The overall objectives of the ACGME-accredited Fellowship Program are to ensure that the trainees will be competent in all aspects—and acquire the academic skills to continue in a tertiary environment—of pediatric hematology, oncology, and stem cell transplantation.
The trainee is expected to develop a thorough understanding of the pathophysiology of disorders related to pediatric hematology, oncology, and stem cell transplantation and develop skills in the diagnosis, treatment, and management of these disorders.
The training program is designed to encourage trainees to develop an interest in clinical and basic research during the first year of training. The first year is devoted to clinical inpatient responsibilities: approximately 40% hematology, 40% oncology and 20% SCT. The fellows are assigned to a full day outpatient continuity clinic to follow their primary patients. The second and third years are devoted to research, either laboratory based or clinical research.
Our fellows join us after completing residencies at premier institutions such as:
- Boston Children’s Hospital & Boston Medical Center
- Children’s Hospital of Philadelphia, University of Pennsylvania
- Children’s Healthcare of Atlanta, Emory University School of Medicine
- Kravis Children’s Hospital, Mt. Sinai School of Medicine
After completing our training program, our fellows have gone on to positions at:
- Department of Bioinformatics, Columbia University
- Emory University School of Medicine, Children’s Health Care of Atlanta
- University of Miami Leonard M. Miller School of Medicine, Jackson Memorial Hospital
- Rikshospitalet/Oslo University Hospital, Oslo, Norway
- New York-Presbyterian Komansky Center for Children’s Health, Weill Cornell Medical Center
- Bristol-Myers Squibb
- Levine Children’s Hospital, Charlotte, NC, University of North Carolina at Chapel Hill
- Doernbecher Children’s Hospital, Oregon Health & Science University
Fellowship overview by year
The first year of training is devoted primarily to the diagnosis and management of patients with pediatric hematologic, oncologic, and immunodeficiency disorders. Specifically, the Fellows are primarily responsible for the inpatients on the pediatric hematology, oncology, and stem cell transplantation services that they are assigned to.
The emphasis is on the basic evaluation, diagnosis and day-to-day management of the child with an acute or chronic blood disorder or malignancy. The entire year is spent on clinical services in order to facilitate the acquisition of skills necessary to manage newly diagnosed patients, toxicity of treatment, palliative care, and the death of a child and its impact on the family. The clinical experience is supplemented by specialty rotations including blood banking, radiation oncology, neurooncology, hematopathology, coagulation, hematology, apheresis, and stem cell laboratory. This additional training within specialty areas enhances the knowledge acquired in the first year.
By the end of the first year, each fellow is required to identify a research project for the second and third years. The fellows are provided two research blocks to explore topics, meet with potential mentors, and develop a research project. Each fellow is assigned a faculty advisor to assist in finding a research mentor, who helps ensure the fellow completes the necessary program requirements. In addition, each fellow will have a research mentor and is assigned to a scholarly oversight committee whose responsibility will be to assist, support, and monitor the fellow’s scholastic and research productivity.
The second year is primarily devoted to laboratory or clinical research. The Fellows have the opportunity to select research mentors from the wide range of distinguished faculty at either the CUMC campus or the Columbia University main campus.
Fellows interested in clinical research also have the opportunity to pursue a Masters of Science in Biostatistics on the Patient Oriented Research (POR) Track at the Mailman School of Public Health, located on the CUMC campus. Fellows may also pursue a Masters in Biomedical informatics.
The fellows continue in their outpatient continuity clinic during both the second and third years and will assume greater responsibility in the management of their primary patients. Once the research project has been specified, fellows begin their research project, and the research mentor reports progress to the Scholarly Oversight Committee every 6 months.
The third year of training is devoted completely to research except for the ongoing commitment to the outpatient continuity clinic. The fellow should generally be able to complete the board requirements at the end of the third year. This includes having their research project completed, published, and/or in preparation for publication. During this time, the fellows should be planning for the future in terms of professional opportunities and career development either in clinical research and/or in basic research.
Monday Lecture Series. Renowned leaders, both national and international, are invited to give a lecture about their work and about new and exciting advances in the field of hematology, oncology, and stem cell transplantation. The invited speakers often spend the day at our institution, and the fellows have the opportunity to meet the speaker to discuss collaborative projects and receive career advice.
Small Group Learning/Case Based Discussion. In an effort to provide focused teaching to first-year fellows, small interactive sessions are given on Tuesday and Wednesday mornings. These lectures range in topic from clinically oriented themes such as oncologic emergencies, workup of new diagnoses or pain and palliative care, to more broad topics such as disease-specific discussions about pathophysiology or historical perspectives on management of hematologic or oncologic diagnoses.
Monthly Journal Club. The fellows organize a monthly journal club, which is attended by all the fellows, faculty members, and a biostatistician.
Tumor Board, Morbidity and Mortality conference, and Divisional Rounds. Our largest collaborative educational endeavor takes place on Thursday afternoons during tumor board presentations. Fellows present cases with pertinent clinical questions or inquiries and this presentation provides a forum for which members of our division can discuss management plans with each other and with invited guests. Tumor boards are multidisciplinary and are attended by our colleagues in pathology, pediatric radiology, radiation oncology, surgery, and adult oncology. In addition, physicians from other institutions call in to participate remotely, if they are also involved in the care of the child being discussed. Once per month, the department also holds a multi-disciplinary Morbidity and Mortality conference.
On Thursdays, tumor board discussions are followed by joint divisional rounds during which new and interesting cases are presented by the fellow from each clinical service: hematology, oncology, and stem cell transplantation, with participation of the whole division including palliative care. The large divisional rounds are complimented by smaller, service-specific rounds each week, where fellows present current inpatients, new consults and possible referrals.
Grant writing workshop. Second-year Fellows actively participate in a “Grant Writing Workshop” with Medical Hematology/Oncology, a course held during the summer. Fellows learn the “do’s and don’ts“ of writing a grant. Based on their proposed scholarly project, the Fellows prepare a grant application for submission to American Society for Clinical Oncology (ASCO), Young Investigator Award (YIA). The Fellows receive feedback on their proposals from experienced faculty members.
How to Apply to the Program
Applications to our fellowship are processed through the (Electronic Residency Application Service) ERAS system. Applicants who wish to apply to our program should do so through ERAS. Persons who wish to apply must be board eligible or board certified by the American Board of Pediatrics.
Acceptances to the fellowship are made through the Pediatric Specialties Spring Match of the National Residency Matching Program (NRMP). Please refer to the NRMP website for details about the match submission deadline.
Columbia University and the New York Presbyterian Hospital are equal opportunity employers; applications from women and minorities are encouraged.
Please note that Columbia University and the New York Presbyterian Hospital do not sponsor H-1B visa trainees.
Darrell J. Yamashiro, MD, PhD Associate Professor of Pediatrics, Pathology & Cell Biology
Fellowship Associate Director:
Prakash Satwani, MD, Associate Professor of Pediatrics
Harriet Mathis Clary