City of Hope pilots a ward system to enhance the inpatient experience for fellows. The ward system team combines one attending, one fellow and one physician extender (either a nurse practitioner or physician assistant) to manage the solid oncology service. Throughout the solid oncology service, fellows have one-on-one teaching in either one of several key areas of inpatient oncology through organized didactics led by teaching faculty.
The inpatient service focuses on the management of acute complications of cancer (oncological emergencies) and the management of acute complications of treatment. In addition, the service provides exposure to high risk inpatient chemotherapy and biological therapies (high dose IL-2, high dose methotrexate, intraperitoneal chemotherapy, ifosfamide-based chemotherapy).
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, during the course of the year, fellows accumulate a large roster of their own patients for whom they are responsible. The Harbor outpatient continuity clinic is a multispecialty medical oncology clinic that simulates a general medical oncology practice. Fellows take the primary responsibility of caring for their continuity patient for the full three years of fellowship.
City of Hope outpatient medical oncology rotations include a six-month block with a focus on multispecialty clinics. These rotations allow for a focused exposure on gastrointestinal cancers, thoracic malignancies, genitourinary malignancies, breast cancer, and rare tumors (soft tissue, melanoma, endocrine, brain). Throughout these rotations, fellows are paired with nationally a renowned subspecialized medical oncologist and are exposed to leading-edge teaching and clinical research.
The outpatient experience also allows for 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.
How to Apply
Apply to: Harbor-City of Hope program, Hematology and Oncology/Research (Code: 1067155F0).
Please note that the application for the City of Hope track is not distinct from the Harbor-UCLA/Kaiser track. However, at the time you are selected for interview, you will be offered a choice of either of the two programs (or both, at the discretion of the selection committee). Be sure to apply in a timely fashion.