Medical Doctorate in Clinical Oncology and Nuclear...

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PPoossttggrraadduuaattee SSttuuddiieess

Medical Doctorate in

Clinical Oncology and Nuclear Medicine

عالج األورام والطب النووى دكتورا ه

PPrrooggrraamm CCooddee:: OONN770000

Program Guide and

Logbook

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C a n d i d a t e C u r r i c u l u m v i t a e

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TABLE OF CONTENTS:

Page

I – Welcome Statement 5

II - Mission Statement 5

III – Senior supervisor and affiliated departments and Hospitals 5

IV – Program specifications 6

1 - Basic Information 6

2 - Professional Information 6

3 - Academic standards 9

4 - Curriculum structure and contents 9

5 - Program courses: 10

6. Program admission requirements: 10

7. Regulation for progression and program completion 11

Course specifications of Medical Doctorate in Clinical Oncology and

Nuclear Medicine

Physics course specifications 13

Radiobiology course specifications 15

Nuclear Medicine (Compulsory) course specifications 17

Clinical Oncology course specifications 21

Chemotherapy course specifications 25

Radiation Technology course specifications 29

Pathology course specifications 32

Internal Medicine course specifications 35

Surgery course specifications 38

Medical Statistics course specifications 40

Nuclear Medicine (elective)course specifications 43

Molecular Biology course specifications 46

Clinical pharmacology course specifications 49

Research Ethics course specifications 52

Hospital Management course specifications 55

V - General information 58

VI – Your log book 59

1 – Introduction 59

2 - Supervisors, Trainers and/or Educators 59

3 - Tables for training records 60

4 – Log book preview

94

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VII - Head of department approval for the exam entry 96

Detachable forms:

VIII – Thesis follow up 97

IX - Evaluation forms 98

I – WELCOME STATEMENT:

The Department of Clinical Oncology and Nuclear Medicine welcomes you to the

Doctorate degree in Clinical Oncology and Nuclear Medicine. As a department we

are committed to medical student education and continuously strive to improve

your educational experience.

This handbook presents information guide and logbook activity of the Doctorate

degree in Clinical Oncology and Nuclear Medicine administered by the Clinical

Oncology and Nuclear Medicine department, Faculty of Medicine, Ain Shams

University.

II - MISSION STATEMENT:

The preparation of a competent graduate, who is able to compete on both

national and regional levels, capable of life long learning, training and tutoring,

while adhering to the codes of practice of medical health services and ethics.

The college as well, seeks continuous development of programs and courses. It

also enhances expansion of applied scientific research and health programs for

community services and environmental development.

Moreover, through providing distinguished academic and research cadres of

teaching staff, supporting the administrative system and sustainability of own

resources, the college is able to achieve goals and objectives.

The mission of the Doctorate degree in clinical Oncology and Nuclear

Medicine is to educate and train candidates up to the level consistent with the

current scientific knowledge and to direct the related scientific research towards

the benefit of the society. Furthermore provide candidates with necessary

managerial skills to facilitate candidates’ career development.

III – SENIOR SUPERVISOR AND AFFILIATED

DEPARTMENTS AND HOSPITALS

SENIOR SUPERVISOR

Prof.

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E-mail:

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AFFILIATED DEPARTMENTS AND HOSPITALS

Clinical Oncology and Nuclear Medicine department, Faculty of Medicine,

Ain Shams University.

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IV – PROGRAM SPECIFICATIONS

A- Basic Information

1. Program title:

Medical Doctorate in Clinical Oncology and Nuclear Medicine

2. Programme type: Single Double Multiple

3. Faculty

Faculty of Medicine

4. Department

Clinical Oncology and Nuclear Medicine Department

5. -coordinator

Prof Lobna Ezz Elarab

6. Co-coordinator

7. Last date of program approval: 2013

………………………………………………………..

B- Professional Information:

1. Program aims:

The aim of this program is to educate and train candidates to be skillful in the

practice of clinical oncology and nuclear medicine, to provide patient care that is

compassionate, appropriate, and effective for the treatment of health problems,

demonstrate knowledge of established and evolving clinical oncology and nuclear

medicine, as well as the application of this knowledge to patient care.

2. Intended learning outcomes (ILOs):

a. Knowledge and understanding:

By the end of the program the candidate will be able to:

a1 – Recall the principles of basic sciences essential to clinical oncology and

nuclear medicine.

a2 – Recall and define the epidemiology, pathology, prevention, early detection

and diagnosis of cancer

a3– Select different external beam modalities, brachytherapy,

chemotherapeutic, endocrine, biologic therapy, and other forms of therapy in

treatment of cancer and certain nonmalignant diseases.

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a4- Identify the indications for irradiation and special therapeutic

considerations unique to each site and stage of malignant diseases and certain

nonmalignant diseases.

a5- Identify standard radiation techniques, as well as the use of treatment aids

and treatment planning to optimize the distribution of the radiation dose.

a6- Recognize and define combined modality therapy and altered fractionation

schemes

a7- Select diagnostic imaging and non-imaging nuclear medicine applications

and therapeutic applications

a8- Describe therapeutic uses of unsealed radiopharmaceuticals

a9- State patient information relevant to clinical oncology and nuclear medicine

a10- Describe the indications, contraindications complications, and hazards and

limitations of specific clinical oncology and nuclear medicine procedures

a11- Select and read the major journals in clinical oncology and nuclear

medicine

a12- Identify palliative care

a13- Identify the principles of normal tissue tolerance to radiation and tumor

dose-response.

a14- Recognize and identify radiation hazards and radiation safety rules and

regulations

a15- Describe basis and principles of quality in clinical oncology practice.

a16- Demonstrate knowledge and define importance of ethical approval and

patient's consent for clinical research and treatment .

b. Intellectual capabilities:


b1 - Use the scientific method of problem solving, evidence-based decision

making.

b2-Select an appropriate treatment plan for patients with malignancies and

special non malignant diseases and management of radiation side effects.

b3 – Critically analyze clinical problems related to clinical oncology

b4 –Select appropriate clinical oncology and nuclear medicine procedures or

therapy

b5 -Select the most appropriate nuclear medicine studies, interpreting the

information obtained, correlating this information with other diagnostic studies.

b6- Assess nuclear medicine image quality, defining the need for additional

images and correlation with other imaging studies such as x-rays, CT, MRI, or

ultrasound;

b7 - Select best nuclear medicine therapy for selected clinical conditions

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c. Professional and practical skills :

By the end of the program the candidate will be able to: c1 - Incorporate scientific progress in clinical oncology and nuclear medicine

effectively in clinical practice for modifying and improving diagnostic and

therapeutic procedures into daily patient care

c2 - Demonstrate competency in the prescription and administration of

chemotherapeutic, endocrine and other forms of therapeutic agents used in

treatment of malignant diseases and other specific diseases.

c3 - Demonstrate competency in planning radiotherapy

c4- Participate in and personally perform and analyze a broad range of

clinical oncology and nuclear medicine procedures.

c5- Interpret the results of these procedures.

c 6- Communicate results promptly and appropriately.

c7- Systematically analyze practice, and implement changes with the goal of

practice improvement.

c8- Incorporate formative evaluation feedback into daily practice;

c9- Locate and appraise evidence from scientific studies related to their

patients’ health problems.

c10- Use information technology to optimize learning.

c11- Participate in the education of patients, families, other residents and

other health professionals.

c12- Develop and continuously improve skills in obtaining medical

knowledge using new techniques as they develop in information technology.

c13 - Perform technological methods of nuclear medicine therapy.

c14 - Take up research projects either clinical or basic.

c 15- Constuct an appropriate patient consent for treatment and clinical

research.

d. General and transferable skills:


d1 – Demonstrate interpersonal and communication skills that result in the

effective exchange of information and collaboration with patients, their

families, and health professionals.

d2- Communicate effectively with physicians and other health professionals;

d3- Work effectively as a member or leader of a health care team or other

professional group.

d4- Act in a consultative role to other physicians and health professionals

d5- Maintain comprehensive, timely, and legible medical records.

d6- Demonstrate skills in performing patient consent in clinical research and

for treatment.

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3. Academic standards: (Benchmarks) Academic Reference Standards (ARS) of

NAQAAE guided by:

Kasr EL Aini Center of Clinical Oncology (National)

The Royal College of Radiologists (The Faculty of Clinical Oncology)

European Society of Medical Oncology

American Society of Clinical Oncology

European Society of Therapeutic Radiology and Oncology

4.Curriculum structure and contents:

4a- Program duration: 3 years (6 semesters)

4b- Program structure:

The following points have to be covered:

(ON700) درخت اندكتوراه في عالج األوراو وانطب اننوو

Medical Doctorate In Clinical Oncology And Nuclear Medicine (ON700)

انناىح

انساعاث انعتدة انكود انقرراث اندراست

دورة أساساث انبحث انعه يتطهباث انكهت

ال وخد اندزء األول

55 انرسانت

دزء انثانيان

ON7001 5 فزاء

ON7002 5 بونوخي اإلشعاع

ON7003 5 طب نووى

ON7004 6 عالج األوراو اإلكهنكي

ON7005 6 انعالج باألدوو انكاوو

ON7006 6 انعالج باإلشعاع

ON7007 5 باثونوخي األوراو

ON7008 5 باطنو

ON7009 5 خراحو

تانقرراث االختار تى اختار يادة واحدة ين:

إحصاء طبي - 5 E7024

E7068 طب نووى - 2

E7012 2 انبونوخا اندزئو - 3

E7069 عهى األدوو اإلكهنكي - 4

أخالقاث انبحث انعهي - 5 E7050

إدارة انستشفاث - 6 E7034

55 كراست األنشطت

66 اندوع

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5. Program courses: 5.1- Level/Year of Program… Semester…1- 6

A) Compulsory- number required

Code

number

Course Title Number of hours /week

Lectures

(one hour)

Training

ON7001 Physics 10.5 lectures/ 9 hours training

ON7002 Radiobiology 12 lectures/ 6 hours training

ON7003 Nuclear Medicine 30 lectures / 90 hours training

ON7004 Clinical Oncology 34lectures/112 hours training

ON7005 Chemotherapy 20 lectures/140 hours training

ON7006 Technology 30 lectures/120 hours training

ON7007 Pathology 12 lectures/6 hours training

ON7008 Internal Medicine 5 lectures/20 hours training

ON7009 Surgery 10.5 lectures/ 9 hours training

b) Elective

Code number Course Title Number of hours /week

Lectures

(one hour)

Training

5 - E7024 Medical Statistics 7.5 lectures/45 hours training

2 - E7068 Nuclear Medicine 15 lectures/30 hours training

3 - E7012 Molecular Biology 30 lectures

4 - E7069 Clinical Pharmacology 22.5 lectures/ 15 hours training

5 - E7050 Research Ethics 7.5 lectures/45 hours training

6 - E7034 Hospital Management 15 lectures/30 hours training

6. Program admission requirements:

-(: شترط نقد انطانب نهحصول عهي درخت اندكتوراه :7انادة )

وو أ نو دصالووعل ػيو الووج تىصليومد وو وص و تىمى ووم أ ادوا تىووت تبهصهوج تىم وويج وص -1

تيواا -9 .ت قج لج تىؼوو ػيو مبيتوصت تىااتهوج -2ادا تىجصؼصت تى دج أ ػي الج ؼص ىج ىص .

تىمفودؽ -10 0( 2تىده صاف تىمااب اهمعك تبلزو اهمفصء تىيماتت تىبي وج و تىيذو

تىثوص. نو أ وم تىموااب ىوفس ىيااتهج ىاو خس ه اتهج ػي تبقو قتو خه تمذوص تىجوزء

تىاو ػي تبقو تدا تىيمشفصت أ تىدتمز تىؼيج تىؼماو تىنيوج ؼوا أهومفصء تىشودت تىمو تذوا ص

تبقيص تىىم ج.

