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Hematology/Oncology Fellowship

Nathaniel Wisch, M.D.
Director, Division of Hematology and Medical Oncology

Colette M. Spaccavento, M.D.
Associate Director, Hematology
Program Director

Keith R. Brunckhorst, M.D.
Associate Director and Associate Program Director, Medical Oncology

Total positions offered: 4

The fellowship in Hematology/Medical Oncology at Lenox Hill Hospital has been designed to provide broad education in the clinical practice of Hematology and Medical Oncology with emphasis on scholarship, development of clinical judgment, and the ability to make appropriate decisions, as well as continuing self-instruction. The fellow must be eligible for certification by the American Board of Internal Medicine. After completion of the three-year program (18 months in Hematology and 18 months in Medical Oncology), the fellow will be qualified to sit for board examinations in both Hematology and Medical Oncology.

The Hematology Division of the program provides a full-service Division capable of providing state-of-the-art diagnostic and therapeutic modalities in all aspects of hematology. The fellowship's 18 month educational program includes active participation in phases of clinical and laboratory hematology. A wide variety of hematologic disorders, both malignant and benign, are treated at Lenox Hill Hospital and there is ample opportunity in the program for study of all facets of this subspecialty.

A Special Hematology Laboratory operates under the direction of the Hematology Division and provides both basic testing and more sophisticated laboratory procedures including extensive coagulation studies. The hematology fellow is trained in these areas as well as in blood banking, cytopheresis techniques, and bone marrow transplantation. The fellow participates in ongoing investigative research protocols as well as clinical and laboratory research, under the supervision of the hematology and surgical pathology attending staffs.

During the Medical Oncology section of the program, the fellow will be involved with patients on research protocols sponsored by Eastern Cooperative Oncology Group (ECOG). In this way, the fellow will become familiar with how clinical research protocols are designed and implemented. This will facilitate the fellow being able to design, develop and write his or her own research protocol.

The fellow will be actively involved in the teaching of other residents and medical students, as well as nurses and allied health personnel in daily rounds, biweekly clinics, and numerous conferences.

Lenox Hill Hospital admits approximately 1,200 new cancer patients each year, about 30-40% of whom are referred by other physicians or institutions which treat recurrent cancer. The fellow shall participate in consultations and management of all patients on the service, under the supervision of an attending physician. Several members of the Hematology Service, certified in both Hematology and Medical Oncology, work closely with the program.

The Department of Pathology, which is heavily involved in cancer research, plays an important role by providing in-depth experience in the analysis of pathologic materials. The fellow has the opportunity to utilize both light and electron microscopy, flow cytometry and all features of clinical and investigative laboratory studies.