Medical Oncology Curriculum

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Medical Oncology Curriculum

  1. 1. Egyptian Fellowship Board Medical Oncology Curriculum
  2. 2. Preface The Egyptian Fellowship board and the Medical Oncology scientific council worked collabora- tively to make this curriculum available for trainees’ guidance and support. Postgraduate medical education world wide are now governed by sets of academic standards that describe the qualities and abilities of graduates. In addition, there are standards for the training processes , trainers’ selection and methods of assessment. standards ensure transparency and clarify expectations. The Egyptian Fellowship board has already defined and published its standards for the general and professional competencies expected from our graduates in different specialties upon success- ful completion of training. These expectations are clearly reflected in the oncology curriculum. The curriculum describes what trainees will know and be able to do upon completion of training. In additions, methods of teaching and learning needed to deliver the curriculum are listed . The curriculum also describes in details, expectations from trainees during their rotations in “The training rules and regulations section”. Methods of assessment and examination regulations are also available in the last section of the curriculum. All topics covered during practical and theoretical studies are outlined. This will help trainees in the selection of their readings and in the choice of learning activities. To maximize benefits, we also provided tables in the logbook for required cases and procedures at various training stages. In addition, We provide access for the curriculum and logbook through the fellowship website and we recommend that our trainees and trainers regularly check the site for updates and important announcements . We hope that all our trainees, trainers and educational supervisors will use the curriculum as a guide for their teaching and learning and cooperate with The Egyptian Fellowship Board and Medical Oncology Scientific Council to implement the curriculum in the best ways. XáÅtà T{Åxw f{xut Secretary General Higher Committee of Medical Specialties
  3. 3. Acknowledgement This curriculum has been created through collaboration between The Medical Oncology Sci- entific Council and The Egyptian Fellowship Curriculum Committee. The following members of the Medical Oncology Scientific Council have made substantial contribution to the cur- riculum development as subject matter experts The Egyptian Fellowship Curriculum Committee has made significant contribution to the cur- riculum through collaboration with the council in the design and formulation of the educa- tional structure. The member who participated in the work is The Committees consulted international and national curricula in medical on- cology. The external references for the development of this curriculum are: 1. The medical oncology curriculum approved by the Joint Royal Colleges of Physicians Training Board 2007 2. The previous Egyptian board curriculum in Adult oncology 3. The Egyptian Board Guidelines for curriculum development 2007 4. Postgraduate Medical Education and Training Board UK (Guidelines for curriculum development 2006) • Professor Dr Hussein Khalid, Professor of medical oncology, Dean of the National Cancer Institute and Head of the medical oncology scientific council • Professor Dr Mustafa El Serafy, Professor of medical oncology, National Cancer In- stitute • Dr Ola Khorshid, Lecturer of medical oncology, National Cancer Institute • Professor Dr Eman Abd El Raouf, Professor of Pediatric Hematology, Cairo Univer- sity and Educational consultant to The Egyptian Fellowship Board
  4. 4. The Egyptian Fellowship Board 7 Table of contents Preface and acknowledgement ……………………………………………………………………………………….3 Entry requirements and training rotations ………………………………………………………………………....9 Regulations of training and trainees obligations…………………………………………………………………10 Rationale statement …………………………………………………………………………………………………..14 Intended learning outcomes ………………………………………………………………………………………...15 Training themes……………………………………………………………………………………………………….16 Stage 1 training contents ………………………………………………………………………………………..…..17 Stage II training contents …………………………………………………………………………………………..22 Practical Medical oncology ……………………………………………………………………………..26 • Head and neck cancer …………………………………………………………………...28 • Lung cancer ………………………………………………………………………………...29 • Mediastinal tumors ………………………………………………………………………..30 • GIT tumors…………………………………………………………………………………..31 • Genitourinary tumors……………………………………………………………………...35 • Breast cancer……………………………………………………………………………….39 • Female genital tract malignancies ……………………………………………………...40 • CNS tumors………………………………………………………………………………....44 • Soft tissue and bone tumors…………………………………………………………….…45 • Skin tumors………………………………………………………………………………….46 • Neuroendocrine malignancies …………………………………………………………...47 • Lymphomas …………………………………………………………………………………48 • Leukemias……………………………………………………………………………………49 • Plasma cell neoplasms……………………………………………………………………..51 • Myeloproliferative disorders……………………………………………………………...52 • BMT…………………………………………………………………………………………..53 • Oncological emergencies…………………………………………………………………..54 • Palliative care ……………………………………………………………………………...55 • Pain management in cancer patients……………………………………………………..56 Regulations and methods of assessment …………………………………………………………………………..57
  5. 5. Medical Oncology Curriculum 8
  6. 6. The Egyptian Fellowship Board 9 The Egyptian Fellowship Board requires three years of supervised training program that must be conducted in accredited oncology hospitals and centers before sitting for the final examination. The Board will announce a list of accredited training centers yearly. Entry to the medical oncology- training program has the following requirements for trainees who are affiliated to MOHP: • Graduation from medical school and successful completion of the pre-registration house officers' year • Master in General Medicine or higher qualifications (within five years) • M.R.C.P. or equivalent with evidence of recent training in general internal medicine satisfactory to the Egyptian Board requirements • Fellowship of Egyptian Board of General Medicine (At least the 1st two years of fel- lowship with successful pass of the first part exam and evidence of training in the logbook denoting that the candidates has completed training requirements as clari- fied in the general internal medicine curriculum) During the entire training program, the candidate must be dedicated full time. He or she must get gradually increasing responsibilities for patient care according to the stage of training and available supervision. Training Rotations Medical oncology trainees must spend their training period in the following services: a. Hematological malignancies service (12 months) b. Solid tumor service (18 months) c. Bone marrow transplantation service (6 months) d. In addition, attendance to radiotherapy department, oncology surgery wards, clinical pharmacol- ogy and clinical pathology department will be organized by the educational supervisor on part-time basis to allow for the attainment of required intended learning outcomes. To be noted that the rotation between solid tumor service and hematological malignancy services are flexible and candidate may start by any of them and rotate to the other according to service needs. However candidates should have spent the above mentioned durations by the end of training. • Bone marrow Transplanation rotation must be accomplished in a dedicated bone mar- row transplantation center as a full time rotation for the whole mentioned period of training (6 months) The Structure and Regulations of Medical Oncology Training 
  7. 7. Medical Oncology Curriculum 10 Trainees duties and obligations 1. Trainees must attend at least 75% of lectures on medical oncology subjects. 2. They should pass successfully through the first part exam before being eligible for the final exam. 3. Trainees should be actively involved and responsible for patient care including sharing in making decisions about diagnosis and management under supervision of the consultants. 4. They must attend 75% of weekly meetings including clinical rounds, tutorials and journal clubs 5. Their performance will be monitored and evaluated by trainers and a report made of their performance on monthly basis to the Egyptian Fellowship Board. 6. All trainees will work as full time residents in the training specialty and they must fulfill all residents jobs defined by supervisors and trainers 7. They should be responsible under supervision for outpatient and in patients' routine work. 8. They must take supervised shifts according to the hospitals requirements and regulation. Specific Requirements and Obligations Obligations towards the Admitted Patients: 1. The trainees will be responsible for supervised admission of patients from the outpatient department or emergency. They will share in the completion of the following documents under supervision • Complete history and physical examination form. • Investigation requests, (laboratory, radiology, pathology, etc.). • Reporting and documenting the results of the investigations • Writing the plan of management after consultation and approval from supervisors • Daily progress notes. • Order and medication sheets • Orders of the necessary diagnostic procedures • Discharge summaries. • Sick leaves and medical reports The Trainee should inform the senior staff of any high-risk patient admission.
