University of North Dakota Program

The University of North Dakota (UND) offers a Hematology and Medical Oncology Fellowship program accredited by the ACGME, based in Fargo, North Dakota. This fellowship aims to develop knowledgeable and competent hematologists and oncologists through a comprehensive three-year training program. The program was established with the collaboration between the University of North Dakota and Sanford Health, allowing fellows to receive hands-on experience in a supportive environment consisting of comprehensive care and advanced clinical training.

The primary training site for fellows is Sanford's Roger Maris Cancer Center, as well as its affiliated hospitals, which provides a robust clinical training environment. In addition to outpatient rotations at the cancer center, inpatient rounds occur at Sanford Fargo's Broadway hospital, which is transforming into a facility mainly serving cancer patients. The fellowship also includes consultations at Sanford's West Campus hospital and South University Hospital, expanding the clinical experience of the fellows.

Curriculum Overview

The curriculum is structured into three years, providing fellows with diverse training across many crucial areas of hematology and oncology.

First Year (F1)

During the first year, fellows will engage in various clinical experiences and rotations:

• 2-3 months of Hematology Inpatient Consults
• 2-3 months of Oncology Inpatient Consults
• 2 months in an Oncology Clinic
• 1 month in a Hematology Clinic
• 1 month of Hematopathology
• 1 month of Bone Marrow Transplant (BMT) rotation
• 1 month of Transfusion
• 1 month dedicated to Research/Elective

Second Year (F2)

The second year includes a continuation of clinical rotations with an added focus on research:

• 2 months of Research/Elective
• 2 months of Hematology Inpatient Consults
• 2 months of Oncology Inpatient Consults
• 3 months in an Oncology Clinic
• 2 months in a Hematology Clinic
• 1 month of Palliative Care

Third Year (F3)

In the final year, fellows will consolidate their knowledge and skills:

• 1 month in a Hematology Clinic
• 1 month in an Oncology Clinic
• 1-2 months of Hematology Inpatient Consults
• 1-2 months of Oncology Inpatient Consults
• 7 months dedicated for Research/Elective

Research Opportunities

All fellows are required to participate in clinical research projects throughout their training. Each fellow is expected to allocate 3-4 months for dedicated research time primarily during the second and third years. The first year focuses on finalizing a research plan that spans across the collaboration with Sanford Health, the University of North Dakota, and North Dakota State University, providing extensive research resources and support.

Unique Aspects of the Program

Fellows benefit from an extensive support system comprised of diverse experts including nurse practitioners, specialized nursing staff, and social workers, embedded in a collaborative culture that promotes patient safety and high-quality care. This fellowship emphasizes not only clinical exposure but also academic excellence, fostering a thriving research environment where fellows can gain mentorship and guidance from experienced faculty. Regular specialty tumor boards and a commitment to interdisciplinary collaboration enhance the educational experience.

Visa Support and Application Requirements

The program is open to international applicants and provides sponsorship for J-1 and H-1B visas, facilitating entry for those seeking to undergo fellowship training in the United States. As for application requirements, candidates must complete an accredited three-year residency in internal medicine and submit a comprehensive application through the National Resident Matching Program (NRMP). A minimum of three recommendation letters is mandatory, including one from the internal medicine program director, and candidates must commit to taking the board exams upon successful completion of the fellowship.

Competitiveness

The fellowship is highly competitive, with only two fellows accepted each year. The program actively seeks candidates who demonstrate a strong commitment to hematology and oncology through their clinical experience and academic background. While the program is primarily geared toward MD graduates, it is also inclusive of DO graduates and international medical graduates (IMGs), widening the pool of potential candidates.

Program Policies

Policies related to the fellowship include standard benefits for fellows, guidelines on duty hours, fellow supervision, and well-being provisions, ensuring that the work-life balance of fellows is prioritized. These policies are in place to maintain a supportive environment conducive to both professional development and personal well-being.

Mission and Goals

The mission of the Hematology and Oncology Fellowship program is to educate and mentor future hematology and oncology specialists who will serve rural and local communities effectively. The program also aims to foster research to enhance understanding of hematologic diseases and neoplasms, aligning with the overarching mission of the University of North Dakota School of Medicine & Health Sciences, which focuses on educating health professionals and investing in community welfare.