The Division of Pediatric Hematology/Oncology seeks fellowship candidates with strong clinical backgrounds and academic interests in hematology and oncology.
We accept applications through ERAS. Learn more about the ERAS process.
Fellowship program organization
There is a Program Evaluation Committee, composed of the program director, selected faculty and fellows, that review our overall program on a yearly basis. Prior to the annual spring meeting, a program evaluation is completed and reviewed by the committee. The curriculum, rotations, and call recommendations are then made by the committee and then modified from year-to-year based upon these recommendations.
The first year of the fellowship is primarily a clinical year. Rotations are divided into four week blocks with:
- 6-7 blocks on inpatient hematology/oncology service
- 1 block on stem cell transplant service
- 5-6 blocks on outpatient rotations
The first year fellow is responsible for the daily management of inpatient hematology and oncology patients, as well as hematology consultations from the inpatient pediatric population. The inpatient team is composed of an attending physician, fellow, a pediatric nurse practitioner, two senior pediatric house officers, a dietitian and a clinical pharmacist.
The fellow will have one block dedicated to hematopoietic stem cell transplantation which will include inpatient and outpatient areas. Once the fellow has rotated through this service, inpatient stem cell transplant patients will be followed in addition to hematology and oncology service when on the inpatient service.
There will be a 1-2 week orientation during the first month of training. This orientation will consist of:
- Required training in the use of Connected computer order entry
- Use of IDX for radiology
- Billing procedures
- Core lectures in hematology and oncology emergencies, chemotherapy fundamentals, pain control and terminal care, anti-emetic therapy, and basics of sickle cell and hemophilia care
- Training in foundations of clinical research and informed consent
- Training in conscious sedation and procedures
- Introduction to Children’s Oncology Group studies
The outpatient rotation consists of 5-6 blocks. The fellow will spend time in the hematology/oncology clinic, specialty clinics in hemophilia, thrombosis, sickle cell disease and neuro-oncology. There will be time allotted for ancillary services such as blood banking, hematopathology, radiation oncology and special coagulation.
Each outpatient rotation is designed so that there are two one-half day periods each week for exploring research options so that a research project can be formulated prior to the start of the second year.
The continuity clinic for each fellow will be established during the first year, and fellows are expected to attend their clinic even while on the inpatient rotations. The continuity clinic consists of one half-day, morning session each week.
There are four weeks of vacation each year that will be taken during the outpatient rotations during Year 1 of fellowship. For the first year fellows, vacation dates are determined prior to the start of the first year of fellowship.
Years 2 and 3
The second and third year are designed for protected research time, and as such, the second and third year fellows will not be responsible for inpatient clinical management during the weekdays. However, second and third year fellows are expected to take weekday night and weekend calls from home, but no more than one evening per week and one weekend per month. It averages no more than 8-10 weekends per year.
Second and third year fellows continue on with their weekly continuity clinic where they will see both hematology and oncology patients under the supervision of their clinical mentor/attending physician.
There are a large number of basic science research opportunities available for our fellows in labs in the Pediatric Hematology and Oncology Division, the Penn State Cancer Institute and College of Medicine.
There are opportunities for structured clinical research training, including formal clinical research training programs available to our fellows through the Department of Public Health Sciences located here on the Penn State campus.
Overview of calls
All calls are taken from home. Fellows take calls from outside physicians, answer calls from outpatients/patients’ family members, and provide ER consults, as well as address any inpatient questions and issues that may arise overnight. It is expected that fellows will work with the inpatient team and patient logistics to arrange for admissions. In addition, fellows may need to return to the hospital to see a new oncology patient, to perform an urgent consult or evaluate an inpatient whose medical status has worsened.
In general, the fellow on the inpatient service is on call two weekday nights each week. The outpatient fellow is on call one weekday night per week. The remainder weekday nights are covered by the second and third year fellows. First year fellows average one weekend out of every four, but may be as few as 10 weekends/year. Second and third year fellows may have progressively less full weekends of call. Weekend calls are from 8 am Saturday to 8 am Monday.
If you have questions, please contact:
- Anita Smith, pediatric fellowship program coordinator, at 717-531-5458, or firstname.lastname@example.org
- Anne English, Administrative Associate at 717-531-1789, or email@example.com.