  8. 8. The Egyptian Fellowship Board 11 2- Obligations in the outpatient Clinics: The trainees should attend various medical oncology outpatient clinics and clinics related to the rotation in radiotherapy, nuclear medicine and surgical oncology and BMT as requested by trainers and supervisory staff. They should participate in different patients' interviews and share in management according to stage of training. 3- Mandatory Clinical and Academic Activities: The trainees must attend and participate in the mandatory academic and clinical activities of the department. Attendance and participation should not be less than 75% of the total num- ber of activities within any training rotation / period including. • Daily morning patients' rounds and meetings • Clinical round and staff round presentation • Journal club meeting • Interdepartmental Meetings/ morbidity and mortality meetings • Grand staff rounds 4. The Log Book: The trainees must keep and update their logbook where they record all ac- tivities and skills performed and learned during the training program. The activities should be dated and categorized to whether been performed by the trainee him/herself or as an assis- tant or participant. The trainer and finally the educational supervisor should counter sign each activity registered in the Logbook. The Trainer and educational supervisor must sign the com- pleted Log Book. The trainers must revise the logbook weekly. Educational supervisors must revise the logbook and provide feedback on monthly basis. 5. The Research project: The trainees shall undertake at least one research or audit project during the training program under the guidance and supervision of their trainers. Such pro- ject should be written and presented to a committee from the scientific council before the trainee is accepted for admission to the final certifying examination. The scientific council will announce topics and themes for the research or audit projects Before the completion of the training program, the trainee should have completed satisfacto- rily the rotations described in the structure of the program, performed him/herself, and as- sisted in the various requested procedures.
  9. 9. Medical Oncology Curriculum 12 General Rules and Regulation Holidays and on call duties: • According to Ministry of Health and Population regulation Evaluation Procedures: • Performance of the trainee must be evaluated on regular and continuous basis. The evaluation process should involve all aspects of the training including theoretical, clinical and investigative procedures skills as well as the attendance and participation. • The trainers who are required to write confidential reports on the performance of each trainee should evaluate the trainee periodically. The trainee should not be allowed to proceed in the training program and move to the next year unless he/she attains a sat- isfactory level of performance acceptable to the responsible trainer and educational su- pervisor. Interruption of Training It is not permissible to interrupt such a structural training program except in major un- avoidable circumstances. Such circumstances should be convincing and approved by the Secretary General. The Interruption once approved should not be for more than one year. Interruption of the training program for more than one year shall result in dismissal from the program and cancellation of the preceding training period.
  10. 10. The Egyptian Fellowship Board 13
  11. 11. Medical Oncology Curriculum 14 • The purpose of this curriculum is to describe the knowledge, skills, behaviors and attitudes expected from medical oncologists upon completion of train- ing . The curriculum also describes the methods of teaching and learning that will be used to facilitate the delivery of the curriculum. In addition, it highlights the different methods of trainee's performance evaluation that are going to be used. The curriculum contents have been formulated through the following methods: 1. Revision of previous fellowship medical oncology curriculum 2. Revision and benchmarking of international curricula for postgraduate training in medical oncology. We specifically mention the oncology curriculum approved by the Joint royal colleges of physicians training board and the PMETB in 2007. 3. Consultation of experts in the field of adult oncology. • Representatives from the medical oncology scientific council have partici- pated in the process of curriculum development in collaboration with repre- sentatives from the Egyptian Board curriculum Committee. The curriculum was finally approved by the council in May 2008 RATIONALE STATEMENT
  12. 12. The Egyptian Fellowship Board 15 The aim of the curriculum is to equip Egyptian fellowship trainees in the specialty of medical oncol- ogy with knowledge, skills & attitudes necessary for efficient & independent practice as oncology specialists. By The end of training program fellowship graduates must be able to: 1.Apply a comprehensive knowledge-base that includes basic scientific principles of pathology & cell biology, basic pharmacology, clinical trials methodology, epidemiology, statistics, radiobiology, principles of therapy to patients' management & investigations 2.Interpret clinical findings gathered from the clinical history & clinical examination & use the data to solve patients' diagnostic problems 3.Successfully formulate a diagnosis or differential diagnosis 4.Select the appropriate cost effective investigations 5.Formulate a management plan for both the inpatient & outpatient settings that is evidence-based, patient centered & addresses all aspects of the health care needs. 6.Recognize the limitation of his own expertise & be obliged to seek assistance from colleagues where appropriate 7.Effectively communicates with colleagues & patients & work collaboratively with other health care professionals as a team member or a team leader 8.Develop the necessary skills for life-long learning to keep up-to-date with developments in cancer medicine 9.Perform competently core procedures appropriate to Medical Oncology 10.Assist in the management aspects for planning & implementation of clinical trials. 11.Use effectively the current methods in Information Technology 12.Efficiently manage time & resources to the benefit of patients & the health care system 13.Identify & take responsibility for his own educational needs & the attainment of those needs 14.Provide health education & health promotion consultations for patients & their care givers. in addition he should be able to provide educational sessions for junior colleagues on matters re- lated to oncology practice. 15. Be committed to the highest standards of care & behave ethically & professionally as expected from medical oncology practitioners. CURRICULUM AIM GENERAL INTENDED LEARNING OUTCOMES
  13. 13. Medical Oncology Curriculum 16 The medical oncology training program require any of the following qualifications as an entry re- quirement to the program • Master in General Medicine or higher qualifications (within five years) • M.R.C.P. or equivalent with evidence of recent training in general internal medicine satisfactory to the Egyptian Board requirements • Fellowship of Egyptian Board of General Medicine (At least the 1st two years of fellowship with successful pass of the first part exam and evidence of training in the logbook denoting that the candidates has completed training requirements as clarified in the general internal medicine cur- riculum) The training in medical oncology is composed of two stages. The first year of training represents stage one. In this stage trainees study the following themes & spend their first year of residency in medical oncology services. 1st year (stage 1) 1.Cancer Biology 2.Clinical pharmacology 3.Pathology 4.Epidemiology and biostatics The second stage of training is two years in duration. During which the candidate is going to work as a full time resident in oncology services with specific rotations (clarified in the training rules and regula- tion section). In addition, he must study the following modules : ENTRY REQUIREMENTS FOR THE EGYPTIAN FELLOWSHIP OF MEDICAL ONCOLOGY TRAINING THEMES First year Mark Total: 200 Cancer biology →→→→ 50 Clinical pharmacology →→→→ 50 Pathology →→→→ 50 Epidemiology & biostatistics →→→→ 50
