Hem/Onc Clerkship
Welcome to the Elective Rotation in Hematology/Oncology for Third and Fourth Year Medical Students. We have recently updated the educational components of this rotation to give you a broader experience while allowing you to focus on your chosen area of hematology or oncology.
Requirements of the clerkship include mandatory attendance at the following conferences:
Department of Medicine Grand Rounds on Tuesday morning at 7:30 a.m. (usually in LR-D)
Hematology/Oncology Grand Rounds on Thursdays mornings at 7:45 a.m. (usually in T2500)
Fellow Case Conferences twice a month
Tumor Boards
Resident Teaching Sessions
Reading materials will be made available online in the near future. Topics include:
BENIGN HEMATOLOGY:
1 - Overview of Anemia
Current Concepts in the Pathophysiology and Treatment of Aplastic Anemia
Algorithm for the Laboratory Investigation of Anemia in Adults
2 - Bleeding Disorders
3 - Sickle Cell Anemia
Causes and Outcomes of the Acute Chest Syndrome in Sickle Cell Disease
Update in the Treatment of Sickle Cell Anemia
Disorders of Hemoglobin Structures
Complications Associated with Sickle Cell Trait
4 - Thrombocytopenia
General Aspects of Thrombocytopenia, Platelet Transfusions and Thrombopoietic Growth Factors
5 - Thrombophilia
Natural History of Venous Thromboembolism
6 - Metabolic Disorders
Guidelines for Management of Pediatric and Adult Tumor Lysis Syndrome
How I Treat Waldenstrom Macroglobulinemia
ONCOLOGY OVERVIEW:
7 - Overview of Chemotherapy (Cytotoxic Drugs & Molecularly Targeted Therapeutics)
Apoptosis and Non-apoptotic Deaths in Cancer Development and Treatment Response
2000 Years of Chemotherapy of Tumors
8 - Oncologic Emergencies
A Systemic Approach to the Bleeding Patient
9 - Neutropenic Fever
10 - Management of Adverse Events (Pain Management, Control of nausea & vomiting)/Palliative Care
American Society of Clinical Oncology Guidelines for Antiemetics in Oncology
MALIGNANT HEMATOLOGY:
11 - Common Leukemias
Management of Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia
Treatment of Adult Acute Lymphoblastic Leukemia
Curative Strategies in Acute Promyelocyte Leukemia
From Pathogenesis to Treatment of Chronic Lymphocytic Leukemia
12 - Lymphomas
How I Treat Patients with Diffuse Large B-cell Lymphoma
Clinical Features, Prognosis and Treatment of Follicular Lymphoma
13 - Multiple Myeloma
14 - Stem Cell Transplantation
Hematopoietic Stem-Cell Transplantation
SOLID TUMORS:
15 - Gastrointestinal Cancers
Colon Cancer
Systemic Treatment of Colorectal Cancer
Renal Cancer
Kinase Targets in Renal-Cell Carcinoma
Update on the Application of Interleukin-2 in the Treatment of Renal-Cell Carcinoma
Carcinoid
16 - Breast Cancer
17 - Lung Cancer
The Role of Irreversible EGFR Inhibitors in the Treatment of Non-Small Cell Lung Cancer
The Revised TNM Staging System for Lung Cancer
Systemic Chemotherapy for Advanced Non-Small Cell Lung Cancer
Management of Lung Cancer in Older Adults
18 - Head and Neck Cancer
Expanding Role of the Medical Oncologist in the Management of Head and Neck Cancer
19 - Genitourinary Cancers
Prostate - Localized Prostate Cancer
Testicular - Testicular Germ-Cell Cancer
Bladder - Bladder Cancer
20 - Gynecological Cancers
21 - Brain Tumors
22 - Miscellaneous References
Skin Cancer - Management of Cutaneous Melanoma
Sarcomas - Soft Tissue Sarcomas in Adults
Endocrine Malignant Neoplasms - Adrenocortical Carcinoma
Expectations of the Hematology/Oncology Rotation:
- You will be responsible for two (2) patient write-ups during each week,
Week 1: 1 Inpatient; 1 Consult
Week 2: 1 Inpatient; 1 Clinic New Patient
- Inpatient Service
- You are expected to round with interns and residents
- Take the initiative to present your patients on attending rounds
- Each week, you are required to give a 5-10 minute presentation on a topic relevant to one of your inpatients
- Provide the attending a copy of a patient admission write-up that includes an H&P as well as an assessment and plan by problem
- Remember to ask the attending to observe your skills while giving the patient a physical exam and your interaction with the patients
- Consult Service
- Participate in consultations on two afternoons each week
- Remember to ask the attending to observe your skills while giving the patient a physical exam and your interaction with the patients
- Rounds
- Pick up patients with interns on inpatient service
- Take initiative to present your patients succinctly by active problem during attending rounds
- Outpatient Clinics
- Outpatient Clinics in the afternoons are required for Thirs Year students on two weekdays. You are expected to attend different clinics on each day of your rotation to gain an appreciation of the various subspecialties within hematology/oncology
- Case Conferences , organized by the fellows twice a month, provide a good opportunity to learn about various oncologic and hematologic diseases as well as their molecular pathogenesis and modern therapies
We look forward to providing a positive educational experience for each of you. Our goal is to enhance your learning experiences in the sub-specialty of hematology/oncology so that you can take away a good understanding of the problems the patients face as well as the approaches that are currently being used to manage them. We hope that you will also gain an appreciation for various psychosocial aspects, home care needs, the importance of communication with patients and families, goals of care in different settings, and appreciate the art of medicine in situations where only comfort measures are possible. We hope you also understand something about the limitations of the current diagnostic and therapeutic approaches and open questions for future research. Each of our faculty is involved in some research activities and there are numerous opportunities for additional learning experiences and research projects for interested students. We wish you well during your rotation and throughout your professional careers.
W. El-Deiry, M.D, Ph.D.
Division Chief, Hematology/Oncology