There are a total of 6 Fellows, two in each year of the Program. Rotations at Roger Williams Medical Center (RWMC) are structured to emphasize 1) Inpatient Care and Consultations and 2) Ambulatory Oncology/Hematology. Rotating Fellows on the Hematology/Oncology service divide their time on the inpatient consult service with most patient care on the East-1 Oncology Unit and occasionally can joining their service attending to follow patients on an outpatient basis. Fellows rotating through the Bone Marrow Transplant service spend their time on inpatient care on the BMT Unit.
Rotations at Memorial Hospital of Rhode Island (MHRI) are primarily outpatient rotations with new inpatient consults being typically done by Fellows too. Rotations at the Veterans Administration Medical Center (VAMC) typically cover the inpatient consult and service aspects of patient care. Consult service rotations at Rhode Island Hospital (RIH) are done by second or third year fellows and provide valuable exposure to diverse clinical cases..
The outpatient experience for the Fellows is clinically diverse and covers the entire spectrum of hematology and oncology cases. Fellows spend the majority of their outpatient experiences in their longitudinal primary-site clinics which are supplemented through focused second-site clinics block rotations.
Primary Site Clinics
Each fellow has a primary Longitudinal Clinic at one of the participating hospitals, where they follow a diverse cohort of patients throughout the entire 3-year period. Fellows are expected to encounter, diagnose, treat, and perform surveillance on a full complement of hematology and oncology cases during their 3-year experience with the goal of achieving competency and training at completion of their training. The primary site clinics are based at RWMC, MHRI, and the VAMC.
Second Site Clinics
Starting from their second-year onwards, all Fellows are required to have one ongoing second site clinic which has a more focused clinical experience depending on personal interest of each Fellow. These second site clinics are of no more than 3-6 month durations for each fellow.
- Benign and Malignant Hematology
- Women's (Breast & GYN) Health
- Thoracic Cancers
- Genitourinary Cancers
- Gastrointestinal Cancers
Popular electives that are strongly recommneded for Fellows are listed below. Rotations in these electives are invaluable in the multi-disciplinary management of hematology and oncology patients.
- Radiation Oncology
- Blood Banking and Coagulation
- Palliative & Hospice Care
- Surgical Oncology
The majority of the inpatient and consultation rotations exposure for Fellows is at Roger Williams Medical Center (RWMC).
Rotating Fellows on the Hematology/Oncology service at RWMC divide their time on the inpatient consult service with most inpatient care on the East-1 Oncology Unit and offering inpatient consult services throughout the hospital units. The East-1 Unit is a 10-bed single-room only unit with Oncology-certified nurses.
Fellows rotating through the Bone Marrow Transplant (BMT) service spend their time on inpatient care on the BMT Unit. The transplant unit is a 7-bed single-room only unit with experienced transplant nurses.
Additionally, first and second-year Fellows get valuable inpatient experience during their rotation at Memorial Hospital of Rhode Island (MHRI). Also, the second and third-year Fellows spend a month undertaking inpatient consult rotations at Rhode Island Hospital (RIH).
The Fellowship program at RWMC is affiliated with Boston University School of Medicine and is fully-accredited by the Accreditation Council of Graduate Medical Education (ACGME). The six ACGME core-competencies form the bed-rock of all educational activities of the program:
- Patient Care
- Medical Knowledge & Skills
- Practice-based learning
- Systems-based learning
- Communication skills
Educational activities are provided at RWMC in the following areas:
- Inpatient and outpatient Clinical teaching
- Expansive didactic Conference schedule
- Ongoing Research participation
Fellows are evaluated by Faculty Observation, supervision and discussions as well as formal evaluations at the end of each rotation. All Fellows undergo in-training examinations with a view to preparation for their board examinations. Fellows are required to take the following examinations:
- American Society of Clinical Oncology In-training examination (ASCO-ITE)
- American Society of Hematology (ASH) In-service examination (ASH-ISE)
Besides the rotations at RWMC, the following additional hospital sites are part of the expansive fellowship schedule and each Fellow will rotate at these sites during their 3-year training program:
- Memorial Hospital of RI
- Women and Infants Hospital of RI
- Veterans Administration Medical Center
- Rhode Island Hospital
The table below lists the separate sites based on the competencies being assessed:
|Selective Sites||Patient Care||Medical Knowledge Skills||Practice Based||Systems Based||Communication skills||Professionalism|
|Blood Banking & Coagulation
(Home & Hospice Care)
|Elective Sites||Patient Care||Medical Knowledge Skills||Practice Based||Systems Based||Communication skills||Professionalism|