The Hematology/Oncology Fellowship Program at Mayo Clinic in Jacksonville consists of:
- Twelve months of ambulatory clinical hematology/oncology
- Six months of hospital hematology/oncology
- Twelve months of research
- One month of pediatric hematology/oncology
- Five months of electives and subspecialty rotations in the following areas:
- Radiation oncology
- Hospice medicine
- Pain clinics
- Blood banking
- HLA typing laboratory
- Palliative care
Experience in bone marrow transplantation (both allogeneic and autologous) is available throughout the three-year fellowship as an integral part of the clinical rotations. Elective rotations may be taken at Mayo Clinic in Rochester or Arizona to fulfill a specific educational need.
The initial months of your fellowship will include rotations in core areas such as ambulatory clinics, inpatient service, or sub-specialty rotations.
Your rotations will include:
- Hematology/Oncology Clinic and Ambulatory Hematology/Oncology
During the hematology/oncology rotation you will:
- Be introduced to the day-to-day practice of ambulatory hematology/oncology and BMT.
- Perform bone marrow aspirates and biopsies, subcutaneous fat aspirates, and prepare marrow aspirate slides and become proficient in these procedures.
- See new patients and follow-up, working under the supervision of a staff physician.
- Obtain experience in the preparation of chemotherapy drugs, accessing of port-a-cath and venipunctures during rotations in the chemotherapy unit and pharmacy.
- Electives and Sub-specialty Rotations
Multiple electives are available, including additional rotations in different oncology subspecialties (pain clinics, hospice medicine, radiation oncology, medical genetics, diagnostic radiology, dermatology and palliative care). Elective rotations could be used for additional research time.
- Hematology Pathology Laboratory
Your training will emphasize the basic morphology of peripheral blood smears and bone marrow aspirations. You will gain experience in cytochemistry, automated hematology, red cell enzymology and hemoglobinopathies.
- Transfusion Medicine Laboratory
You will gain experience in apheresis, the complications, work-ups and management of transfusions, HLA typing, cross matching, blood components, immunohematology and other aspects of transfusion medicine.
- Hemostasis Laboratory
You will learn about coagulation theory and testing and will have an opportunity to gain experience in factor assays.
- Radiation Oncology
You will evaluate patients for radiation therapy and become familiar with the equipment and techniques available in this field.
- Pain Clinic
You will evaluate patients seen in our pain clinic under the supervision of the staff physicians. You will become familiar with the options available for pain control of the cancer patient.
- Hospice Medicine
You will become familiar with the terminal care of the cancer patient by working with the hospice medicine director and hospice nurses.
- Hospital Hematology/Oncology
You will gain experience in the care of bone marrow transplant patients and hospitalized hematology/oncology patients.
- Pediatric Hematology/Oncology
You will be involved in the management of patients 16 years old or younger who have either benign or malignant hematologic diseases. You will learn the differences in the manifestations and management of hematologic disease in children versus adults.
Research is a key component of your training. You will conduct clinical and/or laboratory research. You are expected to develop projects in cooperation with clinical or basic research investigators in hematology, oncology or both.
Throughout your fellowship, you will attend multiple weekly conferences devoted to understanding pathophysiological relationships in hematology and oncology. Such conferences include:
- Morning reports and M & M
- Journal Cclub Conference
- Hematology/Oncology Core Curriculum Lecture
- Tumor Board Conference, Internal Medicine Grand Rounds – Board Review
- Bone Marrow Transplant Conference, Multidisciplinary Breast Conference
- Hematopathology Case Discussions, Multidisciplinary Thoracic Core Conference
Your didactic training will include programs hosted by visiting faculty, conferences sponsored by the Department of Laboratory Medicine and Pathology and some cross-specialty conferences of interest. A yearly national hematology/oncology course will be conducted with visiting and Mayo Clinic faculty, including a national hematology/oncology fellows research competition.
The following is a typical rotation schedule for Hematology/Oncology fellows.
|Hematopathology and Blood Banking
|Shadowing Beginning of Fellowship
(including bone marrow transplantation)
During your Hematology/Oncology Fellowship, you will have several opportunities for academic presentations. You will prepare case study presentations. You will present the pertinent information of an interesting case, conduct an in-depth discussion of that case and create a current bibliography. There is a Journal Club presentation approximately every 6-8 weeks and research presentations of your research project.
You will have the opportunity to teach Mayo Medical School students, visiting students from other medical schools and our Internal Medicine residents through bedside instruction and formal didactic lectures.
Your call schedule will vary by individual rotation. Your call schedule will not exceed 80 hours of call duty per week, with call taken from home. You will always be off duty from Saturday afternoons until Monday mornings while on the hospital rotation. Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education.
Moonlighting is permitted for licensed fellows in the second and third years. Moonlighting should not interfere with required learning and must not violate the ACGME's work hour rules. Moonlighting should not compromise your education, but rather enhance it.
To ensure that you acquire adequate knowledge and develop your technical skills, your performance will be monitored carefully during the course of your Hematology/Oncology Fellowship. You will be formally evaluated by your supervising faculty member after each clinical rotation. In addition, you will regularly evaluate the faculty and the program to ensure that your educational needs are being met.
You will meet periodically with various faculty members, administrators and the training program director to discuss your individual career goals. Mayo recruits many of its staff physicians from its own training programs. Thus, when you successfully complete the Hematology/Oncology Fellowship, job opportunities may be available at one of Mayo Clinic's group practices.