Oncology

Inpatient oncology care at Boston Children's is delivered by disease-specific teams: two hematologic malignancy teams, the solid tumor team and the neuro-oncology team. There are two hematologic malignancy teams, one with an oncologist, a fellow and two residents, and the other with an oncologist and 2 nurse practitioners. Solid tumor and neuro-oncology each have a resident on the team. Residents care for patients with new cancer diagnoses, complications of malignancy or cancer-directed therapies (including febrile neutropenia), relapsed malignancy, and concurrent medical problems. Goals of the rotation include: understanding common presentations of childhood cancer, management of oncologic emergencies, effective communication with families, management of febrile neutropenia, and identification and management of common complications of chemotherapy. The rotation also allows residents to gain an understanding of issues related to end-of-life care in a pediatric population. 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.