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Oncology DIO






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Oncology DIO Presentation Transcript

  • 1. Undergraduate Medical Education ONCOLOGY BLOCK
  • 2. P roject to A dvance C linical E ducation “Keeping PACE with the health care needs of our region”
    • Medical School: 3 rd & 4 th year curricula
        • New rotations, more ambulatory care, more disease-oriented / patient-oriented (not department-based)
    • New “Oncology Block” rotation
      • Required in new 4 th year curriculum for all students
      • Not intended to duplicate material, but to expand it to the “next level”
      • Planned for 2006-2007 (pilot run next year?)
  • 3.  
  • 4. Oncology Block: Outcomes
    • Fundamentals of oncology
      • Tumor biology, carcinogenesis, epidemiology, tumor markers, pathology, pharmacology, immunology, endocrinology, benefits and complications of multimodal therapy, prevention (1°, 2°, 3°), screening, staging, statistics, clinical trials, ethics, pain / suffering, quality of life issues, end-of-life issues
    • Multidisciplinary approach to prevention, diagnosis, treatment, support, & rehabilitation
    • Natural history, diagnosis, and management of common cancers (breast, colon, lung)
    • Conveying difficult news
  • 5. Oncology Block: Components
    • Home Base
      • Program-based; patient-oriented; multidisciplinary experience
    • Core Activities
      • Didactic program, mock student tumor boards, POM/PBL/EBM sessions, journal club, etc.
    • Mandatory Experiences
      • Mammography, XRT, Pain clinic, Hospice…
  • 6. Home Base
    • Eligible Programs: Breast, GI, GU, Cutaneous, Thoracic, H&N, GYN, Neuro, Sarcoma, Hem/BMT, Psychosocial & Palliative Care, Senior Adult Oncology, Pathology
    • Preceptors -- CRITICAL: to ensure comprehensive exposure -- screening, dx, imaging, path, Rx, f/u, prevention, QOL
    • Patient-oriented total cancer care, involving all disciplines (surgery, med onc, rad onc, …)
    • NOT 1 wk surgery, 1 wk med onc, 1 wk rad onc
  • 7. Core Activities
    • Didactic Program (~ 5 hrs)
      • Introduction to Total Cancer Care (~ 1/2 hr)
      • Diagnostic modalities (~ 3/4 hr)
      • Cancer Sciences (~ 3 + hrs ? )
        • Carcinogenesis / Molecular oncology (RJ ? )
        • Tumor immunology / Cancer vaccines (SD ? )
        • Drug discovery (SS ? )
        • Experimental therapeutics (DS ? )
        • Risk assessment, detection, intervention (AG ?)
        • Health outcomes (PJ ? )
        • Cancer prevention & control (TS ? )
  • 8. Core Activities
    • Conveying difficult news (2 hrs)
      • Video-taped role playing; discussion; analysis
      • Topics:
        • A new cancer diagnosis
        • Staging and prognostic information
        • Treatment options
        • QOL issues ( e.g. mastectomy, colostomy, tracheostomy, infertility, amputation, ED, LE)
        • End-of-life issues and hospice
  • 9. Core Activities
    • Journal Club (2 hrs)
      • Surg, Med Onc, Rad Onc, Rad, Path, Statistician, Basic Scientist
      • Students present; faculty assist w review
      • Demonstrate the role of EBM and critical review of the literature (statistical methods, study design, data analysis)
      • Pick hot or controversial topics ( e.g. HRT)
  • 10. Core Activities
    • Mock Student Tumor Boards (1.5 hrs x 10)
      • GU, Melanoma, H&N, GYN, Sarc, Neuro, Leukemia/Lymphoma, GI, Thoracic, Breast
      • Surgery, Med Onc, Rad Onc, Radiology, Pathology, Basic Scientist (?), other ( e.g. speech pathologist etc )
      • Only 4-6 cases (real or simulated) selected to discuss diagnosis and treatment from a multidisciplinary point of view (incl risk factors, screening, diagnostic w/u, staging, Rx, f/u, QOL issues, end-of-life issues, clinical trials, etc )
      • One patient chosen for student role-playing
  • 11. Core Activities
    • POM/PBL/EBM Sessions (1.5 hrs x 4)
      • Topics: Breast cancer, Lung cancer, Colorectal cancer, Pain Management / Palliative Care / Hospice
      • Case histories and specific objectives provided to students at the beginning of the rotation
      • Access to “experts” throughout the rotation
      • Students present at the end of the rotation
      • Content experts provide feedback, supplement the information, and “wrap-up” the session
      • Bibliographies will be available on the web
  • 12. Mandatory Experiences
    • Students must pick 5 of the following:
    • Screening at Lifetime (incl seeing a mammogram being done, and doing 3 CBE’s under supervision)
    • Genetic Counselling - one consultation
    • Radiation Treatment (incl simulation, marking of fields, designing shields, tattooing…)
    • Oncologic emergencies and medical complications of cancer and cancer Rx (recommend one full day with one of the PTA/IHM MD’s)
    • Palliative care and pain control (recommend one full day in the Pain Clinic +/- interventional anaesthesia)
    • Hospice in the community
  • 13. Acknowledgments
    • Paul Wallach, Associate Dean, Curriculum and Medical Education
    • PACE committee members
    • Oncology Block committee members
        • Special thanks to Yash Patil (ENT) and Jennifer Sparks (MSIV)
  • 14. H. Lee Moffitt Cancer Center