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Fellowship Training

First Year

The first year of the fellowship program is an intensive clinical experience designed to allow the fellow to develop skills in diagnosis and management of pediatric hematology-oncology problems. Fellows rotate on the three core inpatient services (Hematology-Oncology, Stem Cell Transplant and Cellular Therapy, Hematology Consult) as well as the neuro-oncology outpatient service and dedicated time with palliative care, pediatric stem cell transplant clinic, hematopathology, radiation oncology, and clinical labs. In addition, a hematology-oncology outpatient continuity clinic is maintained throughout all three years.

The rotations are divided as follows:

Rotation Duration (weeks)
Pediatric Hematology-Oncology (inpatient) 17
Pediatric Bone Marrow Transplant (inpatient) 10
Hematology Consult Service (inpatient) 8
Palliative Care (inpatient) 2
Neuro-oncology (outpatient) 6
Pediatric Bone Marrow Transplant Clinic (outpatient) 2
Vacation 4
Elective: Heme Path, Rad Onc, Clinical Labs 3

Second and Third Years

During the second and third years, fellows pursue independent research and can select from all laboratories on the campus of Duke University. In addition, up to one fellow per year may enter the Clinical Research Training Program offered through the Duke Clinical Research Institute. Fellows participate in the night and weekend call schedule on Hematology-Oncology and Blood and Marrow Transplant throughout the three years of the program. Call is from home with immediate faculty back-up available. In addition to the daily instruction that fellows receive from faculty on the inpatient services, and mini-rotations, there are frequent clinical conferences designed to enhance the fellows’ learning experience. These include:

  • Hematology Teaching Conference 
  • Oncology/Stem Cell Transplant Teaching Conference 
  • Tumor Board 
  • Inpatient Hematology-Oncology Patient Care Conference 
  • Social Service/Psychosocial Conference 
  • Blood and Marrow Transplant Patient Conference 
  • Hematopathology Conference 
  • Protocol Conference 
  • Morbidity and Mortality Conference 
  • Journal Club 

Fellows learn academic teaching skills by participating in the education of Pediatric Housestaff and medical students through informal teaching on the clinic and ward service teams as well as by presenting formal didactic lectures on topics in pediatric hematology-oncology for fellows, housestaff, and students. The Tumor Board and Journal Club discussions are presented by fellows with faculty mentoring. Additionally, the Department of Pediatrics organizes a Pediatric Fellows Research conference that provides a forum for fellows in their second or third year to discuss their research projects with colleagues and faculty.