  14. 14. The Egyptian Fellowship Board 17 By the end of stage one training in medical oncology, trainees should have adequate knowledge & deep understanding of: 1. The basic principles of cancer biology 2. The Molecular & genetic characteristics of normal & malignant cells (Genomics & proteoge- nomics) 3. The principles & methods of molecular biology techniques 4. The growth of normal & malignant cells 5. The characteristics, pharmacokinetics & pharmacodynamics of cytotoxic drugs 6. The principles for clinical use of different chemotherapeutic agents 7. The pathology of tumors & different staging systems 8. The principles of research design & study methodology 9. The basics of medical biostatistics relevant to the practice of medical oncology Stage II Second year Third year Mark Total: 900 Bases of Diagnostic radiology →→→→ 50 Bases of Surgical oncology →→→→ 50 Bases of radiation oncology →→→→ 50 Cancer chemotherapeutic agents →→→→ →→→→ 125 Practical Medical oncology →→→→ →→→→ 300 Hematological malignancies →→→→ →→→→ 200 Bone marrow transplantation →→→→ 150 Nutrition for cancer patients →→→→ 25 STAGE 1 Applied Basic Sciences INTENDED LEARNING OUTCOMES
  15. 15. Medical Oncology Curriculum 18 Cancer Biology topics Method Of Learning Method Of Assessment Expected Year Of Achievement • Definition of initiation of molecular bases in cancer devel- opment & different growth disorder • Mechanism of spread, invasion migration & metastasis Lectures and self study First part exam 1st year • Normal chromosomal structure & function, normal gene transcription & its control • Normal DNA repair mechanisms • Polymorphism, mini & micro satellites • Chromatin structure & function • Methylation, hypo-methylation & methylation reversal • Chromosomal & genetic changes in malignancy, point mutation, translocations, deletions, gene amplification & over-expression • Nucleic acid analysis including electrophoresis, hybridiza- tion, blotting, PCR, sequencing, transfect ion • Micro array • Transgenic models • Signal transduction (MAP Kinases) • The role of cyclin Kinases • Gene promoters & their activity in normal & malignant cells • Principles of genetic mechanisms of cancer progression • post genome challenge for molecular medicine, proteomics • Principles of molecular targets in oncology including signal transduction, cell cycle, apoptosis & telomerase • Principles of invasion & metastasis • Principles of angiogenesis • Molecular methods in oncology, including amplification tech- niques, RNA interference, cDNA arrays, tissue arrays, cytogenet- ics, bioinformatics
  16. 16. The Egyptian Fellowship Board 19 Applied pharmacology topics Method Of Learning Method Of Assessment Expected Year Of Achievement Characteristic of individual Cytotoxic drugs (alkylating agents, Enzymes inhibitors, anti-metabolites, ant micro- tubules, miscellaneous…) this includes the following  1. Chemical & structure  2. Mechanism & mode of actions  3. Drug resistance mechanism & its modifications  4. Doses & administration  5. Phases of drug development & screening at pre- clinical levels  6.Main indications in clinical use Lectures and self study First part exam 1st year Pharmacokinetics & dynamics  1. General principles  2. Route & timing of administration  3. Plasma concentration & its relationship to drug ac- tion  4. Area under the curve (AUC)  5. Drug activation, metabolism & clearance  6. Protein & tissue binding  7. Drug concentration at the target site Principle of clinical use  1. Dose response curves  2. Dose intensity& dose density  3. Single agents & combination therapy  4. Adjuvant & new adjuvant therapy  5. High dose chemotherapy  6. Regional & infusion therapy 
  17. 17. Medical Oncology Curriculum 20 Tumor Pathology topics Method Of Learn- ing Method Of Assess- ment Expected Year Of Achieve- ment Introduction to general pathology Lectures and self study First part exam 1st year The range of tumors that can develop from normal tissue components Etiology, incidence & epidemiology ( international & national ) of malignant tumors A brief morphology of common tumors (macro & micro), grading & differentiation of tumors The natural history of the malignant disease, pres- entations, characteristics of their growth & spread Staging systems classifications i.e. TNM, FIGO…. Use of specialized pathology techniques e.g. Im- muno-histochemistry, Phenotype, cluster of differ- entiation ( CD) classifications FISH & CISH, micro array & geneprint The use of clinicopathological data in multidiscipli- nary approach for patients management
  18. 18. The Egyptian Fellowship Board 21 Epidemiology & biostatistics topics Method Of Learning Method Of Assessment Expected Year Of Achievement Design & interpretation of retrospective (case control) & prospective (cohort) studies Lectures, workshop and self study First part exam Odds ratio & relative risks mortality rates & standardized mortality rates Cancer registration & follow up Trends in cancer incidence & mortality for major cancers Meta analysis of clinical trials Type of data :(individual variables & ordinal data, numerical, Bar charts & histograms, central tendency & spread) Sampling :( concept of a source population, random sam- pling. Estimation of population statistics, stander error, refer- ence range) Principles of statistical inference:( hypothesis testing & esti- mation, Type I & II errors, interpretation of p value & confi- dence intervals, statistical & clinical significance) compare 2 or more groups:(T-test, Chi square with correc- tion) Measure & test association between variables:( correlation & regression, scatter plots, screening tests; sensitivity specificity positive & negative predictive value) Survival analysis: (Type of time-to -event data, presentation of survival data, Kaplan-Meier & actuarial survival curves, log rank test, Cox's proportional hazards regression model, haz- ard ratio) 1st year
  19. 19. Medical Oncology Curriculum 22 STAGE 2 Module 1 Bases of diagnostic radiology ILO Code Description Methodf Learning Method ofAs- sessment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge & deep understanding of : Finalwrittenandclinicalexams Secondyearoftraining Imaging modalities including radiography, ultra sound, CT & PET scan, MRI, H spectroscopy & nuclear medicine methodology& intervention radiology Pretreatment imaging ,therapeutic response assessment, follow up Understanding of RECIST & BIRAD criteria Intellectual & professional skills Interpretation of x-rays, mammograms, CTs, MRI, pet scans, bone scans Interpretation of RECIST & BIRAD criteria •Lectures  •Radiologyrounds •Onthejobtraining Module 1 Bases of diagnostic radiology Module 2: Bases of radiation oncology Module 3: Bases of surgical oncology Module 4: nutrition in cancer patients Module 5: Cancer chemotherapeutic agents Module 6: Practical medical oncology Module 7: Hematological malignancies Module 8: Bone marrow transplantation
  20. 20. The Egyptian Fellowship Board 23 Aim of module: to fully understand the principles of the biological, physical & clinical aspects of radiation oncology Module 2 Bases of Radiation Oncology ILOCode Description Methodf Learning Methodof Assessment Exp.Yearof Achievement Knowledge By the end of the module the candidate will have adequate knowledge & deep understanding of: •Lectures •Self study  Finalwrittenandclinicalexams Principles of radiation biology & normal tissue tolerance Principles of radiation physics, fractionation & dosing, Brachytherapy, focused therapy (gamma knife, IMRT….) Clinical aspects of radiation oncology & toxicity, interaction with chemo- therapy, Potentiation & protectors Skillsandattitudes Demonstrate an analytical & scientific approach & shows a range of problem-solving skills •supervisedpractice  •Rotationsinradia- tiononcologyde- partment Recognize indications for radiotherapy and liaise appropriately with colleagues from radion oncology department Anticipate and recognize toxicities related to radiotherapy and manage them appropriately Secondyearoftraining Aim of module: to fully understand the general principles of surgical oncology Module 3 Bases of Surgical Oncology ILOCode Description Methodf Learning Methodof Assessment Exp.Yearof Achievement Knowledgeandskills Discuss the role of surgery in diagnosis & staging of different types of cancer including surgical endoscopies •Lectures  •Self-directedlearning  •Attendancetosurgicaloncologydepart- mentandoutpatients Finalwrittenandclinicalexams Secondyearoftraining • Outline different types of surgery & their indications in cancer treatment and expected complications • Discuss the methods of venous access , management & maintenance • Define the principles of organ preservation and the role of medical oncologists in the preoperative evalua- tion of cancer patients • Recognize the indications for interventions from surgi- cal oncologists and be able to liaise with colleagues in surgical oncology department By the end of the module the candidate will be bale to
