The first year of fellowship focuses primarily on the development of clinical competency, along with a basic introduction to research and identification of a scholarly research project.
During this year, the fellow spends seven non-consecutive months on inpatient rotation – five months on the combined UIC/Rush inpatient hematology-oncology service and two months on the Stroger inpatient/outpatient combined service. The fellow also spends two months on hematology-oncology outpatient service, where the fellow will attend clinics at UIC and Rush. Regularly attended clinics include the UIC and Rush Hematology/Oncology clinics, UIC Comprehensive Sickle Cell Center, UIC Sickle Cell Acute Care Clinic, the Rush Comprehensive Hemophilia and Thrombophilia Center, and the UIC Long Term Cancer Survivor Clinic. The fellow will also have one month of educational experience in hematopathology, neuro-oncology and pediatric hematopoietic stem cell transplant. One month of pediatric hematopoietic stem cell transplant experience is at the University of Chicago.
The first year fellow experience also includes one month devoted strictly to research methods and scholarly project development. During this time the fellow will explore research interests and develop a research plan with the guidance of the Program Director. The fellow will also spend time meeting with potential research mentors. A Scholarship Oversight Committee (SOC) will be selected, and a primary research mentor will be identified. The fellow is not limited to pursuing research being conducted by Hematology-Oncology faculty, but will be encouraged to evaluate basic, translational, and clinical research programs being conducted in the larger UIC and Rush University communities. During the first year, the fellow is exposed to multiple aspects of clinical research including enrollment of patients on treatment protocols and procedural and ethical issues inherent in managing patients on institutional and multi-institutional protocols.
During the first year, experience will be gained with both acute and chronic problems in pediatric hematology-oncology patients through their weekly continuity clinic. All fellows will have their own patient cohort to follow longitudinally during their three years of fellowship. As the patient’s primary physician, the fellow is expected to become adept at leading family conferences, providing palliative care, and addressing the psychosocial aspects of serious disease. These clinical experiences have been designed to ensure that the fellow meets all of the ACGME clinical experience guidelines.
The first year fellow will have home on call responsibilities two weeknights per week, and one weekend per month.