Our curriculum is designed to develop competence across the six ACGME core competencies for fellowship training in Hematology and Medical Oncology:
- Patient care and procedural skills. Develop clinical expertise across malignant and classical hematology and solid tumor oncology, including the care of geriatric, pregnant, immunocompromised, and other diverse patient populations.
- Medical knowledge. Build a robust foundation in the biomedical, clinical, epidemiologic, and social-behavioral sciences underlying hematology and oncology — including molecular oncology, hematopathology, cancer genetics, transfusion medicine, and the pharmacology of cancer therapeutics.
- Practice-based learning and improvement. Develop the analytic and methodological skills to appraise scientific evidence, contribute to clinical, translational, basic, or population-science research, and continuously improve patient care through self-evaluation and lifelong learning.
- Interpersonal and communication skills. Demonstrate excellent communication and teaching skills that enable effective collaboration with patients, families, and interprofessional teams.
- Professionalism. Demonstrate the ethical commitment, accountability, and sensitivity to diverse patient backgrounds expected of physicians caring for people with serious illness, and the highest standards of integrity in research and clinical practice.
- Systems-based practice. Develop the awareness and skills to navigate complex healthcare systems, participate in quality improvement, deliver cost-conscious and equitable care, and respond to the social determinants of health that shape cancer outcomes — particularly for the rural and underserved populations of Northern New England.
Our curriculum involves inpatient and outpatient clinical rotations, didactic teaching sessions, tumor boards and conferences.
Across the three years of training, approximately 24 months are spent on designated clinical rotations and 12 months are individualized, allowing each fellow to pursue focused clinical and scholarly directions.
A general breakdown of rotations and requirements by year is shown below:
| Rotation | Year 1 | Year 2 | Year 3 |
|---|---|---|---|
| Orientation | 1 month | - | - |
| Inpatient Hematology / Stem Cell Transplant / Cellular Therapy | 2 months | 2 months | - |
| Inpatient Oncology Consults | 2 months | 2 months | - |
| Inpatient Hematology & Coagulation Consults | 2 months | 2 months | - |
| Outpatient Disease-Group Clinic Blocks | 2 months | 3 months | 3 months |
| Neuro-Oncology | 1 month | - | - |
| Palliative Care | 0.5 months | - | - |
| Gynecologic Oncology | - | - | 1 month |
| Radiation Oncology | - | - | 0.5 months |
| Transfusion Medicine | - | - | 0.5 months |
| Research / Electives | 1.5 months | 3 months | 7 months |
Note that throughout all three years in addition to these rotations, each fellow has a continuity hematology clinic and an oncology clinic.