  21. 21. Medical Oncology Curriculum 24 Aim of module: To be able to manage nutritional disorders in cancer patients ILOCode Description Methodof Learning Methodof Assessment Exp.Yearof Achievement Knowledge By the end of the module the candidate will have adequate knowledge & deep understanding of: •Lecture,  •Self-directedlearning  •Finalexampart2&3 •Thirdyearoftraining • Calories, protein, CHO, fat , fluid & electrolyte require- ments • Parental & tube feeding Intellectual&professionalskills Take nutritional history in a detailed, reliable & accurate method & clinically examine & formulate a differential diagnosis for possibilities of nutritional problems •onthejobraining •Logbook  •OSCE  •Short&longcaseexams  •Thirdyearoftraining plan, implement & interpret appropriate cost-effective diagnostic investigations for identification of problems related to nutrition Plan for and follow nutritional support both enteral and parenterally for indicated cases Communicate effectively with nutrition specialists and consult them in indicated cases Attitudes Demonstrate an analytical & scientific approach to problem- solving & shows a range of problem-solving skills •Onthejobtraining •Detailedobservation  •Logbook  •OSCE  •Short&longcaseexams  •Thirdyearoftraining Use drugs & non-pharmacological treatments appropriately work within a multidisciplinary team & recognize the need & make appropriate referrals to other health care professionals • Nutritional disorders in cancer patients Module 4 Nutrition & hyperalimentation
  22. 22. The Egyptian Fellowship Board 25 Module 5 Cancer Chemotherapeutics ILOCode Description Methodf Learning Methodof Assess- ment Exp.Year of Achieve- ment Knowledge By the end of module, candidates should have ade- quate knowledge and deep understanding of : •Lecture, •Self-directedlearning •Journalclub •Part2exam •Secondyearoftraining • Cancer drug development & assessment of efficacy in vivo & in vitro— Mode of action of cytotoxic drugs , phases of the cell cycle, • Mechanisms of intrinsic & acquired drug resistance & pos- sible strategies for its circumvention • Principles of pharmaco kinetics & pharmacodynamics • Clinical use of cytotoxic drug, by understanding the dose response curves, dose intensity & dose density, • The indications & goals of chemotherapy in primary & metastatic cancer, including both adjuvant & neoadjuvant therapy, & as radiation sensitizer, intra-cavitary therapy, Hyperthermia • Methods of assessment of a patient's comorbid medical conditions to determine the risk/benefit ratio of chemo- therapy for that individual • Clinical application & evaluation of cytotoxic drugs, endo- crine therapies & biological agents • Principles of adverse effects of cytotoxic drugs & their man- agement • Combination & sequential therapy, metronomic chemo- therapy • Role of dose intensification & indications, complications & adverse effects of high dose therapy • Clinical pharmacology of antiemetics, biologic & targeted therapy ( monoclonal antibodies, TKI, tumor vaccines, cel- lular therapy, antiangiogenesis, cytokines) • Clinical pharmacology of bisphosphonates, • Clinical pharmacology of analgesics including drug combi- nations & different formulations • Central Venous access devices Intellectual&pro- fessionalskills Competent Cannulation, & handling CVL and intrathecal injections •Onthejob training •Clinicalphar- macyobserva- tion •Lecture •Selfdirected learning •Preparationof flowchartof management ofeach •Part2exam •OSCE •logbook •Secondyear Safe Drug preparation, administration & handling of chemotherapeutic drugs Manage acute and late complications of chemotherapy Aim of module: - To enable trainees to define basic principles in pharmacokinetics, pharmacodynamics. Also to define the mode of action of drugs, drug development, principles of clinical use, toxicity of chemotherapy, clinical pharmacol- ogy of drugs used in supportive care, bases of endocrinal therapy & biological & novel therapy. - To enhance their abilities to critically evaluate new methods of treatment
  23. 23. Medical Oncology Curriculum 26 A-Specific diseases: module 1-13 B– BMT, Palliative and supportive care 1. Head and Neck Cancer (including lip, oral cavity, hypopharynx, nasopharynx, supraglottic, vocal cord, subglottic middle ear, nose and nasal sinuses, orbit and optic nerve, lacrimal gland, salivary gland, glomus jugulare tumors and carotid body tumors) 2. Lung Cancer (Non Small Cell Lung cancer, small cell lung cancer) 3. Mediastinal tumors: (including thymoma, mesothelioma) 4. Gastrointestinal ( including esophageal, gastric, Colorectal Cancer and anal carcinoma, liver , pancreas, biliary tract an gall bladder cancers) 5. Genitourinary: (including renal carcinoma, Cancer Bladder, Cancer Prostate, testicular tumors (germ cell tumors) 6. Breast cancer 7. Female genital: Cancer Ovary, Cancer cervix, endometrial carcinoma, Gestational trophoblastic diseases, cancer vulva, cancer vagina 8. Central nervous system Tumors (including brain, spinal cord, craniopharyngioma, chordoma, acoustic neuroma and meningeal tumor) 9. Soft tissue and Bone tumors 10.Skin (melanoma, basal cell carcinoma, squamous cell carcinoma) 11.Endocrinal (medullary thyroid, parathyroid, pituitary, suprarenal, adrenal medulla, pancreatic, car- cinoid) 12.Metastasis of unknown Primary 13.Lymphoproliferative and myeloproliferative disorders (lymphoma (HD, NHL) acute and chronic leukemia, MDS, Multiple myeloma, Polycythemia Vera, essential thrombocytosis, agnogenic mye- lofibrosis) 14.Bone Marrow Transplantation 15.Oncological emergencies 16.Palliative care 17.Pain management in cancer patients Practical Medical Oncology Specific diseases in oncology
  24. 24. The Egyptian Fellowship Board 27 General description of all modules Aim of each module: is To enable trainees to manage cancer patients within a multidisciplinary team ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussion&problem- solving  •Journalclub  •Finalexampart2and3 •Secondandthirdyearsoftraining Epidemiology (incidence & mortality), screening & risk factors Anatomical considerations, pathogenesis and tumor biology Pathology and natural pattern of spread The clinical picture , requested investigations and plan of management The principles for staging each disease The principles for Screening and prevention of cancer Role of surgery in localized & advanced disease & results, morbidity & mortality Role of chemotherapy & radiation therapy in the adjuvant or neoadju- vant setting & for locally advanced or metastatic disease & results The principles for Management of relapsed disease Intellectual&professionalskills Determine the risk of each cancer •Clinicalcaseroundsandonthejobtraining •Logbook  •OSCE  •Short&longcaseexamsandoralexam  •2nd partexam •Duringallthetrainingperiod Take history in a detailed, reliable and accurate method and clinically examine & formulate a differential diagnosis with the recording of ap- propriate details in the patient’s record sheet plan, implement & interpret appropriate cost-effective diagnostic and prognostic investigations ‐ reason accurately all diagnostics Consider of the patients age, status and social circumstances when determining treatment Interpret results of staging investigations & define the prognostic fac- tors, Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team and plan for followup Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide edu- cation & information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Onthejobtraining •Detailedobservation  •Patientsfeedback •Logbook •Finalexam •Allthroughtraining Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments appropriately work within a multidisciplinary team and recognize the need for refer- ral & make appropriate referrals to other health care professionals