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7. Regulation for progression and program completion

تىؼص : تبى أه ى دم آخد أغيبس تىثصوج م تىميجو ىاالصت تىاممات دت (: 8يادة )

0آخد يتد أه تد دم

تزع تىااتهج مو ػص لصؼ ػي ي اته او موو وص خيوج ػشود تهوتػصل . توات (: 9يادة )

او هومج تهوص غ . تاله أه أمم د تات تىثص ف تدتد. غ تظ و اته الف نثف ى

تىااتهو قتوو تهوتػ و اتمو ػيو تالقوو ؼوا اهومفصء تىشودت ديوب تىقوداتت وم تىميوجو ىيف وو

هوصػصت ؼمواو. جوز ىيبصىوب تؼواو 6تىيجيج. التغ أ زا تىؼبء تىااته تىف و تىتدا ػو

ف ت تالضوص ج (. موص جوز ىو تاليوذص خوعه تىقداتت خعه تهتػ اتوج تىف وو تىااتهو صىذو

هم تهص غ تدا تىقدتات تدميص اتهتصل .

او تىااتهج ىيذ ه ػي تىاممات هومج العالو رودتل هوو وه اتهوج( جموصز خعىو (: 57يادة )

ج صىتوص تىىووصس يوم خعىووص تىبصىوب دصجوصل تووااتصل منوصعل صىقيو تتقووصل ىييوصػصت تىؼموواو تىضوذ

و ال يخ ى واخه تممذوص قتوو اهومفصء العالوج أا وصع تىبيو تبشبج تىبي ممب مص ؼج

. تىيصػصت تىؼماو

وو اتهو تدوا جموصز ؼوا تىبصىوب امذصوصل ا لوا او تىااتهج تىجزء تبه ىيواممات (: 58يادة )

تىجصح صىنصو ىإلمقصه ىيااتهج تىجزء تىثص شمدت خعىص تىموااب حدوا تىيمشوفصت ال شمدت

ػيو أ وم تىؼماو و تىقيو ىجوج تىااتهوصت تىؼيوص صىنيوج هوتء صىواتخو أ تىىوصا أ تىدتمز تىجصؼج

.اهمنصه تىااتهج تتقصل ىييصػصت تىؼماو

جووز صقشووج تىياالووج ال ووغ تىقووا ىاالووج تىوواممات ميووجو ضووع تىدهووصىج قوو تىوواتا (: 59يااادة )

تىدهصىج قتو دا ػص ػي تىميجو ىياالج ال ى م ىص الصت.

صقشوج ق تىاتا ىاالج تىاممات حهمفصء مبيتصت تىجصؼج قتو تىميوجو مبيتوصت تىنيوج (: 26يادة )

مبيتووصت تىجصؼووج وو تىذ ووه ػيوو رووص و تىمفووو وو تىيغووج .تىجووزء تىثووص قتووو خووه امذووصتىدهووصىج

الووج( مبيتووصت تىنيووج وو دتووا اتت ؼموواو وو ىجووج تىااتهووصت تىؼيووص 550تمجيزووج جووع

صىنيج جصه تىمىبط تىااتهصت تىبتج تمد صء تىبت أ المصز اخمتصاتت خصالج تذا ص تىيجج.

هو تيؼ هصػج ص هو العال هصػج تو اتهوم تىيصػصت تىؼماو ىااتهج تىاممات (: 25ة )ياد

ػيو تبقوو ى وم وص خوس ػشودو هوصػج ىنموب مص ؼوجؼمواو هصػج تالصء تىصليمد تصف هم

.ا لاخس ػشدو هصػج ىيدهصىج هو هصػصت ػي تبقو ىيجزء تبه تبشبج

او تىقا ىاالج تىاممات خوس هوتت جوز ىجيوس تىجصؼوج وصءتل ػيو تيوب جيوس تىنيوج (: 22)يادة

ؼووا ت قووج ىجووج تىااتهووصت تىؼيووص صىنيووج ؼووا تيووب جيووس تىقيوو اهوومص تل اىوو تقووصاد هووج وو لووغ

تىقوا ىيذ وه ػيو ذوا أق و الوص هوتت و توصا تىشد ػي تىبصىب تىيوصح حضوص ج ػوص تدوا

الج تىاممات.

ضوغ امذصوصت ضوػج تشوو القيوص تىؼوج صبرومدتك وغ أقيوص تىوت تىدتتبوج يمز تت(: 23يادة )

هووص و تىمقوو تىىميفووج وو أهووويج تيووج ق وودو مؼووا و تمخمووصاتت ك اخمتووصاتت امينووج قووج تقووس

مدتهج تىصج تفصالو ذىل تؼما ىجج تىااتهصت تىؼيص صىنيج . تىصاتت تىىميفج ػي أ تشو

الج ىيجزء تبه ا لوا. 300 الج ص 1500جع الصت تالمذص تىص ىياممات (: 24يادة )

. 400ي تىمدتم ص تز تصف تىص تىؼاه تىف

تد و موو ػوص ؼقوا امذوص تىواا تىثوص و أ دوو ؼقا امذص تىاا تبه أمم د(: 25يادة )

ص مو ػص.

تىمذدوود تىؼيوو % وو الووج60نوو تىجووصح وو ووت تىوواممات ؼووا تىذ ووه ػيوو (:26يااادة )

تالمين تىشف مو ػي داو.

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Assessment Schedule and Weighing of Assessments:

During semester marks on: attendance of lectures and presentations.

A preliminary examination will be held one month before final examination.

ػي تىل تىمصى:يذظج: تؼص ه الصت تىبصىب تتقص ىيقصت

نقاط 4 : % فأكثر 96 -5 A

نقاط 3667 : % 96ين % حتي أقم85ين -2 A-

نقاط 3633 : %85% حتي أقم ين 86ين - 3 B+

نقاط 3666 : %86% حتي أقم ين 75ين - 4 B

نقاط 2667 : %75% حتي أقم ين 76ين - 5 B-

نقاط 2633 : %76% حتي أقم ين 65ين - 6 C+

نقاط 2666 : %65% حتي أقم ين 62ين -7 C

نقاط 5667 : %62% حتي أقم ين 66ين - 8 C-

F صفر : %66أقم ين - 9

ي تىمدتم وص وتز الج. تصف اىص تىؼاه تىف 1500جع الصت تالمذص تىص ىياممات

. الج ىياممات 400

( ػيو أهوص جوع دصالوو ضود قوصت موو قودا تود صل و ػوا GPA تىف وي م ديص تىؼواه

هصػصت تىؼماو قيصل ػي تىيصػصت تىؼماو ىيقداتت تىم اهوص تىبصىوب و تىف وو تىااتهو. موص وم

( ػيو أهوص جوع دصالوو ضود تىقوصت تىمو د وو ػيوص CGPA تىؼواه تىمدتمو ىيبصىوب ديص

مو قدا تد صل ػا هصػصت تىؼماو قيصل ػي جع تىيصػصت تىؼماو تىنيج.تىبصىب

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م تمػص و أ تىاممات تىصليمد تىا ي أقداتت تى دصىج تىده ص و أ جػج

قط أص اذت تندا اه جه اػص و م ديص تىمقاد تىفؼي تى ذ و ػي أتىص و أ تىجػج قط.

قصت 1.67% قط ت60جصح تقاد ذيب ى ػا تى-

Physics Course specification:

University Ain Shams Faculty Medicine

Program on which the course is given:


Major or minor element of programs:

Major element

Department offering the program:


Department offering the course


Academic year / Level:

Medical Doctorate- First semester

Date of specification approval:


Title: Physics course

Credit Hours: 1

Code:ON7001 Lecture: 1/week Total: 10.5 hours

Practical:1/week Total: 9 hours

Coordinator: Assist Prof. Amin El Sayed

B - Professional Information

1- Course Aims:

The overall aim of this course is to provide:

a) Knowledge and identfication of recent advances in physics related to

radiation oncology.

b) An in-depth understanding of the clinical problems associated with the

recent advances of medical physics in radiation oncology .

c) Physics back ground (interaction with radiation with matter &patient dose

calculation)

2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to:

a1- Recognizeand identify 3D planning, virtual and CT-simulation

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a2- Identify principles, technical aspects and applications of conformal RT

and IMRT

a3- Describe special techniques (IORT, stereotactic RT)

a4 -Recognize and define 4 D radiotherapy

b- Intellectual skills

By the end of the course the candidate will be able to:

b1 – Select the best radiotherapy machine and appropriate energy for

patients’ 3 D and 4 D planning.

b2- Evaluate and analaze: - Absorbed dose distributions

- Target volume specification for 3 D planning

- 3D planning for different malignancies

c- Professional skills By the end of the course the candidate will be able to:

c1 – Demonstrate competency in using computer in 3D planning.

c2 – Demonstrate competency in evaluation of:

- Absorbed dose distributions

- Target volume specification

- Target absorbed dose specification for 3D planning.

- 3D planning for different different malignancies.

d- General and transferable skills


d1 – Demonstrate interpersonal and communication skills that result in

effective information exchange and teaming professional associates.

d2- Use effective listening skills, elicit and provide information using effective

nonverbal, explanatory, questioning, and writing skills

d3- Work effectively with others as a member or leader of a health care team

or other professional group.

d4 – Use computer effectively

3- Course content:

Topics No. of hours

L C/P

9

SDL

Physics background (interaction

withradiation with matter &patient

dose calculation)

2.5

Physics of 3 D conformal RT &

IMRT

3

Physics of IORT & stereotactic 3

Physics of 4 D RT 2

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L: Lecture, C/P: Clinical or Practical and SDL: Self directed learning

4 - Student Assessment Methods

4.1 written examination to assess depth of knowledge (Whether MCQ, short

essay, or problem solving questions)

4.2 Practical examination to assess practical skills

4.3 Oral examination to assess general and transferable skills

Assessment Schedule and Weighing of Assessments

4.1 written exam 25

4.2 Clinical exam 15

4.3 Oral exam 10

Total 50

5 -- List of References

5.1- Course Notes (paper and / or electronic)

Notes Electronic by Ass Prof Amin El Sayed

5.2- Essential Books (Text Books)

-The Physics of radiation therapy. F.Khan. 3rd

edition

5.3- Recommended Books

- Radiation oncology physics: A handbook for teachers and students. E.B.

Podgorfak. 2005.

5.4- Periodicals, Web Sites, etc

- http://rtphys.net

- face book page: RT_phys.

Radiobiology course specifications University: Ain Shams Faculty: Medicine




Major element



Department offering the course:



Doctorate- First semester



Title: Radiobiology course

Code:ON7002

http://rtphys.net/

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Credit Hours: 1 Lecture: 1/week Total: 12 hours


Coordinator:Professor dr Hany Abd-El Aziz


1- Course Aims:

The overall aim of this course is to provide the candidate with an in depth

knowledge in cancer biology,classical and molecular effects of ionizing radiation,

radiation effects on normal and neoplastic tissues and radiobiological basis of

chemotherapeutic drugs and targeted agents.

