Internal medicine or internal medicine/pediatrics Residents are invited to participate in a month-long rotation in hematology at the National Institutes of Health (NIH). The hematology experience at NIH focuses on clinical hematology, bone marrow failure syndromes, hematologic malignancies, and hematopoietic transplantation as well as providing a comprehensive introduction to clinical and laboratory-based research ongoing in the NIH hematology research programs. The NIH provides a unique opportunity for physicians interested in academic careers to investigate both clinical and basic research interests. Two options are available for this rotation:

The Resident will join a team of hematology Fellows and other healthcare providers to participate in the care of adult and pediatric outpatients and inpatients cared for by the Hematology Branch at the NIH Clinical Research Center during their participation in clinical research protocols. A broad spectrum of diseases are represented, including aplastic anemia; autoimmune thrombocytopenias and hemolytic anemias; sickle cell anemia; myelodysplastic syndromes; multiple myeloma; chronic lymphocytic and chronic myelocytic leukemias; acute leukemias; and congenital bone marrow failure states. Ongoing experimental protocols will involve autologous and allogeneic bone marrow transplantation, hematopoietic growth factor therapy, immune modulation, manipulation of fetal hemoglobin production, antiviral therapy, iron chelation therapy, gene therapy, and other areas. The Resident will assist in the diagnostic evaluation and medical management of patients under the supervision and direction of the program director, attending physician, Fellow, and/or physician assistant and nurse practitioners.

Key Clinical Faculty on Hematology Inpatient Service (3NE), and the Hematology and Transplant Outpatient Clinic (OP7)

• Charles D. Bolan, M.D., Director, Hematology Fellowship Program, Hematology Branch, NHLBI
• Cynthia E. Dunbar, MD, Associate Program Director for Academics and Research, Hematology Fellowship Program; Head, Molecular Hematopoiesis Section, Hematology Branch, NHLBI
• A. John Barrett, MD, Chief, Stem Cell Allogeneic Transplant Section, HB, NHLBI
• Richard W. Childs, MD, Tenured Senior Investigator, HB, NHLBI
• Matthew Hsieh, MD, Staff Clinician, NIDDK
• Elizabeth Kang, MD, Staff Clinician, NIAID
• Phillip Scheinberg, MD, Senior Clinical Fellow, HB, NHLBI
• Elaine M. Sloand, MD, Senior Investigator and Clinic Director, HB, NHLBI
• John Tisdale, MD, Tenured Senior Investigator, NIDDK
• Adrian Wiestner, MD, PhD, Tenured Senior Investigator, NHLBI
• Neal Young, MD, Chief, Hematology Branch, NHLBI
• Donna Chauvet, RN, CRNP, Nurse Practitioner, HB, NHLBI
• Marissa Ditullio, PA, Physician Assistant, HB, NHLBI
• Theresa Donohue, PA, Physician Assistant, HB, NHLBI

The Resident will be part of the hematology consult team, providing consultative hematology care to patients throughout the 242-bed Clinical Research Center and their associated outpatient clinics. A broad spectrum of diagnostic problems will be encountered, with an emphasis on hemostasis and coagulation; cytopenias associated with HIV infection and other immunologic abnormalities; hematologic complications of novel drug therapies; and hematologic manifestations of a diverse collection of rare diseases. Training in the interpretation of bone marrow aspirates and biopsies, as well as the performance and interpretation of coagulation laboratory studies, are included in this rotation.

Key Clinical Faculty on Hematology Consult Service:

• Pierre Noel, MD, Chief, Department of Laboratory Medicine, CC
• McDonald Horne, MD, Senior Investigator, DLM, CC
• Roger Kurlander, MD, Staff Clinician, DLM, CC
• Jay Lozier, MD, Attending Physician, DLM, CC
• Charles Bolan, M.D., Attending Physician, HG, NHLBI
• Cynthia E. Dunbar, MD, Attending Physician, HB, NHLBI

Didactic Education

On either rotation, there are regular daily rounds for teaching and patient-care purposes. Journal club and fellowship conferences on hematology and/or hematologic malignancies are held each week. Well-known hematologists are invited monthly to present a seminar on their clinical and research interests and to meet with the Fellows/Residents. Conferences devoted to case presentations and special topics are also held in which each patient or topic is discussed by intramural or extramural experts in the relevant fields. Visiting Residents participate fully in all educational activities offered as components of our active hematology fellowship program, and can also participate in conferences associated with a wide spectrum of laboratory research-related activities in the department.

Eligibility Requirements

Residents must be currently enrolled, and in good standing, in an Accreditation Council of Graduate Medical Education (ACGME)-accredited internal medicine program in the United States (US) at the time of application for an elective rotation. Foreign medical school graduates must have ECFMG certification.

Location

The NIH is located in Bethesda, Maryland, just 20-30 minutes from downtown Washington, DC and the Smithsonian Institution and about 1 hour from Baltimore's Inner Harbor, the National Aquarium in Baltimore, and Orioles Park at Camden Yards. The main NIH campus is accessible by Metro at the Medical Center stop on the Red Line. The Metro and bus stops permit easy access from nearby areas in Maryland, Virginia, and Washington, DC.

Living Arrangements

At present, no living quarters are available on the NIH campus. For information on rooms for rent or other available housing in the area, please call the NIH Recreation and Welfare (R&W) Association-Housing Office at (301) 496-4600 or Housing on the R&W handbook. Residents are responsible for making their own travel and living arrangements.