TGIB Surgical Oncology Fellowship Program

NCI外科肿瘤学奖学金是一个竞争激烈的两年培训项目，包括6个月的临床轮转（胸外科、内分泌外科、胃肠外科和咨询外科），以及18个月的专门实验室研究。在过去的40年里，外科肿瘤学奖学金计划（SOFP）非常成功；许多前研究员现在是美国主要学术医疗中心外科肿瘤学和胸外科的领导者。最初由外科分部的Rosenberg博士管理，在最近CCR重组后，外科肿瘤学奖学金转移到我的指导下的TGIB。TGIB胸外科和胃肠外科的核心任务是维护SOFP的遗产，并提高其参与者的学术经验。在将奖学金转移到TGIB之后，我们启动了一些变化来加强该计划的学术方面。例如，我们已经启动了一个正式的评估过程，以评估在临床服务期间研究员的临床表现。此外，我们还发起了一个会议，专门讨论为期2年的美国外科医师学会核心课程。此外，我们已经修订了另一个每周会议，以提高病例讨论的质量，并开始每月由来自NIH和地区医疗中心的专家嘉宾演讲。除了这些奖学金特定的活动，还有每周的TGIB，免疫治疗和内分泌外科会议，双周的胸外科和胃肠道肿瘤委员会，以及许多nih范围内的会议，以加强对研究员的教育。实验室培训经验是奖学金计划的主要组成部分，并被一致认定为医生寻求进入SOFP的动力。每年有8名医生进入SOFP；其中三个人直接从外科分会的肿瘤免疫学奖学金获得跟踪。其余5人则是从校外院校中挑选出来，专门参加为期两年的SOFP课程。这些都是非常积极和有竞争力的候选人。总的来说，目前SOFP有18名fte， TGIB BMS手术核心肿瘤免疫学奖学金有3名fte。除了目前被列为工作人员的4名研究员正在完成外科轮转，尚未被分配到实验室外，其余研究员在外科TGIB或外科分科实验室工作，并被列入各自pi的年度报告。从外科核心，支持研究员在临床服务或实验室工作的拨款（工资、用品和服务、旅行/培训）现在以每年两次的比例分配给更公平的pi，这些pi将人们带进实验室，从而更好地协调7月开始的奖学金学年和10月开始的财政年度。这些对BMS拨款的修改已经开始，使研究金培训的实验室资金更加顺畅，并保持与SOFP相关的总体预算透明度。这些活动每周由TGIB ao进行跟踪和审查。

The NCI Surgical Oncology Fellowship is a highly competitive two-year training program consisting of six months of clinical rotations (thoracic, endocrine, GI, and consultative surgery), as well as 18 months of dedicated laboratory research. During the past 40 years, the Surgical Oncology Fellowship Program (SOFP) has been highly successful; many former fellows are now leaders in surgical oncology and thoracic surgery at major academic medical centers throughout the United States. Originally run by Dr. Rosenberg from the Surgery Branch, the Surgical Oncology Fellowship transferred to TGIB under my direction following the recent reorganization of the CCR. A core mission of Thoracic and GI Surgery Sections of TGIB is to maintain the legacy of the SOFP, and enhance the academic experience of its participants. Following transfer of the Fellowship to TGIB, we have initiated several changes to strengthen the academic aspects of the program. For example we have initiated a formal evaluation process for assessing clinical performance of the fellows while on the clinical services. In addition, we have initiated a conference devoted to covering the American College of Surgeons core curriculum over a 2 year period. Furthermore, we have revised another weekly conference to improve the quality of case discussions, and have initiated monthly presentations by expert guest speakers from within the NIH as well as regional medical centers. In addition to these fellowship-specific activities, there are weekly TGIB, Immunotherapy and Endocrine Surgery conferences, biweekly Thoracic as well as GI tumor boards, and numerous NIH-wide conferences that enhance education of the fellows. The laboratory training experience is the major component of the fellowship program, and is uniformly identified as the impetus for physicians seeking admission to the SOFP. Each year, eight physicians enter the SOFP; three of these individuals are tracking directly from the Tumor Immunology Fellowship in the Surgery Branch. The remaining five individuals are selected from outside institutions specifically for the two-year SOFP. These are uniformly highly motivated and competitive candidates. Overall, there are currently 18 FTEs for the SOFP, and 3 FTEs for the Tumor Immunology Fellowship on the Surgical Core of the TGIB BMS. With the exception of 4 fellows currently listed as staff who are completing their surgical rotations and have not as yet been assigned to laboratories, the remaining fellows are in Surgical TGIB or Surgery Branch laboratories, and are included in the annual reports of their respective PIs. From the Surgical Core, allocations that support the fellows while they are on the clinical service or in the lab (salary, supplies and services, and travel/training) are now distributed in a prorated fashion twice a year to more equitably fond PIs who take people into the lab, thereby better aligning the fellowship academic year, which commences in July, with the fiscal year which commences in October. These modifications to the BMS allocations have been initiated smoothen out laboratory funding for fellowship training, and maintain overall budgetary transparency related to the SOFP. These activities are tracked and reviewed on a weekly basis with TGIB AOs.