2- Intended Learning Outcomes (ILOs) from the Course:

a- Knowledge and understanding


a1 – Identify interaction of radiation on molecular level and basis of cancer

biology.

a2 – Describe the principles of cellular effects, mechanisms of cell death and

repair of radiation damage

a3 – Recall and define acute and late normal tissue reactions

a4 – Identify molecular techniques in radiobiology.

a5 – Radiobiological basis of molecular targeted agents for enhancing tumor

response



b1 –Differentiate between acute and late normal tissue reactions.

b 2- Compare between different molecular techniques in radiobiology.

b 3-Diffrentiate radiobiological bases of molecular targeted therapy.

c- Professional skills


c1- - Utilize different relations between molecular targeted agents and

radiation in order to plan the best approach for the management of different

malignancies.

c2- Utilize the difference between acute and late normal tissue reactions in

order to plan the best approach for the management of different malignancies.



d1 – Demonstrate interpersonal and communication skills that result in

effective information exchange with professional associates.

18

d2- Use effective listening skills and elicit and provide information using

effective explanatory, questioning, and writing skills

d3- Work effectively with others as a member or leader of a health care team or

other professional group.

3- Course content:

Topics No. of hours

L C/P SDL

I.General radiobiology

1.Overview on general

radiobiology

3.5

II.Overview on systemic

radiobiology.

2.5 6

III. Cancer biology 2

VI.Radiobiological basis of

molecular targeted agents for

enhancing tumor response

2

V.Molecular techniques in

radiobiology.

2



4.1 written examination to assess depth of knowledge

4.2 Practical examination to assess practical skills



4.1 Written examination 25

4.2 Practical examination 15

4.3 Oral examination 10

Total 50



Handouts by Prof Atef Yousef (paper)


Radiobiology for the Radiologist, E.Hall


-Basic Clinical Radiobiology.4th

edition. Michael joiner & Albert van der

kogel.2009………………………………………


-International Journal of Radiation Biology Phys

Internationl Journal of Radiation Biology……………………………………

19

Nuclear Medicine Course specifications





Major element:

Nuclear Medicine (compulsory)




Clinical Oncology and Nuclear Medicine Department & Diagnostic Radiology

Department


Doctorate Second semester.



Title: Nuclear Medicine (compulsory)

Code:ON7003


Practical: 30 /week Total: 90 hours

Coordinator: Clinical Oncology and Nuclear Medicine Department: Prof

Manal Meawad

B – Professional Information

1- Course Aims:

The overall aim of this course is to

a) Educate and train candidates to be proficient in most areas of clinical nuclear

medicine, function independently as nuclear medicine consultants, plan and

perform appropriate nuclear medicine procedures, interpret the test results, and

formulate a diagnosis and an appropriate differential diagnosis.

b) Train candidates to be able to recommend radionuclide therapy, be capable of

assuming responsibility for patient care.


a- Knowledge and understanding By the end of the course the candidate will be able to:

a1- Obtain patient information relevant to the requested test or therapy

a2- Identify the indications, contraindications, complications and limitations of

specific imaging nuclear medicine procedures.

a3- Follow scientific progress in nuclear medicine, regularly read the major

journals in nuclear medicine.

20

a4- Understand and identify the indications,contraindications of various forms of

therapies using radioisotopes and the concept of radioimmunotherapy of various

body systems.

a5- Identify the fundamentals of PET imaging.

a6- Identify radiation safety rules and regulations.

a7- Demonstrate knowledge of importance of ethical approval and patient's

consent for clinical research and treatment.

b- Intellectual skills By the end of the course the candidate will be able to:

b1- Select appropriate nuclear medicine procedures or therapy based on the

referring physician’s request and the patient’s history. This involves selection of

the appropriate radiopharmaceutical, dose, imaging technique, data analysis, and

image presentation.

b2-Review of image quality, defining the need for additional images and

correlation with other imaging studies such as x-rays, CT, MRI, or ultrasound.

b3- Interpret the results of these procedures.

b4-Correlate this information with other diagnostic studies.

b5- Dictate reports and communicate results promptly and appropriately.



c1-Demonstrate the ability to investigate and evaluate their care of patients, to

appraise scientific evidence.

c2-Participate in and personally perform and analyze a broad range of common

clinical nuclear medicine procedures including dose calculation, patient identity

verification, explanation of informed consent, documentation of pregnancy status,

counseling of patients and their families on radiation safety issues, and scheduling

follow-up after therapy.

c3- Use information technology to optimize learning; and,

c4- Participate in the education of patients, families, students, residents and

other health professionals.

c5- Develop technical proficiency in performing imaging studies, non-imaging

measurements and assays.

c6- Perform therapeutic administration of radiopharmaceuticals, to include

patient selection and understanding and calculation of the administered dose..

c7- Follow scientific progress in nuclear medicine, and learn to incorporate it

effectively for modifying and improving diagnostic and therapeutic

procedures.

c8 – Take up research projects in nuclear medicine.


21


d1 –Demonstrate interpersonal and communication skills that result in the

effective exchange of information and collaboration with patients and

their families.

d2-Communicate effectively with physicians and other health professionals,


professional group.



d6- Demonstrate skills in performing patient consent in clinical research and

for treatment.

3- Course content:

Topics No. of hours

L C/P SDL

Radiopharmaceuticals 2

Radiopharmaceuticals of PET 2

Genitourinary system Imaging 3

Endocrine system 3

Pulmonary system 3

90 hours

Central nervous system 2

Gastrointestinal imaging 2

Skeletal imaging 3

Hepatosplenic imaging 2

Cardiovascular system imaging 2

Lymphomas 1

Therapy 4

Imaging of Tumors 1

L: Lecture, , C/P: Clinical or Practical and SDL: Self directed learning


4.1 written examination to assess depth of knowledge (whether MCQ, short

essay or problem solving questions).

4.2 Practical examination to assess practical and professional skills.

4.3 oral examination to assess General and transferable skills.


4.1 written exam 150


22

4.3 Oral exam 20

Total 250



Handouts

5.2- Essential Books (Text Books) …………………………………………

Nuclear Medicine, Leslie and Greenberg, Landes Bioscience, 2003

Nuclear Medicine Therapy, J. Eary, W. Brenner (Informa, 2007)



Nuclear Medicine Therapy, J. Eary, W. Brenner (Informa, 2007)

Physics and Radiobiology of Nuclear Medicine. 3rd Ed. Springer Verlag,

NY, Saha G, 2006

Essentials of Nuclear Medicine imaging. 5th Ed. Saunders (W.B.) Co Ltd,

Mettler F A, Guiberteau M J, 2005

Practical Nuclear Medicine. 3rd Ed. Springer, Sharp PF, Gemmell HG,

Murray AD, 2005



…Journal of nuclear medicine……………………………………

…………………………………………

Clinical oncology course specifications





Major element




Clinical Oncology and Nuclear Medicine department

Academic year / Level

Medical Doctorate : Third semester.

Date of specification approval


Title: Clinical Oncology course

Code:ON7004


Clinical: 15/week Total: 112 hours

23

Coordinator:Department of Clinical Oncology and Nuclear Medicine: Assist.

Prof. Mohamed El Bassiouny


1- Course Aims:

a) Provide an appropriate background covering the malignant process.

b) Demonstrate knowledge of established and evolving clinical science as

well as the application of this knowledge to patient care.

c) Educate and train candidate to be skillful in practice of clinical oncology

with comprehensive skills with use of radiation, chemotherapy and

biologic therapy in treatment of cancer.

d) Prepare candidate for independent and life long learning by encouraging

self-directed study.

e) Enable the development and application of appropriate professional

attitudes, communications and problem solving skills.

2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1- Recall the principles of basic sciences essential to clinical oncology.

a2- Define the epidemiology, pathology, preventive and early detection and

diagnosis of cancer.

a3- Identify patient information relevant to clinical oncology.

a4- State the clinical manifestations and differential diagnosis of common

oncology disorders with an emphasis on incidence of different

manifestations and their relative importance in establishing diagnosis.

a5- Recognize and select treatment with radiotherapy, chemotherapy, endocrine

and biologic therapy and other forms of treatment of cancer.

a6- Identify the indications, contraindications, complications and limitations of

specific clinical oncology procedures.

a7- Identify oncologic emergencies and their management.

a8- Evaluate response to treatment.

a9- Describe supportive and palliative care.

a10- Demonstrate knowledge and identify importance of ethical approval and

patient's consent for clinical research and treatment.

a11- Identify basis and principles of quality in clinical oncology practice.

a12- Recognize and define the correlation between prognosis in relation to stage of

disease and different lines of treatment.

a 13- Select and read the major journals in Clinical Oncology.

24



b1- Use the scientific method of problem solving, evidence – based decision

making.

b2- Analyze symptoms, signs and differential diagnosis for clinical problems

related to clinical oncology.

b3- Accurately order and interpret the results of the commonly diagnostic

procedures.

b4- Accurately stage the patient.

b5- Construct and select an appropriate treatment plan in management of patients

with malignancy.

b6- Select appropriate clinical oncology procedure.

b7- Critically analyze clinical problems related to clinical oncology.



c1- Demonstrate competency in history taking, physical examination and

diagnostic and therapeutic procedures and communicate results promptly

and appropriately.

c2- Demonstrate competency in prescription of appropriate chemotherapy, and

radiotherapy in malignant disorders.

c3- Systematically analyze practice, and implement changes with goal of practice

improvement.

c4- Incorporate formative evaluation feedback into daily practice.

c5- Participate in the education of patients and their families.

c6- Initiate appropriate initial management for oncologic emergencies.

c7-Incorporate scientific programs in clinical oncology in clinical practice for

modifying and improving diagnostic and therapeutic procedures in daily

patient care.

c8- Take up research projects in clinical or basic science.

c9- locate and appraise evidence from scientific studies related to the patients

health problems.

d- General and transferable skills 6 By the end of the course the candidate will be able to:

d1- Demonstrate interpersonal and communication skills that result in the

effective exchange of information and collaboration with patients and

their families.

d2- Be able to work in clinical teams.

d3- Communicate effectively with physicians and other health professionals

d4- Maintain comprehensive, timely and legible medical records.

d5- Act in a consultative role to other physians and health professionals.

d6- Construct patient consent in clinical research and for treatment.

25

3- Course content:

Topics No. of hours

L C/P SDL

Molecular biology of cancer 2

Principles of cancer prevention and

screening

1

Principles of cancer counseling 1

Medical records, informed consent,

teams, communication and quality.

2

Management of different diseases

112

Conferences,

journal club

CME

Breast 2

GIT 3

Lung/pleural/mediastinum 2

Genitourinary 3

Gynecology 3

Head and neck 3

Central nervous system 2

Endocrine 1

Pediatric 2

Hematologic Malignancies 2

Sarcomas 2

Metastatic/Miscellaneous 1

Supportive and palliative care 1

Paraneoplastic Syndromes 1



4.1 written examination to assess depth of knowledge (30% MCQ, 70% short

essay and problem solving questions)

4.2 Clinical examination to assess practical and professional skills




4.2 Clinical examination 100


Total 300



-Handouts of all staff (Paper and electronic


26

-Devita, Hellman & Rosenberg's Cancer: Principles & Practice of

Oncology, 8th Edition


-Manual of clinical oncology. Cascito DA&Territo MC (editors), sixth

edition


-http://www.nccn.org

-http://www.esmo.org

-http://www.asco.org

-http :/www.cochrane.org

-http://cme.alphamedpress.org

-http://www.cmelist.com/oncology.htm

-http://www.medscape.com/oncology

-http://www.cancernetwork.com

- http://www.cancercare.on.ca

- Journal of clinical oncology:http://jco.ascopubs.org

-Annals of oncology:http://annonc.oxfordjournals.org

-The cancer journal:http://journal.lww.com/journalppo/pages/default.aspx

Chemotherapy course specifications





Major element

Department offering the program :



Clinical Oncology and Nuclear Medicine department


Doctorate-Fourth semester.



