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Introduction to the Oncologic Emergency Medicine Fellowship

The University of Texas MD Anderson Cancer Center created the first academic department of emergency medicine within a comprehensive cancer center in 2010. The Department of Emergency Medicine aims to provide efficient and timely care of the highest quality to those with cancer and to uphold MD Anderson's core values of Caring, Integrity, Discovery, Safety, and Stewardship.

Program Overview

The Oncologic Emergency Medicine fellowship was established and approved in 2011 to provide training and insight into the emergency treatment of cancer patients beyond that provided by existing residency training programs in emergency medicine. The program is one year, with an optional second year, and features core training objectives in clinical, administration, education, and research, as well as professional development.

Eligibility, Prerequisites, and Application Process

Eligible candidates should have completed an ACGME-accredited residency program in Emergency Medicine or Internal Medicine or an equivalent international program if outside the U.S. Applicants must submit:

• Application
• Personal statement
• Curriculum vitae
• Official Medical School Transcripts
• Three letters of recommendation
• Letter of good standing from current clinical training program indicating expected completion date
• Certificates from all completed internship, residency, or fellowship training programs
• A copy of current ECFMG Certification, if medical school was completed outside of the United States

Program Goals and Objectives

The program concentrates on cancer-related emergencies, with a particular emphasis on pain and symptom management, as well as palliative aspects of emergency department cancer care. The main goal of the program is to facilitate expertise in the diagnosis and treatment of a wide variety of conditions that are specific to cancer patients presenting to the emergency department.

Program Structure and Curriculum

The fellowship is a one-year program with an optional additional one-year component for fellows interested in advanced training. Fellows completing the program must be capable of meeting the educational objectives, including:

• Evaluating and treating oncology patients efficiently who present to the emergency department with a wide variety of cancer-related conditions
• Understanding the side-effect profiles of many commonly used oncologic agents
• Mastering the skill of pain control in patients with acute/chronic pain
• Mastering the skill required to palliate many of the symptoms commonly experienced by the oncology patient
• Interpreting the most common radiology, CT, MRI, and PET findings encountered with cancer patients who present to the ER

Trainee Success and Program Outcomes

Past graduates have gone on to become faculty/attendings at international institutions, private practices, as well as pursued residencies in Emergency Medicine. The department has recruited two former fellows as full-time faculty.

Fellow and Faculty Publications

Recent publications include:

• Journal articles on topics such as hemoptysis in cancer patients, optimizing access to care for new patients with cancer, and immune-related myocarditis
• Book chapters on topics such as tumor lysis syndrome, CT imaging of the face, and angiography of the head and neck

Program Faculty and Leadership

Our trainees have the opportunity to work alongside leading oncologic emergency medicine physicians at MD Anderson.

Why This Program

By choosing this program, you will:

• Become an expert in oncologic emergency medicine
• Gain confidence managing diverse and complex symptoms related to cancer
• Be involved in a variety of unique academic research projects
• Gain mentorship from leaders in the emerging field of oncologic emergency medicine

Institutional Benefits and Support

GME trainees' salary stipends are updated every year based on the ACGME's recommendations, and they enjoy MD Anderson's employee benefits, including health insurance, retirement planning, disability insurance, and six weeks of parental leave. The institution also provides support for research trainees, including grant application workshops and monetary awards for securing extramural grant funding.

Trainee Wellness

Trainee wellness is of utmost importance at MD Anderson, with access to employee networks, fitness center, and other wellness resources. The Graduate Medical Education Committee regularly assesses trainees' needs and implements initiatives to address gaps.

Beyond MD Anderson

MD Anderson's location in the Texas Medical Center provides many benefits, including exposure to groundbreaking advancements in medical care and opportunities for interorganizational research collaborations. The city of Houston is a great place to call home and raise a family, with a low cost of living and a diverse cultural scene.