Clinical Diagnosis
Management

• Perform Complete History and Physical Exam

• Perform Complete Consultation

• Correlation of clinical information with pathologic techniques

• Appropriate use,techniques and principles of Radiation Therapy

• General Counseling/testing

• Interpret following lab tests:
  • CBC
  • All Coagulation tests
  • Bone Marrow Aspirate Bx
  • Pathology special stains
  • Immunophenotyping
• Routine Care and Management of Indwelling IV catheters

• Chemotherapy Toxicity

• Hospice referral and management and end of life care

• Perform a complete CBC

• Assess and Measure palpable tumors and tumors on X-Rays

• Assess Disease response to treatment

• Pain Management

• Multimodality Disease Management

• Techniques and principles of Blood Banking, including crossmatch, use of components and evaluation of reactions

• Perform and interpret common Coag testing (PT,aPTT, Platelet aggregation,and bleeding time.)

• Bone Marrow Aspirate and Biopsy

• Order Chemotherapy and Biologic Response Modifiers(requires Faculty co-signature)

• Chemotherapy: Intra-thecal

• Chemotherapy: Intra-cavitary

• Chemotherapy: Intra-lesional

• Chemotherapy: Topical

• FNA of lesions

• All procedures usually granted to a Board Certified Internist

• Apheresis Procedures

• Stem Cell Harvest

• Bone Marrow Transplant

• Requires Supervision by a Teaching (Faculty) Physician or Upper Level Resident determined by the individual Resident level of performance
• The above supervision guidelines are not for billing purposes.
• Hem/Onc Training requirements are for 18 clinical months and 18 months of research time. Therefore the V and VI year are combined