When we transition from internal medicine residency to hematology and oncology fellowship, many times the fellows are directly jumping into discussion of various different clinical trials. As I did another project at ASCO and presented on a stage 4 non-small cell lung cancer EGFR, I’m just giving a reference to it. For example, when a fellow is coming into the first month and we are discussing directly about lorlatinib versus maribavir, the fellows might be thinking when to even do next-generation sequencing or liquid biopsy...
When we transition from internal medicine residency to hematology and oncology fellowship, many times the fellows are directly jumping into discussion of various different clinical trials. As I did another project at ASCO and presented on a stage 4 non-small cell lung cancer EGFR, I’m just giving a reference to it. For example, when a fellow is coming into the first month and we are discussing directly about lorlatinib versus maribavir, the fellows might be thinking when to even do next-generation sequencing or liquid biopsy. So there are lots of different needs that are needed to be done in the first few months of the fellowship itself because from internal medicine to fellowship, there’s a steep learning curve. So there was this unmet need and a big gap on doing lots of 101 talks and that’s where this boot camp arose. At the University of Miami, we have a dedicated Friday where we do lots of didactics starting from 8 a.m. till 1 p.m. It’s a protected time unless they are on the inpatient setting. And so this year, what we did from July onwards, when the new academic session starts, July till like late September, early October, we did multiple 101 sessions. So in solid oncology, it would be most common of like lung, GU, breast, sarcoma, neuroendocrine, as well as CNS brain tumors. On the hematology side, MDS, leukemia, ALL, AML, multiple myeloma, and all those common, common topics. At the same time, we also did Kahoot-based board review questions. So it’s more kind of fun-based as well. We also did Kahoot-based peripheral smear talk as well, a precision medicine discussion as well. And we already had some case-based scenarios, which was like oncology case discussion, where fellows bring their own cases to discuss what next steps to be done. We restarted oncology. We also have benign hem or classical hematology, plasma cell and malignant hematology as well. So there were all these sessions being merged together. At the same time, fellows in the first two months received career guidance as well, that what are different career options, how to have mentors in your fellowship pathway as well, how to do various different researches. There was a dedicated clinical trial 101 session as well. So all this specific 101 session, talking the basics of oncology rather than completely diving deeply into oncology was very impactful. What we saw was that knowledge-based significantly improved from around 2.5 score out of five or 2.6 all the way to more than four for almost all three years. And it was impactful not only for the first year fellows, but for first, second, and third. And it’s a very simple model. So it can be easily replicated at any other fellowship programs. We are also in discussion with various other state societies or other societies as well where we can bring this boot camp over there as well so that it can be helpful not only just for University of Miami fellows but many other trainees across the United States.
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