Title: Chemotherapy course

Code:ON7005



Coordinator :Department of Clinical Oncology and Nuclear Medicine: Prof.

Zeinab Abdel Hafeez

27


1- Course Aims: The overall aim of this course is to educate and train candidates to acquire the in-

depth knowledge, skills, clinical judgment and attitude essential for the

independent (consultative) practice of chemotherapy,hormonal therapy, and

biologic therapy use in neoplastic disorders.



By the end of the course the candidate will be able to: a1- Identify less common, and novel chemotherapeutic drugs, biologic

products,hormones, and growth factors and their mechanisms of action,

pharmacokinetics, pharmacodynamics, clinical indications and limitations,

including their effects, toxicity, interactions, and limitations.

a2- Recognize and define new drug discovery and development

a3- Describe various chemotherapy protocols (including high dose therapy and

SCT) and combined modality therapy for neoplastic disorders

a4- State the use of systemic cancer therapy in special sub-populations.

a5- Identify principles of tumor immunology and the role of biologic response

modifiers in the primary management and supportive care of cancer patients.

a6- Identify concepts and application of palliative care.

a7- Demonstrate knowledge and define of fertility issues in cancer patients.

a8- Demonstrate knowledge and identify of importance of ethical approval and

patient's consent for clinical research and treatment.



b1- Select and prescribe less common cytotoxic regimens.

b 2- Select and prescribe different biologic therapies.

b 3- Critically analyze clinical problems related to chemotherapy, hormonal

therapy, and biologic therapy and select appropriate management of these

problems.


By the end of the course the candidate will be able to: c1- Appraise scientific evidence and incorporate scientific progress in

chemotherapy and biologic therapy effectively in clinical practice for modifying

and improving diagnostic and therapeutic procedures into daily patient care

c2- Demonstrate competency in the prescription and administration of

chemotherapeutic, endocrine, biologic agents and other forms of therapeutic

agents used in treatment of malignant diseases.

c3- Participate in and personally perform and analyze a broad range of

chemotherapy and biologic therapy procedures.

c4- Interpret the results of these procedures.

28

c5- Communicate results promptly and appropriately

c6- Participate in the education of patients, families,other residents and other

health professionals.

c7- Develop and continuously improve skills in obtaining medical.

knowledge using new techniques as they develop in information technology.

c8- Take up research projects either clinical or basic.


By the end of the course the candidate will be able to: d1 –Demonstrate interpersonal and communication skills that result in the

effective exchange of information and collaboration with patients, their

families, and the public, across a broad range of socioeconomic and cultural

backgrounds.

d2- Communicate effectively with physicians, other health professionals, and

health related agencies.


professional group;



d6- Construct in performing patient's consent in clinical research and for

treatment.

3- Course content:

Topics No. of hours

L C/P SDL

I-Cancer Chemotherapy 12

hours

100 Conferences

Journal club

CME 1.Pharmacogenomics and

personalized cancer treatment .

3

2. Drug design and development 1

3- Use of chemotherapy in special

sub-populations (pregnancy,

geriatrics, pediatrics)

3

4. High dose chemotherapy and

stem cell transplantation

2

5. Chemotherapy in organ

dysfunction

2

6. Infertility after cancer

chemotherapy

1

II-Cancer Biologic Therapy and

immunotherapy

8 hours 40

hours

1. Antibody based 3

29

immunotherapy(Targeted agents)

2. Cellular immunotherapy 1

3. Cancer vaccines 1

4. Gene-directed therapy 1

5. Toxicity of targeted therapy and

its management

2

L: Lecture, C/P: Clinical or Practical and SDL: Self Directed Learning


4.1 written examination to assess depth of knowledge whether MCQ, short

essay or problem solving).







Total 300




- Physician's cancer chemotherapy drug manual, Chu E and DeVita VT,

2012

-Devita, Hellman & Rosenberg's Cancer: Principles & Practice of

Oncology, 9th Edition


- Cancer chemotherapy and biotherapy: Principles and practice, Chabner

BA and Longo DL, 5th edition. 2011

- Handbook of cancer chemotherapy: Roland Skeel 8th Edition. 2011


-http://jco.ascopubs.org

-http://www.jco.ascopubs.org

-http:www.annonc.oxfordjournals.org

-http://www.nccn.org

-http://www.esmo.org

-http://www.asco.org

- http://www.drugs.com




http://www.jco.ascopubs.org/

http://www.drugs.com/

30



Radiation Technology specifications





Major element

Department offering the program :





Doctorate Fifth semester.



Title: Radiation technology course

Code:ON7006



Coordinator: Clinical Oncology and Nuclear Medicine Department: Prof

Tarek Hussein


1- Course Aims:

The overall aim of this course is to:

a) Provide indepth knowledgeof background covering the fundamentals of

treatment planning for different modalities of radiation therapy.

b) Educate and train candidates to be skillful in practice of different

modalities of radiation therapy to treat malignant disease and some non

malignant disease .

c) Recall the normal tissue tolerance to radiation and radiotherapy

complications.

d) Prepares candidates for independent and life-long learning by encouraging

self-directed study.

e) Enable development and application of appropriate professional attitudes,

communication and problem solving skills.

2- Intended Learning Outcomes (ILOs) from the Course: a- Knowledge and understanding By the end of the course the candidate will be able to: a1- Describe the recent advances in the use of different modalities of radiation

therapy in treatment of cancer and certain non malignant diseases.

31

a2- Identify the in depth indications for radiation and special therapeutic

considerations unique to each site and stage of malignant diseases and

certain non malignant diseases.

a3- Identify standard and new radiation techniques, as well as the use of

treatment aids and treatment planning to optimize the distribution of the

radiation dose.

a4- Describe the use of altered fractionation schemes.

a5- Recognize and define the normal tissue tolerance to radiation,signs,

symptoms, pathogenesis of radiotherapy complications and its management.

a6- Identify the new radiotherapeutic techniques and follow the scientific

progress in radiotherapy.

a7- Select and read the major journals in radiotherapy.

a8- Demonstrate knowledge and identify of importance of ethical approval and

patient's consent for clinical research and treatment and basis and principles

of quality in clinical oncology practice.

a9- Use related quality control procedures.



b1- Integrate new techniques of radiation technology with other basic and

clinical sciences concerning management of cancer.

b2- Design an appropriate radiation treatment plan for patients with

malignancies and special non malignant disease.

b3- Analyze clinical problems related to treatment planning.

b4- Construct appropriate management of radiation side effects with appropriate

diagnostic, preventive and therapeutic interventions.



c1- Participate in and personally perform and analyze different radiotherapeutic

techniques in treatment of cancer.

c2- Incorporate formative evaluation feedback into daily practice.

c3- Develop technical proficiency in implementing radiotherapy with

competency in use of simulator, target volume delineation for various

organs, evaluation of treatment plans

c4- demonstrate competency in treating radiotherapy complications.

c5- Incorporate scientific progress in radiation technology in clinical practice.

c6- Locate and appraise evidence of scientific studies related to their patients

health problems.

c7 - Participate in education of patients, families and other residents and other

health professionls.

c8- Develop and contiuosly improve skills in obtaining medical knowledge using

new techniques.

32

c9- Take up research projects.

c10- construct a patient consent for treatment and clinical research.



d1- Develop the skill of working in a team.

d2- Develop appropriate relationships with patient and family.

d3- Act in a consultative role to other physians and health professionals.

d4- Communicate effectively with physicans, other health professionals.

d5- Maintain comprehensive, timely and legible medical records..

d6- Maintain comprehensive timely medical records.

3- Course content:

Topics No. of hours

L T C/P SDL

1. Medical records and informed consent

relevant to Radiotherapy and related quality

1 120

hours

Conferences,

journal club

CME 2. Imaging in radiotherapy 2

3. Three and four dimensional conformal

radiotherapy

1

4. Intensity modulated radiotherapy 1

5. Linac radiosurgery 1

6. Breast cancer 2

7. Cancers of the lung and mediastinum 2

8. Cancers of the head & neck 3

9. Cancers of the GIT 3

10. Gynecological malignancies 3

11. Cancers of the genitourinary tract 2

12. Lymphomas 1

13. Pediatric tumors 2

14. CNS tumors 2

15. Skin cancers/ Non malignant tumors 2

16. Sarcomas 1

17. Late effects of radiotherapy 1

L: Lecture, C/P: Clinical and SDL: Self directed learning


4.1 written examination to assess depth of knowledge whether MCQ, short essay

or problem solving questions.

33







Total 300

5 - List of References


-Handouts and electronic presentations


-Perez and Brady's, Principle and Practice of Radiation Oncology,5th

edition

-Gunderson & Tepper Clinical radiation oncology,2nd

edition

-Radiotherapy for Head and Neck Cancers: Indications and Techniques,3rd

edition.


-Leibel&Phillips Textbook of radiation oncology,2nd

edition

-Clinical Target Volumes in Conformal and Intesity Modulated Radiation

Therapy: A clinical guide to cancer therapy. 2004


- International journal of radiation Oncology Biology Physics

-Journal of clinical oncology

-http://www.estro.org

-http://www.astro.org

-http://www.rtog.org






Pathology course specifications:

University Ain Shams Faculty Medicine.




Minor element



http://www.cancercare.on.ca/

34


Pathology Department


Doctorate-Sixth semester.

Date of specification approval :


Title: Pathology course

Code:ON7007

Credit Hours: 1 Lectures: 1/week Total: 12 hours


Coordinator: Pathology Department :Profs. Thanaa Helal, Ragaa Amin,

Magda AbdelSalam.


1- Course Aims:

The aim of Pathology course is to:

- provide the candidate with adequate, recognizable, applicable knowledge and

skills for neoplastic diseases affecting body organs and system. It helps the

candidate to understand the causes (aetiology) of disease, the mechanisms of its

development (pathogenesis) and the associated alterations of structure

(morphologic changes) and function (clinical manifestations and complications) to

be able to determine the most likely diagnosis of the disease and management of

the patient when provided with the clinical history, the anatomical lesions, and the

laboratory data.

2. Intended Learning Outcomes of Course (ILOs)

a- Knowledge and Understanding:


a1- Recognize and define the basic pathologic processes that disturb the structure

and function of the body, tumor pathology and tumor cytology

a2- List the causes of neoplastic diseases affecting organs or systems.

a3- Explain the pathogenesis and the genetic bases of neoplastic diseases affecting

organs or systems

a4- Recognize and describe the basic pathologic features (morphologic alterations)

including the gross and microscopic pictures of various neoplastic diseases

affecting organs and systems.

a5- Describe how the pathological processes affect the structure and function of the

organ systems of the human body

a6- Interpret the functional consequences and clinical manifestations of neoplastic

diseases affecting specific organs or systems , therby demonstrate clinical

reasoning.

a7-Explain the signs and symptoms of disease based on its pathogenesis, thereby

demonstrate clinical reasoning.

35

a8-Recognize and be fully familiar with the terminology used in the classification,

investigation and description of neoplastic diseases.

b-Intellectual Skills


b1- Correlate the pathologic features of the neoplastic disease with its clinical

presentation, laboratory investigations and complications.

b2- Develop skills of observation, interpretation, and integration needed to analyze

basic clinical and pathologic data and to diagnose neoplastic disease.

c- Professional and Practical Skills


c1- Recognize and interpret the important pathologic lesions in a pathology report

that can provide reliable basis (sound foundation) for rational clinical care and

therapy of neoplastic diseases.

c2- Be aware of the lesions which simulate cancer (tumor-like conditions)

c3- Understand the updated classifications and its impact on patient therapy.

d- General and Transferable Skills


d1- Use database to collect material needed for research.

d2- Gather and organize material from various sources (including library,

electronic and online resources).

d3- Work cooperatively and show respect for others opinions.

d4- Ensure that request form and specimen identification is accurate and identify

and resolve any errors or discordance.

d5- Communicate with pathologists promptly and accurately.

d6- Understand the importance of continuing professional development.