  25. 25. Medical Oncology Curriculum 28 Aim of the module: To enable trainees to manage patients with H&N cancer within a multidisciplinary team ILOCode Description Methodof Learning Methodof Assessment Exp.Yearof Achievement Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of •Lecture,  •Self-directedlearning  •Case-basedstudies  •Journalclub  •Finalexampart2and3 •Secondandthirdyearsoftraining Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors Role of surgery in localized and advanced disease and results Role and results of chemotherapy and radiation therapy in the adjuvant or neo-adjuvant setting and for metastatic disease The principles of followup Intellectual&professionalskills Determine the risk of Head and neck cancer •Clinicalcaserounds •Onthejobtraining •Logbook  •OSCE  •Short&longcaseexamsandoralexam  •2nd partexam •Duringallthetrainingperiod Take History in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic & prognostic investigations— Accurate diagnostic reasoning discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients understanding of their condition and provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandonthe jobtraining •Detailedobservation  •Patientsfeedback •Finalexam •3rd years Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need & make appro- priate referrals to other health care professionals The principles for management of relapsed cases Module 1 Head and Neck Cancer
  26. 26. The Egyptian Fellowship Board 29 ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of •Lecture,  •Self-directedlearning  •Case-basedstudies  •Journalclub  •Finalexampart2and3 •Secondandthirdyearsoftraining Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors Role of surgery in localized and results Role of chemotherapy and radiation therapy in the adjuvant or neoad- juvant setting and for locally advanced or metastatic disease and results Indications for CNS treatment and prophylaxis in SCLC The principles for management of relapsed cases The principles of followup Intellectual&professionalskills Determine the risk of Lung cancer •Clinicalcaserounds •Onthejobtraining •Logbook  •OSCE  •Short&longcaseexamsandoralexam  •2nd partexam •Duringallthetrainingperiod Take a detailed, reliable and accurate history and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record plan, implement & interpret appropriate cost-effective diagnostic & prognostic investigations with accurate diagnostic reasoning Consider the patients age, status and social circumstances when de- termining treatment discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment assess the patients’ understanding of their condition & provide educa- tion & information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •Finalexam •3rd years Make the appropriate use of drugs & non-pharmacological treatments for the diagnosis Work within a multidisciplinary team in a calm and systemic approach and recognize the need and make appropriate referrals to other health care professionals Module 2 Lung Cancer Aim of the module: To enable trainees to manage patient's bronchogenic carcinoma within a multidisciplinary team
  27. 27. Medical Oncology Curriculum 30 Aim of the module: to enable trainees to manage patient's mediastinal tumors within a multidisciplinary team Module 3 Mediastinal Tumors ILOCode Description Methodof Learning Methodof Assessment Exp.Yearof Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem- solving  •Finalwrittenandclinicalexam •3rd year Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors Role and results of surgery Role of chemotherapy and radiation therapy in the adjuvant or neoadju- vant setting and for locally advanced or metastatic disease and results The principles for management of relapsed cases The principles of followup Intellectual&professionalskills The ability to determine the risk of mesothelioma •Clinicalcasesandonthejobtraining •Finalclinicalandoralexam •3rd years Detailed, reliable and accurate history taking and clinical examination and ability to formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet Ability to plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations and accurate diagnostic reasoning Ability to discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identification and management of side effects of treatment Ability to assess the patients understanding of their condition and to provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandonthe jobtraining •Detailedobservation  •Logbook •Finalexam •3rd years Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make ap- propriate referrals to other health care professionals
  28. 28. The Egyptian Fellowship Board 31 Module 4 GIT tumors: Colorectal Cancer and anal carcinoma ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem- solving  •Finalwrittenandclinicalexam •3rd year Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors Role of surgery in localized and advanced disease and results, morbidity &mortality Role of chemotherapy and radiation therapy in the adjuvant or neoadju- vant setting and for locally advanced or metastatic disease and results The principles of management of anal carcinoma patients with HIV The principles of management of relapsed disease The principles of followup Intellectual&professionalskills Determination of the risk of CRC cancer, anal carcinoma •Clinicalcasesandonthejobtraining •Finalclinicalandoralexam •3rd years Detailed, reliable and accurate history taking and clinical examination and ability to formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet Ability to plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations and accurate diagnostic reasoning Identification and management of side effects of treatment Ability to assess the patients understanding of their condition & to provide education & information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Logbook •Finalexam •3rd years Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs & non-pharmacological treatments appropriately work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals Ability to discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Aim of the module: To be able to manage patients with colorectal cancer and anal carcinoma within a mul- tidisciplinary team
  29. 29. Medical Oncology Curriculum 32 Aim of the module: be able to manage patient's GIT tumors within a multidisciplinary team Module 5 GIT tumors: Esophageal and Gastric carcinomas ILOCode Description Methodof Learning Methodof Assess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalwrittenandclinicalexams •3rd year Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors Role of surgery in localized and advanced disease and results, morbidity &mortality Role of chemotherapy and radiation therapy in the adjuvant or neoadjuvant setting and for locally advanced or metastatic disease and results The principles of management of relapsed disease The principles of followup Intellectual&professionalskills Detailed, reliable and accurate history taking and clinical examination and ability to formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet •Clinicalcasesandonthejobtraining •Finalexams •3rd years Ability to plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations Identification and management of side effects of treatment Ability to assess the patients understanding of their condition and to provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandonthe jobtraining •Detailedobservation  •Patientsfeedback •logbook •3rd years Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals Ability to discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team
