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Pediatric Long Term Survivor Fellowship Program

As the population of childhood cancer survivors continues to grow rapidly, there are now opportunities for interested physicians to develop fulltime careers in survivorship. As part of the formal pediatric hematology-oncology fellowship training, fellows have limited exposure to survivorship. Ideally, this specialized long-term survivor (LTS) fellowship will not only enhance the training of pediatric oncology fellowship graduates in survivorship as a field of medicine, but also excite the LTS fellows in potential areas of research interest in survivorship. Currently, there are no similar post graduate fellowship programs in survivorship making this a truly unique educational experience for interested physicians.

Given the huge breadth of subspecialty expertise in the Texas Medical Center, we feel we can offer an exceptional learning environment for the fellows chosen to train with us. The Survivor Fellows will have the opportunity to focus on a variety of areas including patient care, education and research. We will offer exposure to a number of subspecialties that are of particular interest to maintaining the well-being of cancer survivors.  

Goals and Objectives

The overall objective is to develop clinical expertise, leadership skills and research expertise in the field of long-term survivorship. 

Specific clinical training goals include:

  • ​​​​To gain knowledge of the appropriate surveillance necessary for early detection and treatment of complications in long term survivors
     
  • To provide advanced training in the evaluation and management of long term survivors of childhood cancer
     
  • To improve the trainees’ knowledge of organ systems at risk following all aspects of cancer therapy through focused experiences with the appropriate sub-specialists
     
  • To further enhance the teaching and leadership skills of trainees in pediatric cancer survivorship

Program Eligibility

Candidates should be American Board of Pediatrics eligible for pediatric hematology-oncology or should have received equivalent training as judged by the program director(s). Only individuals who have successfully completed an ACGME-accredited fellowship in pediatric hematology-oncology or equivalent training are eligible for this advanced training opportunity. 

Program Duration

One Year 

Program Dates

July 1st - June 30th  

Program Accreditation and Training Sites

Texas Medical Board: 503-48-05-36

Texas Children’s Hospital

 University of Texas M.D. Anderson Cancer Center  

Curriculum

The curriculum will primarily include clinical outpatient care in the Survivor Clinic together with rotations in disciplines that common late effects are related to including: neuropsychology/psychology, radiation oncology, endocrinology, oncofertility, cancer genetics, cancer predisposition, and cardiology. Fellow will initiate a research project at the beginning of the fellowship year under the guidance of a mentor. While the fellow work on the research project throughout the 12 months of fellowship there will be 2 months dedicated solely for research. Particular attention will be paid for the feasibility to complete the project in one year. The fellow will attend (non-credit) undergraduate course titled “Cancer Survivorship” taught at BCM by our faculty. Fellow will attend one survivorship focused meeting during the fellowship. Fellow will also present 2 tumor board patient vignettes and two journal club presentations during the 12 months.

Month

Rotation

Notes

July

TXCHC Survivor Clinic 1

  • Outpatient care in the Survivorship Clinic 2-3 Days/week
  • Chart abstraction/review 1-2 Days/week

August

Psychology/Neuropsychology

  • Attend Psychological/neuropsychological assessment/feedback sessions in cancer patients
  • Attend case presentation/discussion meetings

September

TXCHC Survivor Clinic 2

  • Outpatient care in the Survivorship Clinic 2-3 Days/week
  • Chart abstraction/review 1-2 Days/week

October

Radiation Oncology

  • Outpatient care in patients currently undergoing radiation and who are off therapy
  • Mentored education focused on late effects

November

Cardiology/Pulmonary

  • Outpatient rotation 2 weeks each
  • Mentored education focused on late effects

December

TXCHC Survivor Clinic 3

  • Outpatient care in the Survivorship Clinic 2-3 Days/week
  • Chart abstraction/review 1-2 Days/week

January

Endocrinology

  • Outpatient care
  • Two weeks at TCH/Two weeks at MDACC
  • Mentored education focused on late effects

February

Oncofertility/Research

  • 2 weeks oncofertility
  • Outpatient care/inpatient consult
  • Mentored education focused on late effects
  • 2 weeks blocked research time

March

Research

  • Blocked research month

April

Research/Elective

  • 2 weeks blocked research time
  • 2 weeks fellows choice of elective

May

Cancer Genetics/Predisposition Clinic

  • Outpatient care adult/pediatric
  • Focus on secondary malignancies
  • Risk factors for late effects

June

TXCHC Survivor Clinic 4

  • Outpatient care in the Survivorship Clinic 2-3 Days/week
  • Chart abstraction/review 1-2 Days/week

Didactic

The trainee will actively participate in several recurrent educational conferences:

  • Tumor Board: Tuesday afternoons (1 hr.)
  • TCCC Departmental Research Seminar: Thursday mornings (1 hr.)
  • Clinical and Research Mentor Meeting: weekly (1 hr.)
  • Cancer Center Journal Club (1 hr., based on topic relevance)
  • ‘Cancer Survivorship’ course (non-credited)
  • Survivorship focused national meeting (at least one) 

Contact Us

Address: 1102 Bates Street, Suite 1570 Houston, TX  77030 

Program E-mail: txcheducation@texaschildrens.org

Program Director: ZoAnn Dreyer, M.D.

Apply

Fellows interested in this fellowship training program must complete and submit an application along with three letters of reference, a curriculum vitae and a statement of interest. Learn more about how to apply for this fellowship.