3- Course content:

Topics No. of hours

L C/P

6

hours

SDL

I- General Pathology

1. Etiology, Pathogenesis& epidemiology of

cancer

1

2. Pathologic criteria& pathologic

classification of cancer

1

3.Tumor like lesions and Methods of

pathological diagnosis of tumors

II- Pathology of cancer of different neoplastic

diseases in:

1. Gastrointestinal and hepatobiliary system 1

2. Respiratory system 1

36

3.Urinary & male genital system 2

4. Breast & female genital system 2

5. Bone & soft tissues 1

6. Skin & CNS 1

7. Endocrine organs & ocular structures 1

8. Lymphoproliferative system 1

L: Lecture, C: Clinical and SDL: Self directed learning


4.1 written examination to assess depth of knowledge (Essays) and problem

solving capacity(MCQ & case study).

4.2 Practical examination to assess practical and professional skills

4.3 Oral examination to assess intellectual and communication skills



4.2 Practical examination 15


Total 50



General and Systemic Pathology Notes written by staff members of

Pathology Department


- Kumar, V. (Ed.), Cotran, R. S., Robbins, S. L. (2007). Basic Pathology 8th

edition Philadelphia, PA: W.B. Saunders

- Series of WHO clssificaion of tumors

5.3- Recommended Books.

-Ackerman' surgical pathology


http://www.webpath,

http://www.pathguy

http://www.pathmax.com,

http://www.uwo.ca/pathol/resources.html

Internal Medicine course specifications





Minor element:


http://www.pathguy/

http://www.pathguy/

http://www.pathmax.com/

http://www.uwo.ca/pathol/resources.html

37



General Internal Medicine department


Medical Doctorate- Sixth semester



Title: Internal Medicine course

Code:ON7008


Practical: 2/week Total: 20 hours

Coordinator: Internal Medicine Department: Prof Hoda Gadallah


1- Course Aims:

a) Identify the scientific principles underlying health and disease.

b) Provide an appropriate background covering the common and important

emergencies and diseases related to clinical oncology.

c) Prepare candidate for independent and life-long learning by encouraging self-

directed study.

e) Enable the development and application of appropriate professional attitudes,

communication and problem solving skills




a1- Describe the etiology and mechanisms of specific diseases.

a2- Recognize causes of specific diseases and their associated risk factors in

different subspecialities.

a3- Describe the clinical symptoms and signs of the common and most important

diseases related to clinical oncology.

a4- Define problems related to clinical oncology and reach a differential diagnosis.

a5- Describe different forms of appropriate therapy for specific diseases.



b1- Interpret the most important symptoms and signs of specific diseases.

b2- Select appropriate investigations and interpret the results for specific diseases.

b3- Formulate appropriate management plan for individual patients presenting with

specific diseases.

b4- Make decisions regarding the common clinical situations using appropriate

problem solving skills.

38



c1- Construct a proper history

c2- Perform an adequate clinical examination for the patient and identify any

abnormalities.

c3- Interpret the patient data (history and examination) in an organized and

informative manner



d1 – Develop the skill of working in teams

d2 – Develop appropriate relationships with patient and family

d3- Communicate effectively with physicans, other health professionals

3- Course content:

Topics No of

hours

L C/P

Infection,nutrition 0.5 20

Respiratory system 1

GIT and hepatobiliary system. 0.5

Nephrology and acid base balance 0.5

Endocrinology 0.5

Neurology 0.5

Cardiovascular 0.5

Geriatric 1

L: Lecture, C/P: Clinical or Practical



4.2 Practical examination to assess practical and professional skills



4.1 written exam 25


4.3 Oral exam 10

Total 50



Clinical learning guide (electronic)


39

-Davidson’s textbook of medicine

-Current textbook of medicine

Kumar textbook of medicine


-Cecil textbook of medicine

-Harrison textbook of medicine


http://emedicine.medscape.com/

http://casesblog.blogspot.com/2006/08/whats-new-in-general-internal-

medicine.html

http://www.e-meducation.org/links/internal-medicine/

Surgery Course specifications





Minor element:




General Surgery Department


Medical Doctorate Sixth semester.



Title: Surgery course Code:ON7009

Credit Hours: 1 Lecture: 1/week Total: 10.5 hours


Coordinator : Surgery department:Prof Fateen Anouss


1- Course Aims:

The overall aim of this course is to provide candidates with education and training

in basic and clinical sciences fundamental to surgery, including technological

advances that relate to surgery and the care of patients with surgical diseases.


a- Knowledge and understanding By the end of the course the candidate will be able to: a1 – Describe indications and contraindications of different surgical modalities

in oncology

http://emedicine.medscape.com/

http://casesblog.blogspot.com/2006/08/whats-new-in-general-internal-medicine.html

http://casesblog.blogspot.com/2006/08/whats-new-in-general-internal-medicine.html

http://www.e-meducation.org/links/internal-medicine/

40

a3 – Describe the role of surgery in the staging, cure, and palliation

a4 – Identify indications for organ preservation surgery

a5- Identify indications for sequencing of surgery with other treatment

modalities and risks and benefits of surgery as a definitive treatment and as an

adjunct to radiotherapy and/or anticancer agents



b- Select an appropriate treatment plan for patients with malignancies

b2 – Analyse clinical problems related to surgical oncology

b3 – Determine or confirm the diagnosis

b4 - Select best organ preservation surgery

b5 - Select best sequencing of surgery with other treatment modalities

and direction of the postoperative care;



c1 - Incorporate practice based learning into daily patient care

c2 - Demonstrate competency in the selecting sequencing of surgery with

other treatment modalities



d1 – Develop the skill of working in teams

d2 – Develop appropriate relationships with patient and family

d3- Communicate effectively with physicans, other health professionals

3- Course content: Topics No. of hours

L C/P SDL

Evaluation / D.D of swellings at

different areas

1.5

9

hours

Principles of cancer surgery 1

Surgery in cancer prevention & in

diagnosis

1

Surgical treatment of primary

tumors

Breast 1

Head and neck 1

Thoracic 1

GIT 1

Genitourinary 1

Musculoskeletal 1

Neurosurgery 1

41

Surgery for residual& metastatic

diseases

1

Surgery for palliation/

reconstruction& oncologic

emergencies

1







4.1 written exam 25


4.3 Oral exam 10

Total 50




- Textbook of surgical Oncology,1st edition.


-The M.D.Anderson Surgical Oncology Handbook, 4th

edition

-Cancer: Principles & Practice of Oncology, 8th Edition Editors: DeVita,

Vincent T.; Lawrence, Theodore S.; Rosenberg, Steven A.


-International seminars in surgical oncology:http://www.issoonline.com/

Medical statistics course specifications University Ain Shams Faculty Medicine




Minor (elective)




Community, Environmental and Occupational Medicine Department


Doctorate Sixth semester


42


Title: Medical Statistics course (elective)

Code: E7024 Credit Hours: 2 Lecture: 1/week Total: 7.5 hours


Coordinator: Community, Environmental and Occupational Medicine

Department.


1- Course Aims:

To enable the doctorate candidate to plan, conduct, analyze and interpret the

results of a research in the field of oncology. This course unit introduces the

application of statistical ideas and methodology to medical research.




a1 - Define medical statistics and identify uses and importance of medical

statistics in medical research

a2 – Define:

Types of variables.

Descriptive statistics.

Presentation and summarization of data.

Measures of central tendency and scatter.

Principles of probability and probability distributions.

Concepts of inferential statistics: confidence interval and hypothesis testing.

Different tests of statistical significance.

Difference between parametric and nonparametric tests of significance.

Correlation and regression

Concept of statistical modeling using multivariable and multivariate

statistical methods.

Combining evidence from different studies and meta-analysis

Importance and methods of sampling and how to determinate the suitable

sample size.

Different types of research methodology:

observational and intervention studies and the different statistical

issues related to the design, conduct, analysis and interpretation

of the results of each study type.

Ethical aspects of medical research including those specifically applied to

clinical trials.



43

b1 - Interpret correctly the results of statistical analyses and critically

evaluate the use of statistics in the medical literature.

b2 - Integrate and evaluate information from a variety of sources.



c1- Select appropriate study designs to address questions of medical

relevance

c2 - Select and apply appropriate statistical methods for analyzing data

typically encountered in medical applications.

c3- Use selected software packages for statistical analysis and data

management.



d1 - Work effectively in a group from different backgrounds.

d2 - Respect the role of staff and co-staff members regardless of degree or

occupation.

d3 - Communicate effectively with professional statisticians and the wider

medical community, including the ability to present results of

statistical analyses through written and oral presentations

d4 - Use of computer data bases and other computer skills.

d5 - Handle data appropriately and analyze them through: decision

processes, objective criteria, problem definition, project design and

evaluation, risk management, teamwork and coordination.

d6 - Learn independently with open-mindedness and critical enquiry.

3- Course content:

Topics No. of hours

L P SDL

Types of samples

1 hour

45 hours

Descriptive measures 1 hour

Basic rule of probability 1 hour

Survival Analysis

1 hour

Interpretation of epidemiologic

findings

1 hour

Types of Studies 1 hour

Levels of evidence and quality of

life tools

1.5hour

44

L: Lecture, P: Practical and SDL: Self directed learning





Total 100



- Student Notes on Medical Statistics and Research Methods. Prof.

Mohsen Abdel Hamid and Dr Moustafa El Houssinie. Department of

Community, Environmental and Occupational Medicine.


-Statistics in Clinical Practice. avid Coggon. BMJ Books. 2nd

edition

2003


Handbook of Epidemiology. Springer 2005


www.brettscaife.net/statistics/introstat/

onlinestatbook.com/rvls/

www. Epidemiolog.net

http://www.shef.ac.uk/scharr/spss/

Nuclear Medicine Course specifications University Ain Shams Faculty Medicine




Major element: elective




Clinical Oncology and Nuclear Medicine Department & Diagnostic Radiology

Department


Medical Doctorate Sixth semester


45


Course: Nuclear Medicine course (elective)

Code: E7068



Coordinator: Clinical Oncology and Nuclear Medicine Department:Prof

Manal Meawad, Diagnostic Radiology Department: Prof. Hala Abou Senna


1- Course Aims:

The overall aim of this course is to train candidates to develop a satisfactory level

of clinical maturity, judgment, and technical skill that will render them proficient

in specific areas of nuclear medicine.



a1- Identify the principles of instrumentation including SPECT and PET devices.

a2- Describe the diagnostic and therapeutic use of radiopharmaceuticals: clinical

indications, and interpretation of in vivo imaging of the body organs and systems,

using SPECT and PET and correlation of nuclear medicine procedures with other

pertinent imaging modalities

a3- Recognize and define the indications, contraindications, complications and

limitations of specific imaging and therapeutic nuclear medicine procedures

a4- Identify the fundamentals of PET imaging

a5- Recognizeand be fully aware with PET imaging of the heart, brain

a6- Recognize PET imaging in oncology

a7- Describe anatomic imaging of brain, head and neck, thorax, abdomen, and

pelvis with CT to correlate between anatomic and functional imaging.

a8- Recognize and describe image fusion of SPECT and PET images with

computed tomography (CT) and magnetic resonance imaging (MRI) studies;

a9- Select and read the major journals in nuclear medicine.

b- Intellectual skills By the end of the course the candidate will be able to:

b1- Select appropriate nuclear medicine procedures or therapy of specific

conditions.

