Oncology DIO

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Oncology DIO

  1. 1. Nov 22, 2004 Undergraduate Medical EducationUndergraduate Medical Education ONCOLOGY BLOCKONCOLOGY BLOCK
  2. 2. Nov 22, 2004 PProject toroject to AAdvancedvance CClinicallinical EEducationducation “Keeping PACE with the health care needs of our region”“Keeping PACE with the health care needs of our region” • Medical School:Medical School: 33rdrd & 4& 4thth year curriculayear curricula • New rotations, more ambulatory care, moreNew rotations, more ambulatory care, more disease-oriented / patient-oriented (notdisease-oriented / patient-oriented (not department-based)department-based) • NewNew “Oncology Block”“Oncology Block” rotationrotation – Required in new 4Required in new 4thth year curriculum for all studentsyear curriculum for all students – Not intended to duplicate material, but to expand it toNot intended to duplicate material, but to expand it to the “next level”the “next level” – Planned for 2006-2007 (pilot run next year?)Planned for 2006-2007 (pilot run next year?)
  3. 3. Nov 22, 2004 Total Cancer Care ApproachTotal Cancer Care Approach DiagnosisDiagnosis PrognosisPrognosis TreatmentTreatment Primary TherapyPrimary Therapy --MultimodalityMultimodality Post TherapyPost Therapy --SurveillanceSurveillance --ConsolidationConsolidation RelapsedRelapsed DiseaseDisease Salvage TherapySalvage Therapy -Phase I program -Drug Discovery Behavioral ResearchBehavioral Research & Palliative Care& Palliative Care BehavioralBehavioral OncologyOncology Cancer Control &Cancer Control & PreventionPrevention Outreach to theOutreach to the CommunityCommunity HealthHealth OutcomesOutcomes CancerCancer PatientPatient CancerCancer ControlControl Risk FactorsRisk Factors GeneticsGenetics ScreeningScreening PreventionPrevention NutritionNutrition Life StyleLife Style Molecular OncologyMolecular Oncology Functional GenomicsFunctional Genomics FunctionalFunctional GenomicsGenomics ImagingImaging Modalities:Modalities: NanotechnologyNanotechnology
  4. 4. Nov 22, 2004 Oncology Block: OutcomesOncology Block: Outcomes • Fundamentals of oncologyFundamentals of oncology – Tumor biology, carcinogenesis, epidemiology, tumorTumor biology, carcinogenesis, epidemiology, tumor markers, pathology, pharmacology, immunology,markers, pathology, pharmacology, immunology, endocrinology, benefits and complications ofendocrinology, benefits and complications of multimodal therapy, prevention (1°, 2°, 3°), screening,multimodal therapy, prevention (1°, 2°, 3°), screening, staging, statistics, clinical trials, ethics, pain / suffering,staging, statistics, clinical trials, ethics, pain / suffering, quality of life issues, end-of-life issuesquality of life issues, end-of-life issues • Multidisciplinary approachMultidisciplinary approach to prevention,to prevention, diagnosis, treatment, support, & rehabilitationdiagnosis, treatment, support, & rehabilitation • Natural history, diagnosis, and managementNatural history, diagnosis, and management of common cancers (breast, colon, lung)of common cancers (breast, colon, lung) • Conveying difficult newsConveying difficult news
  5. 5. Nov 22, 2004 Oncology Block: ComponentsOncology Block: Components • Home BaseHome Base – Program-based; patient-oriented;Program-based; patient-oriented; multidisciplinary experiencemultidisciplinary experience • Core ActivitiesCore Activities – Didactic program, mock student tumorDidactic program, mock student tumor boards, POM/PBL/EBM sessions, journalboards, POM/PBL/EBM sessions, journal club,club, etc.etc. • Mandatory ExperiencesMandatory Experiences – Mammography, XRT, Pain clinic, Hospice…Mammography, XRT, Pain clinic, Hospice…
  6. 6. Nov 22, 2004 Home BaseHome Base • Eligible Programs:Eligible Programs: Breast, GI, GU,Breast, GI, GU, Cutaneous, Thoracic, H&N, GYN, Neuro,Cutaneous, Thoracic, H&N, GYN, Neuro, Sarcoma, Hem/BMT, Psychosocial & PalliativeSarcoma, Hem/BMT, Psychosocial & Palliative Care, Senior Adult Oncology, PathologyCare, Senior Adult Oncology, Pathology • Preceptors -- CRITICAL:Preceptors -- CRITICAL: to ensureto ensure comprehensive exposure -- screening, dx,comprehensive exposure -- screening, dx, imaging, path, Rx, f/u, prevention, QOLimaging, path, Rx, f/u, prevention, QOL • Patient-oriented total cancer care,Patient-oriented total cancer care, involvinginvolving all disciplines (surgery, med onc, rad onc, …)all disciplines (surgery, med onc, rad onc, …) • NOTNOT 1 wk surgery, 1 wk med onc, 1 wk rad onc1 wk surgery, 1 wk med onc, 1 wk rad onc
  7. 7. Nov 22, 2004 Core ActivitiesCore Activities • Didactic Program (~ 5 hrs)Didactic Program (~ 5 hrs) – Introduction to Total Cancer Care (~ 1/2 hr)Introduction to Total Cancer Care (~ 1/2 hr) – Diagnostic modalities (~ 3/4 hr)Diagnostic modalities (~ 3/4 hr) – Cancer Sciences (~ 3 + hrs ? )Cancer Sciences (~ 3 + hrs ? ) • Carcinogenesis / Molecular oncology (RJ ? )Carcinogenesis / Molecular oncology (RJ ? ) • Tumor immunology / Cancer vaccines (SD ? )Tumor immunology / Cancer vaccines (SD ? ) • Drug discovery (SS ? )Drug discovery (SS ? ) • Experimental therapeutics (DS ? )Experimental therapeutics (DS ? ) • Risk assessment, detection, intervention (AG ?)Risk assessment, detection, intervention (AG ?) • Health outcomes (PJ ? )Health outcomes (PJ ? ) • Cancer prevention & control (TS ? )Cancer prevention & control (TS ? )
