The division established a Bone Marrow Transplantation Fellowship in 2009. One trainee will be accepted each year for the one-year program. The UCSF Pediatric BMT Fellowship Training Program is currently accepting Pediatric Hematologist/Oncologists or Pediatric Immunologists who desire to train for a career in academic Bone Marrow Transplantation. The fellowship is designed to provide clinical and investigative training in pediatric hematopoietic cell transplantation, including autologous and allogeneic procedures, with a focus on patients with primary immunologic disorders and those needing haploidentical transplants.
The fellow’s clinical experience will take place at UCSF Benioff Children’s Hospital at Mission Bay, where over seventy transplants are done per year in the 13-bed inpatient unit constructed in 2015. The fellow is expected to supervise pediatric residents and medical students on the BMT Inpatient Service, as well as NPs and RN Coordinators on both the Inpatient and Outpatient Services. Patient care responsibilities will include management of patients in the pre-, peri-, and post-BMT setting. Additional experience with patients with primary immunodeficiency will be obtained via a rotation in Pediatric Immunology. With supervision from an attending physician, the fellow will be expected to perform lumbar punctures and bone marrow aspirations / biopsies as clinically indicated. Furthermore, the fellow will attend all bone marrow harvest procedures, perform apheresis of stem cells, and infusion of cellular therapy products. There will be dedicated time to spend in the Immunogenetics and Transplantation Laboratory, as well as the GMP-approved Pediatric Cellular Therapy Laboratory in order to learn the basics of HLA typing and clinical cellular manipulation. The UCSF Pediatric BMT Program is accredited by the Foundation for Cellular Therapeutics (FACT) and National Marrow Donor Program (NMDP).
Fellows are required to become integrated into a mentored clinical research project, where they will gain experience in data analysis, as well as manuscript writing and submission. The UCSF Pediatric BMT Program has an active clinical trials program of both local investigator-initiated studies, as well as national trials from the COG, PBMTC, PIDTC, and BMT-CTN.
The fellow will be mentored and supervised by the BMT attending staff in both the inpatient and outpatient care units, via daily rounds, patient presentations, and clinical case discussions. All major care plan decisions will be done in conjunction with the BMT attending, and the attending will supervise in-person all procedures. Trainees will receive verbal evaluation of each consultation, care conference, stem cell collection, and transplant performed by the fellow. At the end of each month, Program Faculty will review Trainee progress and provide formal feedback. Fellows will choose a research mentor from one or more of the ten faculty members in the UCSF Pediatric BMT Program.
The fellow is expected to participate on the Inpatient BMT Service at UCSF Benioff Children’s Hospital in Mission Bay for 14 weeks per year, on the Outpatient BMT Clinic and Consult Service for 18 weeks per year, on the immunology service 8 weeks per year, and perform clinical research for 8 weeks per year. There will be dedicated time to spend in the Immunogenetics and Transplantation Laboratory, as well as the Pediatric Cellular Therapy Laboratory.
The fellow is expected to attend the following weekly meetings: 1) New Patient Intake; 2) Inpatient Review; 3) Outpatient Review; and 4) Education Conference. They will be expected to present at the latter at least 4 times during the year. Depending upon clinical interests, the fellow may also choose to attend the Leukemia Conference, Tumor Board, or Neuro-Onc Tumor Board run in conjunction with the UCSF Pediatric Hematology / Oncology Program.
Goals and Objectives
The fellowship is designed to provide clinical and investigative training in pediatric hematopoietic cell transplantation, including autologous and allogeneic procedures, with a focus on patients with primary immunologic disorders and those needing haploidentical transplants. The fellow will participate in clinical care, provided in both the outpatient and inpatient settings, as well as clinical research. The goals of the UCSF Pediatric BMT Fellowship are to offer an intensive learning experience covering all aspects of clinical and laboratory hematopoietic cell transplantation, and prepare individuals for an academic career in this field. Fellows are encouraged to become integrated into a mentored clinical research project, where they will gain experience in data analysis, as well as manuscript writing and submission.