b2- Interpret the results of these procedures

b3- Correlate this information with other diagnostic studies



c1- Locate and appraise evidence from scientific studies related to their

patients’ health problems;

c3- Use information technology to optimize learning

46

c4-Participate in the education of patients, families, residents and other health

professionals.

c5- Develop technical proficiency in performing specific imaging studies,

non-imaging measurements and assays

c6- Perform therapeutic administration of radiopharmaceuticals, to include

patient selection and understanding and calculation of the administered dose

c7- Follow scientific progress in nuclear medicine, and learn to incorporate it

effectively for modifying and improving diagnostic and therapeutic procedures



d1 –Demonstrate interpersonal and communication skills that result in the

effective exchange of information and collaboration with patients,

their families, and health professionals.

d2- Communicate effectively with patients, families across a broad range of

socioeconomic and cultural backgrounds;

d3- Communicate effectively with physicians, other health professionals


professional group


3- Course content:

Topics No. of hours L C/P SDL

Instrumentation including SPECT and PET devices 1

30

hours

Journal

club Diagnostic and therapeutic use of certain

radiopharmaceuticals

1

Fundamentals of PET imaging

1

PET imaging of the heart 1

PET imaging of the brain 1

PET imaging in oncology 1

Anatomic imaging of brain with CT 1

Anatomic imaging of head and neck with CT 1

Anatomic imaging of thorax with CT 1

Anatomic imaging of abdomen with CT 1

Anatomic imaging of pelvis with CT 1

Image fusion of SPECT and PET images with computed

tomography (CT) studies

2

Image fusion of SPECT and PET images with magnetic

resonance imaging (MRI) studies

2


47





Total 100



-Handouts



-Nuclear Medicine, Leslie and Greenberg, Landes Bioscience, 2003

-Nuclear Medicine Therapy, J. Eary, W. Brenner (Informa, 2007)

-Physics and Radiobiology of Nuclear Medicine. 3rd Ed. Springer Verlag,

NY, Saha G, 2006

-Essentials of Nuclear Medicine imaging. 5th Ed. Saunders ((W.B.) Co Ltd,

Mettler F A, Guiberteau M J, 2005

-Practical Nuclear Medicine. 3rd Ed. Springer, Sharp PF, Gemmell HG,

Murray AD, 2005

-Nuclear Medicine, Leslie and Greenberg, Landes Bioscience, 2003

- Positron emission tomography , basic science and clinical practice. Valk PF,

Bailey DL,Townsens DW,Maisey MN. Spring 2005

- PET and PET /CT , 2nd

edition. Wahl RL, Beanlands RSB. Lippincott 2008.


Journal of Nuclear Medicine.

Molecular Biology course specifications


Course specifications




Minor element ( elective)




Biochemistry and Molecular Biology Department


Doctorate Sixth semester



48

Title: Molecular Biology course (elective)

Code:E7012


Coordinator: Department of Biochemistry and Molecular Biology

Prof Nora El Kholy


1- Course Aims:

The overall aim of this course is to provide candidates with knowledge in

cancer biology, terminology, techniques of molecular biology and basic

processes of carcinogenesis as it relates to neoplastic diseases and their

treatment



a1- Recognize the principles of cell cycle, tumor cell kinetics, programmed cell

death

a2- Recognize different terminology and techniques of molecular biology

a3- Describe proliferation, cell cycle and cell death in cancer

a4- Identify the microenvironment of the tumor-host interface



b1- Integrate basic molecular biology facts with clinical practice.

b2- Select the appropriate molecular biology technique.

b3- Analyze and interpret the results molecular biology techniques

b4- Identify tumor-associated genetic defects and relate them to patient

prognosis.

b5- Use the computer to retrieve and compare molecular biology data



c1- Integrate molecular biology techniques with clinical practice.

c2- Utilize the literature and integrate the results of molecular biologic data in

order to plan the best approach for the management malignancies

49



d1 - Use basic computing skills and internet to follow electronic lectures

d2 - Communicate relevant information with staff and colleagues

3- Course content:

Basic principles in molecular biology No. of hours

L (1h) SDL

1- Nucleic acid structure and organization 4

2- Cell cycle, DNA replication and repair 4

3- RNA transcription and processing 4

4-The Genetic code, mutation and protein

synthesis

4

5- Recombinant DNA technology 4

6- Techniques of genetic analysis 4

7- Oncogenes, tumor suppressor genes,

apoptosis and telomerase

4

8- Gene Therapy and transgenic animals 2

L: Lecture, and SDL: Self directed learning





Total 100



-Lecture notes provided by the staff of Medical Biochemistry and

Molecular Biology


- USMLE Step 1 Biochemistry (Kaplan)


- Lippincott Biochemistry


50

Clinical Pharmacology course specifications

University: Ain Shams University Faculty: Medicine


Doctorate degree in Clinical Oncology and Nuclear Medicine.


Minor (Elective) course.


Clinical Oncology and Nuclear Medicine Department.


Pharmacology Department, and Clinical Pharmacology Unit

Academic Level:

Medical Doctorate 6th semester.



Title: Clinical pharmacology course

Code: E7069

Credit Hours: 2 hours Lecture: 2/week Total: 22.5 hours


Coordinator: Pharmacology Department and Clinical Pharmacology Unit:

Prof. Ahmed Abd El Tawaab


1-Course Aims:

The aim of this course is to provide students with a deep understanding of the

principles of pharmacology of chemotherapeutic agents, hormones, biologic and

supportive therapies. For each medication, understand the dosing,

pharmacokinetics, metabolism, mechanisms of action, side effects, drug

interactions, compliance issues, and use in specific patient populations, such as

renal insufficiency and including lactating, pregnant women, pediatric and geriatric

population.




a1- Compare the different levels of clinical evidence of drug effectiveness

a2- Describe the pharmacokinetic, pharmacodynamic properties of different groups

of chemotherapeutic drugs, hormones, and biologic therapies.

a3 –Classify the adverse and toxic effects, of commonly used chemotherapy

groups.

a4 - Identify the limitations to the use of drugs such as contraindications and drug

interactions.

51

a5 – Describe the clinically relevant age, sex and genetic determinants of drug

response.

a6 - Define the principles, the indications, the relative advantages and

disadvantages of various pharmacotherapy modalities

a7 - Recognize the general guidelines of the use of drugs special population such

as pediatrics, geriatrics, pregnancy and lactation and in cases of liver and kidney

impairment.

a8- Describe the principles of analgesics and drugs used in supportive care in

patients with cancer.



b1- Demonstrate the skills of systematic literature search for clinical

evidence on effectiveness

b2- Calculate the proper doses for patients at special risks

b3- Apply the basic principles of pharmacokinetics in selected clinical

contexts

b4- Obtain and record a comprehensive drug history of the patient.

b5- Report and communicate adverse drug reactions.

b6- Assess the effect of drugs on different biological tissues



c1- Integrate and summarize and evaluate information related to issues in

selected topics pharmacological sciences.

c2- Apply the principles of scientific inquiry to address pharmacology-

related problems

c3- Formulate appropriate hypothesis for a pharmacological research.

c4- Demonstrate competency in understanding, analyzing and interpreting

pharmacological data.


By the end of the course the candidate will be able to

d1– Demonstrate effective interpersonal skills to exchange information and

collaboration with patients, their families, and health professionals.

d2- Work effectively as a member and/or leader of a health care team

3-Course content:

Topics L C/P SDL

1. Mode of action of cytotoxic drugs 2 2 1

2. Drug design and development 2 1

3. Pharmacokinetics and pharmacodynamics 2 3 1

52

4. Pharmacogenetics 2 1

5. Adverse reactions of chemotherapy 2 3 1

6. Clinical pharmacology of analgesics 2 1

7. Clinical pharmacology of steroids and

antiemetics

2 1

8. Drug interactions in cancer treatment 2 3 1

9. Endocrine therapy 2 1

10. Biologic and novel therapies 1.5 2 1

11. Principles of high dose therapy 1 1

12. How to develop a research question 2 2 1

L: Lectures and SDL: Self directed learning


4.1 Written exam to assess knowledge, skills

4.2 Submitted write ups to assess professional skills

Weighing of assessment

4.1 Written exam 50

4.2 Submitted write ups 50

Total 100

5 -List of References


5.2- Essential Books: Atkinson et al, 2007: Principles of Clinical Pharmacology.7th

edition. Elsevier.


Guyatt & Rennie 2002: Users’ guides to the medical literature. JAMA

Publishing.

Devita, Hellman & Rosenberg's Cancer: Principles & Practice of Oncology, 8th

Edition

5.4- Periodicals: British Journal of Clinical Pharmacology; Clinical Pharmacology and

Therapeutics Web Sites:

http://www.centerwatch.com/drug-information/fda-approvals/drug-

areas.aspx?AreaID=8

http://www.medilexicon.com/drugsearch.php?a=19

http://www.chilanti.com/olbooks/medbooks/Cochrane_Musculoskeletal_Group.ht

m

http://www.drugs.com

http://www.cebm.net/index.aspx?o=1021

http://www.centerwatch.com/drug-information/fda-approvals/drug-areas.aspx?AreaID=8

http://www.centerwatch.com/drug-information/fda-approvals/drug-areas.aspx?AreaID=8

http://www.medilexicon.com/drugsearch.php?a=19

http://www.chilanti.com/olbooks/medbooks/Cochrane_Musculoskeletal_Group.htm

http://www.chilanti.com/olbooks/medbooks/Cochrane_Musculoskeletal_Group.htm

http://www.drugs.com/

http://www.cebm.net/index.aspx?o=1021

53

Research Ethics course specifications




Major or minor element of programs

Minor element (elective)

Department offering the program



Community, Environmental and Occupational Medicine Department


Medical Doctorate: Sixth semester



Title: Research health Ethics course

Code: E7050

Credit Hours: 2 (elective) Lecture: 1/week Total: 7.5 hours


Coordinator:Community, Environmental and Occupational Medicine

Department, Prof Diaa Marzouk- Prof Maged Abdel Kareem


1- Course Aims:

The overall aim of this course is to provide the candidate with

a) Knowledge of principles of health research ethics, clinical trial methodology,

ethical issues involved in study design

b) Clinical skills to develop informed consent to be used in research involving

patients.

c) The skills of writing sound research design that minimizes the potential risk,

anticipated by the research



a1 – Identify the basics of statistics, clinical trial design, phase II and phase III

trials

a2 – Define ethical issues involved in study design

a3- Identify the role and functioning of the institutional review board and

ethical committees

54



b1 - Select an appropriate level of evidence for treatment of patients with

malignancies

b2 – Interpret scientific data

b3 – Analyse scientific data



c1 - Incorporate learning into daily patient care

c2 - Construct an informed consent



d1-Demonstrate interpersonal and communication skills that result in the

effective exchange of information and collaboration with patients, their families,

and health professionals.


professional group;


3- Course content:

Topics No. of hours

L P SDL

Basic principles in medical

statistics

7.5

hours

30 hours

Practical to develop informed

consent

15 hours




4.2 problem solving to assess professional skills



Total 100



Handouts……………………………

………………………………………


55

………………………………………


…………………………………………


………………………………………

Hospital management Course specifications




Major or minor element of program

Minor element

Department offering the program





Medical Doctorate 6th

semester



Title: Hospital management course

Code:E7034

Credit Hours: 2 Lecture: 1/week Total:15 hours


Coordinator Prof Iman Sharawy


1- Course Aims:

The overall aim of this course is to improve the leadership and managerial skills of

doctorate degree candidates for the effective and efficient management of hospitals

and healthcare organizations.




a1 - Identify different elements in strategic planning.

a2 –Recognize and describe the difference between the strategic plan and the

operational plan.

a3 – Write a vision and mission statement.


