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Undergraduate Medical Education ONCOLOGY BLOCK

Undergraduate Medical Education ONCOLOGY BLOCK. P roject to A dvance C linical E ducation “ Keeping PACE with the health care needs of our region”. Medical School: 3 rd & 4 th year curricula

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Undergraduate Medical Education ONCOLOGY BLOCK

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  1. Undergraduate Medical EducationONCOLOGY BLOCK

  2. Project to Advance Clinical Education“Keeping PACE with the health care needs of our region” • Medical School: 3rd & 4th year curricula • New rotations, more ambulatory care, more disease-oriented / patient-oriented (not department-based) • New “Oncology Block” rotation • Required in new 4th year curriculum for all students • Not intended to duplicate material, but to expand it to the “next level” • Planned for 2006-2007 (pilot run next year?)

  3. Oncology Block: Outcomes • Fundamentals of oncology • Tumor biology, carcinogenesis, epidemiology, tumor markers, pathology, pharmacology, immunology, endocrinology, benefits and complications of multimodal therapy, prevention (1°, 2°, 3°), screening, staging, statistics, clinical trials, ethics, pain / suffering, quality of life issues, end-of-life issues • Multidisciplinary approach to prevention, diagnosis, treatment, support, & rehabilitation • Natural history, diagnosis, and management of common cancers (breast, colon, lung) • Conveying difficult news

  4. Oncology Block: Components • Home Base • Program-based; patient-oriented; multidisciplinary experience • Core Activities • Didactic program, mock student tumor boards, POM/PBL/EBM sessions, journal club, etc. • Mandatory Experiences • Mammography, XRT, Pain clinic, Hospice…

  5. Home Base • Eligible Programs: Breast, GI, GU, Cutaneous, Thoracic, H&N, GYN, Neuro, Sarcoma, Hem/BMT, Psychosocial & Palliative Care, Senior Adult Oncology, Pathology • Preceptors -- CRITICAL: to ensure comprehensive exposure -- screening, dx, imaging, path, Rx, f/u, prevention, QOL • Patient-oriented total cancer care, involving all disciplines (surgery, med onc, rad onc, …) • NOT 1 wk surgery, 1 wk med onc, 1 wk rad onc

  6. Core Activities • Didactic Program (~ 5 hrs) • Introduction to Total Cancer Care (~ 1/2 hr) • Diagnostic modalities (~ 3/4 hr) • Cancer Sciences (~ 3 + hrs ? ) • Carcinogenesis / Molecular oncology (RJ ? ) • Tumor immunology / Cancer vaccines (SD ? ) • Drug discovery (SS ? ) • Experimental therapeutics (DS ? ) • Risk assessment, detection, intervention (AG ?) • Health outcomes (PJ ? ) • Cancer prevention & control (TS ? )

  7. Core Activities • Conveying difficult news (2 hrs) • Video-taped role playing; discussion; analysis • Topics: • A new cancer diagnosis • Staging and prognostic information • Treatment options • QOL issues (e.g. mastectomy, colostomy, tracheostomy, infertility, amputation, ED, LE) • End-of-life issues and hospice

  8. Core Activities • Journal Club (2 hrs) • Surg, Med Onc, Rad Onc, Rad, Path, Statistician, Basic Scientist • Students present; faculty assist w review • Demonstrate the role of EBM and critical review of the literature (statistical methods, study design, data analysis) • Pick hot or controversial topics (e.g. HRT)

  9. Core Activities • Mock Student Tumor Boards (1.5 hrs x 10) • GU, Melanoma, H&N, GYN, Sarc, Neuro, Leukemia/Lymphoma, GI, Thoracic, Breast • Surgery, Med Onc, Rad Onc, Radiology, Pathology, Basic Scientist (?), other (e.g. speech pathologist etc) • Only 4-6 cases (real or simulated) selected to discuss diagnosis and treatment from a multidisciplinary point of view (incl risk factors, screening, diagnostic w/u, staging, Rx, f/u, QOL issues, end-of-life issues, clinical trials, etc) • One patient chosen for student role-playing

  10. Core Activities • POM/PBL/EBM Sessions (1.5 hrs x 4) • Topics: Breast cancer, Lung cancer, Colorectal cancer, Pain Management / Palliative Care / Hospice • Case histories and specific objectives provided to students at the beginning of the rotation • Access to “experts” throughout the rotation • Students present at the end of the rotation • Content experts provide feedback, supplement the information, and “wrap-up” the session • Bibliographies will be available on the web

  11. Mandatory Experiences Students must pick 5 of the following: • Screening at Lifetime (incl seeing a mammogram being done, and doing 3 CBE’s under supervision) • Genetic Counselling - one consultation • Radiation Treatment (incl simulation, marking of fields, designing shields, tattooing…) • Oncologic emergencies and medical complications of cancer and cancer Rx (recommend one full day with one of the PTA/IHM MD’s) • Palliative care and pain control (recommend one full day in the Pain Clinic +/- interventional anaesthesia) • Hospice in the community

  12. Acknowledgments • Paul Wallach, Associate Dean, Curriculum and Medical Education • PACE committee members • Oncology Block committee members • Special thanks to Yash Patil (ENT) and Jennifer Sparks (MSIV)

  13. H. Lee Moffitt Cancer Center

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