The Hematology and Oncology Advanced Practice Provider (APP) Fellowship program consists of paired clinical and didactic curricula designed to guide you through the foundational knowledge of caring for cancer patients.
Weekly didactic education will be taught by advanced practice providers, physicians, nurses, pharmacists, and genetic counselors.
- Four days a week, you will see patients in the clinic alongside a precepting advanced practice provider, gradually gaining independence throughout the program.
- One day per week is dedicated to didactic learning. There is no on-call service requirement.
Shadowing experiences throughout the year will expose you to the roles of other healthcare providers who care for cancer patients. You will spend time with our:
- Genetic counselors
- Interventional radiologists
- Nutritionists
- Palliative care providers
- Psycho-oncologists
- Radiation oncology APPs
- Social workers
- And others
You will have the opportunity to attend the Northern New England Clinical Oncology Society annual meeting for a weekend of education and socializing with hematology and oncology providers from around New England.
You will be provided a one-year membership in the:
- Advanced Practitioner Society in Hematology and Oncology (APSHO)
- American Society of Clinical Oncology (ASCO)
- Oncology Nursing Society (ONS)
Clinical curriculum
Each month, you will be paired with an advanced practice provider for a clinical rotation with a subspecialty group, including one month at one of our satellite clinics to gain exposure to the role of a generalist provider in oncology.
In your final two months, you will have the opportunity to tailor your clinical curriculum to your chosen specialty. Following each rotation there will a competency test and the opportunity for bidirectional feedback.
Clinical rotation specialty examples include:
- Benign Hematology, Neurology/Head, and Neck/Melanoma
- Breast
- Gastrointestinal
- Genitourinary/Gynecology
- Leukemia/Bone Marrow Transplant
- Lymphoma/Plasma Cell
- Thoracic
Didactic curriculum
Your didactic curriculum will build on interprofessional learning and expertise in collaboration with the Geisel School of Medicine hematology oncology medical fellows.
Together, you will have twice-weekly, hour-long sessions to learn each disease group and once per month, interdisciplinary clinical case reasoning conferences.
Additionally, you will have a weekly full-day APP didactic lesson, a monthly APP journal club, grand rounds, and more.
Topics will include the foundation of cancer epidemiology, pathophysiology, symptom management and the pharmacology of cancer therapies.
You will learn to identify and manage oncologic emergencies. You will participate in regular professional development seminars alongside all APP fellows, who will be involved in each of the post-graduate APP fellowship programs at Dartmouth Health.
Research and quality improvement
You will choose a quality improvement project and be mentored to identify, analyze, and address an area for improvement, optimizing APP practice to be presented by the end of the program.
Supervision
During rotations, participants will practice with graduated autonomy under the close supervision and mentorship of nurse practitioners, physician assistants, and attending physicians.
You will meet individually with the faculty throughout the program, focusing on your individual growth and development. Planned formal feedback and goal setting will occur at three, six, and nine months into the program.