Moffitt Cancer Center
Moffitt Cancer Center & Research Institute has approximately 150 inpatient beds (including 26 inpatient Hematopoietic Cell Transplant beds) and extensive attached outpatient clinic facilities. MCC is a major training center for University of South Florida medical students, residents, and subspecialty fellows and has a full range of more than 300 specialty and subspecialty physicians on its active medical staff, who have University of South Florida faculty appointments. The Cancer Center also has all of the support facilities and services of a modern academic medical center, including modern clinical laboratory, transfusion medicine, and pathology services, fully digital diagnostic radiology, including nuclear medicine, ultrasound, CT, MRI, PET and digital mammography capabilities, plus radiation therapy with five linear accelerators, and a full range of support services (e.g., psychosocial, palliative care, nutrition, physical therapy, occupational therapy, speech therapy, pastoral services, multilanguage interpreter services, ethics committee, quality improvement and compliance, and patient advocacy). Moffitt's academic and clinical activities are organized into 14 interdisciplinary, disease-oriented or treatment modality-oriented programs that encompass patient care, clinical research, education, and cancer control activities. The 14 patient care programs are: Blood & Marrow (Hematopoietic Cell) Transplantation, Comprehensive Breast Program, Cutaneous Oncology, Gastrointestinal Malignancies, Genitourinary Oncology, Gynecologic Oncology, Head & Neck Oncology, Internal and Hospital Medicine, Hematology, Neuro-Oncology, Psychosocial & Palliative Care, Sarcoma, Senior Adult Oncology, and Thoracic Oncology. The objectives of these programs are to provide multidisciplinary care for new and established patients, develop and conduct research trials, establish collaborative links with appropriate basic science programs, and provide educational programs and training for medical students, residents, and fellows. Each of these multidisciplinary disease-specific programs has a weekly clinical conference/tumor board. Moffitt Cancer Center has been an NCI-funded Cancer Center for more than 10 years, was awarded NCI Comprehensive Cancer Center status in 2001, and received its most recent NCI Cancer Center Support Grant renewal in 2005. Project funding is critical to the success of cancer research. As of October 2008, total grant funding exceeded $69 million, with over $54 million in peer-reviewed funding. Research programs include Molecular Oncology; Drug Discovery; Immunology; Experimental Therapeutics; Risk Assessment, Detection & Intervention; and Health Outcomes and Behavior. Moffitt is also home to many important initiatives including the Bill and Beverly Young National Functional Genomics Center funded by the U.S. Department of Defense and the Donald A. Adam Comprehensive Melanoma Research Center. Moffitt Total Cancer Care initiative brings all aspects of research and clinical practice together to discover, translate and deliver personalized cancer care. More information about Moffitt research can be found here.
Tampa General Hospital
Tampa General Hospital is a 988-bed, comprehensive medical center, which serves Hillsborough County and the surrounding area. TGH is one of the three major teaching hospitals of the USF College of Medicine. There is a full range of specialists and excellent radiology and pathology services available. TGH is located near downtown Tampa, about 25 minutes driving time from Moffitt and the Haley VAMC, the other two major USF teaching hospitals. The Hematology and Medical Oncology Inpatient Consultation service at TGH sees approximately 120 patients per month, with a heavy concentration on hematological disorders. The 30th Street Clinic is a subspecialty clinic for indigent patients, which is staffed by USF fellows and faculty and TGH health care employees. There is one half-day Hematology and Medical Oncology Clinic per week, which is staffed by 2 fellows and one faculty supervisor, with an emphasis on trainee autonomy, supervised decision making, and continuity/longitudinal care. The levels of responsibility escalate as their skills at management of patients in the subspecialty improve.
James A. Haley VA Hospital
The 581-bed James A. Haley Veterans Affairs Medical Center (VAMC) is located directly across the street from the USF College of Medicine and is about a 5-8 minute covered walk from the H. Lee Moffitt Cancer Center. Haley VAMC has the highest number of patient visits of any VAMC in the country. Patients with primary oncologic and hematologic problems are admitted to general internal medicine services and are followed on a consultation basis by Hem/Onc fellows and attending physicians. On-site Radiation Therapy, all relevant surgical specialties, comprehensive pathology, diagnostic radiology, and laboratory services, and a full range of rehabilitation medicine services are represented. There is a full-service special coagulation laboratory at Haley VAMC. There also is a dedicated oncology pharmacy and oncology social work service. The Hematology and Medical Oncology Consultation Service consists of two fellows, an attending faculty physician, and often an internal medicine resident. They do approximately 200 Hematology and Medical Oncology consultations per month on patients with known diagnoses of cancer and hematologic disorders who are admitted to the hospital (generally followed long-term as outpatients by the Hem/Onc fellows and faculty), patients throughout the hospital with newly diagnosed or suspected cancers and hematologic disorders, and hematologic complications of other medical problems. The Haley VAMC serves as a major source of inpatient consultations in both medical oncology and hematology for this training program. The Haley VAMC also is a major training site for fellows in ambulatory care of hematology and medical oncology patients. Eight to 10 fellows each year have half day per week medical oncology continuity clinics, and 2-3 fellows each year have half day per week hematology continuity clinics at Haley VAMC. The VA clinic represents a unique situation in which the 2nd and 3rd year fellows have "ownership" over a panel of diverse patients for whom each fellow is identified as the primary hematologist/medical oncologist. Attending supervision in this clinic is provided, with an emphasis on trainee autonomy, supervised decision making, and continuity/longitudinal care. The levels of responsibility escalate as their skills at management of patients in the subspecialty improve. Hem/Onc fellows provide more primary care to and require less supervision for the patients with less complex problems early in their training, and gradually progress to near-independence, even for complex patient problems, by the completion of their fellowship. Attending physician supervisors are responsible to see patients with the fellows and facilitate learning through bedside teaching, sit down teaching rounds and assisting with literature searches etc. Patients seen by fellows at the Haley VAMC often are presented and discussed by the Hem/Onc fellows at VA Tumor Board, at Hematology/Oncology Case Conference, and sometimes at Moffitt Cancer Center Multidisciplinary Program Case Conferences. We also have a weekly combined Hematology and Hematopathology fellow and faculty conference at the Haley VAMC, which is the primary didactic conference dedicated to hematology-specific pathophysiology, molecular biology, and clinical diagnosis and management.
USF Hematology Clinic
There is a weekly Benign Hematology Clinic at USF clinics, in which a broad spectrum of patients with coagulation disorders, thrombophilic disorders, hemoglobinopathies, and other benign hematologic disorders are seen. This clinic is staffed by one fellow, generally for 2-3 months at a time, and one faculty member.