Letter from Maurice Willis, M.D.
The TDCJ Hospital is physically connected to John Sealy Hospital. The University Hospitals Clinics building is also physically connected to John Sealy Hospital and is located close to the Division's main office. We now have a clinic in Dickinson, Texas that offers infusion also.
The number Among the new cancer patients that are diagnosed or referred to UTMB, the most common are carcinomas of the lung, breast, cervix, prostate, head and neck, and colorectal. We have a unique cadre of patient at the TDCJ hospital. The TDCJ gives unique opportunities to treat testicular cancer, hepatocellular carcinoma and HIV related cancers
The first year of the Oncology Training Program is the primary clinical year. First year fellows rotate between the Hematology consult service, which sees both malignant and non-malignant hematological problems, the Solid Tumor Oncology Consult Service, which sees solid tumor neoplasm, and the Inpatient Service.
In the second year of the training program, considerable time is set aside to allow fellows to develop their research area of interest. In addition, they can do elective rotations in transfusion medicine and blood banking, Radiation Oncology, Gynecologic Oncology, ENT and Pathology. Fellows have to take a required elective Bone Marrow Transplant UT M.D. Anderson Cancer Center in Houston, Texas.
Fellows are expected to participate in clinical or bench research. In the first year, fellows are expected to identify a potential area of research interest, which they can develop during the second year. Research projects can be done under the direction of a member of the Hematology/Oncology Faculty, or in other departments doing Oncology related research. It is anticipated that research projects will develop data which can be presented at a national meeting or result in publications in the form of abstracts, papers in a referred journal, or both.
Throughout the week there are various lectures, seminars, and tumor conferences presented by the staff in the Division of Hematology/Oncology, by other subspecialties within the Department of Internal Medicine, and by physicians in disciplines outside of Internal Medicine (e.g. Radiation Oncology, ENT, Surgery, Clinical Pathology or Gynecology). The training program in Oncology accepts three fellows per year. Planning for a free-standing NCI designated multidisciplinary cancer center is actively underway.
Maurice Willis, MD
Program Director, Fellowship Program
Division of Hematology/Oncology
Department of Internal Medicine
The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.Currently available protocols are:
- CAP - Community Acquired Pneumonia Orderset
- Congestive Heart Failure (CHF)
- Chronic Obstructive Pulmonary Disease (COPD)
- Diabetic Ketoacidosis Adult, ICU
- General Medicine Admission
- Immunodeficiency Flow Panel
- MICU/CCU Admission Order Set
- Oral Analgesic Medicaitons
- Parenteral Opioids
- Sepsis, Adult ICU
- 111 - Stroke Alert
- 112 - Stroke Activation
- 300086 - Stroke Floor Admission
- 3000000001 - Stroke Critical care without tPA
- 300088 Stroke - Transfer from Critical care to floor
- 3004002 - Stroke Discharge
All protocols can be found in the EPIC order set section.
The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.