Department of Medicine

Hematology-Oncology Fellowship Program

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The Division of Hematology & Oncology is one of over 10 medical specialty services within the Department of General Internal Medicine at the University of Toledo Medical Center. Initially established in 1964 as the Medical College of Ohio, the Medical Center provides clinical training support to the nearly 175 medical students who join the University every year. The school itself was first established in 1872 as a public research university in the State of Ohio and includes the University of Toledo Medical Center, formerly known also as the Medical University of Ohio. UTMC offers over 13 medical fellowship programs.

Toledo is a storied midwestern city on the shores of Lake Erie between Detroit and Cleveland. Though known as the "Glass City" from pioneering roles in the manufacturing of Libby Crystal Glass and Fiber Glass by Owen's-Corning, it is likely more famous for making the original Jeep which played a vital role in WW II if not the "Toledo Scale" which is still the most widely used weighing unit in airports worldwide. The factory is still here and continues to make the Jeep Wrangler.  And Toledo still holds the much attended "Glass City Marathon" which is a qualifier for the world famous New York city marathon. Then there is  the "Toledo Museum of Art"- the 4th most attended museum in the country by per capita. The art and cultural scene is further complemented by The Valentine Theatre, home to "The Toledo Ballet" and The Peristyle, a Greek amphitheater which is home to the "Toledo Symphony Orchestra". Within the medical school campus itself one may notice that the façade of the Health Education Building resembles that of the World Trade Center. Both were in fact designed by the same architect- Minoru Yamasaki. The "National Museum of Maritime History" too is in Toledo. Then there is Toledo native Jamie Farr of M.A.S.H fame and his eponymous (now Marathon) Golf Classic. The "Glass Museum" designed by Pritzker Prize winners  Kazuyo Sejima + Ryue Nishizawa and the Center for Visual Arts designed by Frank Gehry add to Toledo being a city that has much to offer to potential trainees in our Fellowship program. 

The Hematology-Oncology training program at the University of Toledo accepted its first group of Fellows in 2009. At its inception it was an Oncology only ACGME approved program. After maintaining 100% ABIM Oncology Board pass rate for 10 years, the program transitioned into a 3 year ACGME approved dual certificatology-Oncology Fellowship in 2018. Currently the Division of Hematology & Oncology provides training to a total complement of 6 Fellows.

The Hematology- Oncology training experience will be four-fold: In-patient ServiceConsult Service, Ambulatory Medicine and Research . This training is provided over three sites including the University of Toledo Medical Center (Primary Site), Flower Hospital- Hickman Cancer Center and the ProMedica Toledo Hospital. Training in Blood and Bone Marrow Transplant is provided at University Hospitals of the Case Western University in Cleveland, Ohio. 

Out-patient Hematology/Oncology services are provided at the Eleanor N. Dana Cancer Center which was recognized by an "Outstanding Achievement Award" by the Commission on Cancer of the American College of Surgeons. The center creates excellence by also collaborating with the Department of Cancer Biology for translational research. We also provide patients with tools for genomic/molecular mapping followed by either targeted therapies or enrollment into Precision Medicine clinical trials. As of date there are over 20 Precision Medicine trials open to enrollment. The center also has the only Varian Edge Radiosurgery unit in the region which along with the 4D PET-CT Simulator System provide unique training opportunities to our Fellow's.


In-patient Service

The Hematology-Oncology Inpatient Service is a general Hematology-Oncology service that admits patients requiring intensive chemotherapy and monitoring such as those with acute leukemia,  those with complications of treatment such as neutropenic fever or uncontrolled gastrointestinal symptoms as well as patients with benign hematological issues such as complications of Sickle Cell Disease as well as patients with Hemophilia requiring factor replacement to facilitate with surgical procedures.

One Hematology-Oncology Fellow will be assigned to the In-patient Service every month. The Fellow will participate with in-patient management rounds occurring Monday through Friday and is expected to round one weekend day with the Attending (either Saturday/Sunday 8-10 a.m.).  On weekdays, short evening rounds may also take place among team members to discuss the new admissions during the day as well as to update team members about the significant events with service patients. 1st year Fellows will have a total of 6 months of in-patient service. 2nd and 3rd year Fellows will not be having any in-patient rotations. This coverage will be either at the University of Toledo Medical Center or at the ProMedica Toledo Hospital.

The Fellow will serve as mentor and teacher to  junior team members. This will include medical students as well as Internal Medicine residents.


Consult Service

The Hematology-Oncology Consult Service provides the Fellow with experience evaluating findings, establishing a diagnosis, planning appropriate cancer staging strategies, and developing a treatment plan for patients on other medical or surgical services for whom hematology and/or oncology expertise is sought.  Some of these patients will already have a benign hematological or cancer diagnosis, while others will present with problems that have not yet been diagnosed.  As the initial hematology / oncology contact, the Fellow will have the opportunity to be exposed to the learning experience in providing an expert sub-specialist evaluation, which will then be discussed and refined with the service Attending. 


