Hematology/Oncology (Outpatient)

Contacts


 Before Your Rotation

  • Prior to the rotation, residents interested in this Elective must contact the Fellowship Director (Dr. Jennifer McNeer or Dr. Jill de Jong) two weeks or more before the rotation will begin.  In particular, the resident and these Directors will discuss whether the focus of the Elective will be general Hematology/Oncology, Benign Hematology, or Stem Cell Transplant – which will be options at certain points in the year when Hematology/Oncology Fellows are not rotating on these services.
  • Review Goals and Objectives

Schedule

Pediatric Hematology-Oncology is a two-or four-week elective available to any resident.  Generally, the Resident will have completed a rotation on the Inpatient Pediatric Hematology/ Oncology Service, but this is not strictly required.

As a part of this rotation, residents will be expected to see patients in the following settings:

  • Outpatient Pediatric Hematology/Oncology Clinic and Day Treatment Room (DTR) in the DCAM (primary site)
  • There may also be an option for residents to work in the Hemoglobinopathy Clinics (2 sessions per week) at La Rabida Children’s Hospital

The resident will receive direct supervision in the above clinical setting by Attending Physicians, Pediatric Hematology/Oncology Fellows, and Advanced Practice Nurses.

Roles and Responsibilities

  • Attending morning and noon conference daily
  • The resident is expected to attend the AM Clinic at 9:00am, at which time patients expected in clinic are discussed
  • The resident will work with the Doctor-of-the-Day (DOD), Fellow-of-the-Day (Fellow), and Dr. Ruth Rudinsky to decide which patients will be seen as the clinic day unfolds. In the absence of a Fellow, the Clinic APN will assist the resident with seeing patients
  • The resident will evaluate patients in clinic (either independently, or with a Fellow/APN) and report on clinical history and physical exam findings to the Attending physician (either the primary Attending in clinic that day or the DOD).  The Attending physician will lead the resident through discussion of differential diagnoses, diagnostic procedures, and therapy decisions. The resident will accompany the Attending physician to evaluate the patient
  • As needed, the resident should accompany the Attending/Fellow/APN to review radiology or pathology findings for patients seen in clinic
  • The resident will also assist in the evaluation and care of patients in the DTR, which is essentially viewed as an extension of the outpatient clinic.  In this regard, the resident will be offered the opportunities to observe or assist with procedures (lumbar puncture, bone marrow aspirate/biopsy, or intrathecal chemotherapy administration) in the DTR or in the procedure suite in Comer Radiology
  • Toward the end of each clinic day (typically at ~4PM, but depends on clinical activity of each day), the resident will meet with the DOD or Fellow to review patients or discuss clinical topics of interest
  • Education of Outpatient Heme/Onc Residents will remain a high priority.  Informal teaching – largely by the DOD, Fellow or APN, will focus on, but not be limited to, matters that are particularly relevant to general pediatrics training and pediatrics board examinations (e.g., differential diagnosis and evaluation of an abdominal mass, transfusion medicine, acute and chronic toxicities of common chemotherapy agents)
  • Residents on this Elective are expected to attend the weekly Clinical Conference (Monday, 1PM), Hematological Malignancies Conference (Monday, 4PM), Benign Hematology Conference (Tuesday, 4PM), and Solid Tumor Board (Thursday, 4PM).  We anticipate having residents also attend teaching conferences geared toward Pediatric Hematology/Oncology Fellows (Tuesday, 12N, most of the year)
  • Senior Leader Residents on the service will be offered the opportunity to assume leadership roles and provide formal or informal teaching to more junior residents/students

Resources

 

  • During the rotation, the resident is expected to access and read the following educational materials:
    • Pediatric Heme/Onc textbook reading, focused on disease processes in patients evaluated in clinic, and also guided by the Attending and Fellow physicians.
    • A web-based collection of review articles covering many of the general Pediatric Hematology, Oncology, and Stem Cell Transplant topics is being developed and will be available to residents on the elective.