2019-2020 M3/M4 Course Syllabi
Radiation Oncology
COURSE NUMBER:
29 01 21
TITLE:
GEN PRAC RADIATION ONCOL -ICE
This 4-week rotation is intended for medical students interested in pursuing residency in Radiation Oncology. This rotation is open to medical students from the University of Cincinnati as well as visiting medical students through VSLO. During this rotation, medical students will be exposed to an in-depth experience in radiation oncology. Students will have the opportunity to work with the most cutting edge radiotherapy techniques including low dose rate and high dose rate brachytherapy, radiosurgery, stereotactic ablative therapy (SABR) and proton therapy. The patient interactions will encompass a wide variety including pediatrics, inpatient, and outpatient settings. Students are expected to be active members of the team and perform new patient consultations, contouring, plan evaluation, and follow up activities.
PREREQUISITES:
None
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
4
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
2 or 4 wks
DIRECTOR:
Jordan Kharofa, MD
jordan.kharofa@uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Karen Coleman
karen.coleman@uchealth.com
Karen 584-9089/Lydia 584-8216
INSTRUCTOR:
TimothyStruve, M.D.
SITE(S):
Barrett Cancer Center
CCHMC - Cincinnati Children's Hospital
Children’s/UC Health Proton Therapy Center
UCMC - University of Cincinnati Medical Center
VAMC
West Chester Hospital Radiotherapy Center
MAX ENROLL:
3 
ROTATIONS:
Rotation Dates Max
1 07/08/2019 - 07/19/2019 3
1 07/08/2019 - 08/02/2019 3
1 07/22/2019 - 08/02/2019 3
2 08/05/2019 - 08/16/2019 3
2 08/05/2019 - 08/30/2019 3
2 08/19/2019 - 08/30/2019 3
3 09/03/2019 - 09/13/2019 3
3 09/03/2019 - 09/27/2019 3
3 09/16/2019 - 09/27/2019 3
4 09/30/2019 - 10/11/2019 3
4 09/30/2019 - 10/25/2019 3
4 10/14/2019 - 10/25/2019 3
5 10/28/2019 - 11/22/2019 1
5 11/11/2019 - 11/22/2019 1
6 11/25/2019 - 12/06/2019 1
6 11/25/2019 - 12/20/2019 1
6 12/09/2019 - 12/20/2019 1
7 01/06/2020 - 01/17/2020 1
7 01/06/2020 - 01/31/2020 1
7 01/21/2020 - 01/31/2020 1
8 02/03/2020 - 02/14/2020 1
8 02/03/2020 - 02/28/2020 1
8 02/17/2020 - 02/28/2020 1
9 03/02/2020 - 03/13/2020 1
9 03/02/2020 - 03/27/2020 1
9 03/16/2020 - 03/27/2020 1
10 03/30/2020 - 04/10/2020 1
10 03/30/2020 - 04/24/2020 1
10 04/13/2020 - 04/24/2020 1
11 04/27/2020 - 05/08/2020 1
11 04/27/2020 - 05/22/2020 1
11 05/11/2020 - 05/22/2020 1
12 05/25/2020 - 06/12/2020 1
12 05/25/2020 - 06/30/2020 1

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
M-F (7:30 am - 5:30 pm)
REPORT 1ST DAY:
Barrett Center Rm 1072 8:30 am 1st fl Barrett Center

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Attendance and participation at clinics
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
ORIENTATION:
Elective Director/Program Coordinator
TEACHING:
85% Attending Physician
10% Senior Resident
5% Other Allied Health Professional(s)
FEEDBACK:
Elective director
ASSESSMENT:
FINAL GRADE:
60% Clinical work performance evaluations
20% Attitude, e.g., professionalism, motivation etc
20% Oncologic H&P (2)
GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

1.   Appreciate the principles of long-term patient care and follow-up in an outpatient setting.

2.   Develop a more positive, realistic attitude toward care of patients with cancer.

Curricular Resources :
Electronic oncology educational packet provided
Knowledge/Skills:

1.   Provide data on the incidence, prevalence and trends of specific cancers as well as risk factors for specific cancers.

2.  Recognize the differences between normal and cancer cells in terms of structure, differentiation and growth patterns.

