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ROSWELL PARK CANCER INSTITUTE Surgical Oncology Fellowship Program Advanced Surgical Training at a Premier NCI-Designated Comprehensive Cancer Center About Roswell Park Cancer Institute About Roswell Park Cancer Institute Setting the National Standards in Patient Care Research Powerhouse Since its creation in 1898, Roswell As a member of the National research programs attract approximately Park Cancer Institute (RPCI) has had Comprehensive Cancer Network $90 million in research grants and a profound and global impact on the (NCCN), an alliance of 20 of the contracts each year. understanding, prevention, diagnosis world’s leading cancer centers, and treatment of cancer. Among other RPCI plays a key role in establishing RPCI and its prominent “next-door” landmark achievements, RPCI: clinical practice guidelines in oncology. neighbors—the Structural Biology It is the only National Cancer Research Center of Hauptman- Institute-designated Comprehensive Woodward Medical Research Institute Cancer Center in upstate New York. and the New York State Center of • Launched the first chemotherapy program in the world. • Developed the PSA test, used for early detection of prostate cancer, RPCI’s groundbreaking basic and clinical Excellence in Bioinformatics of the and photodynamic therapy (PDT), RPCI ranks among the top one percent University at Buffalo—constitute the a novel treatment that uses lasers of cancer centers and teaching hospitals Buffalo Life Sciences Complex of the to activate cancer-killing drugs. in the U.S. for patient satisfaction with Buffalo-Niagara Medical Campus. physician services and overall care. The three research powerhouses • Was an international leader in mapping the human genome. • Provided seminal basic and clinical share specific resources, including the University at Buffalo’s world-class discoveries for a number of currently supercomputing facilities, and work utilized chemotherapeutic regimens, together in areas of mutual research. including 5FU-leucovorin and cisplatin. The Multidisciplinary & Collaborative Environment Working in a single location called Our Surgical Edge: Minimally Invasive, Conserving, Patient Focused a “Center,” RPCI’s disease-specific Over the past five years, Roswell Park teams develop customized care plans has emerged as a national leader in Regional Centers for Maxillofacial for every patient, detailing the course minimally invasive as well as limb- and Prosthetics in the USA. of treatment from diagnosis through organ-conserving surgeries, and its recovery. To ensure seamless care, programs and capabilities are expanding teams include not only clinicians and every day. For example, Roswell Park: nurses but also support staff and basic • Is one of few institutions worldwide • Houses one of only a dozen • Offers many of the latest surgical techniques and procedures, including: o Video-assisted thoracic (VATS) surgery o Mohs micrographic surgery (skin) o Microsurgery and maxillofacial and applied scientists, all aiming toward that offers robotic cystectomy for improved outcomes and higher quality patients with bladder cancer, leads of care and of life. the nation in the use of robotic o Limb-conserving surgery (sarcomas) cystectomy and is soon to launch o Gamma Knife, stereotactic reconstruction (head and neck) The close collaboration of clinicians and a national training program in craniotomies, microneurosurgery, basic scientists on this campus nurtures robotic surgery. minimally invasive skull base surgery, an intellectually fertile atmosphere with • Has one of the most well-documented immense potential for discovery and outcomes for breast surgery in the innovation. As part of this extraordinary U.S., with more than 75% of women community, RPCI’s Surgical Oncology with early-stage breast cancer fellows have the opportunity to interact treated with breast-conserving surgery. with and learn from nationally prominent cancer specialists. • Is one of few institutions nationwide equipped with a Transanal Endoscopic Microscope for the resection of rectal tumors. Vital Statistics Hospital Admissions: 4,400 Outpatient Visits: 153,000 Patients Under Active Care: 23,435 (7,208 new) Patient Origin: 37 states, 8 foreign countries Beds: Currently 119; 101 in service; approved for 133 Grants/Contracts: $90 million annually Funded Research Projects: 522 Academic Affiliation: University at Buffalo Employees: More than 2,700, including 227 physicians and scientists and more than 450 nurses cortical mapping/awake craniotomies (brain/spine) o Minimally invasive esophagectomies (esophagus). The Surgical Oncology Fellowship Programs development and Institutional Review flat-screen plasma monitors, 3-D Board, and annually complete two imagery and voice- and touch- As a free-standing NCI-designated academic projects for national presentation activated controls, and feature adjacent Comprehensive Cancer Center, Roswell and peer-reviewed publication. observation and teleconferencing rooms. One