Pediatric Hematology and Oncology Fellowship
The Pediatric Hematology and Oncology Fellowship at Vanderbilt is a three-year program designed to provide clinical and scholarly training for a career in academic medicine.
Requirement: Applicants must have successfully completed an ACGME/RCPSC certified residency program and are board eligible or certified in General Pediatrics.
Specific goals of the fellowship include:
The program is supported by training grants from the National Institutes of Health. The pediatric oncology program is part of the Vanderbilt-Ingram Cancer Center (VICC), the only National Cancer Institute-designated comprehensive cancer center in Tennessee providing clinical care and conducting research in childhood and adult-onset cancers. We are a full member of the Children's Oncology Group, where several of our faculty have leadership roles.
Clinical and Research Resources
The focus of pediatric clinical care and education takes place in the Monroe Carell Jr. Children’s Hospital at Vanderbilt. This freestanding Children’s Hospital is physically connected to the Vanderbilt-Ingram Cancer Center by a bridge, allowing for facile interaction and collaboration. The Children’s Hospital has 271 patient beds, over 800,000 square feet of clinical care space and state-of-the-art informatics, technical support and equipment. There are 42 pediatric intensive care beds, 16 operating and procedure rooms, a 38-room emergency department and over 10,00 square feet of radiology imaging and reading room spaces.
For pediatric hematology/oncology, there are 19 dedicated beds in our myelosuppression unit, with additional beds available on adjoining units. Also contained within the Children’s Hospital are 11 floors of outpatient facilities and physician office space for pediatric medical and surgical subspecialties. This includes our 6,300 square foot outpatient hematology/oncology clinic with 12 patient rooms and 14 infusion chairs. Our hematology/oncology inpatient and outpatient facilities supported 1100 inpatient admissions and 15,000 outpatient visits in the past year. A separate clinic for our pediatric and adult cancer survivors encompasses another 3,850 square feet of space with seven patient rooms.
Our Division of Hematology/Oncology includes a multidisciplinary team of board certified hematology/oncology attending physicians, inpatient and outpatient nurse practitioners, dedicated pharmacists, social workers, child life therapists and inpatient and outpatient nurses and case managers. We see over 200 new oncology patients each year, have a population of over 250 families with sickle cell disease and over 200 patients with bleeding disorders and care for patients with all oncologic and hematologic disorders. We have specialized multi-specialty programs in Adolescent and Young Adult Oncology (AYAO), Cancer Survivorship, Hemophilia and Thrombophilia, Immunohematology, Neuro-Oncology, Stem Cell Transplant, Retinoblastoma, Sarcoma, and Sickle Cell Disease. All of our faculty participate in the training of our fellows.
Our catchment area brings patients from a multi-state, southeast region made up of 57 counties across three states, including 46 in Middle Tennessee, 10 in Western Kentucky and five in northern Alabama.
Research can be conducted throughout the Vanderbilt campus, where The Department of Pediatrics has 104,115 sq. ft. with multiple locations on the School of Medicine’s campus and the VICC has control over 124,000 sq. ft. of research and administration space, and influence over 186,000 sq. ft. of research space. All the colleges in Vanderbilt University are geographically contained within a compact 330-acre footprint with short walks between all buildings. Research is facilitated by eight well-developed research programs within the VICC and it 12 Shared Resources, as well as a federally-qualified Comprehensive Hemophilia Treatment Center and the Meharry-Vanderbilt Sickle Cell Center of Excellence.
The Department of Pediatrics has 271full-time faculty participating in teaching, clinical care and research. Almost 50 percent of the Department of Pediatrics faculty hold federally funded grants and many serve on NIH study sections and advisory panels. The Department of Pediatrics ranks fifth in the nation in NIH funding in its category. The VICC has nearly 300 researchers and physician-scientists in eight research programs and ranks seventh in the nation in NIH funding in its category.
Outline of Fellowship Training
The first year of fellowship focuses on clinical training in pediatric hematology and oncology. Trainees have responsibility for both hospitalized and ambulatory patients.
First-year fellows spend approximately six months on inpatient and consult services where they receive intensive training within our multidisciplinary team, led by an experienced attending pediatric hematologist/oncologist.
The other six months are spent in the ambulatory setting, devoted to rotations in outpatient hematology and oncology clinics, rotations in hematopathology, clinical pathology and blood banking and radiation oncology.
Each fellow also participates in a weekly half-day continuity clinic for the care of oncology and hematology patients for whom he or she assumes primary responsibility. The fellow is supported by one or more attendings, of which one serves as the primary clinical mentor.
There are regularly scheduled educational conferences that include Department of Pediatrics Research, Grand Rounds, Resident and Fellow Conferences and Division of Hematology/Oncology tumor boards, benign hematology conference, fellows educational conferences and journal clubs and patient management conferences. In addition, there are countless other departmental and center seminars available to all on the campus.
As a consultant to the house staff and medical students, the fellow has an opportunity to develop skills in clinical teaching. To further this experience as an educator, the fellow participates with the faculty in various teaching conferences.
Exposure to clinical research is afforded through participation in the design, implementation, and analysis of therapeutic, epidemiologic, biologic and supportive care studies, many of which are conducted under the aegis of the Children's Oncology Group.
Individualized mentoring is provided to all fellows to assist them in identifying a scholarly niche, research mentor and project for their second and third year of fellowship. We encourage every fellow to explore their future goals and passions, to identify a research mentor to assist them in their development as an academic scholar.
Years Two and Three
Fellows continue to participate in their weekly half-day continuity clinic. Participation in specialty clinics can be arranged to individualize the fellows’ training to align with their future goals.
All regularly scheduled educational conferences continue during the second and third years of training and the fellow continues to develop skills in clinical teaching.
Exposure to clinical trials research continues as it is incorporated in clinical care.
The major portion of the second and third years are devoted to the development and implementation of a scholarly project that will teach and develop research skills critical for future academic success.
Fellows having a primary interest in clinical research may have an opportunity to enroll in Master of Public Health (MPH) or Master of Science in Clinical Investigation (MSCI) programs, as well as responsibility in ongoing therapeutic trials.
Fellows with laboratory-based research interests may elect to pursue their research experience with any member of the Vanderbilt faculty.
For those fellows who desire additional research career development, there are multiple training grants to which they may apply for an additional one to three years of training to serve as a bridge for extramural funding. Division faculty and primary research mentors assist fellows in the grant preparation.
Other General Information About our Fellowship
Our training program participates in the National Residency Matching Program (NRMP).
As our training program in pediatric hematology and oncology is supported in part by training grants from the National Institutes of Health, we must restrict applicants to those who are either U.S. citizens or non-citizens admitted for permanent residence.
The stipend for fellows is based on institutional guidelines. Benefits include healthcare coverage, malpractice and disability insurance coverage, social security payments, contributions to a retirement plan, and allowances for meeting travel expenses.
For more information, visit the Vanderbilt University Medical Center Office of Graduate Medical Education Web site.
Apply online at Electronic Residency Application System (ERAS).
For more information, contact our Fellowship Director:
Last Edited: March 9, 2016