56


b1 - Conduct a situation analysis for a given health facility/hospital

b2 – Select the appropriate strategy/strategies for the health facility/hospital

b3 – Set appropriate SMART objectives



- Apply a full strategic plan on health facility/hospital



- Do the final project through teamwork which will be reflected through high

level of communication skills between team members themselves in one hand and

between team members and patients in the other hand

3- Course content:

Topics No. of hours

L P SDL

Strategic planning 6

hours

14 hours

Communication skills 2

hours

4 hours

Team building 1 hour 2 hours

Leadership 2

hours

Management principles 4

hours

10 hours




4.2 case studies and presentations to assess depth of analysis, creativity in

developing solutions, to assess presentation skills and team work



Total 100



……Handouts……………………………………

………………………………………


…………………………………………


57

…………………………………………


………………………………………

1st semester Title: Module 1 Credit Hours: 2

Code

number

Course Title Total number of hours

ON7001 Physics (1 credit hour) 10.5 hours lectures

9 hours practical

ON7002 Radiobiology(1credit

hour)

12 hours lectures

6hours practical

2nd semester Title: Module 2 Credit Hours: 5

Code

number


ON7003 Nuclear medicine (5 credit

hours)

30 hours lectures

90 hours clinical

3rd

semester Title: Module 3 Credit Hours: 6

Code

number


ON7004 Clinical oncology (6 credit

hours)

34 hours lectures

112 hours clinical

4th semester Title: Module 4 Credit Hours: 6

Code

number


ON7005 Chemotherapy (6 credit

hours)

20 hours lectures

140 hours practical and clinical

58

5th semester Title: Module 5 Credit Hours: 6

Code

number


ON7006 Radiation technology (6

credit hours)

30 hours lectures


6th

semester Title: Module 6 Credit Hours: 5

Code

number


ON7007 Pathology (1 credit hour) 12 hours lectures

6 hours practical

ON7008 Internal medicine (1 credit

hour)

5 hours lectures

20 hours clinical

ON7009 Surgery(1 credit hour) 10.5 hours lectures

9 hours clinical

E7024 Medical statistics

(elective) (2 credit hours)

7.5 hours lectures

45 hours practical

E7068 Nuclear medicine(elective)

(2 credit hours)

15 hours lectures


E7012 Molecular

biology(elective) (2 credit

hours)

30 hours lectures

E7069 Clincal pharmacology

(elective) (2 credit hours)

22.5 hours lectures

15 hours practical

E7050 Research ethics (elective)

(2 credit hours)

7.5 hours lectures

45 hours practical

E7034 Hospital

management(elective) (2

credit hours)

15 hours lectures

30 hours practical

59

V- GENERAL INFORMATION

1 - MONITORING OF TRAINING AND SUBMISSION OF TRAINING

REPORTS

You must keep proper and updated records in your logbook to reflect the

activities encountered in your training. Your logbook must be duly endorsed by an

authorized signatory at the end of each semester.

You will be continuously assessed by your supervisors, in consultation with

head of department. An assessment will be submitted within 2 weeks of

completion of each semester.

2 - MISCELLANEOUS INFORMATION:

INJURY AND/OR BLOOD OR BODY FLUID EXPOSURE

During regular working hours, you should immediately report an exposure

incident to infection control, emergency department, radiation officer, Prof Iman

Foaad and Assist Prof Amin El-Sayed according to type of exposure. If exposure

occurs after regular working hours or during a weekend or holiday; please call

Head of Department (Prof Iman Foaad). For injury, please report to Head of

Department (Prof Iman Foaad).

Please also be sure to inform the supervisors of an exposure incident and/or

injury.

3 – ACTION ON COMPLETION OF CLINICAL TRAINING

Once all training sessions are completed the log book should be signed by

the senior supervisor and the head of the department and then should be submitted to

post graduate Secretariat.

4- REFERENCE

The Training Guide is available at the post graduate Secretariat and could be

downloaded from the following website is

60

VI – YOUR LOG BOOK

1-Introduction

The aim of this book is to give you a guide to the expectations for each

item. It will be a guide for both you and your teachers to what you should be seeing

and doing.

It will give you a list of the important topics that you should think about and

should be covered in:

1. Clinical or practical sessions or

2. Tutorials

or

3. Self-directed learning (SDL)

For each item there is also a list of

1. Clinical conditions or Practical sessions to be seen or

attended (According to each degree)

2. Practical procedures to be seen and done

Remember:

This document is only a guide. It is not an exhaustive list. It is not just a checklist

to score points. It is a guide to encourage you to read and learn more. This book is

for your benefit. It will form a record of your clinical training and experience.

2 – Supervisors

Senior Supervisor

Delegated to senior event organizer (e.g. senior staff in clinic day, senior staff in

planning day, etc)

3–Tables for Training Records

Candidates are required to fulfill 75% of the listed activities in order to be eligible

for the exam entry. The minimum number required for each activity = 75%. You

are free to attend more and record your extra attendance.

WEEKLY department PLAN

61

Day Saturday Sunday Monday Tuesday Wednesday Thursday

Breast Unit

Clinic day

(new

cases)

* * Meeting * *

Clinic day

(follow up

cases)

* * * *

Planning

day

*

Bedside

education

* * * * * *


CNS and Lymphoma Unit

Clinic

day

(new

cases)

* * * * *

Clinic

day

(follow

up cases)

* * * * *

Planning

day

*

Bedside

education

* * *

62


Head & Neck and Sarcoma Unit

Clinic

day

(new

cases)

* * * *

Clinic

day

(follow

up cases)

* * * * *

Planning

day

*

Bedside

education

* * * * * *


Lung and Genitourinary Unit

Clinic

day

(new

cases)

* * * * *

Clinic

day

(follow

up cases)

* * * * *

Planning

day

*

Bedside

education

* * * * * *

63

Scientific meeting: twice monthly activity (Wednesday)

Every week activity: Planning seminar (Tuesday)

Monthly activity: Journal Club, Problematic cases Conference

Yearly activity: Department conference if done

Scientific meeting attendance

(NB. Minimum number required is 40 (75%)

No Date Topics Supervisor

signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10

11

12

13

14

15


GIT and Gynecology Unit

Clinic

day

(new

cases)

* meeting * * *

Clinic

day

(follow

up cases)

* * * *

Planning

day

*

Bedside

education

* * * *

64

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

65

56

57

58

59

60

Conferences attendance

(NB. Minimum number required is Four (75%))

No Date Topics Supervisor

signature

1

2

3

4

5

6

7

Planning Seminars attendance

(NB. Minimum number required is 40 (75%)

No Date Topics Supervisor signature

1

2

3

4

5

6

66

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

67

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

68

56

57

58

59

60

Thesis attendance

(NB. Minimum number required is ten (75%)

No Date Title of the thesis Supervisor

signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Clinics attendance at Clinical Oncology Department

NB. Minimum number required is 150 new cases (75%)

No Date

Patient

medical

record

number

Diagnosis Supervisor signature

1.

2.

3.

69

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

31.

32.

33.

34.

35.

36.

37.

38.

39.

40.

41.

42.

43.

70

44.

45.

46.

47.

48.

49.

50.

51.

52.

53.

54.

55.

56.

57.

58.

59.

60.

61.

62.

63.

64.

65.

66.

67.

68.

69.

70.

71.

72.

73.

74.

75.

76.

77.

78.

79.

80.

81.

82.

83.

71

84.

85.

86.

87.

88.

89.

90.

91.

92.

93.

94.

95.

96.

97.

98.

99.

100.

101.

102.

103.

104.

105.

106.

107.

108.

109.

110.

111.

112.

113.

114.

115.

116.

117.

118.

119.

120.

121.

122.

123.

72

124.

125.

126.

127.

128.

129.

130.

131.

132.

133.

134.

135.

136.

137.

138.

139.

140.

141.

142.

143.

144.

145.

146.

147.

148.

149.

150.

151.

152.

153.

154.

155.

156.

157.

158.

159.

160.

161.

162.

163.

73

164.

165.

166.

167.

168.

169.

170.

171.

172.

173.

174.

175.

176.

177.

178.

179.

180.

181.

182.

183.

184.

185.

186.

187.

188.

189.

190.

191.

192.

193.

194.

195.

196.

197.

198.

199.

74

Radiotherapy planning activities Attended

NB. Minimum number required is 110 patients (75%)

No Date

Patient

medical

record

number

Topic Supervisor

signature

Breast

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

CNS:

1

2

75

3

4

5

6

7

8

9

10

11

12

13

14

15

Head &Neck

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

GIT:

1

2

3

4

5

6

7

8

9

10

76

11

12

Genitourinary:

1

2

3

4

5

6

7

8

9

10

11

12

Gynecology:

1

2

3

4

5

6 1.

7

8

9

10

Bronchogenic

carcinoma

1

2

3

4

5

6

Paediatric

oncology

1

2

3

77

4

5

Blood disease

1

2

3

4

5

Sarcoma

1

2

Skin Cancer

31.

32.

Non malignant

disease

1

2

Palliation/

Metastatic

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

78

Chemotherapy Activities Attended

NB. Minimum number required is 100 (75%)

No Date

Patient

medical

record

number

Name of activity Supervisor

signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

31.

32.

33.

34.

79

35.

36.

37.

38.

39.

40.

41.

42.

43.

44.

45.

46.

47.

48.

49.

50.

51.

52.

53.

54.

55.

56.

57.

58.

59.

60.

61.

62.

63.

64.

65.

66.

67.

68.

69.

70.

71.

72.

73.

74.

80

75.

76.

77.

78.

79.

80.

81.

82.

83.

84.

85.

86.

87.

88.

89.

90.

91.

92.

93.

94.

95.

96.

97.

98.

99.

100.

101.

102.

103.

104.

105.

106.

107.

108.

109.

110.

111.

112.

113.

114.

81

115.

116.

117.

118.

119.

120.

121.

122.

123.

124.

125.

126.

127.

128.

129.

130.

Nuclear Medicine Activities

NB. Minimum number required is 50 patients (75%)

No Date

Patient

medical

record

Number

Topic Supervisor

signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

82

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

31.

32.

33.

34.

35.

36.

37.

38.

39.

40.

41.

42.

43.

44.

45.

46.

47.

48.

49.

50.

51.

52.

53.

54.

55.

56.

57.

58.

83

59.

60.

61.

62.

63.

64.

65.

66.

67.

68.

69.

70.

71.

72.

73.

74.

Case presentations (new and complicated cases)

NB. Minimum number required is 100 cases (75%)

No Date

Patient

medical

record

number

Diagnosis Supervisor

signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

84

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

31.

32.

33.

34.

35.

36.

37.

38.

39.

40.

41.

42.

43.

44.

45.

46.

47.

48.

49.

50.

51.

52.

53.

54.

55.

56.

85

57.

58.

59.

60.

61.

62.

63.

64.

65.

66.

67.

68.

69.

70.

71.

72.

73.

74.

75.

76.

77.

78.

79.

80.

81.

82.

83.

84.

85.

86.

87.

88.

89.

90.

91.

92.

93.

94.

95.

96.

86

97.

98.

99.

100.

101.

102.

103.

104.

105.

106.

107.

108.

109.

110.

111.

112.

113.

114.

115.

116.

117.

118.

119.

120.

121.

122.

123.

124.

125.

Patients seen with different oncologic emergencies

NB. Minimum number required for each diagnosis is 12 patients (75%)

No Date Primary diagnosis Supervisor

signature

1.

2.

3.

