The first year of this fellowship program is primarily devoted to clinical training in pediatric hematology and oncology. The clinical program consists of two integrated but separate sub-programs: (1) general hematology-oncology and (2) hematopoietic stem cell transplantation. Most of the general hematology-oncology clinical work is done at Seattle Children’s where both inpatient and outpatient general hematology-oncology services are located. In addition, there is a monthly outpatient sickle cell clinic at the Odessa Brown Children’s Clinic in the central area of Seattle. The hematopoietic stem cell transplantation inpatient service is included within the Seattle Cancer Care Alliance (SCCA) and is located at Seattle Children’s while the outpatient service is located at the SCCA outpatient clinic on the Hutchinson Center campus.
This fellowship provides a vast clinical experience in benign hematology, oncology and stem cell transplantation. Clinical training is focused on the diagnosis and management of leukemias, lymphomas and solid malignant tumors of childhood; the management of congenital and acquired disorders of erythrocytes, leukocytes, platelets and coagulation factors; the diagnosis and management of bone marrow failure; the utilization of hematopoietic stem cell transplantation in the treatment of malignant and non-malignant disorders; the issues surrounding cancer survivorship and approaches to palliative care. Training is provided through 4 primary rotations; the general hematology/oncology outpatient clinic, the inpatient hematology/oncology service, the inpatient stem cell transplant service at Seattle Children’s, and the outpatient transplant clinic and late effects clinic at the Seattle Cancer Care Alliance. Fellows also participate in a comprehensive sickle cell clinic once monthly during their outpatient clinic rotation, a continuity clinic of primary hematology and oncology patients one half-day each week throughout their fellowship training and have exposure to laboratory medicine and radiation during a one-month elective block.
To read more about the clinical experience of this fellowship program, click here.
Other first year items to take note of include:
- All fellows participate in a ½ day continuity clinic through their fellowship training. Fellows have the opportunity to provide longitudinal care for patients with a spectrum of hematologic and oncologic disorders. Each patient is assigned a primary fellow, attending and nurse practitioner; forming a team that is responsible for the overall management of the patient through therapy.
- Fellows are an integral part of ongoing clinical research at Seattle Children’s Hospital, Fred Hutchinson Cancer Research Center and University of Washington. Clinical research is integrated with patient care. Fellows are trained to both understand the development and implementation of clinical research protocols and to educate families on their research options. Fellows are provided with formal training in human subjects protection during a one-week orientation prior to embarking on Fellowship year 1 clinical training.
- Fellows have a one-month elective block mid-way through year 1 of training. The clinical responsibilities during this month are flexible to allow timely exposure to pediatric radiation oncology, laboratory medicine, and blood banking. Fellows are also provided with protected time and guidance during this month to investigate options for future research projects and to meet with potential research mentors, including the ability to pursue research within the local biotechnology sector.