Dear Program Directors, colleagues, and applicants,
The fellowship offered by the NYU Winthrop Division of Surgical Oncology is designed to parallel the program requirements and activities of the Society of Surgical Oncology-accredited Fellowship in Complex General Surgical Oncology. Our objective with this fellowship is to provide one year of additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients. It is our intention that this training program will prepare its graduates to interact with other oncologic disciplines and to provide a leadership role in the surgical, medical, and lay communities in matters pertaining to cancer. This additional training addresses state-of-the-art surgical care, exposure to targeted medical therapies, advanced radiologic oncologic approaches, advanced endoscopic and radiologic interventions, and experience in special and unusual cases of complex or recurrent neoplasms, to which most surgeons will not be exposed during general surgery training.
Formal program objectives will be provided to the applicant. The training program includes weekly attendance at multidisciplinary conferences at which fellows will be expected to present cases for consideration, and will be encouraged to participate in discussions regarding treatment planning. This period will include informal but weekly contact with non-surgical oncology services, including medical oncology, diagnostic and interventional radiology, diagnostic and interventional gastroenterology, radiation oncology, supportive oncology, nutrition services, nurse navigation, and social work services. There will be also be adequate opportunity to interact with surgeons in companion surgical specialties, including frequent contact with thoracic, gynecologic, plastic, and urologic surgery, and sometime contact with orthopedic and neuro-oncology.
The fellow will spend approximately 3 days a week in the operating room, and at least one day a week in the outpatient setting. The fellow will have daily inpatient experiences in the form of inpatient rounds (daily) and inpatient consultations (3-4 times per week). Our expectation is that the fellow will perform a minimum of 180 cases over the course of the 12-month fellowship period. The breakdown of clinical experience and case volume at NYU-Winthrop will be provided to applicants.
Initial outpatient assessment, preoperative decision making, perioperative management, and patient follow-up will be central to the training experience. It is our expectation that fellows will participate fully in the preoperative evaluation, assessment, treatment planning, and postoperative ambulatory care of patients in whose surgery they participate. Fellows will spend at least one full day out of five seeing preoperative and postoperative ambulatory patients.
In outpatient and in the vast majority of inpatient activities, fellows will be supervised directly by faculty of the Division. Fellows will share weekend call for the Division of Surgical Oncology with the three other surgeons in the Division, backed up by one of these surgeons. Fellows will also take Acute Care Surgery (ACS) call no fewer than 2 times per month and no more than 3 times per month. If ACS call falls on a weekend the fellow will also have responsibility for rounding on patients on the ACS service and taking calls from the ACS answering service, and are entitled to appropriate sign out for covered patients. Fellows will not be responsible for Trauma call.
We anticipate that the fellow will play an active role in the clinical and didactic instruction of residents and students. Finally, while the short length of the fellowship does not allow for a dedicated research or education (i.e., non-clinical) rotation, there is ample opportunity to be involved in ongoing clinical or translational research based on fellow interest. It is our expectation that the fellow will participate in ongoing research activity on the campus and will submit one abstract to a regional or national meeting.
The proposed program will provide the fellow a surgical and clinical experience on par with some of the largest surgical oncology fellowship programs in the country. I and another faculty member in the Division are recent graduates of such programs and attest that the volume, variety, and complexity of oncologic disease treated at NYU Winthrop parallels that of accredited Complex General Surgical Oncology fellowships.