For complicated reasons, many of which I assume are financial in nature, the hematology oncology inpatient service at my hospital is manned by physicians assistants and attendings only. This means that I have had no experience directly caring for patients with common hematologic or oncologic disorders, from the very basic (eg neutropenic fever, ITP) to the more advanced (eg TTP, acquired factor 8 inhibitor). Do you know of a decent primer that covers the basics of management of common hematologic and oncologic issues for an incoming fellow with my limited experience? I realize that this is a problem, particularly the neutropenic fever part, which should just be bread and butter for internal medicine residents. I have made a lot of waves in my program about this shortcoming in our curriculum, but I would prefer that that wasn't the subject of responses to this post, because that will only magnify my frustration and will be of no help to me. I realize that I will likely become competent in the management of many of these issues rather quickly once fellowship starts, but I'd really like to decrease the slope of the learning curve to the extent I may be able to (even if it's only from 85° to 83°). Besides, I'm reading about heme onc most of the time, so it may as well be filling deficiencies in things I should ALREADY know, instead of in my knowledge about the next generation ALK inhibitors with better brain penetration. Thanks so much for your consideration and input.
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