CuRe One university. Many futures.

CuRe
One university. Many futures.
Oncology in UGME
Dr. Gary Harding MD, FRCPC
Medical Oncologist, Bioethicist
Associate Dean, Accrediation
One university. Many futures.
Background: The Oncology
Orphanage
The Process….
One university. Many futures.
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I reviewed every lecture and session manually
EVERY BLOCK and ITC
FIFTEEN separate courses
Block One: Population Health, Structure & Function,
Clinical Skills
Block Two: Human Development
Block Three: Ear, Nose, & Throat, Respiratory
Block Four: Endocrine & Metabolism, Reproduction,
Kidney
Block Five: Neurology
Block Six: Dermatology, Medical Ethics & Humanities,
Gastroenterology, [Hematology]
ITC: Community Health Sciences
One university. Many futures.
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65 SESSIONS: Scattered through all Bloks
LECTURES: 49
TUTORIALS: 8
CLINICAL SKILLS TUTORIALS: 2
ASSIGNED READINGS: 5
LAB PRACTICAL: 1
• SESSION INSTRUCTORS: 43
– Lots of “cooks” over two years
• Entire set of Objectives: not one “author”
is a Medical Expert in Oncology
One university. Many futures.
COEWG
• 24 members
• 14 Medical School represented
• National Meeting in April 2013
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Canadian Oncology Objectives For Medical Students
• 1) Basics of Oncology – cancer biology, pathology,
anatomy
– M0, M1, Pathology Theme, Genetics Theme
• 2) Public Health – epidemiology, risk factors, prevention,
screening
– Community Health Science, Longitudinal, Radiology Theme,
Generalism Theme, M1, M2
• 3) Diagnosis – approach to patient with suspected
cancer, general principles of staging, performance status
assessment
– Generalism Theme, M2, Clinical Reasoning, Consolidation
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• 4) Treatment – general principles of treatment (curative,
adjuvant, palliative), principles of
surgery/radiotherapy/systemic therapy/palliative care,
management of common malignancies, basics of
oncology clinical trials
– Community Health Science Longitudinal, Indigenous
Health Longitudinal, Generalism Theme Information
Science Theme, Palliative Care Theme, Geriatrics
Theme, M2, Clinical Reasoning, Consolidation
• 5) Complications – common complications of cancer
and treatment (including oncologic emergencies)
– M2, Clinical Reasoning, Consolidation, Generalism
Theme
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• 6) Prognosis and Communication - prognosis of common
cancers, breaking bad news
– Clinical Skills Longitudinal, Professionalism Longitudinal,
Indigenous Health Longitudinal, Clinical Health Psychology
Theme, Generalism Theme, M2
• 7) General Knowledge of Common Cancers –
prostate, lung, colorectal, breast, lymphoma (NHL),
bladder, melanoma, kidney, leukemia, thyroid,
endometrial, pancreas
– Generalism Theme, M2, M3
• 8) Ethical Issues & Professionalism
– Professionalism Longitudinal, Community Medicine
Longitudinal, Indigenous Health Theme, Palliative Theme,
Information Science Theme, Clinical Reasoning
One university. Many futures.
Consolidation Block
• Tumor Conferences/Rounds
– Cancer Diagnosis and treatment as a multidisciplinary process
• Cases with multiple educators present
– Generalist
– Radiologist
– Pathologist
– Surgical Oncologist
– Radiation Oncologist
– Medical Oncologist
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Transition to Clerkship
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Clinical Oncology: A Multi-disciplinary
Team based Disease Approach
UGME Oncology: A Multi-disciplinary
Team based Disease Approach
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