Impact of a Regional Pediatric Hematology/Oncology Fellowship Program in Guatemala

Author:

Moreira Daniel C.1ORCID,Garrido Claudia2,Rosado Roy2,Girón Verónica2,Letona Tomás2,Morales Gerson2,Valverde Patricia2,Velásquez Thelma2ORCID,Alfaro Jeanine2,Orellana Elizabeth3ORCID,Ortega Miguel Angel4,Salguero Paola2,Fox Irwin Leeanna1,Andujar Allyson1,de Alarcón Pedro A.5ORCID,Luna-Fineman Sandra67ORCID,Manco-Johnson Marilyn78ORCID,Conter Valentino9ORCID,Verna Marta10ORCID,Canesi Marta10ORCID,Massimino Maura11ORCID,Spreafico Filippo11ORCID,Ferrari Andrea11ORCID,Gassant Pascale Y.12,Vásquez Roberto13,Friedrich Paola1ORCID,Mack Ricardo214,Ribeiro Raul1ORCID,Metzger Monika L.1ORCID,Rodriguez-Galindo Carlos1ORCID,Antillón-Klussmann Federico214

Affiliation:

1. St Jude Children's Research Hospital, Memphis, TN

2. Unidad Nacional de Oncología Pediátrica, Guatemala City, Guatemala

3. Laboratorio de Patología Dra. Elizabeth Orellana, Guatemala City, Guatemala

4. Clínica de Radioterapia La Asunción, Guatemala City, Guatemala

5. University of Illinois College of Medicine, Peoria, IL

6. Children's Hospital Colorado, School of Medicine, University of Colorado, Aurora, IL

7. Pediatric Hematology/Oncology/SCT, University of Colorado Anschutz Medical Center, Aurora, IL

8. Hemophilia and Thrombosis Center, University of Colorado Anschutz Medical Center, Aurora, IL

9. Tettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy

10. Pediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy

11. Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

12. Hospital Saint-Damien, Port-au-Prince, Haiti

13. Hospital Nacional de Niños Benjamin Bloom, San Salvador, El Salvador

14. Universidad Francisco Marroquin, Guatemala City, Guatemala

Abstract

PURPOSE This study aimed to describe and assess the regional experience of a pediatric hematology/oncology fellowship program based in Guatemala. METHODS The Unidad Nacional de Oncología Pediátrica (UNOP) in Guatemala City, Guatemala, is the only hospital in Central America dedicated exclusively to childhood and adolescent cancer. To address the regional need for specialists, a fellowship program in pediatric hematology/oncology was launched in 2003. The UNOP fellowship program comprises 3 years of training. Although the program is based at UNOP, it also includes rotations locally and internationally to enhance clinical exposure. The curriculum is based on international standards to cover clinical expertise, research, professionalism, communication, and health advocacy. Trainees are selected according to country or facility-level need for pediatric hematologists/oncologists, with a plan for them to be hired immediately after completing their training. RESULTS Forty physicians from 10 countries in Latin America have completed training. In addition, there are currently 13 fellows from five countries in training. Of the graduates, 39 (98%) are now practicing in pediatric hematology/oncology in Latin America. Moreover, many of them have leadership positions within their institutions and participate in research, advocacy, and policy making. Graduates from the UNOP program contribute to institutions by providing care for an increasing number of patients with pediatric cancer. The UNOP program is the first pediatric hematology/oncology fellowship program in the world to be accredited by Accreditation Council for Graduate Medical Education-International, an international body accrediting clinical training programs. CONCLUSION The UNOP program has trained specialists to increase the available care for children with cancer in Latin America. This regional approach to specialist training can maximize resources and serve as a model for other programs and regions.

Publisher

American Society of Clinical Oncology (ASCO)

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