suite also is equipped Park provides intensive training that focuses exclusively on cancer. Fellows RPCI’s rich multidisciplinary model affords with the da Vinci® surgical robotic develop and strengthen skills in both fellows the opportunity to learn from system, used for thoracic, GI, urologic, surgical decision-making and operative clinicians and basic scientists of the gynecologic, head and neck, and technique. A comprehensive program of highest caliber, and to develop a broad neurologic procedures. courses and lectures provides fundamental understanding of the connections knowledge of tumor biology, molecular between various aspects of cancer genetics, epidemiology, biostatistics, research. The impact of training in this gain extensive experience in decision- radiation principles, protocol development, setting is evident in the professional making and operative techniques, plus screening and early detection, staging, choices of RPCI’s surgical fellows: hands-on experience in preoperative multidisciplinary treatment, pain manage- most go on to posts that combine evaluation, treatment planning and ment and end-of-life issues. academic, research and clinical interests. postoperative ambulatory patient care. • RPCI fellows in Surgical Oncology • Fellows gain experience in surgical Formal coursework is supplemented by The Roswell Park Advantage management of patients undergoing a challenging and stimulating schedule • All clinical and didactic programs predominantly medical therapy. • Fellows preparing for academic of programs that includes monthly are centered exclusively on Society multidisciplinary debates on controversial of Surgical Oncology fellows, posts have the opportunity to teach topics in oncology; “Meet the Professor” eliminating competition from surgical University at Buffalo medical students lectures featuring topics chosen by the chief residents, fellows in other who perform their general surgery fellows; and weekly, institute-wide specialties and visiting fellows. rotations at RPCI. presentations by the most recognized • The Roswell Park Hospital, opened in • Fellows enjoy unrestricted access to 1998, houses two minimally invasive RPCI’s Dr. Edwin A. Mirand Library, surgery (MIS) suites, used for both a National Library of Medicine- All fellows participate in at least two MIS and open surgery. The suites are designated regional resource library meetings each of both RPCI’s Scientific ergonomically designed and equipped with one of the nation’s largest Review Committee for protocol with such advanced technology as collections of cancer-related materials. names in the field of oncology. • All major Surgical Oncology rotations are disease-site-specific and built around faculty members’ expertise in specific types of cancers. This enables fellows to take part in the full spectrum of case management, including preoperative evaluation, multidisciplinary discussion, treatment and postoperative follow-up of the same cohort of patients over several months. Because trials, tumor immunology and pharmacol- RPCI faculty often provide long-term ogy. Approximately 42 weekly lectures specialization, during which fellows surveillance for their patients, fellows are held during the year. may elect to further their experience also may become familiar with follow-up • Five months of clinical or research in one of the major disciplines; or strategies and the evaluation and The Trainee Lecture Series has become pursue subspecialty electives in Head treatment of recurrent disease. an important part of the educational and Neck, Endoscopy, Urologic environment for clinical trainees and Oncology or Gynecologic Oncology. • Faculty in Surgical Oncology, Medical Oncology, Radiation Oncology, research students at Roswell Park Pathology, Radiology and Ancillary and is well attended. It also provides Gynecologic Oncology Services meet weekly to discuss new another forum for clinical trainees from Approved by the and complex cases, giving fellows the different specialty areas to interact American Board of Obstetrics & broad perspective of RPCI’s multidisci- with each other in an intellectually Gynecology as a subspecialty plinary approach to patient care. collaborative arena. This four-year fellowship includes two years of basic science and two years The RPCI Trainee Lecture Series Curriculum RPCI sponsors a Trainee Lecture Series of of clinical rotation. The fellow receives training in all aspects of the management of gynecologic malignancies, including weekly conferences attended by clinical General Surgical Oncology radical surgery, bowel and urologic and research students, residents and Approved by the surgery; reconstructive surgery and fellows in Medical Oncology, Radiation Society of Surgical Oncology chemotherapy. Fellows also rotate in Oncology, Pathology and Surgical This fellowship comprises: GI Service and Radiation during their Oncology. It is open to trainees of all • Three-month rotations in the major clinical rotation. other disciplines as well. This survey disciplines