  30. 30. The Egyptian Fellowship Board 33 Module 6 GIT tumors: Hepatocellular carcinoma and biliary tumors ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalwrittenandclinicalexams •3rd year Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of screening and prevention The role of surgery indications and results, morbidity and mortality The Indications, technique and results of intrahepatic chemoembolization The Indications, technique and results of radiofrequency, PEI, cryo-ablation The role of systemic therapy in the adjuvant or neoadjuvant setting and for locally advanced or metastatic disease and results The principles of management of relapsed disease The principles of followup Intellectual&professionalskills Determination of the risk hepatobiliary tumors •Clinicalcasesandonthejobtraining •Finalexams •3rd years Detailed, reliable and accurate history taking and clinical examination and ability to formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet Ability to plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations— Accurate diagnostic reasoning Ability to discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identification and management of side effects of treatment Ability to assess the patients understanding of their condition and to provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandonthe jobtraining •Detailedobservation  •Patientsfeedback •logbook •3rd years Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make ap- propriate referrals to other health care professionals Aim of the module: To be able to manage patients with HCC or Biliary tract tumors within a multidisciplinary team
  31. 31. Medical Oncology Curriculum 34 Aim of the module: be able to manage patient's wit Cancer Pancreas within a multidisciplinary team Module 7 GIT tumors: Cancer Pancreas ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalwrittenandclinicalexams •3rd year Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of screening and prevention The role of surgery in localized and advanced disease and results, morbidity and mortality The role of chemotherapy and radiation therapy in the adjuvant or neoadjuvant setting and for locally advanced or metastatic disease and results The principles of management of relapsed disease The principles of followup Intellectual&professionalskills Determine of the risk cancer pancreas •Clinicalcasesandonthejobtraining •Finalexams •3rd years Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations—Reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •logbook •3rd years Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  32. 32. The Egyptian Fellowship Board 35 Module 8 Genito-Urinary Tumors: Prostate Cancer ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalwrittenandclinicalexams •3rd year Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of screening and prevention The role of surgery and radiotherapy in localized disease The role of androgen blockage, in the adjuvant or neoadjuvant setting and for locally advanced or metastatic disease and results, role of chemotherapy and radiation therapy in the palliative setting The management of relapsed disease and hormone refractory disease The principles of follow up Intellectual&professionalskills Determine of the risk of cancer prostate •Clinicalcasesandonthejobtraining •Finalclinicalandoralexams •3rd years Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide education and information appropriate to case Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •logbook •3rd years Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals Aim of the module: To be able to manage patients with Prostate Cancer within a multidisciplinary team
  33. 33. Medical Oncology Curriculum 36 Aim of the module: be able to manage patient's with Cancer Bladder within a multidisciplinary team Module 9 Genito-Urinary Tumors: Cancer Bladder ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of : •Lecture, •Self-directedlearning •Case-basedstudieswithdiscussionandproblem-solving •Finalwritten,clinicalandoralexams •3rdyear Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic fac- tors The principles of screening and prevention The role of surgery and radiotherapy in localized & advanced dis- ease Intravesical chemotherapy, indications, technique and results Role of chemotherapy and radiation therapy in the adjuvant or neoadjuvant setting and for locally advanced or metastatic disease The principles of management of relapsed disease The principles of followup Intellectual&professionalskills Determine of the risk of cancer bladder •Clinicalcasesandonthejobtrain- ing •Logbook •OSCE •Shortandlongcaseexams •Oralexam •3rdyear Take history in a detailed, reliable and accurate method and clini- cally examine and formulate a differential diagnosis with the re- cording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem- solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation •Patientsfeedback •Logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  34. 34. The Egyptian Fellowship Board 37 Aim of the module: be able to manage patient's wit Testicular Tumors within a multidisciplinary team Module 10 Genito-Urinary Tumors: Testicular Tumors (Germ Cell Tumors) ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of : •Lecture, •Self-directedlearning •Case-basedstudieswithdiscussionandproblem-solving •Finalwrittenandoralexam •3rdyear Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic fac- tors The principles of screening and prevention The role of surgery in localized disease and results, morbidity and mortality The role of chemotherapy and radiation therapy in the adjuvant setting and for advanced or metastatic disease The principles of management of relapsed disease The principles of followup Intellectual&professionalskills Determine of the risk of testicular cancer and risk stratify patients •Clinicalcasesandonthejobtraining •Logbook •OSCE •Shortandlongcaseexams •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations and reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem- solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation •Patientsfeedback •Logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  35. 35. Medical Oncology Curriculum 38 Aim of the module: be able to manage patient's with Renal cell carcinoma within a multidisciplinary team Module 11 Genito-Urinary Tumors: Renal cell carcinoma (RCC) ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem- solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The role of surgery in localized and advanced disease and results, mor- bidity and mortality The role of chemotherapy ,radiation therapy, biological & targeted therapy The management of relapsed disease The principles of follow up Intellectual&professionalskills Determine the risk of RCC and risk stratify patients •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet Plan, implement & interpret appropriate cost-effective diagnostic and prognostic investigations— reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments appropriately work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  36. 36. The Egyptian Fellowship Board 39 Aim of the module: be able to manage patient's with Breast Cancer within a multidisciplinary team Module 12 Breast Cancer ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalwrittenandoralexam •3rdyear Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The methods for screening and prevention The role of surgery in localized and advanced disease and results, mor- bidity and mortality The role of chemotherapy, hormonal treatment, targeted therapy and radiation therapy in the adjuvant or neoadjuvant setting and for locally advanced or metastatic disease The principles for management of relapsed disease The principles of followup Intellectual&professionalskills Determine of the risk of breast cancer, stage and risk stratify patients •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet Plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations and reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesand onthejobtraining •Detailedobserva- tion  •Patientsfeedback •Logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments appropriately work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  37. 37. Medical Oncology Curriculum 40 Aim of the module: be able to manage patient's with Ovarian Cancers within a multidisciplinary team Module 13 Ovarian Cancers ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of screening and prevention The role of surgery in localized and advanced disease ( results, morbidity and mortality) The role of chemotherapy therapy in the adjuvant or neoadjuvant set- ting and for locally advanced or metastatic disease The principles for management of relapsed disease The Management of borderline, sex cord and germ cell ovarian tumors The principles of followup Intellectual&professionalskills Determine of the risk of ovarian cancer, stage and risk stratify patients •Clinicalcasesandonthejobtrain- ing •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations—Reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide educa- tion and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments appropriately work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  38. 