West Virginia University Charleston Division Internal Medicine Residency Curriculum

Hematology / Oncology
Goal & Educational Purpose	Prepare residents to diagnose, assess or treat hematologic and oncologic disorders to include anemia, coagulation disorders, myeloproliferative disorders, common solid tumors and lymphomas and oncologic emergencies. The resident should learn the principles of chemotherapeutic and radiation therapy, cancer screening, biology/genetics of cancer and supportive care.
Objectives	The resident should gain knowledge of the following areas: Hematology Work-up of Anemia Microcytic anemias Macrocytic anemias Hemolysis Coombs positive hemolysis Sickle Cell syndromes Microangiopathic hemolysis “Bite cell” hemolysis Anemia of HIV Examination of peripheral smear Coagulation Disorders Thrombocytopenia Platelet dysfunction Use of Heparin Use of oral anticoagulants Antiplatelet agents Prothrombotic states Hemophilia A and B Myeloproliferative Disorders CML Myelofibrosis Polycythemia vera Acute leukemia Myelodysplastic Syndrome Transfusion medicine with indications Adverse reactions Clinical use of growth factors Erythroprotein G-CSF Oncology Cancer Screening Guidelines Biology/genetics of cancer Treatment of Common Malignancies Non-small cell lung cancer Small cell lung cancer Breast cancer Colorectal cancer Prostate cancer Ovarian cancer Lymphoma – Hodgkins and Non-Hodgkins Chemotherapy Drugs Oncologic Emergencies Pericardial/pleural effusion Neurologic emergencies Brain Metastases Seizures leptomeningeal metastases spinal cord compression Metabolic emergencies hypercalcemia SIADH SVC obstruction Infections in neutropenic patients Supportive Care Pain control Giving patients bad news
Educational Content	One month rotation on the H/O service with call with assigned attending include three weekend days H/O 8:00 AM conference noon conference Tumor Conference/Tumor Board Rotation with home Hospice workers for three days Regular slide sessions to review blood cell morphology and cancer histology Attend Oncology clinic at Memorial Division Attend patients in the office
Reading List	UpToDate®