4.

5.

6.

87

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

Cases of internal medicine

NB: Minimum Number required is 40 cases

No Date Patient

Medical

Record no


Signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

88

25.

26.

27.

28.

29.

30.

31.

32.

33.

34.

35.

36.

37.

38.

39.

40.

41.

42.

Cases to be attended (Internal Medicine)

Cardiovascular

system

Endocrine

nephrology

Infection &nutrition

1-Heart failure

2-Angina and

myocardial

infarction

3- Arrythmia

1-Thyroid

2-Diabetis mellitus

1-Acute renal

failure

2-Chronic renal

failure

Respiratory

system

Hematology neurology GIT &hepatobiliary

system

1-status

asthmatics

2-Acute

Respiratory

failure

3-Pulmonary

embolism

4-Hemoptysis

5-COPD

6-Chest

1-bleeding

2-DIC

3-Tumor lysis

syndrome

4-thromboembolism

1-stroke

2-paraplegia

3-peripheral

neuropathy

1-Bleeding

2-Hepatic

encephalopathy & LCF

3-Chronic hepatitis

4-Liver cirrhosis

5-Peptic ulcer

89

infection

7-pleural

effusion

8-mediastinal

syndrome

Rounds attended in internal medicine(7 Rounds)

No Date Topic Supervisor signature

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Cases of Surgery(20)

Number required 20 cases

No Date Patient

Medical

Record no


Signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

90

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

Practical skills

Requirements

Candidates are required to fulfill 75% of the listed activities in order to be eligible

for the exam entry. The minimum number required for each activity = 75%. You

are free to attend more and record your extra attendance.

Clinical oncology activities in each system Competent Not

competent

Patient identity verification

Construct an informed consent

Perform appropriate history taking

Perform appropriate physical examination

Selection of appropriate diagnostic studies

Perform accurate staging

Perform appropriate treatment decision

Describe appropriate assessment of response to

treatment

Describing proper side effect of treatment

Use of appropriate supportive treatment

Treatment of complications

Use of adequate palliative treatment

Selection of adequate follow up

Describe adequate prognosis and pattern of failure

Timely and proper communication with patients and

doctors

91

Clinical activities in chemotherapy

Anticancer agents

Competence

Yes No

Independent prescription of chemotherapeutic

regimens in the adjuvant setting.


regimens in the metastatic setting.


regimens in the neo- adjuvant setting.

Independent prescription of targeted therapies

Monitoring of patients during chemotherapy ( dose

modifications, treatment delay...etc.)

Prescription of chemotherapy in patients with co-

morbidities.

Recording of chemotherapy toxicities using toxicity

criteria grading.

Proper intake of patient’s consent for participation in

clinical trials.

Supportive and

palliative measurements

Competence

Yes No

Independent prescription of colony stimulating

factors

Adequate management of side effects of supportive

treatments.

Radiation oncology activities

Radiation oncology

Competence

Yes No

Proper assessment of patient ( radiological studies)

Appropriate positioning & centralization)

Immobolization

2 D planning;

a. Marks and/or contrast.

92

b. Accessories

c. Field borders

d. Centers

e. Matching of fields

f. Blocks

Adequate 3D planning;

a. Adequate target volume determination GTV,

CTV, PTV and relevant ICRU

recommendations.

Verification film

Absorbed dose calculations

Dose volume histograms

Measurement of tumor control probability

Measurement of treatment toxicity

Proper sequencing of radiation therapy with surgery

and / or anticancer agents.

Adequate description of acute and late effects of

radiation therapy

Radiotherapy treatment monitoring

Nuclear Medicine Activities

Activity Competent Not

competent

Select appropriate nuclear medicine imaging

procedure or therapy:

a) selection of the appropriate

radiopharmaceutical,

b) dose,

c)imaging technique including procedure

instructions about ;

- patient position

-patient injection

-nature of study( dynamic, static,both)

-processing data.

-instuctions on post examination period

-study interpretation.

Review image quality,

a) defining the need for additional images

b) correlation with other imaging studies such as x-

93

rays, CT, MRI, or ultrasound

Identify procedures of musculoskeletal studies

Identify procedures of endocrinologic studies

Identify procedures of cardiovascular studies

Identify procedures of neurologic studies

Identify procedures of genitourinary tract imaging

Interpretation of images

Therapeutic administration of

Radiopharmaceuticals:

a) patient selection

b) patient identity verification,

c) explanation of informed consent,

d) documentation of pregnancy status,

e)counseling of patients and their families on

radiation safety issues,

f) calculation of the administered dose

g) scheduling follow-up after therapy

Safely prepare and measure patient dosages

Processing the eluate with reagent kits to prepare

labeled radioactive drugs

Procedure cases

NB: Minimum Number required is 40 cases

Procedure Date Patient

Record No

Supervisor

Signature

Bone marrow

aspiration

Observation

1

Venopuncture

access

1

2

3

Infusion pump

observation

1

2

Canula insertion

94

1

2

3

4

5

Arterial blood gases

interpretation

1

2

3

4

5

Lumbar puncture

observation

1

2

Ascitic fluid

aspiration

1

2

Central venous line

observation

1

Urethral catheter

1

2

3

Observation of

intercostals tube

1

2

Nasogastric tube

insertion

1

2

ECG

1

2

3

4

95

5

6

7

8

9

10

Observation of GIT

endoscopy

1

Observation of abd

U/S

1

All the above and develop the skill of:

- Presenting and defending cases at tumor boards

- Participating in teaching junior residents

- Counseling all patients and obtain informed consent independently

- Documentation of diagnosis, staging studies, clinical stage, and intended

treatment plan in consult

- Documentation of the planning and coordination of follow-up care

- Maintaining comprehensive, timely, legible and appropriately detailed

medical records

5 - Log book preview

The candidate logbook will be reviewed and patients seen/ skills

performed summarized by diagnosis groups during the semester evaluation and at

the end of the course in the table below. This reflects the number of activity

done by category. The results of this review will be totaled in the summary chart

below.

Summary

Semester 1st 2

nd 3

rd 4

th 5

th 6

th Total

Activity No No No No No No

1. Scientific meeting

attendance (40 meetings)

2.Conferences attendance(4

conferences)

3.Planning seminars

attendance (40 seminars)

96

4.Thesis attendance (10

thesis)

5.Clinics attendance at

Demerdash hospital (150

patients)

6.Radiotherapy planning

activities attended (110

patients)

Breast: 25patients

CNS: 12 patients

Head &Neck:

13patients

GIT: 10 patients

Genitourinary: 10

patients

Gynecology: 8

patients

Bronchogenic

carcinoma: 6

patients

Paediatric

oncology: 5

patients

Blood disease: 5

patients

Sarcoma: 2

patients

Non malignant

disease:2 patients

Skin Cancer: 2

patients

Palliation/

Metastatic: 10

patients

7.Chemotherapy activities

attended (100 patients)

8.Nuclear medicine

activities attended (50

cases)

97

9.Case presentations(100

cases)

10.Patients seen with

oncologic emergencies (12

patients)

11- procedures (40 cases)

12-internal medicine

activities

c-rounds attended ( 7)

d-cases (15 cases)

Surgery cases seen(20)

Supervisor's signature

VII - HEAD OF DEPARTMENT APPROVAL FOR THE EXAM ENTRY

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

____________

98

VIII – THESIS FOLLOW UP

تىمقدد تى ف تىي ىؼص /

ػ تىبصىب /

تىقا ىاالج صليمد / تىامماتو (

قي /

تقدد تىيص و تالهصت و تىشد

قبغ رتص ذا ت لغ تىص و تىؼيج اأ

ام تىجغ أرل ػي تممصء ممص ج تىقاج

قبغ رتص ذا ت تىجزء تىؼي اأ

ام تىمذيو أرل ػي تممصء

قبغ رتص ذا ت صقشج تىمص ج اأ

ام تىمذدد أرل ػي تممصء

قبغ رتص ذا ت تىدتلؼج تىص ج غ تىشدف اأ

امو تصص أرل ػي تممصء

------------------------------------------------------------------------------------------------

تىيص و تىشد اأ

ا تىقا اهمدتا قا تىبصىب

ربب قا تىبصىب

تصا تىمشنو / / ت تشنو ىجج تىصقشج ؼ

ال

ا / ربب تىقا

100



ػ تىبصىب /


/ قي



ام تىجغ ممص ج تىقاج أرل ػي تممصء

قبغ رتص ذا ت اأ تىجزء تىؼي






------------------------------------------------------------------------------------------------

اأ تىيص و تىشد



ت تشنو ىجج تىصقشج ؼ تصا تىمشنو / /

ال


102



ػ تىبصىب /


قي /


قبغ رتص ذا ت اأ لغ تىص و تىؼيج





ام تىمذدد تممصء أرل ػي



------------------------------------------------------------------------------------------------





ال


104



ػ تىبصىب /


قي /



ام تىجغ أرل ػي تممصء ممص ج تىقاج


ذيو ام تىم أرل ػي تممصء



قبغ رتص ذا ت اأ تىدتلؼج تىص ج غ تىشدف


------------------------------------------------------------------------------------------------




تصا تىمشنو / / ت تشنو ىجج تىصقشج ؼ

ال


106



ػ تىبصىب /

مماتو (تىقا ىاالج صليمد / تىا

قي /




قبغ رتص ذا ت اأ تىجزء تىؼي






------------------------------------------------------------------------------------------------





ال


108



ػ تىبصىب /


قي /


قبغ رتص ذا ت اأ لغ تىص و تىؼيج








------------------------------------------------------------------------------------------------



تىبصىب ربب قا


ال


110

VIII – EVALUATION FORMS

Evaluation Form (at the end of each semester) To be completed at -------------------------------------

Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Agreed educational objectives and timescale in which objectives should be

achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Comments by Candidate

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Comments by Supervisor

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Date of next meeting

Signed by candidate

Signed by Supervisor

Date

Degree Program Evaluation Form By The Candidate

To be completed at the end of your degree.

112



Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date



114



Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date



116



Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date




118


Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date




120


Candidate

Supervisor

Location

Aim of training

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


achieved.

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________


Signed by candidate


Date



Please consider each pair of statements and decide which most clearly reflects your

view and tick one box or answer the question.

122

I. Individual Information

1. Are you a graduate of ASU?

yes no to some degree

2. Year and semester when studies began:

II. General Questions

1. What are the advantages/disadvantages of the general study environment at the

University ASU?

2. What were your expectations when you applied to the degree?

3. Do you feel that the degree program prepares you well for your future studies or

employment according to the demands and expectations of those institutions?


4. Has the time limit of the program (two or three academic years) caused you any

difficulties or inconveniences?


III. Structure of Degree Program

1. Did you receive enough guidance in planning your study schedule in the

beginning of the program?


2. What were the main difficulties in the planning of your study schedule?

3. What is your general opinion on the structure of the degree program?

4. In your opinion, does the degree program offer a good balance of lectures,

seminars, conferences, and book exams?


a) General Studies

123

i) Do you feel that you have received enough guidance on academic writing?


ii) Do you feel that you have acquired sufficient knowledge on research skills (e.g.

quantitative and qualitative research methods)?


b) Courses

i) Have you had some special difficulties in completing some of the courses?

Please specify.

ii) Has there been a sufficient variety of courses offered for your optional studies?


iii) Have you received enough guidance for the preparation of your thesis?


IV. Concluding Points

1. Did the degree program meet your expectations?


2. What aspects of the degree program do you particularly like?

3. What aspects of the degree program do you particularly dislike?

4. What are your suggestions on how to improve the program?

Thank you!

Medical Doctorate in Clinical Oncology and Nuclear...

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