of surgical oncology: course addresses issues ranging from Upper GI, Lower GI, Hepatobiliary, Otolaryngologic Oncology ethics to molecular biology and is Melanoma/Sarcoma, Breast and Approved by the arranged to cover specific topics on a Thoracic, and American Head and Neck Society yearly cycle. Six lectures are devoted • One- to two-month rotations in Fellows may opt for either a one-year to statistics, five to ethics and eight to Endoscopy, Head and Neck, Medical clinical or two-year clinical and research molecular biology; other lectures address Oncology, Radiation Oncology, fellowship in Head and Neck Surgery the design and management of clinical Pathology and subspecialty electives. and Oncology. The program involves at least 12 months of clinical rotations cover- • In-depth experience in open radical The RPCI Campus ing all aspects of contemporary head surgery and reconstruction, including Set on 25 acres in downtown Buffalo, and neck surgery, microvascular surgical nerve-sparing surgery and continent New York, the RPCI campus comprises reconstruction and oncology. The Head urinary diversion; laparoscopic surgery 15 buildings. All clinical activities, and Neck Surgery/Plastic Surgery of the kidney, adrenal and prostate; didactics and basic science research Department collaborates in translational and robotic radical prostatectomy. take place on this campus. Approximately research projects with a dynamic group 60% of the campus has undergone have an opportunity for dedicated Laboratory Research Experience research time during the second year. Fellows with a strong interest in basic of research scientists. The fellow will major renovation or has been newly built since 1998. science research may opt to complete The Roswell Park Hospital houses a Urologic Oncology a year or two of laboratory research in stand-alone Clinical Research Center Approved by the Society of one of more than 25 laboratories. The that will greatly expand the number Gynecological Oncologists program introduces the surgical oncology of RPCI patients enrolled in clinical This one-year fellowship comprises: trainee to the latest advances and ideas research studies. RPCI has sponsored • One year of clinical experience in the in both basic and clinical research, which or collaborated on more than 500 care and management of the major are the catalyst of tomorrow’s innovative clinical trials of new and innovative urologic neoplasms: prostate cancer, treatments. This program is funded by an cancer treatments. bladder cancer, renal cell carcinoma NIH/NCI T32 training grant. and testicular cancer. Newest among the RPCI facilities is Program Faculty the $ 74 million Center for Genetics Virtually all program faculty are full-time & Pharmacology, opened in 2006, members of Roswell Park’s clinical staff which houses the Institute’s core resource and the Department of Surgery of the facilities and the Cancer Genetics and University at Buffalo School of Medicine Pharmacology departments. and Biomedical Sciences. The Buffalo Niagara Region and a thriving theatre district with a rich diversity of offerings. Set at the eastern end of Lake Erie, Buffalo is just 30 miles Sports fans follow the action of the area’s major league from Niagara Falls and a 90-minute drive from Toronto, teams—the NFL Bills, NHL Sabres, MILL Bandits and the Ontario. The region enjoys moderate winter and summer Buffalo Bisons, an American Association baseball team. temperatures, setting the stage for outstanding recreational opportunities, including winter skiing at area resorts and Eligibility for RPCI Fellowships summer boating on the lake. Applicants must have completed their residency training in general surgery and be qualified to sit for the American RPCI is close to all the action in the City of Good Neighbors— Board of Surgery exam. just 10 minutes from the Albright-Knox Art Gallery, Delaware Park, Buffalo Zoo and Erie Basin Marina, and two blocks from When & How to Apply historic Allentown, a community noted for artists, antiques, gour- Candidates are advised to begin the application process met restaurants, coffeehouses and historic homes. Nationally approximately one year prior to the anticipated date of noted for its architecture, Buffalo is a popular destination for enrollment in the fellowship program. Interviews are usually those attracted to the work of Frank Lloyd Wright. held in late summer or early fall. Kleinhans Music Hall is home to the Buffalo Philharmonic, An application form is available on the RPCI website at consistently ranked among the nation’s top 10 symphonies, www.roswellpark.org/Education/Clinical_Education. Roswell Park Cancer Institute participates in the Society of Surgical Oncology Matching Program. Inquiries: John M. Kane III, MD, Surgical Oncology Program Director, Roswell Park Cancer Institute Elm and Carlton Streets ◆ Buffalo, NY 14263 ◆ Phone: 716-845-3284 Email: [email protected] Elm and Carlton Streets Buffalo, New York 14263 1-877-ASK-RPCI (1-877-275-7724) www.roswellpark.org 17087 (02.07)