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Clinical Education

"Looking for Bucky," a large, painted fiberglass cow by artist Paul Muckler, is displayed in the UW Sports Specialty Procedures Clinic waiting room at the American Family Children's Hospital.

"Looking for Bucky," a large, painted fiberglass cow by artist Paul Muckler, is displayed in the UW Sports Specialty Procedures Clinic waiting room at the American Family Children's Hospital.

 

A watercolor of a Wisconsin tennis player by Madison artist Paul Briskey is displayed amid medical equipment in a UW Sports Specialty Procedures Clinic room at the American Family Children's Hospital.

A watercolor of a Wisconsin tennis player by Madison artist Paul Briskey is displayed amid medical equipment in a UW Sports Specialty Procedures Clinic room at the American Family Children's Hospital.

 

Twinkling ceiling lights in a treatment room, intended to soothe patients during long procedures, are seen during a media tour of the American Family Children's Hospital.

Twinkling ceiling lights in a treatment room, intended to soothe patients during long procedures, are seen during a media tour of the American Family Children's Hospital.

 

A central staff station on prairie-themed inpatient floor is seen during a media tour of the American Family Children's Hospital.

A central staff station on prairie-themed inpatient floor is seen during a media tour of the American Family Children's Hospital.

Goals & Objectives

  • To develop a knowledge base in the pathophysiology of hematologic, immunologic, and oncologic disorders; the pharmacology and use of chemotherapeutic agents; the fundamental principles of radiation oncology; blood banking; coagulation; nutrition and bone marrow transplantation; and the diagnosis and management of infectious complications seen in the immunosuppressed host
  • To use the broad databases of history, physical examination, and laboratory evaluation to develop a systematic, logical approach to clinical decision making
  • To include ethical, socio-economic, and physiological considerations when developing a comprehensive treatment plan appropriate to the unique circumstances of each patient

Fellow Roles on the Inpatient Service

  • Lead daily family-centered, multidisciplinary rounds
  • Perform inpatient consults at the children’s hospital and 2 local NICUs
  • With attending staff, deliver inpatient lectures for resident team
  • Home call 4 nights per service week
  • Triage and evaluate hematology and oncology consults and referrals from outside facilities
  • Newly-diagnosed patients with hematologic or oncologic diagnoses will become primary patients of the fellow on service
  • Perform procedures such as bone marrow aspirate and biopsy, lumbar puncture, intrathecal administration of chemotherapy, bone marrow harvest, hematopoietic stem cell infusion and exchange transfusion on all patients admitted to the inpatient service

Fellow Roles in Outpatient Clinics

  • ½ day weekly continuity clinic to see primary patients and new referrals
  • Write chemotherapy for primary oncology patients
  • See patients in each attending faculty member’s clinic (during first year clinic rotations), including weekly bone marrow transplant clinic
  • Perform procedures such as bone marrow aspirate and biopsy, lumbar puncture, intrathecal administration of chemotherapy, bone marrow harvest, and exchange transfusion on all patients seen in outpatient clinics

Multi-Disciplinary Clinics

Didactics

(* = teaching opportunities)

  • *Core curriculum/fellow-led board review course: every Tuesday at noon
  • *Tumor board: every Wednesday at noon
  • *Educational conference: every Thursday at noon
  • Morbidity and Mortality conference: quarterly
  • *Journal club: one evening monthly
  • Pediatrics Grand Rounds: every Thursday morning (each fellow will present one grand rounds in the third year)
  • Oncology Grand Rounds: every Wednesday morning (each fellow will present one grand rounds in the third year)
  • *Hematology course: one semester during second year
  • Biostatistics course: during second or third year

Supplemental Rotations

  • Hematopathology: 2 weeks during first year
  • Radiation oncology: 2 weeks during first year
  • Palliative care medicine: 2 weeks during second year
  • Blood bank: 2 weeks during second or third year
  • Coagulation laboratory: one week during second or third year
  • Outreach clinics: held monthly, travel with attending faculty based on availability

Quality Improvement

Each fellow is expected to participate in a clinical QI project, either devised by the fellow or a prior project that receives substantial contribution from the fellow. Ongoing QI efforts within our division include:

  • Developing hospital-wide guidelines for sharing life altering information with pediatric patients and their families
  • Tracking influenza infections, vaccination rates and vaccine refusal rates within pediatric hematology and oncology patients with an aim toward improving prevention
  • Working with the emergency department, pharmacy and nursing to reduce the time between admission of a febrile neutropenic patient and administration of first antibiotic dose
  • Establishing discharge readiness criteria for common admissions and creating a discharge readiness checklist to assist the inpatient team
  • Evaluating the effectiveness of family-centered rounds hospital-wide and working to improve our interdisciplinary model of care to better include patients and families in daily decision making

Last updated: 06/18/2014
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