Our program offers the training needed to become eligible for double boarding. The program was founded in 1960 and it has grown considerably in the last decade.
Fellows work both in a university teaching hospital, and a unique Veterans Administration hospital, with superb ambulatory care facilities at both sites.
The training process during fellowship is intense and exciting. Our program recognizes the unique nature of this period, and in order to maximize the positive experiences available. Close supervision and mentoring are provided throughout, in both clinical and research fields.
The curriculum is designed to meet the program's overall goal of giving each fellow a strong foundation in clinical Hematology and Oncology while providing ample opportunities for in-depth study of specific clinical disciplines and development of a career in clinical or basic science research. During the three year fellowship, 18 months are spent working on designated clinical programs and 18 months are unrestricted so each fellow can pursue personal clinical and research career directions.
Clinical and inpatient experiences
Fellows have an opportunity to work with various physicians in the section and get exposure to all the major disease sites. Clinical rotations are assigned in the inpatient, consult, and/or clinic setting. During the first year of fellowship, fellows spend more time on the inpatient wards than in the clinic, but during the second year of fellowship, most of the clinical rotations are in the outpatient setting. Each fellow participates in a weekly Thursday afternoon Fellows Clinic where they get to follow their own patients.
Three months each year are spent at the VA Hospital in White River Junction, VT, where the fellow runs a combined Hematology/Oncology inpatient and outpatient service.
Fellows have three months of elective time during each of their first two years. Opportunities are available for in-depth study in diverse areas including blood banking, hemophilia, radiation oncology, and oncology specialties. Fellows are encouraged to use these elective periods to pursue personal educational and career goals. The Associate Program Director for Research assists each fellow in planning these electives.
There are many learning opportunities in our program. On the inpatient wards at MHMH, a single faculty attending is responsible for patient care. teaching on that service, and working closely with the fellow assigned to that rotation. Each outpatient clinic session provides a half day of one-on-one teaching time with the faculty attending. Fellows spend 2 - 3 hours each day with the faculty attending discussing patients and related topics.
Established conferences/ presentations
- Weekly Fellows' Core Lecture Series which covers basic clinical and research topic;
- Weekly Hem/Onc Noon Conference where both in-house and national speakers give talks on both clinical and research presentations;
- Weekly Multi-Disciplinary tumor boards where case discussions are held;
- Various other institutional forums where cancer related topics are discussed
Evaluation & feedback
The Hematology and Oncology faculty provide routine feedback for each rotation, clinic, and research project and these evaluations are discussed with the Fellowship Director at the individual fellow's meetings which are held on an every other month basis. Fellows also get an opportunity to evaluate attendings and the program on a continual basis and quarterly Fellows' Meetings are held to discuss current issues and concerns.