The Fellowship Program at the University of North Carolina

Additional information available on-line at www.med.unc.edu/hemonc

Missions of the UNC Hematology/Oncology Fellowship

Program

1. To provide outstanding clinical training

2. To provide outstanding research training• Basic Science• Translational• Clinical • Other, such as prevention and control

3. To provide the tools for successful careers in hematology/oncology

Program Features

1. A tradition of an outstanding classical hematology clinical/research program.

2. Leading researchers/clinicians specializing in specific areas of solid tumor oncology, malignant hematology & BMT

3. Flexibility to accommodate fellow’s career goals

Program Features

Approaches• Individuals with specific focus of expertise• Multidisciplinary conferences/clinics • SPOREs in GI and breast oncology• Association with the School of Public Health

Collaborations with other centers• BMT training for Fellows from neighboring institutions• Joint research efforts with Duke and Wake Forest

Universities• CALGB & NSABP affiliations

Hematology Program Features

• Hematology training grant for > 30 years • Internationally known faculty

• Nigel Key• Nigel Mackman• Harold Roberts• Alice Ma• Stephan Moll• Eugene Orringer• Ken Ataga

Hematology Program

• Clinical Services• Hospital consult service• Hemophilia • Sickle Cell • Thrombophilia

Oncology Program Features

• Internationally Known Faculty• Richard Goldberg• Tom Shea• Mark Socinski• Lisa Carey• Paul Godley• And others

Oncology Program Features

• Clinical Services• Oncology consult service• In patient Oncology Service• Outpatient Rotations• Tumor Boards

Residency Review Committee Requirements

• Double board eligibility in hematology & oncology requires:– 18 clinical months– Continuity clinic requirements are met for 3

years

• Single board eligibility– 12 months of clinical training – One ½ day clinic of continuity clinic for 2

years

Clinical Template for Double Board Eligibility

• First year: – 12 months of clinical work

• 2-3 outpatient months

• Second year– Four months* of clinical work

• Third year– Two months* of clinical work

*Subject to change depending on total number of trainees.

Clinical Template for Double Board Eligibility

• Clinical training must add up to 12 months of oncology and 6 months of classical hematology

• There is more flexibility in the second and third year

Single Board Requirements

• A minimum of two years in Fellowship

• Clinical training must add up to 12 months of intensive exposure in the relevant discipline and 24 total months (one ½ day/week) of continuity clinic

• Single Board tracks are generally discouraged but available with advance knowledge and planning.

The First Year*

• “Outpatient rotation” for 2 to 3 months• Consult service for 2 months• BMT for two months• In patient Oncology for 1 month• In patient Heme malignancy for 1 month• Four weeks of Elective (2 weeks each)

– Transfusion Medicine, Hematopathology, Radiation Oncology, Gyn Oncology, Coagulation Laboratory, Palliative Medicine, Genetics

• Four weeks of Vacation

*Durations in each block may change from year to year

Example Out Patient Schedule Monday Tuesday Wednesday Thursday Friday

7:30 GI Tumor Board

Thoracic Oncology 7:30 am Fellows’ Conference

GU/GI Clinic* 7:30 am Head and Neck Conference**

Head and Neck Clinic

Heme Malignancy Continuity Clinic until 10am

Breast Oncology

12:30 Monday Lectures

Multidisciplinary Thoracic Oncology Conference

Breast Conference 10:30 to 12

GU Tumor Board

Head and Neck Clinic

Thoracic Oncology Breast Oncology Breast Oncology

*Fellows who have continuity clinics on the side of the GU clinic will do their outpatient rotation with the GI clinic

Example Outpatient Schedule Monday Tuesday Wednesday Thursday Friday

Sickle Cell Clinic 7:30 am Fellows’ Conference

GI/GI or GU* clinic 7:30 am Fellows’ if offered (check that calendar)

Hemophilia Clinic with Dr. Key and Ma

Heme Malignancy Continuity Clinic and Neuro Oncology

Heme clinic, Dr. Ma

12:30 Monday Lectures

Neuro Oncology

Coagulation Clinic with Dr. Moll

Sickle Cell Clinic Neuro Oncology Tumor Board ** on the 2nd and 4th Wed of the month at 3:30 Gravely Conference room

GI Clinic with Dr. Goldberg and Dr. O’Neil

Heme clinic, Dr. Ma

•Fellows who have continuity clinics on Thursdays throughout the year will spend most of their time on Schedule 1 and 2 in the GI oncology (Since these fellows get GU oncology during their continuity clinics).

** Attend head and neck conference when it does not conflict with fellowship conferences.

Continuity Clinics

• First year: Malignant Hematology Clinic and Solid tumor clinic, each of which are ½ day clinics

• Second year: Two ½ day clinics for trainees on the clinical or clinical translational research track. ½ day clinic for trainees on the basic science track or for those on training grants that demand more classwork.

• Third year: continue to meet RRC requirements with ½ day clinics but have some of these include 3 month blocks in clinics that the trainee may be lacking.

Continuity ClinicsThe Heme Malignancy Clinic

– As far as possible all first year fellows to attend this Wednesday am clinic

– Staffed by Experts in malignant hematology– Dedicated commitment by the protocol office– Parker conference on Thursday to review

study eligibility and discuss all new and active cases

Continuity Clinics/ Solid Tumor Oncology

• All First year fellows

• Day differs for different fellows.

• Staffed by Drs Collichio, Whang, Sharpless, Sanoff and others, depending on the day.

• New patients are acquired on the outpatient rotation, the inpatient services, and as part of this clinic.

Continuity Clinics/ Solid Tumor Oncology

• Representation of most tumor types– Breast cancer– Melanoma/Skin– Neuro-Oncology– GU

• Bladder, prostate, testicular, renal cell

– GI• Colorectal, gastric, pancreas, hepatic, other

– Head and Neck– Thoracic

• Lung• Esophageal

The Research Years/How We Prepare in Year One

1. Meet with the leaders and faculty of the LCCC in middle of the first year

2. Research elective mandated in year one

3. Paired with a research mentor in year one

4. Research talks on Mondays

5. Grand Rounds on Tuesday

6. Updated Web site

The Research Years

• Grants– Hematology T32– Health Behavior/Health Outcomes– Pharmaceutical industry– K12 for senior fellows/junior faculty– Roadmap K awards for senior fellows / junior

faculty

The Research Years

• K30– For 2nd and 3rd year fellows who seek

training in clinical research methods including biostatistics, epidemiology, trial design, grant writing and formal or non-credit coursework in the School of Public Health

• K12– For Senior trainees and junior faculty in basic

or translational research in hematology or oncology

Summary

• Clinical Training– Year one- and overview of hematology and oncology– Year two-continued in-patient months and

more focused dedication on career– Year three-elective clinical training

• Research Training– Process begins in year one– Grants are available to facilitate training– Experience in scientific writing and submission of

grant applications expected

• Clinical Training– Year one- and overview of hematology and oncology– Year two-continued in-patient months and

more focused dedication on career– Year three-elective clinical training

• Research Training– Process begins in year one– Grants are available to facilitate training– Experience in scientific writing and submission of

grant applications expected