  8. 8. Nov 22, 2004 Core ActivitiesCore Activities • Conveying difficult news (2 hrs)Conveying difficult news (2 hrs) – Video-taped role playing; discussion; analysisVideo-taped role playing; discussion; analysis – Topics:Topics: • A new cancer diagnosisA new cancer diagnosis • Staging and prognostic informationStaging and prognostic information • Treatment optionsTreatment options • QOL issues (QOL issues (e.g.e.g. mastectomy, colostomy,mastectomy, colostomy, tracheostomy, infertility, amputation, ED, LE)tracheostomy, infertility, amputation, ED, LE) • End-of-life issues and hospiceEnd-of-life issues and hospice
  9. 9. Nov 22, 2004 Core ActivitiesCore Activities • Journal Club (2 hrs)Journal Club (2 hrs) – Surg, Med Onc, Rad Onc, Rad, Path,Surg, Med Onc, Rad Onc, Rad, Path, Statistician, Basic ScientistStatistician, Basic Scientist – Students present; faculty assist w reviewStudents present; faculty assist w review – Demonstrate the role of EBM and criticalDemonstrate the role of EBM and critical review of the literature (statistical methods,review of the literature (statistical methods, study design, data analysis)study design, data analysis) – Pick hot or controversial topics (Pick hot or controversial topics (e.g.e.g. HRT)HRT)
  10. 10. Nov 22, 2004 Core ActivitiesCore Activities • Mock Student Tumor Boards (1.5 hrs x 10)Mock Student Tumor Boards (1.5 hrs x 10) – GU, Melanoma, H&N, GYN, Sarc, Neuro,GU, Melanoma, H&N, GYN, Sarc, Neuro, Leukemia/Lymphoma, GI, Thoracic, BreastLeukemia/Lymphoma, GI, Thoracic, Breast – Surgery, Med Onc, Rad Onc, Radiology, Pathology,Surgery, Med Onc, Rad Onc, Radiology, Pathology, Basic Scientist (?), other (Basic Scientist (?), other (e.g.e.g. speech pathologistspeech pathologist etcetc)) – Only 4-6 cases (real or simulated) selected to discussOnly 4-6 cases (real or simulated) selected to discuss diagnosis and treatment from a multidisciplinary pointdiagnosis and treatment from a multidisciplinary point of view (incl risk factors, screening, diagnostic w/u,of view (incl risk factors, screening, diagnostic w/u, staging, Rx, f/u, QOL issues, end-of-life issues,staging, Rx, f/u, QOL issues, end-of-life issues, clinical trials,clinical trials, etcetc)) – One patient chosen for student role-playingOne patient chosen for student role-playing
  11. 11. Nov 22, 2004 Core ActivitiesCore Activities • POM/PBL/EBM Sessions (1.5 hrs x 4)POM/PBL/EBM Sessions (1.5 hrs x 4) – Topics:Topics: Breast cancer, Lung cancer, ColorectalBreast cancer, Lung cancer, Colorectal cancer, Pain Management / Palliative Care / Hospicecancer, Pain Management / Palliative Care / Hospice – Case histories and specific objectives provided toCase histories and specific objectives provided to students at the beginning of the rotationstudents at the beginning of the rotation – Access to “experts” throughout the rotationAccess to “experts” throughout the rotation – Students present at the end of the rotationStudents present at the end of the rotation – Content experts provide feedback, supplement theContent experts provide feedback, supplement the information, and “wrap-up” the sessioninformation, and “wrap-up” the session – Bibliographies will be available on the webBibliographies will be available on the web
  12. 12. Nov 22, 2004 Mandatory ExperiencesMandatory Experiences Students must pick 5 of the following:Students must pick 5 of the following: • Screening at Lifetime (incl seeing a mammogramScreening at Lifetime (incl seeing a mammogram being done, and doing 3 CBE’s under supervision)being done, and doing 3 CBE’s under supervision) • Genetic Counselling - one consultationGenetic Counselling - one consultation • Radiation Treatment (incl simulation, marking ofRadiation Treatment (incl simulation, marking of fields, designing shields, tattooing…)fields, designing shields, tattooing…) • Oncologic emergencies and medical complications ofOncologic emergencies and medical complications of cancer and cancer Rx (recommend one full day withcancer and cancer Rx (recommend one full day with one of the PTA/IHM MD’s)one of the PTA/IHM MD’s) • Palliative care and pain control (recommend one fullPalliative care and pain control (recommend one full day in the Pain Clinic +/- interventional anaesthesia)day in the Pain Clinic +/- interventional anaesthesia) • Hospice in the communityHospice in the community
  13. 13. Nov 22, 2004 AcknowledgmentsAcknowledgments • Paul Wallach,Paul Wallach, Associate Dean, CurriculumAssociate Dean, Curriculum and Medical Educationand Medical Education • PACE committee membersPACE committee members • Oncology Block committee membersOncology Block committee members • Special thanks to Yash Patil (ENT) andSpecial thanks to Yash Patil (ENT) and Jennifer Sparks (MSIV)Jennifer Sparks (MSIV)
  14. 14. Nov 22, 2004 H. Lee Moffitt Cancer CenterH. Lee Moffitt Cancer Center

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