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Oncology |
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| Halloween on the oncology service |
The inpatient oncology team at Children's Hospital Boston consists of four junior residents, an oncology fellow, and an inpatient attending. Residents also work with the neuro-oncology fellow and attending to care for patients with brain tumors located on the neurology floor. Both attendings and fellows supervise residents during this rotation, and residents are encouraged to become increasingly independent decision-makers through the course of the 4-week rotation. Residents primarily care for patients with new diagnoses of cancer, complications of their disease or therapy, and concurrent medical problems. There is a separate, nurse practitioner-run "short stay" oncology service which manages patients admitted for routine, scheduled chemotherapy or straight-forward febrile neutropenia. Residents also cover these patients overnight. Goals of the rotation include: understanding common presentations of childhood cancer, management of oncologic emergencies, management of febrile neutropenia, induction therapy for leukemia, and common complications of chemotherapy. Developing skills related to difficult conversations, such as delivering bad news and end-of-life care is also a focus of this rotation. This rotation is augmented by didactic teaching sessions by oncology fellows and attendings, tumor boards and an outpatient experience in the Jimmy Fund Oncology Clinic at the Dana Farber Cancer Institute.
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