HEMATOLOGY/ONCOLOGY

 

Contact: PJ Flynn
Minnesota Oncology Hematology, P.A.
Virginia Piper Cancer Institute
800 E. 28th Street, Suite #405
Minneapolis, MN 55407
612-863-8585

Subspecialty clinic: MOHPA clinic on Tuesday and Thursday mornings

Resident continuity clinic: Monday AM, a three week minimum notice, given to Anne is required if you are planning on taking vacation time.

 

 

AM

PM

Monday

Medicine Clinic

ANW Consults

Tuesday

MOHPA clinic

ANW Consults

Wednesday

Grand Rounds
ANW Consults
Journal Club

ANW Consults

Thursday

MOHPA clinic

ANW Consults

Friday

ANW Consults

ANW Consults

Specialty Conference: Each resident is expected to present one case at Lung Cancer Conference during the rotation.

 

Performance Expectations and Educational Goals and Objectives:

 

 

Educational objectives

Assessment method

Patient Care

1) Hospital and clinic consults and follow up visits will be performed, staffed, and documented in Excellian with appropriate language by the resident

2) Understand risk assessment and choose appropriate testing (including indications, contraindications, and benefits of peripheral smear, bone marrow biopsy and other tissue biopsies, bone marrow transplantation)

3) Demonstrate understanding of tumor staging

1) Global faculty assessment

2) Direct faculty bedside observation

Medical Knowledge

1) Review core topics noted below using patient care and didactic opportunities and supplement with independent reading

2) Present a case at Lung Cancer Conference during the rotation

3) Demonstrate competence in interpretation of blood smears

1) Global faculty assessment

2) On-line blood smear test

Practice-Based Learning and Improvement

1) Demonstrate insight into knowledge deficiencies and limitations

2) Use information technology to answer clinical questions

Global faculty assessment

Interpersonal and Communication Skills

1) Refine the skills necessary to present patients and topics informally and formally to another physician or group

Global faculty assessment

Professionalism

1) The resident is expected to perform up to 4 consults per day, with no new consults started after 4 PM

2) Follow up on previously seen patients and write follow up notes if in the hospital that day

Global faculty assessment

Systems-Based Practice

1) Understand systems unique to this subspecialty

2) Understand general principles of study cooperatives

Global faculty assessment

 

Core topics to be covered by patient care, didactic lectures, and independent reading include the evaluation, diagnosis and treatment of:
Stem cell disorders
Anemia and polycythemia
Leukopenia and lykocytosis
Thrombocytopenia and thrombocytosis
Hemostasis disorders (bleeding and throbophilia)
Growth factors
Presentation, diagnosis, staging and treatment of malignancies including leukemia, lymphoma, breast cancer, cervical cancer, ovarian cancer, testicular cancer, prostate cancer, head and neck cancer, lung cancer, colon cancer, etc.
Hypercalcemia
SVC syndrome
Bone, brain, lung, liver, and pleural metastases
Spinal cord compression
Other topics include the indications contraindications and benefits of peripheral smear, bone marrow biopsy, bone marrrow transplantation, and biopsies

Procedures: none

Past resident recommendations: Each week you will work with a different oncologist who covers the majority of the inpatient consults. He or she may or may not have significant clinic duties, and there are days that your attending may not arrive to start staffing till pretty late in the afternoon- you probably should not have lots of evening plans this block. (It is a good block to do lots of moonlighting). The teaching is good, though, and they are all very nice to work with.