Fellowship Clinical Training
During the first phase of training, fellows participate in inpatient rotations at three separate campuses that take advantage of the tremendous diversity in the San Francisco Bay Area's patient populations. These campuses are:
- UCSF-Moffitt/Long Hospitals (Parnassus campus): A 688-bed tertiary care hospital. Fellows rotate through the leukemia/lymphoma/transplant service, and an inpatient hematology and oncology consult service.
- San Francisco General Hospital (SFGH): A 686-bed county hospital serving a large, multi-ethnic population. Fellows rotate through a hematology and oncology consult service.
- Veterans Administration Medical Center (VAMC): A 112-bed hospital serving northern California. Fellows participate in a hybrid rotation consisting of time on the hematology and oncology consult service and in the outpatient clinics.
Fellows also participate in a minimum of one continuity clinic session per week throughout their entire training. During the clinical phase of training, the continuity clinics are in six month blocks and include VAMC Heme/Onc, SFGH Onc, and either UCSF Parnassus Hematology or SFGH Hematology (if boarding in Hematology). In addition, dedicated one-month outpatient rotations are offered at UCSF Medical Center (Parnassus Malignant Hematology), the Veterans Administration Medical Center (VAMC Heme/Onc), and at the UCSF Helen Diller Family Comprehensive Cancer Center at Mount Zion (solid tumor oncology).
San Francisco General Hospital and Veterans Administration Medical Center clinics are general oncology or general hematology clinics. Clinics at the UCSF Helen Diller Family Comprehensive Cancer Center are disease-oriented and multi-disciplinary, affording close interaction between medical oncologists, surgical oncologists, and radiation oncologists. Examples of disease- or area-specific clinics at UCSF include:
- Breast oncology
- Genitourinary oncology
- Gastrointestinal oncology
- Gynecologic oncology
- Head and Neck oncology
- Multiple myeloma
- Melanoma and Cutaneous Malignancies
- Thoracic oncology
- Orthopedic oncology/sarcoma
- Developmental Therapeutics/Phase I
- Complementary medicine
- Symptom Management
Nursing and social work support is available at all sites, with providers frequently incorporated into care teams. Tumor boards and teaching conferences are held regularly at all locations. At the UCSF Helen Diller Family Comprehensive Cancer Center the conferences are disease-specific (e.g. Breast Oncology, GI Oncology, Thoracic Oncology). Tumor boards afford the opportunity to review cases in a multidisciplinary setting. Participants include representatives from medical oncology, pathology, radiology, surgical oncology, radiation oncology, genetic counseling, and nursing.
An evidence-based approach to clinical care is emphasized—along with translating advances in clinical and laboratory-based research to the clinic. There are several opportunities for formal teaching related to clinical medicine, including rotation site-specific Tumor Boards and other conferences, as well as, our Division-wide weekly Clinical Case Conferences and Journal Club meetings, and monthly Morbidity and Mortality conferences.