Stem Cell Transplantation and Cellular Therapy
The Stem Cell Transplantation & Cellular Therapy Department offers specialized training for physicians interested in bone marrow transplantation. This intensive one-year fellowship is designed to prepare physicians for academic careers in bone marrow transplantation. Two to three applicants are accepted each year. Applicants are expected to be board certified or eligible in medical oncology and/or hematology.
To obtain fellowship information or an application, please contact Ambreen Lakhani, 713-563-3320 or firstname.lastname@example.org.
Clinical Training Program Description Requirements
Senior Clinical BMT Fellow
II. Program Directors
Marcos de Lima, M.D., Director
III. Educational Goals and Objectives
To develop the clinical skills and understanding necessary to become a outstanding provider of care for patients with diseases requiring high-dose chemotherapy and hematopoietic stem cell transplantation. Fellows should additionally develop research skills that will allow them to perform independently in an academic clinical or laboratory setting.
IV. Criteria for Selection of Trainees
Candidates should have completed residency in internal medicine and demonstrate a high level of clinical competence. Most candidates will also have training in medical oncology and/or hematology. References should be provided to demonstrate proficiency during prior clinical training. All available standardized tests (e.g., ABIM exams) will be reviewed. Candidates will be selected based on clinical experience, references, performance on examinations and prior achievements (i.e., presentations and/or publications).
V. Duties and Responsibilities of Trainees
Trainees will participate in both inpatient and outpatient clinical rotations. All clinical care will be under the direction of the supervising BMT staff physicians.
- Demonstrate competence in the pre-transplant outpatient evaluation of patients, including clinical staging and HLA typing, synthesis of an appropriate clinical plan and discussion of risks and benefits of treatment alternatives including informed consent for chemotherapy and clinical trials.
- Write orders for administration of high-dose chemotherapy and supportive care and coordinate the management of medications with clinical pharmacists.
- Identify appropriateness of stem cell product therapy, growth factor therapy and transfusion medicine as is relevant to transplantation.
- Identify, stage and manage acute and chronic GVHD.
- Identify and manage infectious complications of transplantation including suspected and documented bacterial, viral and/or fungal infections.
- Manage thrombotic and hemorrhagic complications of transplantation including bleeding, DIC, TTP and deep venous thromboses.
- Diagnose and manage other complications of transplantation, including hemorraghic cystitis, diffuse alveolar hemorrhage, veno-occlusive disease and graft failure.
- Discuss prognosis and options for supportive care of terminally ill patients.
- Formulate a follow-up plan and educate patients at discharge.
- Understand principles of apheresis and photopheresis as relevant to stem cell collection and for the treatment of TTP and GVHD. Understand contraindications to and complications of apheresis.
- Manage autologous and allogeneic transplant patients in the outpatient setting and assist in the transition of care to referring physicians when appropriate.
- Identify indications and contraindications for marrow harvest, evaluate patient for marrow harvest and learn to perform and manage complications of harvest.
- Identify a problem in clinical transplantation or basic science relevant to transplantation and execute a research project that is likely to lead to publication in a high-quality peer-reviewed journal.
- Derive a thorough understanding of the standards of care in clinical transplantation and the role of experimental therapies for high-risk diseases.
- Follow the clinical and basic science literature relevant to transplantation and present topical articles at the department journal club.
- Understand the importance of the "Team" approach to clinical BMT. Become a team player an interact well with peers, coordinators, nurses, pharmacists, data managers, etc.
All activities will be performed under the supervision of staff.