38. The Egyptian Fellowship Board 41 Aim of the module: To be able to manage patients with GTD within a multidisciplinary team Module 14 Gestational Trophoblastic disease ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic fac- tors The staging and risk stratification of GTD Role of chemotherapy therapy in the low, intermediate and high risk patients The management of relapsed disease The principles of followup Intellectual&professionalskills Determine of the risk of GTD and stage different cases •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clini- cally examine and formulate a differential diagnosis with the re- cording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic & prognostic investigations— reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem- solving and shows a range of problem-solving skills •Clinicalcasesandonthe jobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments appropriately work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  39. 39. Medical Oncology Curriculum 42 Aim of the module: To be able to manage patients with endometrial carcinoma, cervical carcinoma within a multidisciplinary team Module 15 Endometrial and uterine cervix carcinoma ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of staging endometrial and cervical carcinoma The principles of screening and prevention The role of surgery in localized and advanced disease and results, morbidity and mortality The role of chemotherapy ,hormonal and radiation therapy in the adjuvant or neoadjuvant setting and for locally advanced or metastatic disease and results The management of relapsed disease The principles of followup Intellectual&professionalskills Determine of the risk of endometrial and cervical cancers •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations ‐ Reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide edu- cation and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesand onthejobtraining •Detailedobserva- tion  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  40. 40. The Egyptian Fellowship Board 43 Aim of the module: To be able to manage patient's gynecological tumors within a multidisciplinary team Module 16 Cancer Vulva, Cancer Vagina ILOCode Description Method of Learning Method ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of staging vulvar and vaginal carcinoma The principles of screening and prevention The role of surgery in localized and advanced disease and results, morbidity and mortality The role of chemotherapy and radiation therapy in the adjuvant or neoadjuvant setting and for locally advanced or metastatic disease and results The management of relapsed disease The principles of followup Intellectual&professionalskills Determine risk factors and stage cancer vulva and cancer vagina cases •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations and reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  41. 41. Medical Oncology Curriculum 44 Aim of the module: To be able to manage patients with CNS tumors within a multidisciplinary team Module 17 Central Nervous System Tumors ILOCode Description Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of screening and prevention Role of surgery in localized and advanced disease and results, morbidity and mortality Role of chemotherapy and radiation therapy in the adjuvant or neoadju- vant setting and for metastatic disease Dehydrating measures and anticonvulsants The management of relapsed disease The principles of followup Intellectual&professionalskills Determine the risk of CNS tumors •Clinicalcasesandonthejobtrain- ing •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations  reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide educa- tion and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  42. 42. The Egyptian Fellowship Board 45 Aim of the module: be able to manage patients STS or Bone tumors within a multidisciplinary team Module 18 Soft tissue & Bone tumors ILOCode Description Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Anatomy Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of staging STS and bone tumors Role of surgery in localized and advanced disease ( results, morbid- ity and mortality) Role of chemotherapy and radiation therapy in the adjuvant or neoadjuvant setting and for metastatic disease The management of relapsed disease The principles of followup Intellectual&professionalskills Determine of the risk of STS and bone tumors •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clini- cally examine and formulate a differential diagnosis with the re- cording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations & reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide education and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem- solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments appropriately work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  43. 43. Medical Oncology Curriculum 46 Aim of the module: To be able to manage patients with skin tumors within a multidisciplinary team Module 19 Skin Tumors (melanoma and non melanoma) ILOCode Description Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem- solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of staging skin tumors Methods of screening and prevention Role of surgery in localized and advanced disease (results, morbidity and mortality) Role of biological, chemo and radiation therapy in the adjuvant or neoadjuvant setting and metastatic disease The management of relapsed disease The principles of followup Intellectual&professionalskills Determine of the risk of skin cancer •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations— reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide educa- tion and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs & non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  44. 44. The Egyptian Fellowship Board 47 Aim of the module: To be able to manage patients Neuroendocrine malignancies within a multidisciplinary team Module 20 Neuroendocrine malignancies ILOCode Description Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem- solving    •Finalexamwrittenandoral •3rdyear Pathology and natural pattern of spread The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of staging neuroendocrine tumors Role of surgery in localized & advanced disease (results, morbidity & mortality) Role of chemotherapy & radiation therapy in the adjuvant or neo - adjuvant setting & for locally advanced or metastatic disease & results Supportive care The management of relapsed disease The principles of followup Intellectual&professionalskills Determine the risk for and stage endocrinal cancers •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations and reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide edu- cation and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments appropriately work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  45. 45. Medical Oncology Curriculum 48 Aim of the module: To be able to manage patient's lymphoma within a multidisciplinary team Module 21 Lymphoproliferative disorders: Lymphomas (Hodgkins & NHL) ILOCode Description Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem- solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Pathophysiology and molecular pathogenesis The clinical presentations and methods of diagnosis The interpretation of staging investigations and prognostic factors The principles of staging lymphomas and identification of IPI Role of chemotherapy and radiation therapy, immune therapy, targeted therapy, high dose chemotherapy and stem cell transplantations in the management of lymphoma The management of relapsed disease The principles of followup Intellectual&professionalskills Determine of the risk for and stage HD and NHL •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations—Reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide educa- tion and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandon thejobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  46. 