Clinical Training Component
Clinical activities for the program take place at the Stanford Cancer Center, Stanford Hospital and Clinics (SHC) and the Veterans Affairs Palo Alto Health Care System Medical Center (VAPAHCS).
Clinical faculty of the respective divisions participate in the supervision of fellows in patient care activities. Faculty specialty clinics are held Monday through Friday at the Stanford Cancer Center. Outpatient clinics in general oncology are held twice weekly at the VAPAHCS, and the hematology clinic meets weekly at the VAPAHCS. Laboratory hematology consists of a one-month outpatient block which exposes fellows to transfusion, coagulation, and also molecular diagnostics/flow. Fellows also get exposed to 2 weeks on the palliative care service.
Inpatient services at Stanford University Hospital include the Medical Oncology Service, the Hematology Service (Med 8), and the Consult Services. The Hospital Oncology fellow has the primary role of providing consulation to oncology patients on other inpatient services, and he/she will be a critical resource for supervising the internal medicine housestaff on the inpatient team.
The fellow supervises housestaff on the Med 8 service, providing acute care for hematology patients. The VAPAHCS inpatient service provides oncologic and hematologic consultation to the medical services. There are no primary inpatient oncology or hematology teams at the VA.
Fellows see a wide variety of cancers in faculty clinics emphasizing subspecialty oncology at the Stanford Cancer Center. Each disease specialty also has combined multidisciplinary clinics that offer coordinated care as needed across solid tumors and in cancer genetics. In hematology clinics, fellows see patients with a spectrum of malignant and non-malignant hematology cases, including acute and chronic leukemias, multiple myeloma, myeloproliferative neoplasms, challenging cases in bleeding and thrombosis, anemias, disorders of iron homeostasis, and other benign hematologic conditions.
Clinical research is a critical part of the Stanford Cancer Institute mission and there are many protocols in the respective disease areas. Stanford clinical researchers conduct investigator-initiated research and are active participants in national cooperative groups, including the Eastern Cooperative Oncology Group (ECOG), the National Research Group (NRG), and the Southwest Oncology Group (SWOG).
Affiliations with BMT
A major strength of the program is the close integration of Hematology with the Blood and Marrow Transplant (BMT) Division. During the BMT rotation, fellows care for patients on the 26-bed inpatient unit, the day hospital, the ambulatory treatment unit, and the outpatient clinics.
Hematology/Oncology fellows are assigned to continuity clinics in both hematology and oncology in the combined fellowship.