COURSE SPECIFICATION (Clinical Oncology&Nuclear Medicine) Faculty of Medicine- Mansoura University (A) Administrative information (1) Programmeoffering the course: Postgraduate M.D degree of Clinical Oncology and Nuclear Medicine/ CONM617 (2) Department offering the programme: Clinical oncology and nuclear medicine (3) Department responsible for teaching the Clinical oncology and nuclear medicine course: (4) Part of the programme: department department Second part (5) Date of approval by the Department`s council (6) Date of last approval of programme specification by Faculty council (7) Course title: Clinical Oncology (8) Course code: CONM 617 CO (9) Total teaching hours: 410 hours (B) Professional information (1) Course Aims: The broad aims of the course are as follows:(either to be written in items or as a paragraph) 1- Educate the candidates the concepts and terminology of clinical oncology. 2- Provide the students the principles of cancer management and decision making for treatment policy . 3- Teach them recent advances in management of different body parts. (2) Intended Learning Outcomes (ILOs): Intended learning outcomes (ILOs); Are four main categories: knowledge & understanding to be gained, intellectual qualities, professional/practical and transferable skills. On successful completion of the course, the candidate will be able to: A- Knowledge and Understanding The trainee should: know and understand: A8:Discus principles of cancer management. A9: Descripe recent advances in management of different body parts. A10: Describe indications and goals of treatment with anticancer agents in primary and metastatic malignant disorders. A11: Explain the newer methods of cancer treatment. 2- Intellectual activities (I) A12: Identify oncologic emergencies , supportive care of cancer patients. The Postgraduate Degree provides opportunities for candidates to achieve and demonstrate the A13: Describe the recent advances in radio-therapeutic and systemic treatment following intellectual qualities: (chemotherapy, hormone therapy, biologic agents) according to evidence basedpractice and understand and practice clinical audit and risk management and Know the usefulness of anticancer agents in the neo-adjuvant, concomitant, and adjuvant setting and as a radiation sensitizer B- Intellectual skills B3: Recognize Clinical knowledge, that is radiological, medical, surgical and pathological, relating to the specific body systems B4: Distinguish the evidence based clinical practice B5: Distinguish the indications, contraindications and potential complications of radiotherapy and systemic therapy(chemotherapy, hormone therapy, biological agents) in order to plan and prescribe appropriate treatment for common malignancies B6: Evaluate the management of complications of disease processes and of different treatment modalities. C- Professional/practical skills Training should give appropriate experience in the areas identified below: C1: Distinguishes Generic modules: • Prescription and administration of cytotoxic chemotherapy • Professional attitudes C2: Designs the plan of treatment to System-based site specialities: • breast cancer • thoracic malignancy • upper and lower gastrointestinal (GI) • head and neck • sarcomas • gynaecological oncology • urological malignancy and germ cell tumours • neuro-oncology • skintumours • lymphomas • pediatrics oncology C3: Applies Technique-based specialities: 2D treatment techniques 3D treatment techniques. Conformal radiotherapy. C4: participate in an appropriate on-call rota, or other schemes of exposure to acute and emergency oncology, in which he/she will be responsible to a named consultant(s). D- Communication &Transferable skills D1: Trainees must be able to. Explain disease processes and treatment details honestly in language appropriate to patients and their families. Communicate clearly and efficiently both orally and in writing with medical colleagues in other disciplines. Maintain accurate records of consultations and other interactions with patients and their families. D2: Trainees must Take part in discussions in multi-disciplinary meetings. D3: Trainees should be able to explain clearly the benefits, side effects and risks of a course of radiotherapy. D4 Trainees shouldAssess and advise patients attending for follow-up after completion of treatment and advise on appropriate investigations during and after follow-up. (3) Course Content: Trimesters Subjects First *Principles of cancer management and decision making for treatment policy: surgery, radiotherapy, hormonal therapy and chemotherapy. * Multidisciplinary approach of treatment. * Recent advances in management of cancer head and neck: - nasal cavity, Lectures Clinical Total Teachin Hosurs 2 10 1.5 6 1.5 0.5 -paranasal sinuses, 1.5 0.5 -nasopharnyx, 1.5 1 -oral cavity, 1.5 1 -oropharnyx, 1.5 0.5 - larynx, 1.5 0.5 -hypopharnyx 1.5 0.5 -salivary glands. 