46. The Egyptian Fellowship Board 49 Aim of the module: To be able to manage patient's acute & chronic leukemia & MDS within a multidisciplinary team Module 22 Acute leukemias and MDS ILOCode Description Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionand problem-solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Molecular pathogenesis The classification and types of prognostic factors The clinical presentations and diagnostic techniques Role and results of chemotherapy, radiation therapy, target therapy and BMT for newly diagnosed and recurrent disease The principles of followup Intellectual&professionalskills Determine of the risk of acute leukemia and MDS •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations and reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide edu- cation and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandonthe jobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  47. 47. Medical Oncology Curriculum 50 Aim of the module: To be able to manage patient's chronic leukemia within a multidisciplinary team Module 23 Chronic Myeloid & chronic lymphatic leukemia ILOCode Description Methodsof Learning Methodsof Assessment Exp.Yearof Achievement Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionand problem-solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Molecular pathogenesis The methods of staging of CLL and how to differentiate between the different phases of CML The clinical presentations, methods and interpretation of diagnostics and prognostic factors Role and results of chemotherapy, target therapy and BMT for newly diagnosed and recurrent disease The principles of followup Intellectual&professionalskills Determine of the risk of CLL and CML •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations—Reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide edu- cation and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandonthe jobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  48. 48. The Egyptian Fellowship Board 51 Aim of the module: To be able to manage patients Plasma cell neoplasm within a multidisciplinary team Module 24 Plasma cell neoplasm ILOCode Description Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionand problem-solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Molecular pathogenesis staging and prognostic factors The clinical presentations, methods and interpretation of diagnostics Role and results of chemotherapy, radiation therapy, target therapy and BMT for newly diagnosed and recurrent disease The principles of followup Intellectual&professionalskills Determine of the risk of plasma cell neoplasms •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations and reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide edu- cation and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandonthejob training •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  49. 49. Medical Oncology Curriculum 52 Aim of the module: To be able to manage patients MPD within a multidisciplinary team Module 25 Myeloproliferative Disorders ILOCode Description Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowledge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionand problem-solving    •Finalexamwrittenandoral •3rdyear Epidemiology and risk factors Molecular pathogenesis Risk stratification and prognostic factors The clinical presentations, methods and interpretation of diagnostics The treatment of MPD according to risk stratification The principles of followup Intellectual&professionalskills Determine the risk of MPD •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations. Reason accurately all diagnostics Discuss, plan and institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Assess the patients’ understanding of their condition and provide edu- cation and information appropriate to the clinical situation Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandonthe jobtraining •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  50. 50. The Egyptian Fellowship Board 53 Aim of the module: To be able to understand the principles of high dose chemotherapy and BMT Module 26 Bone Marrow Transplantation ILOCode Description Candidates must be able to Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment Knowledge Discuss the transplantation types and procedures •Lecture,  •Self-directedlearning  •Case-basedstudieswithdiscussionandproblem-solving    •Finalexamwrittenandoral •3rdyear Outline the principles for evaluation of the patient and donor Explain the Indications of BMT and results Outline the cytoreduction therapy Explain the MHC and HLA typing Describe engraftment and minimal residual disease Describe the pathogenesis of GVHD, Its methods of diagnose and management of AGVHD & CGVHD Outline the principles for management of acute and chronic complications Recall the principles of followup Intellectual&professionalskills Perform bone marrow aspirate and bone marrow biopsy •ClinicalcasesandonthejobtrainingduringrotationinBMTunit •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear Assists in and participate in stem cell collection Order and interpret all the pretransplant investigations required for recipient and donor Read and match HLA typing Write and prescribe orders for conditioning regimens Supervise Stem cell infusion Manage acute and chronic GVHD (under supervision) Manage acute and chronic toxicities (under supervision)
  51. 51. Medical Oncology Curriculum 54 Aim of the module: : To be able to manage patients with oncological emergencies Module 27 Oncological emergencies ILOCode Description Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment Knowledge By the end of the module the candidate will have adequate knowl- edge and deep understanding of : •Lecture,  •Self-directedlearning  •Case-basedstudies withdiscussionand problem-solving    •Finalexamwritten andoral •3rdyear Determine the causes and discuss the clinical picture , investigations and treatment for septic shock, febrile neutropenia, cord compression, superior vena caval obstruction, cardiac tamponade, fits, encephalopa- thy, renal failure, hypercalcemia, tumors lysis syndrome and bleeding Intellectual&professionalskills Take history in a detailed, reliable and accurate method and clinically examine and formulate a differential diagnosis with the recording of appropriate details in the patient’s record sheet •Clinicalcasesandonthejobtraining •Logbook  •OSCE  •Shortandlongcaseexams  •Writtenexam •3rdyear plan, implement and interpret appropriate cost-effective diagnostic and prognostic investigations - Reason accurately all diagnostics Discuss, plan and timely institute appropriate therapy within the setting of a multidisciplinary team Identify and manage side effects of treatment Attitudes Demonstrate an analytical and scientific approach to problem-solving and shows a range of problem-solving skills •Clinicalcasesandonthejobtrain- ing •Detailedobservation  •Patientsfeedback •logbook •3rdyear Consider the patients age, status, cultural and social circumstances when determining treatment Use drugs and non-pharmacological treatments in an appropriate way work within a multidisciplinary team and recognize the need and make appropriate referrals to other health care professionals
  52. 52. The Egyptian Fellowship Board 55 Aim of the module: To be able to care for cancer patients who are not fit for further active therapy Module 28.1 Palliative supportive care & end of life care ILOCode Description Methods of Learning Methods ofAssess- ment Exp.Year of Achieve- ment KnowledgeandSkills By the end of the module the candidate will be able to: •Lecture  •Self-directedlearning  •Case-basedstudieswithdiscussion andproblem-solving  •Clinicalonthejobtraining  •Oralexam  •Logbook  •Writtenexam •3rdyear Clinically assess, and identify patients who are not fit for further active cancer treatment, or at the terminal stage of life Attend to Quality of life issues and psychological support to the pa- tients and their family

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