TGIB Surgical Oncology Fellowship Program

NCI外科肿瘤学奖学金是一个竞争激烈的为期两年的培训计划，包括六个月的临床轮换(胸腔、内分泌、胃肠道和咨询外科)，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；许多以前的研究员现在是全美主要学术医疗中心的外科肿瘤学和胸外科的领导者。外科肿瘤学奖学金最初由外科分部的罗森伯格博士负责，在CCR最近重组后，在我的指导下转移到TGIB。TGIB胸外科和胃肠道外科的核心使命是维护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，我们开始了几项改革，以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程序，以评估研究员在临床服务期间的临床表现。此外，我们还发起了一个为期两年的会议，专门讨论美国外科医生学院的核心课程。此外，我们还修订了另一次每周会议，以提高病例讨论的质量，并开始每月由来自NIH和区域医疗中心的专家嘉宾演讲者发表演讲。除了这些专门针对研究员的活动外，还有每周一次的TGIB、免疫治疗和内分泌手术会议，每两周一次的胸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。实验室培训经验是研究金计划的主要组成部分，并被一致认为是医生寻求进入SOFP的动力。每年有八名医生加入SOFP；其中三人直接从外科分部的肿瘤免疫学联谊会进行追踪。其余五人是从外部机构中挑选出来的，专门参加为期两年的特别行动计划。这些人都是积极进取、竞争激烈的候选人。总体而言，目前有18个FTE用于SOFP，3个FTE用于TGIB BMS外科核心的肿瘤免疫学奖学金。除了目前被列为工作人员的4名研究员正在完成手术轮调，尚未被分配到实验室外，其余研究员都在外科TGIB或外科分部实验室工作，并被列入各自主管部门的年度报告。从外科核心，在研究员在临床服务或实验室期间支持他们的拨款(工资、用品和服务以及旅行/培训)现在以按比例的方式每年两次分配给更公平地喜欢把人带进实验室的PI，从而更好地使7月开始的奖学金学年与10月开始的财政年度保持一致。已经启动了对总部外管理处拨款的这些修改，以理顺用于研究金培训的实验室资金，并保持与SOFP相关的总体预算透明度。每周都会与TGIB主管一起跟踪和审查这些活动。

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.