The Goshen Center for Cancer Care is seeking applicants for a two year non-accredited fellowship in surgical oncology. The Goshen Center for Cancer Care is a robust regional cancer center with the capabilities of providing fellows with training that mirrors that of an accredited fellowship program – experience in the multidisciplinary approach to the prevention, diagnosis, treatment and rehabilitation of cancer patients. It is anticipated that individuals who complete the program will either enter into practice or go on to complete an accredited fellowship program as was the case with our most recent graduate. The division of surgical oncology is comprised of 3 fellowship trained surgical oncologists, 2 breast surgical oncologists, and a gynecology oncologist. With such expertise fellows would be exposed to highly complex cancers and procedures in a community setting. Fellows would also have the opportunity to work closely and collaborate with other individuals of the cancer treatment team including medical and radiation oncology, pathology, gastroenterology, diagnostic and interventional radiology, urology, plastic surgery, naturopathic medicine, counseling services, and nutritionists.
Fellows will be provided with formal program objectives and a syllabus prior to the start of training. In the inpatient setting, fellows will be involved in the day to day management of postoperative patients, see new consults and initiate the work up of any new cancer patients. They will serve as the first point of contact for the surgical oncology physician assistant and nurse practitioner. In the outpatient setting, fellows will again be expected to work up new cancer diagnoses. They should also expect to follow and evaluate postoperative patients in the ambulatory setting and help make decisions with regards to the next steps in treatment or surveillance. It is expected that fellows will participate in 1-2 full clinic days per week.
With regards to operative training, fellows should expect to spend at least 3-4 days in the operating room where they will be exposed to a variety of complex open and minimally invasive (laparoscopic and robotic) procedures. This includes a fairly large number of debulking and HIPEC surgeries as the Goshen Center for Cancer Care currently performs the largest number of these procedures in the state of Indiana. On average the fellow should expect to perform well over 300 cases during the course of the 2 year fellowship.
As with any successful cancer program, the Goshen Center for Cancer Care utilizes a multidisciplinary approach with regards to treatment. There are 4 separate system-based multidisciplinary tumor board conferences (GI, Gyn/GU, Lung/Sarcoma/Skin, and Breast) each week that fellows are expected to attend and actively participate. Several times a year medical students and residents complete rotations in surgical oncology. We anticipate that fellows will play an active role in their education and potentially serve as mentors. In addition to the aforementioned activities, fellows will be expected to follow a systems based curriculum utilizing textbooks and other educational resources provided by the program. Opportunities to participate in clinical research and submit abstracts for poster or oral presentation at regional and national meetings are available. Finally fellows are expected to give a grand rounds presentation each year on a cancer-related topic and participate in a community outreach event on an annual basis.
In terms of call responsibilities, fellows will share call with the 3 surgical oncology attendings in the division. This amounts to roughly 1 weekend call per month with an attending surgeon serving as back up.