The Pediatric Hematology-Oncology Fellowship Program at UNC dates back to 1972. We are an accredited three-year fellowship which accepts up to three new residents each year.The variability in number reflects both the applicant pool and our historic use of fundraising and grants to support salaries.
Over the past few years, we have been part of combined medicine/pediatric NIH T32 training grants in hematology and oncology so that we anticipate two to three fellows yearly.
We currently accrue approximately 90 new cancer patients yearly, with a broad range of diagnoses. Our sickle cell and hemophilia clinics each follow several hundred patients. Daily clinics often see 30-40 patients.
We have a faculty dedicated to our joined missions of patient care, research and teaching, and fellows who have gone on to the usual range of academic careers. Our multidisciplinary team includes PNPs, RNs, social workers, school teachers, psychologists, recreation therapists, as well as colleagues in other divisions.
Medicine-Pediatrics Combined Fellowship
We have also had a number of fellows with medicine-pediatrics training do combined medpeds hematology-oncology training. This requires separate application to and acceptance by the Division of Medical Hematology-Oncology, and approval by the ABP and ABIM (which we take care of once a candidate has accepted offers from both programs).
Individuals do an initial clinical year either in pediatric hematology-oncology followed by a clinical year in medical hematology-oncology or vice-versa. Subsequent years are similar to what is described in the schedule tab. These trainees would be eligible to sit for boards in pediatric hematology-oncology and in medical hematology or oncology, but not both.
Fellows are salaried for all three years through our fundraising efforts but are encouraged to apply for grants to help support second and third year research activities.
Fellows generally spend the first year in dedicated clinical rotations, with the the next two years 80 percent protected for research (clinical, basic or translational).
Rotations, which fulfill ABP subspecialty board requirements, include:
- Four months on our inpatient general hematology oncology service
- Three months in outpatient clinics (general hematology-oncology as well as dedicated sickle cell, hemophilia/thrombophilia, neurooncology, bone marrow transplant, survivors clinics)
- Two months of bone marrow transplant (allo and auto, UCB included)
- Two months with time on transfusion medicine/hemepath/radiation oncology/cytogenetics
- Four weeks of vacation
There is a dedicated lecture series that alternates weeks with our multidisciplinary tumor board. Throughout the three years of training, fellows attend these sessions as well as a half day of clinic weekly.
Night call, taken from home, varies depending on rotation but is well within ABP duty hour requirements.
During the research years, weekend call schedule still averages every fourth weekend and there is a no more than one week-day night call per week.
Didactic sessions are ongoing and include:
- Weekly patient management
- Bone marrow transplantation
- Slide review conferences
- Alternate week tumor boards and a board review course
- A two-month introduction to research, teaching basic statistics, grantsmanship, manuscript writing, IRB issues and other fundamentals of academics
Research plans are established early during the first year to allow us to help fellows organize a Scholastic Oversight Committee as required by the ABP.
We have had fellows engage in a wide range of research activities involving molecular biology, gene therapy of hemophilia, clinical hemophilia and thrombophilia, cancer epidemiology, survivorship, sickle cell disease and palliative care.
Opportunities are available within our own division, the Lineberger Comprehensive Cancer Center, UNC's School of Public Health and other University divisions and departments.
All fellowship applications should be completed through ERAS.
Address applications to:
Fellowship Program Director
Division of Pediatric Hematology-Oncology
170 Manning Drive 1185A POB
University of North Carolina
Chapel Hill, NC 27599
Additional information is available from UNC Lineberger.