Contact Information

Pediatrics


Uniformed Services University of the Health Sciences
4301 Jones Bridge Road
Bethesda, Maryland 20814
Phone: (301) 295-3130
Fax: (301) 295-3898

Department Chair

Ildy Katona, MD, CAPT, USN (Retired)
Professor of Pediatrics and Medicine

Secretary: Ms. Daphne Thomas
Email: daphne.thomas@usuhs.edu

The Pediatric Hematology/Oncology Fellowship Training Program of the National Capital Consortium

Introduction

Since 1972, the Pediatric Hematology/Oncology Fellowship program has trained physicians to serve as outstanding pediatric hematology/oncology faculty in the Department of Defense. Graduates have assumed senior clinical, academic, and administrative roles for their respective services, and have been associated with internationally-acclaimed, ground-breaking research related to the care of children, adolescents, and young adults with cancer and blood disorders. Pediatric Hematology/Oncology is an essential member of the Walter Reed National Military Medical Center (WRNMMC)/Uniformed Services University of the Health Sciences (USUHS) John P. Murtha Cancer Center, the only Department of Defense-designated Cancer Center of Excellence. The program exists in affiliation with the combined National Capital Consortium (NCC) pediatric residency program at WRNNMC, Bethesda, MD. The fellowship, which comes under the umbrella of the NCC, is based within the Departments of Pediatrics at WRNMMC and USUHS.

Active duty in one of the Uniformed Services of the United States (Army, Navy, Air Force, or Public Health Service) is required for applicants. Information on incurred obligations, pay, and allowances may be obtained from the Office of Graduate Medical Education. Applicants must be sponsored by, and apply through, the Graduate Medical Education office of their respective branch of service for postdoctoral training. Requests for training should list the Pediatric Hematology/Oncology Fellowship Program of the National Capital Consortium (NCC) at USUHS as their site of choice. Application deadlines are usually in September and are determined by the individual services. Where feasible, applicants are encouraged to visit the USUHS and WRNMMC facilities, and arrange personal interviews with faculty members. If a visit is not possible, applicants should contact the Program Director and submit an updated CV and letter of intent.

The program is sponsored by the NCC, with clinical practice mainly located at its primary affiliated hospital: WRNMMC in Bethesda, MD. Other locations in the National Capital Region include Fort Belvoir Community Hospital (FBCH), Fort Belvoir, VA, and, for specific rotations, Children's National Medical Center (CNMC), Washington, DC, and Inova Fairfax Children's Hospital (IFCH), Fairfax, VA. Research opportunities are available at USUHS and through the Murtha Cancer Center (MCC), as well as the National Institutes of Health (NIH), the National Cancer Institute (NCI), the U.S. Food and Drug Administration (FDA), and the Walter Reed Army Institute of Research (WRAIR). The diversity of clinical and scholarly experience is designed to produce an exceptional academic hematologist/oncologist ready to fulfill the unique requirements of military and government practice.

The program is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME), and is designed to prepare physicians for careers in either clinical or academic pediatric hematology/oncology. It consists of three years of post-graduate medical education, which includes both clinical and research experience. Applicants must have completed, or anticipate successful completion of, a pediatric residency, including at least one year of pediatric internship and two years of pediatric residency, and be either board- certified or eligible to sit for the certifying examination in general pediatrics (with a high likelihood of passing the examination).

Clinical Experience

The Pediatric Hematology/Oncology clinical program is based at WRNMMC and is a separate, free-standing service within the Department of Pediatrics and the Murtha Cancer Center. It has a faculty of full-time pediatric hematologists-oncologists at WRNMMC, supplemented by pediatric hematologists-oncologists and research scientists at USUHS or assigned at other sites in the National Capital Region.

Approximately one-third of the curriculum is devoted to clinical training, with the remaining time devoted to study of ancillary specialty areas and research activities. There is a major clinical requirement in the first year, including required rotations in a variety of subspecialty areas such as blood bank, coagulation, pathology, and radiation oncology, with four weeks dedicated to inpatient hematology consults (CNMC), and eight weeks in community-based pediatric hematology-oncology (IFCH). The second and third years are mainly devoted to research, with additional clinical experiences to include one rotation each year on the blood and marrow transplantation service at CNMC. Continuity patients and clinic at WRNMMC and FBCH are maintained throughout the three years. The fellow routinely will participate in the supervision of the management of hospitalized pediatric hematology/oncology patients through daily contact with the residents and students on the ward teams; make ward rounds with the pediatric hematology/oncology staff; participate in general pediatric hematology/oncology and multi-disciplinary clinics (e.g., long-term follow-up, sickle cell, hemophilia); teach the residents and students through informal teaching rounds, prepared conferences, and scheduled grand rounds; and attend journal club, weekly clinical conferences, research meetings, and conferences at the NIH. All fellows are encouraged to attend and present at national meetings.

