The three-year Hematology/Oncology Fellowship at Mayo Clinic's campus in Jacksonville, Florida, consists of:
- 12 months of ambulatory clinical hematology/oncology
- 6 months of hospital hematology/oncology and bone marrow transplantation
- 12 months of research
- 5 months of electives and subspecialty rotations in:
- Pediatric hematology/oncology
- Radiation oncology
- Pain clinics
- Blood banking
- HLA typing laboratory
- Palliative care
The initial months of your fellowship include rotations in core areas such as ambulatory clinics, inpatient service or subspecialty rotations.
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 completed at Mayo Clinic's campuses in Rochester, Minnesota, or Phoenix/Scottsdale, Arizona, to fulfill a specific educational need.
This is a typical rotation schedule for the Hematology/Oncology Fellowship:
|Shadowing at beginning of fellowship
|Hematopathology and blood banking
|Hospital hematology/oncology, including bone marrow transplantation
During the hematology/oncology rotation, you:
- Are introduced to the day-to-day practice of ambulatory hematology/oncology and bone marrow transplantation
- Perform bone marrow aspirates and biopsies, perform subcutaneous fat aspirates, and prepare marrow aspirate slides, becoming proficient in these procedures
- See new and follow-up patients, working under the supervision of a staff physician
- Obtain experience in the preparation of chemotherapy drugs and accessing of port-a-cath and venipunctures during rotations in the chemotherapy unit and pharmacy
- Gain experience in general hematology/oncology clinics as well as specialty clinics, such as bone marrow transplantation, breast and sarcoma
Electives and subspecialty rotations
Multiple electives are available, including additional rotations in different oncology subspecialties, such as pain clinics, hospice medicine, radiation oncology, medical genetics, diagnostic radiology, dermatology and palliative care. Elective rotations could be used for additional research time.
Your training emphasizes the basic morphology of peripheral blood smears and bone marrow aspirations. You gain experience in cytochemistry, automated hematology, red cell enzymology and hemoglobinopathies.
Transfusion medicine laboratory
You gain experience in apheresis; the complications, work-ups and management of transfusions; HLA typing; crossmatching; blood components; immunohematology; and other aspects of transfusion medicine.
You learn about coagulation theory and testing, as well as have an opportunity to gain experience in factor assays.
You evaluate patients for radiation therapy and become familiar with the equipment and techniques available in this field.
You become familiar with pain management and care of terminally ill cancer patients by working with palliative medicine and hospice physicians and nurses.
You gain experience in the care of bone marrow transplant patients and hospitalized hematology/oncology patients.
You are involved in the management of patients 16 years old or younger who have either benign or malignant hematologic diseases. You learn the differences in the manifestations and management of hematologic disease in children versus adults.
Your didactic training includes 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 is conducted with visiting and Mayo Clinic faculty, including a national hematology/oncology fellows research competition.
Throughout the Hematology/Oncology Fellowship, you attend multiple weekly conferences devoted to understanding pathophysiological relationships in hematology and oncology. Such conferences include:
- Morning report
- Morbidity and mortality conference
- Journal club conference
- Hematology/oncology core curriculum lectures
- Tumor board conference
- Internal Medicine Grand Rounds
- Board review
- Bone marrow transplant conference
- Multidisciplinary breast conference
- Hematopathology case discussions
- Multidisciplinary thoracic core conference
Research is a key component of your training. You conduct clinical research, laboratory research or both. You are expected to develop projects in cooperation with clinical or basic research investigators in hematology, oncology or both.
During the Hematology/Oncology Fellowship, you have several opportunities for academic presentations. You prepare case study presentations, in which you 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 six to eight weeks as well as research presentations of your research project.
Your call schedule varies by individual rotation. It does not exceed 80 hours of call duty each week, with call taken from home. You are always 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 (ACGME).
You have the opportunity to teach visiting students from other medical schools and Mayo Clinic internal medicine residents through bedside instruction and formal didactic lectures.
Moonlighting is reviewed on a case-by-case basis by the program director. With the approval of the program director, 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.
You meet periodically with various faculty members, administrators and the program director to discuss your individual career goals. Mayo recruits many of its staff physicians from its own training programs, so when you successfully complete the Hematology/Oncology Fellowship, job opportunities may be available at one of Mayo Clinic's group practices.
To ensure that you acquire adequate knowledge and develop your technical skills, your performance is monitored carefully during the course of the Hematology/Oncology Fellowship. You are formally evaluated by your supervising faculty member after each clinical rotation and get periodic feedback.
In addition, you regularly evaluate the faculty and the program to ensure that your educational needs are being met. Twice a year, the Clinical Competency Committee will evaluate the fellows based on the ACGME milestones, and these results will be reviewed one-on-one with the fellows.