3.  Define cancer, dysplasia, metaplasia, the cell cycle, patterns of metastasis.

4.  Describe useful serologic tumor markers.

5.  Describe the important characteristics of cancer screening programs.

6.  Understand the important pathologic characteristics relative to prognosis for various cancers.

7.  Interpret radiographic studies.

8.  Evaluate patients with the following clinical presentations:

         a)    new or changing cutaneous lesion                  

         b)   neck mass

         c)   sore throat

         d)   dysphagia

         e)   bloody nipple discharge

         f)   breast mass

         g)   abnormal mammogram

         h)   hemoptysis

         i)   nodule on CXR

         j)   hematochezia

         k)   abdominal pain and jaundice

          l)   hematuria  

         m)   prostatis nodule

         n)   elevated PSA

         o)   thyroid nodule

         p)   inguinal adenopathy

         q)   back pain and anemia

         r)   bleading gums and fatigue

         s)   ecchymosis and petechiae

         t)   vaginal bleeding

         u)   abnormal pap smear

9)   Describe the efficacy and toxicities associated with the use of various chemotherapeutic regimens.

10)   Know how to obtain data on the efficacy of treatments for various cancers.

11)   Define informed consent

12)   Describe the rational for clinical trials 

13)   Describe the efficacy and toxicities associated with various radiation treatment schedules for various tumor locations.

14)   Understand the general principles of surgical resection of malignancies and be familiar with the usual operations for the most common cancers.

15)   Evaluate and initiate a treatment plan for patients with the most common oncologic emergencies.

16)   Predict how different treatments for specific cancers will likely impact on patients' quality of life.

17)   Recommend curative vs palliative management courses for patients with various cancers.   

18)   Learn to write an Oncologic H&P                      

Main Course Topics :

Radiotherapy

Neuro Oncology

Head and Neck Oncology

Thoracic Oncology

Gynecologic Oncology

Genitourinary Oncology

Breast Cancer

Gastrointestinal Cancer

Pediatric Oncology

Skin Cancer

Bone and Soft Tissue Tumors

Ocular Tumors

Objectives:

The purpose of this elective is to encourage the student to familiarize himself or herself with the diagnosis, treatment and follow up care of patients with cancer.  The emphasis will be patient-directed rather than on the modality of treatment although experience will be given in radiation therapy and in diagnostic radiology.

 

The student will attend follow up clinics in Radiation Oncology at the Barrett Center where patients from University Hospital, Veterans Administration Medical Center and Children's Hospital will be seen.  Outpatient care will be emphasized so that students will see well patients on follow up rather than sick patients in the hospital.

Other Resources - Audiovisuals:
There are no audiovisuals.
Other Resources - Computer resources:
There are no computer resources.
Other Resources - Other :

None

Procedures:

1.   Perform complete examinations of patients with all common cancer types including examination under anesthesia.

2.   Participate in interstitial implementation of radioactive seeds into various tumors.

SAMPLE WEEK

SCHEDULE NOTE:

Student will be given a schedule on the 1st day of elective.

The 4-week rotation will involve rotating through three clinical sites. Two weeks (not necessarily continuous) will be spent at the Barrett Cancer Center where the student will be involved with inpatient and outpatient clinical work including experiences at the University of Cincinnati Medical Center and Cincinnati VA Medical Center. Numerous cancer site specific tumor boards occur on a daily basis and should be attended when available. Additionally, students will have the opportunity to take part in high dose rate brachytherapy procedures for gynecologic malignancies, low dose rate brachytherapy for prostate cancer, or other complex brachytherapy cases or invasive procedures. Students with a specific interest in pediatric radiation oncology can attend tumor boards at Cincinnati Children’s Hospital and observe pediatric anesthesia cases during this time as well.

Another week will be spent at West Chester Hospital Radiotherapy in West Chester, Ohio which is about 20 minutes north of downtown Cincinnati. This location functions much like a stand-alone outpatient radiation facility and allows students a more in depth and personal interaction with patients. Lastly, 1 week will be spent at the Proton Therapy Center in Liberty, Ohio (also about 20 minutes north). Here, the student will experience working with state-of-the-art proton therapy equipment utilizing pencil-beam scanning technology. This facility serves both adult and pediatric patients with highly complex malignancies.  

During the last week of the rotation, the student will be expected to give a 30-minute “Grand Rounds” style presentation to the faculty and residents on a topic of their choosing.   


ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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