ME512M.3

Hematology/ Oncology

Sites: MGH
Director(s): Rebecca Heist, Alberto Puig
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month, except Jul and Jan.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: US/Canadian
Description: The consult service of the Massachusetts General Hospital is responsible for the evaluation and treatment recommendations for a variety of hematologic and oncologic questions in the medical and surgical services, both benign and malignant. It consists of a fellow, an attending and rotating students and residents from Harvard Medical School or outside institutions. Students are assigned cases to review and present to the team, typically one consult per day. Radiology and pertinent pathology is frequently reviewed in the appropriate departments (and students are encouraged to review them prior to case presentations). Moreover, there are scheduled rounds for review of peripheral blood smears. The division offers a series of lectures on a weekly basis, both on general topics, such as the new patient conference, as well as on specialized topics covered in the conferences of the individual disease centers (such as bone marrow transplantation, lymphoma/leukemia, lung cancer, breast cancer, colorectal cancer etc.)
Incorporation of Basic Science Content and Evidence-Based Medicine:
Cases are discussed with the team attending and are placed in the context of data from published studies. In the era of targeted therapy, content from basic science has entered the clinical arena and whenever appropriate, it is discussed during rounds or in conferences. On a weekly basis, fellows present topics based on literature review and the individual disease center conferences have lectures on current topics of interest.
Grade Criteria:
Honors with Distinction: Exceptional performance and interest in the subject of hematology Honors: Very good performance as judged by the consult service in terms of case presentation, understanding of the most important issues involved and overall follow up of the patient Satisfactory: Satisfactory performance as judged by the consult service in terms of case presentation, understanding of the most important issues involved and overall follow up of the patient Unsatisfactory: Inadequate performance as judged by the consult service in terms of case presentation, understanding of the most important issues involved and overall follow up of the patient