University: AL-AZHAR UNIVERSITY

Faculty:MEDICINE

Department: CLINICAL ONCOLOGY & NUCLEAR MEDICINE

Course Specification

1-Data of the course:

Code of the course:
07-700-onco-MD / Title of the course: Degree / Year: 2016 Level:postgraduate
Specialty: Clinical Oncology / Number of teaching units:3 / Lectures: 3/week
Practical/ Clinical:6/week
2-Objectives of the course: / We expect candidates to have a wide knowledge of malignant disease and the management of patients with cancer.
The main emphasis is on clinical oncology & drug therapy, but a good knowledge of general medicine, surgery and pediatrics is expected.

3-ILOs

A-Knowledge and understanding: / Diagnosis& management of malignant tumors
Candidates for the final examination need to have a broad knowledge relating to all aspects of the investigations &management of patients with cancer.
1-prevention: Identify of the environmental causes of cancer and discuss possible strategies for prevention.
2-Screening: List details of screening programs for cervical, breast and colorectal cancers.
3-Genetics: Enumerate the familial aspects of some cancers (colorectal, breast, ovary, retinoblastoma, multiple cancer syndromes) and the management of high risk families and genetic counseling.
4-Anatomical sites& types of tumors:
a-Head & Neck:
(Lip- oral cavity- nasopharynx- oropharynx- hypopharynx- supraglottis- vocal cord- subglottis- orbit & optic nerve- lachrymal gland- middle ear- nose & nasal sinuses-salivary glands- carotid body tumors)
b-Gastrointestinal Tract:
(Liver- pancreas &biliary tract -Esophagus- Stomach -small bowel- colon & rectum- Anal canal & perianal region)
C-Chest:
(Pleura-Lung – Trachea -Mediastinum &Thymus)
d-Genitourinary:
(Kidney-Ureter-Bladder-Urethra- prostate-penis-testis)
e-Female genital tract:
(Ovary –fallopian tube- uterine body & Cervix-Vagina –Vulva)
f-Central nervous system:
(Brain –spinal cord-craniopharyngioma – chordoma- Acoustic neuroma-meninges)
g-Bone Tumors& Soft tissue sarcomata:
(Adult soft tissue sarcoma –Childhood/adolescent sarcoma –chondrosarcoma-osteosarcoma- Ewing's tumor)
e-Skin:
(Basal cell carcinoma & squamous cell carcinoma- Malignant melanoma-cutaneous Lymphoma-Kaposi sarcoma)
f-LymphproliferativeMyeloproliferative disorders:
(Hodgkin's lymphoma –Nonhodgkin's lymphomas-plasma cell malignancies –Acute &chronic leukemias)
g-Endocrine:
(Breast- Thyroid- parathyroid-pituitary- Adrenal)
h-Pediatrictumors:
(Medulloblastoma –Neuroblastoma-Nephroblastoma-Retinoblastoma)
For each of the tumour types & sites listed: -{Management-pathology-radiotherapy-drug therapy-outcomes)
5-Drug therapy:
(cytotoxic chemotherapy –Hormonal therapy – Biological Therapy)
6-Oncological Emergencies:
(spinal cord compression –hemorrhage –Mediastinal syndrome)
7-complications of treatment (side effects):
(Acute and late toxicity and their management: -skin reactions- Nausea –vomiting –diarrhea-cytotoxic extravasation-fibrosis- renal effects – cardiac effects –endocrine effects-effects on fertility- secondary malignancy)
8-Radiotherapy for benigntumors:
(suitable techniques-dosage schedules & benefits and risks)
9-Sympotomatic treatment and supportive care:
(Control of patient symptoms by medical and surgical techniques –continuing palliative care with treatment of anemia and increased intracranial tension)
10-Research & literature:
(Current major research and publications in Oncology Journals)
B-Intellectual Skills: / a)Evaluateradiation therapy plans (2D & Conformal) based on expected toxicities from different dose distribution to different organ.
b)Demonstrate isodose curves for X rays of different energies.
c)Predict the signs symptoms, & radiological findings of disease based on the understanding the underlying pathogenesis as well as gross and microscopic tissue changes responsible for symptomatology and physical changes in the patient
d)To enable students to undertake rational statistic steps in problem acquaintance and solving.
C-Professional Skills: / a)Elicit tumor localization: directvisual, simulator, CT, MRI, ultrasound.
b)Elicit transposition of patient data:magnification,target volumes, sensitive structure, dose modifying structures.
c)Use of simulator in localization of different tumor.
d)Evaluate and compare between different planes.
e)Perform CT treatment planning:
  1. Acquisition of data and data transfer.
  2. Imaging manipulation and image fusion.
  3. Delineate the volumes.
  4. Beam placement using beam eye ‘s views.
  5. Plan verification and evaluation.
  6. Element of inverse planning.
  7. Element of intensity modulated radiotherapy.

D-General Skills: / a)Communication skills, covering both written and oral communications.
b) Problem solving skills
c)Interact and communicate effectively with other health care professionals.
d)Manage time effectively and demonstrate skills needed for lifelong learning as information technology skills (IT).
e)Work effectively and cooperatively in a team.
f) Discuss professional errors in an honest way.
g) Independent learning ability required for continuing professional development
4-Course Content: / Code
No. / Course Title / No. of hours /week / Program ILOs Covered (by No.)
Lectures / Clinical/Practice
Technology in clinical oncology / 6 / 12 / a.1: a.19 - b.1:b.8 - c.1: c.11 - d.1:d.7 - e.1:e.3
Clinical oncology / 6 / 12
5-Methods of teaching: / 1-General lectures.
2-Tutorials,seminars,interactive learning: discussions & oral presentations.
3-practical sessions.
6-Methods of teaching of handicaps

7-Students evaluation and assessment:

A-Method of assessment: / 1-written exam
2-oral exam
3-clinical examination
B-Time of assessment / End of course
C-Allocated marks/Distribution / 1-written exam (100+100)
2-oral exam (100)
3-clinical exam(100)

8-Teaching books, notebooks, and references:

-Books/Notebooks:
-References: / Textbooks of clinical oncology and nuclear medicine (Deviate-Perez….)
Guidelines and recommendations (ASCO-ESMO-NCCN-RTOG……)

Head of Department:

Prof.Dr.Hassan Khaled