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The Pediatric Oncology Service at MSKCC is organized into disease-specific teams comprised of attendings, nurse practitioners, and social workers. The teams include:
Sarcoma
Neuroblastoma
Neuro-oncology
Leukemia
Lymphoma
Retinoblastoma
Late-effects
Bone Marrow Transplantation
Inpatient Rotation (General Oncology)
During the inpatient rotations the fellows take active care of the pediatric oncology patients, and under the close guidance of the attending physicians, fellows supervise the clinical team. The inpatient pediatric oncology team includes the fellow on service, one attending pediatric oncologist, three to four rotating pediatric residents, one pediatric nurse practitioner, and one pediatric nurse clinician.
During these rotations, the fellows learn both the basic principles of pediatric oncology mentioned above and advanced techniques for the diagnosis, treatment, and monitoring of cancer in pediatric oncology patients. They take active part of the inpatient care, including:
- daily review of problems;
- daily physical examinations;
- review of medications;
- review of laboratory results;
- review of radiological studies with the attending pediatric radiologist; and
- formulation of a daily treatment plan.
Fellows play an active role in the implementation of research protocols. They not only learn treatment protocols and the rationales for their use but are also responsible for protocol implementation and application to the patients enrolled.
Depending on the various pathologies seen during their rotation, specific literature pertinent to these pathologies is reviewed with the fellows.
As fellows mature clinically during their first year, they are progressively afforded more autonomy.
