MEDICAL ONCOLOGY 1 PART II - 2008
THE ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA
Name of Program Director:
Date of Review:
Sites Participating in this Program:
Program Website / URL:
MEDICAL ONCOLOGY 2 PART II - 2008
"There must be sufficient resources including teaching faculty, the number and variety of patients, physical and technical resources, as well as the
supporting facilities and services necessary to provide the opportunity for all residents in the program to achieve the educational objectives and
receive full training as defined by the specialty training requirements in the specialty or subspecialty."
Where the resources to provide "full training" are not available at the sponsoring university, several different types of inter-university affiliations may be
negotiated, as stated in the grey book "General Information Concerning Accreditation of Residency Programs." It should be noted that the exchange of
residents between two fully accredited programs does not require an inter-university affiliation.
1. Teaching Faculty
List by teaching site the members of the teaching faculty who have a major role in this program, including members from other departments. In indicating a
subspecialty, use as a criterion whether he or she is considered by colleagues as a subspecialist and functions academically and professionally as one.
Teaching Site Name University Rank Specialty Subspecialty Nature of Interaction with Resident
Qualifications (If any) (e.g. clinical, teaching, research)
What percentage of faculty listed above (#2.) have been practising in the subspecialty:
< 15 years %
> 25 years %
2. Medical Oncology, In-patients
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Hospital Number of Total Number of Number of Number of Number of
Medical Beds Medical Medical Medical
Oncology Oncology Beds Oncology Oncology
Teaching Staff Admissions Per Consults Per
a) Identify the hospitals which provide the greater part of the training in medical oncology. Describe the organization of the medical oncology teaching units,
including the arrangements for staff supervision.
3. Other Specialties
For each institution indicate the number of admissions per year and number of out-patients seen per year in these specialties:
Adm/yr Out-pts/yr Adm/yr Out-pts/yr Adm/yr Out-pts/yr Adm/yr Out-pts/yr
General Internal Medicine
Other Medical Specialties
Other Surgical Specialties
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a) Concerning radiation oncology, also elaborate on the number of teaching staff, equipment and support facilities and specialized support staff. Provide patient
statistics on: number of new cases per year, total number of patients treated annually by radiation therapy, number of out-patients visits per year for
consultation and follow-up.
b) What arrangements have been made for residents to acquire the special skills which relate to medical oncology from those specialty areas indicated on the
c) With reference to Royal College accredited residency programs, for each institution answer the following:
i) Which of the medical specialties is not represented?
ii) Which of the laboratory medicine specialties is not represented?
iii) Which of the surgical specialties is not represented?
iv) Are there other specialties or services not covered by the above, for example, clinical pharmacology, clinical epidemiology and biometry, supportive
(palliative) care, orofacial-maxillary surgery and dentistry?
d) In diagnostic radiology are facilities available for isotope, ultrasound, CAT scan and interventional radiology?
e) Describe the arrangements for residents to gain experience in providing consultant service to these specialties.
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f) Document the experience residents receive in managing hematologic malignancies.
4. Physical Facilities and Services
INSTITUTIONS New Total Number Number of Number of Number of Number of
Patients Per of Patients Clinic Visits Teaching Staff Nurses Data
Year Seen in the Per Year Managers
For each institution, elaborate on the following:
a) Physical facilities for the preparation, administration of chemotherapy and the performance of simple diagnostic and therapeutic procedures.
b) Types and number of combined clinics held per week and number of patients seen.
c) Types and number of multidisciplinary Tumor Conferences held per week and number of patients reviewed.
d) Are there any primary or secondary prevention programs or clinics?
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e) Describe the availability of support services, for example, nutritional, social service, public health nurses, physical and occupational therapy, rehabilitation
programs, home care visitors, patient support groups, etc.
f) Describe the facilities and arrangements for residents to participate in intensive care.
g) Describe the facilities and arrangements for residents to participate in emergency medicine.
h) Describe the facilities and arrangements for residents to participate in ambulatory care.
5. Palliative Care
a) Describe the resources available and the arrangements for the training of residents in pain and symptom management.
b) Describe the resources available and the arrangements for the training of residents in psychosocial aspects of cancer care.
c) Are there rotations and arrangements available for the training of residents in palliative care units and clinics?
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MEDICAL ONCOLOGY 8 PART II - 2008
6. Breakdown of All Neoplasms Registered (R) and Treated (T) Per Year
TYPE OF (R) (T) (R) (T) (R) (T) (R) (T) (R) (T) (R) (T) (R) (T) (R) (T)
7. Other Supporting Services, Resources and Activities
a) Identify other departments, divisions or services that provide training for residents in medical oncology. Describe the arrangements whereby this training is
coordinated to ensure that the experience provided meets the educational needs of the residents.
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b) Describe the mechanism for the integration of treatment modalities and for interaction with other health professionals in the total care of the patient.
c) Describe the organization of patient support systems from the diagnosis of cancer to the final stages of the illness. Describe resident participation and the
means to ensure development of skills in communicating with the patient and family.
d) Describe the clinical trials program, trials currently active and percentage of total patients entered on trials.
e) Describe the resources available for basic research in cancer.
f) Describe the facilities for registration and follow-up of cancer patients (Tumor Registry).
8. Summary of Adequacy of Resources
Comment on the adequacy of the resources in the overall clinical program, with particular reference to the relationship between such resources and the
number of residents dependent upon them. Include consideration of the following questions:
Are there significant areas where the workload of the teachers (clinical care, undergraduate teaching, etc.) is such as to affect adversely the
continuous supervision and instruction of residents in medical oncology?
Are the numbers of patients available for teaching sufficient to provide for training of residents rotating from other residency programs and
services, without adverse effects on the training of residents in medical oncology?
Are the diagnostic and basic science facilities available to the program sufficient to provide adequate teaching for residents in medical oncology
MEDICAL ONCOLOGY 10 PART II - 2008
in addition to other residents sharing the same facilities?