1.5 0.5 2 0.5 * Recent advances in management of cancer lung: -small cell lung cancer -Non-small cell lung cancer -Carcinoids tumors -Large cell neuroendocrine carcinoma. * Recent advances in management of cancer mediastinum : -Thymic tumors -Germ Cell Tumors -Mesenchymal tumors -Neurogenic tumors -Primary Cardiac malignancies LaboratoryField 2 2 1 0.5 0.5 0.5 3 5.5 4.5 5.5 3.5 4.5 3.5 5.5 5.5 5.5 4.5 4.5 1.5 0.5 3.5 1.5 0.5 3 1.5 0.5 1.5 0.5 1 0.5 3 3 3 1.5 0.5 *Recent advances in management of cancer pleura. *Leukemias, lymphomas and plasma cell neoplasms. * Recent advances in management of genitourinary system cancers: -kidney, - ureter, - bladder, -prostate, -urethra, - penis, -testis Second * Recent advances in management of GIT cancers: - esophagus, -stomach, -pancreas, -hepatobiliary, -small intestine, -colon, -rectal -anal region. * Recent advances in management of Gynecologic tumors: - vulva, 3 3 1 9 2 0.5 3 2 0.5 6 1 0.5 2 1 1 1 3 5.5 0.5 2 3 0.5 3 0.5 5 2 0.5 2 0.5 2 2 2 2 2 2 2 0.5 0.5 0.5 0.5 0.5 0.5 1 4.5 4.5 3.5 4.5 3.5 5.5 6 4.5 4.5 3.5 2 0.5 6 - endometrium, 2 0.5 3.5 -fallopian tubes, -gestational trophoblastic disease -ovary 2 -vagina, -cervix, * Recent advances in management of breast cancer: -Early breast cancer -Locally advanced breast cancer -Metastatic breast 2 2 0.5 0.5 6 4.5 5.5 2 0.5 2 2 8 2 1 8 3 * Recent advances in 2 management of Soft tissue sarcomas *Principles of applications of biologic therapy 2 Third 1 1 1 8 8 0.5 5.5 *Adverse effects of treatment 2 0.5 10 *Treatment of metastatic cancer 2 0.5 10 *Bone sarcomas: -Osteosarcoma -Giant cells tumors -Ewing sarcoma 1.5 0.5 1.5 0.5 1.5 0.5 4.5 4.5 4.5 -Chondrosarcoma 1.5 *Non melanomatous skin cancer *Melanomas. 2 0.5 8 2 0.5 7.5 1.5 0.5 5.5 1.5 0.5 4.5 *Cancer of the endocrine system : - thyroid, -parathyroid, -adrenals, - pancreas, 1.5 1.5 0.5 5.5 0.5 0.5 4.5 3.5 -carcinoid. * Neoplasms of the central nervous system: -Low grade gliomas -High grade gliomas -Meningiomas -Ependymomas 1 -Wilm's -Retinoblastoma -Pediatric bone sarcomas -Osteosarcoma -Ewing's sarcoma -Rhabdomyosarcoma -Liver tumors 5.5 1.5 0.5 1.5 1 * Solid tumours of childhood: -Neuroblastoma 5.5 1.5 0.5 -Pituitary tumors -Orbital, ocular& optic nerve tumors. 5.5 1.5 0.5 1.5 1 4.5 5.5 1.5 0.5 -Medulloblastoma -Spinal cord tumors 0.5 5.5 6 5 1.5 0.5 5 1.5 0.5 2 0.5 3 2 0.5 3 2 2 2 1.5 1.5 1.5 1.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 3 3 3 3 3 3 3 -Germ cell tumors Fourth *Paraneoplastic syndromes and oncologic emergencies. *Cancer of unknown primary site . 2.5 1 10.5 2.5 1 10 *Cancer in Aids and other immunodeficiency status *Principles of chemotherapy: chemotherapy objectives, side effects 2.5 1 6 3 1 13 and complications of chemotherapy *Supportive care in cancer patient. *Administrative issues of cancer treatment : -Evolutionof roles for oncology nurses - Practical issues affecting patient care * Psychological aspects of patients with cancer . *Rehabilitation of cancer patients. *Design and conduct of clinical trials *Newer methods of cancer treatment : -Role of stem cell in cancer 2.5 2 8 2.5 1 6 2.5 1 6 2.5 1 6 2.5 1 6 2.5 2.5 1 1 management -Molecular and genetic approaches 2.5 -Chemical modification of radiation and 2.5 1 2.5 0.5 - Photodynamic therapy -Particle beam radiation therapy -Bone marrow transplantation -Recent innovation Teaching methods: 4.1: lectures 4.2: scientific meetings. 4.3:case presentation. 4.4: panel discussion . 4.5: club journal 2.5 2.5 2.5 8 6 6 Hyperthermia chemotherapy (4) 2 6 8 0.5 0.5 0.5 5 6 6 5 (5) Assessment methods: 5.1: written exam for assessment ofKnowledge and intellectual skills 5.2: oral exam for assessment ofKnowledge and intellectual skills 5.3: clinical exam for assessment ofKnowledge , intellectual skills, practical, and communication skills. Assessment schedule: Assessment 1: exam held after 30 month of registration. Assessment 2: exam held after 30 month of registration. Assessment 3: exam held after 30 month of registration. Percentage of each Assessment to the total mark: Written exam: 60% Clinical exam: 20% Oral exam: (6) 20% References of the course: 6.1: Text books: ●PerezCA, BradyLW,HalperinEC,etal.,editors.Principles and Practice of RadiationOncology. 5thed. Philadelphia:Lippincott Williams&Wilkinns; 2008. ●Hansen EK and Roach M.: Handbook of Evidence-based Radiation Oncology.1st edition. New York: springer science+ business media, LLC; 2007. ●Casciato DA, editor.Manual of clinical oncology.6th edition. Philadelphia: Lippincott Williams&Wilkins; 2009. ●DeVita VT, Hellman S, Rosenberg SA, editors. Principles andPractice of Oncology.8th ed.Philadelphia: Lippincott; 2008. 6.2: Journals: Journal of clinical oncology International journal of radiation oncology, radiobiology & physics. 6.3: Websites: www.asco.org www.esmo.org (7) Facilities and resources mandatory for course completion: Candidates and their learning are supported in a number of ways: □Candidates logbook □ Programme Specification □Extensive library and other learning resources □Computer laboratories with a wide range of software □Intranet with a wide range of learning support material □MSc/MD Dissertation Supervisor Course coordinator: Head of the department: Date: P.S. This specificat