During the Musculoskeletal Oncology Fellowship, you participate in quarterly rotations with each of the operating surgical oncologists. This ensures maximum exposure to tumor cases while minimizing the service component, so that you're not required at nononcology cases.
Using this approach, you should have access to most if not all of the tumor cases that are treated on each of the individual consultant's services. You are exposed to collaborating disciplines through departmental educational formats and daily patient-based clinical interactions. This includes basic concepts of oncogenesis and molecular oncology, adult and pediatric oncology, immunology, and radiation oncology.
During clinical days, you see new tumor patients, evaluate the clinical situations, and formulate treatment plans. Each patient's case is then presented to the consultant, the case is discussed, and the treatment plan is either finalized or revised. You are then responsible for initiating the treatment plan, including coordinating with collaborating services, medical oncology, radiation oncology, pediatric hematology oncology, radiology, and pathology.
During surgical days, you work as a team with the consultant. Your responsibility is dependent upon your previous experience and level of competency. In the majority of cases, you assume the role of surgeon and the consultant acts as the first assistant. The consultant is present for the entirety of the case, providing supervision and direction for you.
In the postoperative period, you assume primary responsibility for the day-to-day management of hospital patients. You make rounds with the consultant on a daily basis.
Emergency room experience involves management of patients with pathologic fractures and emergencies that are encountered by orthopedic oncology patients. You take primary responsibility for emergency room evaluation and communication with the consultant in a joint formulation of the plan of intervention.