Fellowship by year
First-year fellows are immersed in clinical hematology-oncology. A typical first-year schedule includes:
- Inpatient hematology-oncology: 16 weeks
- Inpatient and outpatient stem cell transplantation and cellular therapies: 12 weeks
- Outpatient hematology and oncology clinics: 8 weeks
- Radiation oncology, transfusion medicine, and pathology: 6 weeks
- Research and pediatrics board exam preparation: 4 weeks
- Vacation: 4 weeks
- Orientation: 2 weeks
We set aside time during the first year for fellows to find research mentors and develop research questions.
Fellows spend the second year refining their research questions, learning research methodology, and gathering data.
- Fellows have the opportunity to apply for research support through the UNC Lineberger Cancer Center or NIH-funded T32 training grants in a variety of disciplines, including hematology, clinical pharmacology, and immunotherapy.
- Interested fellows can receive tuition assistance to pursue graduate degrees and certificates from the UNC Gillings School of Global Public Health.
- Second-year fellows spend one half-day each week in the outpatient clinic, seeing new and established hematology-oncology patients with their faculty preceptor.
During the third year, fellows prepare for the next stage of their careers: completing research projects; preparing manuscripts; interviewing for faculty positions or secondary training; and mastering clinical skills.
- Third-year fellows continue a half-day of clinic each week.
- Third-year fellows can elect additional inpatient or outpatient clinical rotations.
Throughout fellowship, fellows participate in educational activities within our division, within UNC, and within the pediatric hematology-oncology community at large:
- The pediatric hematology-oncology faculty provides a weekly fellow education conference and board-review sessions.
- Fellows present patients and review clinical trials in a weekly tumor board with pathology, radiology, and surgical subspecialties.
- Fellows critically review articles (and get to know our colleagues up the road) at a quarterly UNC-Duke pediatric hematology-oncology journal club.
- During their research years, fellows are encouraged to present at Pediatric Grand Rounds and the UNC Day of Scholarship.
- We encourage all of our fellows to attend national meetings and present research findings or quality-improvement projects.
Procedures and On-Call Schedules
Throughout their training fellows receive continuous feedback and exposure to essential pediatric hematology-oncology skills:
- Lumbar punctures
- Intrathecal chemotherapy administration
- Bone marrow aspiration and biopsy
- Bone marrow harvesting for transplantation
- Enrollment on clinical trials
- Effective communication
Weekend and holiday call is divided between the first-, second-, and third-year fellows. Fellows covering the inpatient services take call from home on most weeknights.
Combined Internal Medicine-Pediatrics Training
Applicants trained in both internal medicine and pediatrics can apply for a four-year combined fellowship. Graduates with dual training are uniquely equipped to manage care transitions for young adults, offer lifelong care to patients with chronic disorders, and provide long-term follow-up for childhood cancer survivors.
After completing their first year of pediatric hematology-oncology fellowship, fellows in the combined medicine-pediatric program transition the UNC Department of Internal Medicine for another year of clinical training. During their third and fourth years, fellows work with a mentor in pediatrics or internal medicine to complete a research project that fulfills the eligibility requirements of both subspecialty boards.