Regular conferences are held throughout the week to focus on, and promote, individual scholarship. Patient conference and didactic sessions are held weekly, while two joint tumor boards are held bi-weekly: one with the Pediatric Brain Tumor Consortium, the other with the Uniformed Services Oncology Consortium. Journal club is held monthly. Fellows and staff also attend the weekly research conference held by the Pediatric Oncology Branch of the NCI. In addition, all fellows participate in the Joint Core Pediatric Fellowship Curriculum. The fellowship program benefits from the clinical and academic synergy of four other Pediatric Subspecialty fellowships that are part of the NCC, as well as a full representation of faculty from Pediatric and Pediatric Surgical subspecialties.

Military-Unique Curriculum

The fellows gain invaluable military experience and further develop excellence through their training in the program. All elements of the military-unique curriculum of the Department of Pediatrics are required/strongly encouraged including, but not limited to, participation in the annual conferences on Radiation Biology & Medical Effects of Ionizing Radiation, Medical Management of Chemical and Biological Casualties, Military Medical Ethics, and completion of the Humanitarian Missions Course sponsored by USUHS. The program is designed to graduate competent, caring pediatric hematologist/oncologists who pursue careers as physician-educators and/or academicians. Graduates are prepared to become future leaders in the military pediatric and medical community.

The program provides training in unique military aspects of the care of dependent children with chronic disease, to include navigating military systems of care, and unique concerns for the child with a deployed active duty family member (i.e., emergency leave needs through American Red Cross). The military pediatric hematologist/oncologist responds to consults from a wide range of geographic areas, including OCONUS. The program provides specialized training in responding to these consults, within the context of the inherent capabilities of the outlying facilities.

Research

To ensure success in research training, the majority of the second and third years of the fellowship have an emphasis on research. Both clinical and basic sciences are available for study. Opportunities for clinical research are provided through the outpatient clinics and inpatient services at WRNMMC, the MCC, the Joint Pathology Center (formerly known as AFIP: the Armed Forces Institute of Pathology), the WRAIR, and the NCI. WRNMMC is a full member of the Children's Oncology Group. Fellows performing clinical research also will have the opportunity to complete requirements for the MPH degree at USUHS. Another unique aspect of the Pediatric Hematology/Oncology program is its inclusion in the Murtha Cancer Center, a requirement for this world-class institution as it seeks a National Cancer Institute (NCI) designation as a Comprehensive Cancer Center. Because of its geographic proximity, MCC has a special collaborative relationship with the NCI, which strengthens the clinical and research activities of all three institutions: the NCI, WRNMMC, and USUHS

The basic science laboratories include 2000 square feet of space at USUHS. The laboratories are well equipped for animal studies, general biochemistry, cell culture, and molecular biology. Extractions of RNA and DNA, Northern, Western, and Southern blotting and polymerase chain reaction analysis are performed. Gene synthesizers, automated nucleic acid sequencers, and protein sequencing are also available. Specific Pediatric Hematology/Oncology-related basic science research opportunities include innovative translational projects in the molecular biology of neuroblastoma, leukemia, and thyroid cancer. Research Administration provides research review services, computerized data analysis, statistical support, and publication pre-review and approval. Funding and education opportunities through the WRNMMC Department of Research Programs and the USUHS Office of Research are available to help in their research. The USUHS Department of Pediatrics also has a corps of faculty mentors skilled in clinical research in the areas of observational, outcomes/comparative effectiveness, and health services research. The combined NCC pediatric subspecialty fellowships are founded among a rich scientific research community. This facilitates flexibility in choosing a high impact fellowship research project and providing the experienced mentoring required for success.

Additional information for the specialty can be found on the Council of Pediatric Subspecialties website

Program Leadership

Program Director: Anne B. Warwick, MD, MPH, COL, MC, USA
Associate Program Director and Chief, Clinical Service: Thomas Newton, MD, Col, USAF, MC

Additional Program Faculty

Gary Crouch, MD, MHSA; Col (Ret.), USAF, MC; Vice Chair of Pediatrics, USUHS
Kip Hartman, MD; COL (Ret.), MC, USA
Kenneth Lieuw, MD, PhD; COL, MC, USA
Margret Merino, MD; COL, MC, USA; Chief of Pediatrics, WRNMMC
Dina Parekh, MD; LTC, MC, USA
Allen Stering, MD; Maj, USAF, MC

Adjunct Faculty

Wanda Salzer, MD; Col, USAF, MC; Director, Congressionally Directed Medical Research Programs, USAMRMC
Dennis Du, PhD; USUHS, Department of Pediatrics; Research Faculty

Additional information, application instructions and program requirements are available through:

Program Coordinator
franklin.abram@usuhs.edu
(301) 319-0708

or

Anne B. Warwick, MD, MPH, COL, MC, USA
Associate Professor, Pediatrics
Program Director, Pediatric Hematology/Oncology Fellowship
F. Edward Hébert School of Medicine - "America's Medical School"
Uniformed Services University of the Health Sciences
4301 Jones Bridge Road
Bethesda, MD 20814
e-mail:anne.warwick@usuhs.edu
USU Department Fax: (301) 295-3138
WRNMMC Clinic Phone: (301) 400-1663/1664/1665
WRNMMC Clinic Fax: (301) 400-1662