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Medicinae Doctoris ~ 2018

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Oncology Course M2 February 3, 2014

Dr. Gary Harding MD, FRCPC Medical Oncologist, Bioethicist Associate Dean, Accreditation

One university. Many futures.

One university. Many futures.

Working Group • Gary Harding: Oncology • Vallerie Gordon: Oncology • Don Houston: Hematology • Pam Skrabek: Malignant Hematology • Andrew Cooke: Radiation Oncology • Debrah Wirtzfeld: Surgical Ocnology • Kyle Perry: Pathology • Jeff Motola: Radiology • Sandra Marles: Genetics • Paul Daeninck: Palliative Care • Mark Kristjanson: Family Medicine (Generalist) • DSG Experts: Oncologists and Course Directors

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Course Goal: will use lectures, assigned studies, case-based tutorials, and multidisciplinary case conference simulations to help the student

• Gain insight into the basic principles and practice of clinical oncology

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Course Objectives • Basics of Oncology

– To define cancer biology, pathology, and anatomy • Public Health

– To apply the epidemiology, risk factors, prevention, and screening techniques to relevant patient populations

• Diagnosis – To have a generalist approach to the patient with

suspected cancer, general principles of staging, performance status assessment, referral strategies

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Course Objectives • Treatment: To develop a general

understanding of cancer treamtment: – General principles of treatment (curative, adjuvant,

palliative) – Principles of surgery/radiotherapy/palliative care,

management of common malignancies • Complications

– To apply a generalist approach to common complications of cancer and treatment (including oncologic emergencies)

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Course Objectives • Prognosis and Communication

– To understand the philosophy of prognosis of basic cancers and develop improved techniques for breaking bad news

• Generalist knowledge of Common Cancers

– To develop a generalist approach to • Breast, lung, colon, prostate, ovarian, skin,

lymphoma, leukemia, endometrial, pancreas

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Course Objectives • Ethics and Professionalism

– To define unique ethical and professional situations that relate to the cancer patient and decision making capacity

• Psychosocial Issues – To have an approach to the patient

psychosocially affected by cancer • To have access to Important Oncology

Clinical Experiences in Clerkship

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Pedagogy and Philosophy • To not “train” medical oncologist

• To have mainly a “generalist” approach to

the course content

• A combination of large group sessions, small case-based sessions, assigned reading, and clinical simulation to help students achieve course and session objectives

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Pedagogy and Philosophy

• To expose students to case-contextual multidisciplinary case conference simulations in real-time – Clinical expertise in surgery, pathology,

radiology radiation oncology, and medical oncology present at one time

• To emphasize the multidisciplinary “team-based” nature and approach to cancer

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Assessment

• Mid-module exam: – 30% of mark – MCQs using MCC format

• Final-module exam: -70% of mark -evaluates entire module MCQs using MCC format

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Week 1

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Week 2

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Week 3

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Week 4

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Gaps in Schedule

• Ethics : MH-1 (Pauls/Goldberg/Harding) • Grief and Mourning: PAL/CS-1

(Daeninck/Brown/Harding) • Psychosocial Impact of Cancer: CP-1

(Holmqvist/Harding) • Complementary Medicine: FN-1 (Lavalee/Harding) • Breaking Bad News PAL/CP/CS

(Daeninck/Holmqvist/Brown/Harding) • Pain Management: PAL-3 (Daeninck/Harding) • Toxicities of Chemotherapy: ON-6 (Daenick/Harding) • Lung Cancer: Resp-1 (Harding/Ramsey)

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One university. Many futures.