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Curriculum
Core Adult
Internal Medicine Disciplines
Medical Oncology
Topics
- Assessment of the acutely ill
patient with malignancy.
- Practice of common symptom control
problems: pain, dyspnoea, nausea
and vomiting, diarrhoea, constipation
and bowel obstruction.
- Management of oncological emergencies
due to disease or therapy: including
hypercalcaemia; superior vena caval
obstruction; spinal cord compression;
cardiac tamponade; neutropenic infection.
- Principles of cancer staging.
- Principles of the management of
solid tumours with an emphasis on
lymphoma, cancer of the breast,
ovary, testis and prostate, and
lung cancer.
- Principles of anticancer therapies:
endocrine and cytotoxic chemotherapy,
radiation therapy and palliative
care.
- Principles of monitoring of patients
receiving anti-cancer treatments:
assessment and management of toxicity;
assessment of response to therapy.
- Concepts of 'adjuvant', 'neo-adjuvant',
'palliative' and 'curative' therapies
for malignancy.
- Knowledge of cancers that can
be cured by primary chemotherapy:
including testicular cancers and
lymphomas.
- Knowledge of cancers in which
adjuvant or neo-adjuvant chemotherapy
may enhance the outcomes of local
treatment: including breast, head
and neck, lung, colon and ovarian
cancers and osteosarcoma.
- Knowledge of those common cancers
that can be palliated by non surgical
cancer therapies: including breast
cancer, lung cancer, colorectal
cancer, and prostate cancer.
- Knowledge of the paraneoplastic
syndromes associated with cancer.
- Principles of palliative therapies:
the aims of treatment and the concept
of balance between efficacy and
toxicity/quality of life.
- Understanding of the genetic pathophysiology
of common malignancies: including
breast, colon, and stomach cancer,
and leukaemia.
- Mechanism of action and toxicities
of various classes of cytotoxic
drugs.
- Principles of clinical drug development
and randomised clinical trials.
- Practice of pain control: knowledge
of the pharmacological and non pharmacological
modalities available.
- Counselling of patients on the
practicalities of administration
and toxicities induced by chemotherapy
and radiotherapy.
Practical Skills
for all Trainees
- Prescription and safe administration
of intravenous chemotherapy.
- Acute management of extravasation.
- Performance of thoracocentesis,
ascitic tap and lumbar puncture.
- Discussion with patients, and
their relatives, about the diagnosis
of malignancy and its attendant
prognosis.
[ Table of Contents
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