Hematology cases in community practice

[icecoo]

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Thinking about doing community oncology but only oncology trained so am trying to figure out what hematology case I should expect and whether I should do additional training.

What are bread and butter hematology cases?
What are your approach with complicated hematology patients (acute leukemia, stem cell transplant, PLEX, etc.)

Thank you very much for your insight.

 

[gutonc]

Thinking about doing community oncology but only oncology trained so am trying to figure out what hematology case I should expect and whether I should do additional training.

What are bread and butter hematology cases?

Iron deficiency anemia. 98% of my heme referrals. A reasonably competent MS3 could handle them. I used to try to be thoughtful about them. But then decided if their PCP couldn't bother to draw a ferritin before referring them, I was going to just go whole hog once they crossed the threshold into my office. I don't always do a PNH screen, but otherwise, I'm getting all the anemia labs. And sending them for a scope. And setting them up for a marrow.

What are your approach with complicated hematology patients (acute leukemia, stem cell transplant, PLEX, etc.)

Ship 'em. I ain't got time for that nonsense, and my nurses can't deal with it either.

Also, ROFL a bit at a PLEX case being complicated. You pherese them, you send them home.