APNP, ANP-BC

APP Adult Hematology and Oncology Fellowship Program Director

headshot

Maressa Sweeney, PA-C, MPAS

APP Adult Hematology and Oncology Fellowship Assistant Program Director

headshot

Amy Harker-Murray, MD

Assistant Professor; APP Adult Hematology and Oncology Fellowship Program MD Director

headshot

Brianna Just

APP Adult Hematology and Oncology Fellowship Program Education Coordinator

Contact Us

For general fellowship questions or to submit additional application documentation
hemoncAPPfellowship@mcw.edu