This fellowship is an academic training program focused on developing the skills necessary for a successful career as an Academic Oncology Hospitalist. The program begins on July 1 of each year. This is a one-year program of clinical and research training, with the possibility to extend for a second year of research. The fellows are expected to spend the majority of their time developing clinical and research experience that will enhance their academic careers.
Onco-hospitalist fellows rotate through the hospitalist service, inpatient oncology, palliative/supportive care and inpatient subspecialties. Fellows are encouraged to pursue coursework in research methodology, according to his/her research needs during the fellowship. Protected academic time will be provided to this effect. Fellows are expected to develop and master their clinical skills in the diagnosis and management of the very complex cancer patients, and initiate and complete research projects emanating from hypothesis-generated clinical issues. These research efforts should develop into publications and presentations in professional journals and conferences. A faculty mentor will be assigned and will meet with each fellow individually on a regular basis and advise and guide them regarding their clinical progress and research projects. In addition, onco-hospitalist fellows will be expected to further develop skills in teaching and writing abstracts and grants.
The fellow will also participate and present at the Journal Club and Research Conferences and is expected to attend Institutional Grand Rounds, the Division of Internal Medicine’s bimonthly CME lectures and other relevant institutional lectures or courses.
Applicants must be a graduate of a U.S. medical school with a degree of M.D. or equivalent. The fellowship candidate must have successfully completed an internship and residency in internal medicine and must also be eligible for a Texas medical license.
Marketing for this position begins in October of each year for the following year’s candidate. Each candidate is required to send the following:
- Curriculum vitae
- 3 current recommendation letters written in support of this fellowship program
- A personal statement
- Copy of USMLE score
- Visa status
This information is reviewed by the program director and candidates are contacted for Skype or telephone for interviews.
All fellows will be subject to the same detailed quality assurance oversight and quality improvement strategies required of all faculty within the Hospital Medicine department. This will assure compliance with all state and federal regulations that assure patient safety and confidentiality. Fellows will be expected to attend QA sessions at the departmental meetings where specific issues regarding inpatients, new patients, and consults are discussed by the Hospital Medicine department team. In addition to this, the fellow will be required to be actively involved in either a quality assurance or quality improvement project within the Hospital Medicine department during the first (and optional second) fellowship year.
All fellows will benefit from a comprehensive mentoring approach during their training. A research mentor will be assigned to the fellow at the beginning of the first year and will work closely with the fellow throughout the year to complete a research project. The mentor will meet with the fellow to create a personalized plan of action to achieve his/her research goals. They will meet at least once a quarter to review the fellow’s progress in achieving his/her goals and to ensure experiential training objectives are met. Should the fellow enter the second optional year of fellowship, the fellow will either expand his/her work with the same mentor or choose another mentor for further work in another area. A designated administrative assistant will provide general administrative support for the fellow.
At the end of the first year of training, the fellow is expected to be knowledgeable about appropriate diagnostic, therapeutic, and palliative approaches to the treatment of cancer patients who are admitted to the inpatient hospitalist service at MD Anderson. At the end of an optional second year of training, the fellow is expected to be competent to assume independent investigations in a clinically-oriented research program.
In order to obtain a certification of training, the fellow must fulfill the following requirements:
- Successfully meet objectives of the Oncologic Internal Medicine Fellowship program
- Receive an overall evaluation score of competent or above
- Attend didactic lectures and conferences as described in the program manual
- Provide documentation of research project (to be submitted at the end of the year)
During each year of training, fellows are evaluated a minimum of four times. At least two clinical or research mentors will be asked to evaluate the fellow on his/her competencies within the program during each year of training. Additionally, the program director will evaluate the fellow’s progress and share the results of their performance evaluations to date four times per year. Trainees having less than a satisfactory review will be contacted by the program director to discuss the evaluation and remedial plan of action, if necessary.
During clinical rotations, fellows will have their clinic skills and decision-making abilities reviewed by the supervising attending. Informal criticism or recommendation will be relayed to the program director as needed. This information will be compiled and incorporated into the quarterly evaluations of the fellows.
Trainees will be provided a form to evaluate the program and faculty and make recommendations that may lead to improvements in the training and research experience.
Compensation/stipends will be based on institutional standards and the number of years of postgraduate training the fellow has received.
MD Anderson Cancer Center is committed to encouraging good health and staying true to our mission to end cancer. If you are applying for a GME fellowship or residency program starting on or after July 1, 2016, please be advised that MD Anderson will have instituted a tobacco-free hiring process as part of its efforts to achieve these goals. If you are offered an appointment, you will be subject to a Pre-Employment Drug Screen for tobacco compounds in compliance with applicable state laws. If you do not pass the urine drug screening which includes testing for tobacco compounds, you CANNOT be appointed at MD Anderson. Should you fail to meet this contingency, MD Anderson will withdraw your offer of appointment for the academic year. You may reapply for the following academic year, but there are no guarantees that you will be offered a position as many of our programs are already filled for several years out.