Ambulatory Medicine

The Hematology-Oncology Ambulatory Medicine experience for the Fellows will consist of:

  1. Longitudinal Continuity Clinics, which continue throughout the fellowship will include 2 half day clinics at the University of Toledo Medical Center.
  2. General Oncology and Benign Hematology (Thrombophilia, Sickle Cell etc.) Clinics, staffed by various Attendings at Dana and Hickman Cancer Centers.
  3. Focused experiences in Cancer Genetics, Surgical Oncology, Radiation Oncology, Gynecological Oncology, Palliative Care, Survivorship, Cardio-    Oncology, Breast Cancer as well as Precision Medicine.

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RESEARCH EXPERIENCE

As fellows progress through their training, they are expected to identify areas of research interest. This research experience involves initiation of an independent QA/QI project as well as clinical/basic research project by each fellow under the guidance of a faculty mentor. Senior Fellows too are expected to guide 1st year trainees in identifying suitable projects. Publication in journals and presentations at national conferences is expected.


Additional Experiences

Additional experiences by the Fellows will include participation in Multidisciplinary Tumor Boards (including General Tumor Board, Lung Tumor Board, CNS Tumor Board, Urology Tumor Board, and Heme-Onc/Rad-Onc Conferences), at which time he/she may present his/her patients for discussion. 

Fellows will also participate in regularly scheduled Hematology-Oncology Division conferences, including monthly Journal Club, weekly Clinical Review Conference, weekly Didactics, and weekly Board Review.


Teaching Role

As an integral part of learning a more sophisticated sub-specialty level of care, the Fellow will be involved in teaching and supervising medicine residents and medical students with regard to the oncologic and related hematologic aspects of each patient's medical care.  This role would be shared with the Attending, with each having different levels of expertise, thus allowing complementary roles in the interactive teaching hierarchy.  The teaching role shared by the Attending and the Hematology-Oncology Fellow enhances the learning environment and interaction for learners at all levels and helps the Fellow to develop into a teaching consultant.  In this setting the Fellow will provide some of the clinical and didactic teaching at the bedside on work rounds, teaching rounds and at team conferences.

While on the Consult Service, the Hematology-Oncology Fellow has a similar role of teaching and educating the house staff, students, as well other specialty Attendings regarding patient care issues germane to the requested Hematology or Oncology consultation.

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CURRENT FELLOWS

 

RECENT PROGRAM GRADUATES

The University of Toledo is committed to upholding the highest standards of training and consequently our graduates have successfully pursued careers in both academia as well as major non-academic hospitals. Some have also furthered their training with additional fellowships like Bone Marrow Transplant.

2011     Namrata Sethi, MD. Providence St. Mary Medical Center, WA       2012    Richard C. Phinney, MD. The Toledo Clinic, Toledo, OH

               Divya B. Vijendra, MD. ProMedica Flower Hospital, OH                                   Muhammad K. Hameed, MD. West Michigan Cancer Center, MI

2013    Kamal K. S. Abbi, MD. University of Iowa, Iowa City, IA                     2014     Asma Taj, MD. St. Mary's of Michigan Medical Center, MI

               Mahvish Muzaffar, MD. East Carolina University, NC                                         Zeeshan Tariq, MD. Bronson Oncology & Hematology, MI

2015    Anis Toumeh, MD. St. Catherine Hospital, Kansas city, KS              2016    Naga Raja, MD. Appalachian Regional Health System, KY

               Hassan Issa, MD. West Michigan Cancer Center, MI                                          Nauman Shahid, MD. The Toledo Clinic, Toledo, OH

2017    Veena B. Iyer, MD. Hematology & Oncology Associates, RI              2018    Qiang Nai, MD PhD. Cooley Dickinson Healthcare, MA   

               Arindam Bagchi, MD. Appalachian Regional Healthcare, KY                         Danae M. Hamouda, MD. University of Toledo Medical Center, OH

2019    Shruti Pandita, MD. Saint Louis University, MO                                    2020    No graduating fellows due to transitioning from 2->3 year training program 

              Syed M. Ashraf, MD. Blanchard Valley Medical Center, OH                              ACGME approval for Hematology-Oncology Fellowship granted in 2018

2021                                                                                                                                        2022

 

RELATED WEBSITES

Cancer Center Website: https://utmc.utoledo.edu/centers/cancer

Hematology-Oncology Faculty Website: https://utmc.utoledo.edu/centers/cancer/physicians

University of Toledo Website: https://www.utoledo.edu

University of Toledo Athletics Website: https://utrockets.com

 

Program Director

Cherian Verghese, M.D., MPHCherian Verghese, MD, MPH

3000 Arlington Ave.
MS 1186
Toledo, OH 43614
Phone: 419.383.6813
Fax: 419.383.6197

Associate Program Director

Danae M. Hamouda, MDDanae M. Hamouda, MD

3000 Arlington Ave.
MS 1186
Toledo, OH 43614
Phone: 419.383.3727
Fax: 419.383.6197

Last Updated: 9/27/19