She received her medical degree from the State University of New York at Buffalo, where she spent a year at the National Cancer Institute as a Howard Hughes Medical Institute Research Fellow studying cancer immunotherapy. Dr. Shand completed her residency training at the University of Rochester, with a Distinction in Research, and her fellowship training in pediatric oncology at the Johns Hopkins Hospital and the National Cancer Institute. She joined the faculty at the University of Rochester in 2013, where she practices pediatric hematology-oncology at the Golisano Children’s Hospital while maintaining a leukemia research laboratory as a St. Baldrick’s Foundation Research Scholar.