pediatric hematology/ oncology fellow handbook for 2007 - 2008

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  • 1.University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 1 Pediatric Hematology/ Oncology Fellow Handbook For 2007 - 2008

2. University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 2 Table of Contents Program Statement Program Requirements Program Description General Description Accreditation Certification Components of the Program Clinical Research Program Features Faculty Facilities and Resources General Curriculum General Program Content Knowledge and Clinical Experience Skills Clinical, Technical and Procedural Scholarship Research Standard of Conduct Humanistic and Ethical Behavior Summary of Curriculum Goals and Objectives Goals of the Fellowship Continuity Clinic Inpatient Rotation Pathology/Hematopathology/Coagulation Bone Marrow Transplant Adult Hematology Radiation Oncology Transfusion Medicine Conferences 3. University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 3 Other Educational Activities Evaluation Procedures First Year Evaluation Second and Subsequent Years Evaluation Evaluation of Fellow Performance Fellow Evaluation of Rotation Fellow Evaluation of Faculty Promotion, Probation, Suspension and Dismissal Important Policies for 2007 2008 Supervision Eligibility and Selection Vacation and Leave Moonlighting Work Hours Call Responsibilities Standards of Performance Due Process Evaluation Appendix Form for Fellows to Evaluate Rotations Form for Attendings to Evaluate Fellows Program Director Meeting Form 4. University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 4 Program Statement Hematology/Oncology as a Subspecialty of Pediatrics Satisfactory completion of an accredited program in Pediatrics is a requirement for entry into this subspecialty training program. Subspecialty training in Pediatric Hematology/Oncology is a voluntary component of education in Pediatrics. Requirements of the Fellowship Program The primary requirements of the Fellowship program include: Appropriate progress in achieving clinical competence as specified below. Successful completion of all clinically related tasks required on each specific rotation. These include attendance at clinics, performance of consultative history and physical examinations, daily (or more frequent as medically indicated) follow-up of inpatients, and performance of all requested emergency and inpatient consultations. Maintenance of all medical records pertaining to patient care in an accurate and timely fashion. Hospital and Pediatric Hematology/Oncology Division records need to be complete and accurate, legible, and appropriately detailed. Dictations need to be done within 24 hours of the clinic visit and consultation notes placed on the hospital chart within 24 hours of providing the consultation. Regular attendance at all educational activities (journal club, tumor board, clinical and research conferences) of the division. Subspecialty conferences and meetings are mandatory for the Fellow(s) assigned to the specific rotation, and optional for all other Fellows in the program. Familiarity with and comprehension of Pediatric Hematology/Oncology literature. The Fellow is expected to read widely on topics pertaining to patients in whose care the Fellow is currently involved. Fellows will be asked to take part in and present at a number of conferences throughout their training. It is expected that their efforts will reflect an appropriate amount of thought and work in developing the topics. Annually, the Fellow is expected to do at least one 1-hour special conference presentation. The Fellows in the first year will be expected to do a literature search and a presentation of the subject, while in the second and third years will present results of either clinical or basic science research. The Fellows presentations will be evaluated and critiqued by the staff, and it is expected that these presentations will be worthy of presentation at a regional or national meeting and comparable to such presentations in terms of scientific quality and use of audiovisual materials. 5. University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 5 Fellows are expected to maintain a log of procedures performed during their training, including bone marrow aspirates and biopsies, lumbar punctures, paracentesis, thoracentesis, etc. 6. University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 6 Program Description General Program Description Program Accreditation Certification in Pediatric Hematology/Oncology 7. University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 7 General Program Description The University of Utah is the major teaching and research institution in the intermountain west. The University of Utah School of Medicine uses Primary Children's Medical Center (PCMC) as its primary training site for Pediatrics. The University of Utah Health Sciences Center (UUHSC) is also used as a part of Pediatric Hematology/Oncology training program. Major clinical care and clinical and basic research programs are a part of all specialty programs including Pediatrics and Pediatric Hematology/Oncology. The Pediatric Hematology/Oncology Division staff at PCMC and UUHSC is made up of full-time academic faculty members in the University of Utah Department of Pediatrics (see faculty list and appendix for detailed faculty information). Program Accreditation and Relationship to Pediatrics The Hematology/Oncology subspecialty training program at the University of Utah is an integral part of the residency program in Pediatrics, which are together accredited by the Accreditation Council for Graduate Medical Education (ACGME). The Pediatric and subspecialty training programs in the department of Pediatrics are all ACGME accredited programs in the University of Utahs School of Medicine. These programs include complete and in-depth training in all aspects of Pediatrics, its subspecialties, and in clinical and basic research. The Pediatric Hematology/Oncology training program is offered as a three-year Fellowship. Certification in the Subspecialty of Hematology/Oncology The American Board of Pediatrics offers certification in the subspecialty of Pediatric Hematology/Oncology upon successful completion of the certification examination given by the Board. Specific requirements for certification are given later in this packet. 8. University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 8 Components of the Program Clinical Research 9. University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 9 Components of the Program Clinical Component The Pediatric Hematology/Oncology training program includes 1-6 Fellows who interact on a daily basis with faculty, with each other, and with the general and subspecialty clinical services from Pediatrics and allied medical and surgical specialties. The program consists of structured educational activities including inpatient and outpatient experiences, consultative rotations, technical training, conferences, didactic lectures, teaching experiences, assigned readings, review sessions, and research training. All of these are designed with specific goals, implementation methods, and evaluations so that the Fellow can acquire all of the knowledge, cognitive, technical, interpersonal, humanistic, research, professional and judgment skills necessary to be an academic Pediatric Hematologist/Oncologist and a responsible and contributing part of the medical community and society. The first year of the Fellowship is a clinical year with 5- 6 months of inpatient service and 5-6 months of rotations including Outpatient Clinic and Consultations, BMT (1 month), Pathology and Laboratory Medicine (1 month), Adult Hematology (1 month), Radiation Oncology (I month), and 3 weeks of vacation. Each of the specific educational components is detailed later. Research Component The second and third years of the Fellowship are dedicated to basic science research training. A broad range of research resources and opportunities are available in the division, the department, and the institution. There are tremendous research opportunities available through the University of Utah and the Huntsman Cancer Institute. We recognize that successful research training may not be completed in two years, and are committed to facilitating additional training as appropriate to meet the needs of the Fellow. 10. University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 10 Program Features Faculty Facilities and Resources 11. University of Utah Department of Pediatrics Hematology/Oncology Fellow Handbook Revised January, 2007 Page 11 General Features of Training in Pediatric Hematology/Oncology Subspecialty training in Pediatric Hematology/Oncology at the University of Utah provides advanced training to allow the Pediatric Hematology/Oncology Fellow to acquire consultative expertise. All major dimensions of the curriculum (described later) are structured educational experiences with specified goals and objectives, a defined methodology for teaching/learning, and an explicit method for evaluation. The curriculum assures that Fellows will have the opportunity to achieve the cognitive knowledge, psychomotor skills, interpersonal skills, professional attitudes, and practical experience required of a sub-specialist in Pediatric Hematology/Oncology. In addition, Fellows will be expected to maintain in-depth knowledge of Pediatrics, as Hematologist/Oncologists are often called upon to provide primary care to patients. The program at the University of Utah emphasizes scholarship, self-ins

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