City of Hope will pilots a ward system to enhance the inpatient experience for fellows. The ward system will involve a team that combines one attending, one fellow and one physician extender (either a nurse practitioner or physician assistant) to manage the solid oncology service. Through the solid oncology service, fellows will have one-on-one teaching in either one of several key areas of inpatient oncology through organized didactics led by teaching faculty. The areas to be covered are:
- Intraperitoneal chemotherapy
- High dose IL-2 administration
- High dose chemotherapy followed by stem cell transplant
- High dose methotrexate administration
- Chemoembolization and hepatic artery infusion (liver directed therapy)
The outpatient experience in oncology at City of Hope has always been one of the highlights of the program. The system is built to allow continuity of care and, through the course of the year, fellows accumulate a large roster of their own patients for whom they are responsible.
Monthlong blocks on one of several rotations allow the fellows to ultimately gain knowledge and insight into the variety of malignancies they will ultimately see in practice. Fellows work elbow to elbow with attendings who are nationally recognized experts in their tumor type. Fellows participate in Solid Tumor Program directed tumor boards weekly.
The outpatient experience also allows for an experience in clinical trial enrollment. City of Hope is a contributor to several large cancer research consortiums, including the Southwest Oncology Group and the National Surgical Adjuvant Breast and Bowel Project.