by
Akane Naka, Project Manager | November 14, 2006
The Pediatric Hematology/Oncology Training Program is three years in duration and consists of a combination of Clinical Training and Research Opportunities. The program is under the direction of Daniel Wechsler, M.D.
Clinical Training
During the first year of training, fellows are exposed to a variety of hematology and oncology patients which should enable them to gain expertise in the management of children and young adults with wide ranging problems in hematology, oncology and immunology.

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During the four months spent on the Hematology/Oncology inpatient rotation, the fellow is responsible for supervision of three pediatric residents assigned to the Pediatric Hematology/Oncology service. While on the inpatient service the fellow is also responsible for providing consultations regarding patients admitted to other sections of the pediatric department.
Four months are spent on the Pediatric Blood and Marrow Stem Cell Transplant service during which the fellow works together with Pediatric BMSCT attendings in caring form BMSCT in- and outpatients.
Outpatient Clinics: Three months of the first year are devoted to outpatient clinics to maximize exposure to patients seen in specialty clinics, including those dealing with BMSCT, brain tumors, coagulation disorders, sickle cell disease, late effects of treatment and cancer genetics. These outpatient blocks also include rotations on the Pathology service (where the fellow is exposed to immunologic evaluation of malignant cells using the fluorescent activated cell sorter, and histopathology of pediatric leukemias and solid tumors), in the Blood Bank (where the fellow becomes familiar with techniques and complications of blood product transfusions), and in Radiation Oncology (where the fellow learns first-hand about delivery of radiation therapy.
Finally, one month of vacation is usually divided into two two-week blocks.
Inpatient Experience: Throughout the inpatient experience, trainees directly interact with other pediatric and adult specialty services, including pediatric surgery, pathology, radiology, and radiation oncology. The fellow will be assigned to one weekly outpatient clinic during which time he/she is responsible for seeing continuity patients, and for supervising medical students and residents who are present in that clinic. Beginning in the third fellowship year, the fellow's continuity clinic is held every other week; during alternate weeks the fellow attends specialty clinics to gain further outpatient experience in the above-described areas.