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DrNB Medical Oncology Curriculum Guide

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0% found this document useful (0 votes)
7 views23 pages

DrNB Medical Oncology Curriculum Guide

View nbe programmme

Uploaded by

Rahul Rai
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Curriculum

DrNB Super Specialty

Medical Oncology
Introduction

Goals and Objectives of the Programme

Teaching and Training Activities

Syllabus

Competencies

Log Book

Recommended Text Books and Journals


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Curriculum for DrNB Medical Oncology PAGE 2 OF 24


INDEX
S. No Contents Page No.

I Introduction 5

II Goals and Objectives of the Programme 5

III Teaching and Training Activities 9

IV Syllabus 11

V Competencies 17

VI Log Book 20

VII Recommended Text Books and Journals 20

Curriculum for DrNB Medical Oncology PAGE 3 OF 24


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Curriculum for DrNB Medical Oncology PAGE 4 OF 24


I. INTRODUCTION

The number of patients with malignancies in the world continues to increase. It is


estimated that ten million new cases are diagnosed every year and that two million people
are either receiving treatment or are living with their disease. The last decades have seen a
rapid growth in medical technology and in the advances of fundamental knowledge of
cancer cell biology with impact on genetics, screening, early diagnosis, staging, and
overall treatment of cancer This development has also lead to a more coordinated, multi-
disciplinary approach to the management of the individual malignancy and the need to
establish formal training based on a set of guidelines or a curriculum in the various major
specialties such as surgery, radiotherapy and medical oncology.

II. GOALS AND OBJECTIVES OF THE PROGRAMME

1. Programme Goal

i. Provide specialized training in medical Oncology, including Hospital based


oncology practice, Community Oncology development and Community
Intervention Strategies.
ii. Instill the concept of wholesome management of a cancer patient. Instill team
spirit by involving the radiation oncologist, surgical oncologist, Nuclear
medicine & allied imaging departments, palliative care specialists &
pathologists as team players in all patients and other departments as & when
necessary.

2. Programme Objectives

At the end of the training program the candidate should have: -

i. Basic Scientific Principles – The trainee should have clear concepts regarding
the basic principles of Biology of normal cells, basic processes of
carcinogenesis, gene structure, expression and regulation, cell cycle and
interaction with therapy, tumor cell kinetics, tumor cell proliferation, tumor
immunology and molecular techniques.
ii. Basic Principles in the Management and Treatment of Malignant Diseases – The
trainee at the end of training program, should be thorough with the basic
principles of malignant disease management including clear understanding of

Curriculum for DrNB Medical Oncology PAGE 5 OF 24


pathologic techniques, serum markers, cell membrane and DNA markers, TNM
staging systems, Indications for clinical, radiographic and nuclear medicine
procedures, response assessment.
iii. Management and Treatment of Individual Cancers and their associated
complications - The management of malignant diseases requires the expertise
of many different medical subspecialties, and the majority of patients with
malignant diseases are best managed in a multidisciplinary approach with
integration of the various sub-specialties because of increasing complexity of
modern treatment.

• The trainee should recognize the contributions of each of these


subspecialties in making the diagnosis, assessing disease stage, and
treating the underlying disease and its complications.
• The trainees should interact with each of these disciplines in order to
gain an appreciation of the benefits and limitations of each modality.
• Participation of the trainees in interdisciplinary meetings is
encouraged.
• After completion of the training program the trainee should be well
versed with the management of all human cancers, chiefly Head and
neck, Lung, Gastrointestinal, genitourinary, gynecological, breast,
mesenchymal, skin, endocrine, neurological and hematological
malignancies
• The trainee also needs to be competent in managing pediatric oncology
patients

iv. Psychosocial Aspects of Cancer – The trainee should become skillful in


handling cultural issues, spiritual conflicts, adaptive behavior, coping
mechanisms, communication.
v. Patient Education – The trainee should learn to consciously involve in
educating the patients in matters of genetic counseling (screening and
assessment of risk), health maintenance (Diet, smoking, alcohol consumption),
long term complications, risk of treatment induced cancer, endocrine
dysfunctions. 6) Bioethics,
vi. Legal, and Economic Issues – The trainee should be fully proficient in dealing
with issues of taking informed consent for research activities, ethical conduct of
medical research, legal issues (Life support and its withdrawal), cost efficiency
and professional attitude

Curriculum for DrNB Medical Oncology PAGE 6 OF 24


vii. Skills – During the training period the trainee should imbibe and develop the
skills of anticancer agent administration (Prescribing, administering, Handling
and disposal of chemotherapeutic and biologic agents), clinical procedures
(bone marrow aspiration, biopsy, lumbar punctures, abdominal and thoracic
paracentesis), ommaya reservoir management.
viii. Community responsibilities – The trainee should be well versed with
community aspects of cancer screening including cancer registry and other
aspects of preventive oncology. The trainee should become competent to plan
and implement community intervention strategies and should be well trained
to link up with the existing health care system and be able to address screening,
early detection and health awareness issues.
ix. Constant Development – The trainee should be aware of the recent
developments in the field of Medical Oncology, chemotherapeutics, preventive
oncology, molecular biology. Communication Trainees should be able to
communicate to patient and their family. They should be able to break bad
news and act adequately in difficult situations. Trainees should learn to
communicate and work together with other professional health care takers in a
team.

Patient Education

Genetic Counseling: The trainee should be capable of assessing the increased risk of
cancer in the patient and the patient’s family.
• They should be aware of the principles for genetic screening and counseling. 6.2
Health Maintenance
• The trainee should be capable of counseling the patients and their family about
known risk factors for subsequent malignancy: - diet - smoking - alcohol - sun
exposure.
• Trainees should have an understanding of the aetiology of genetic and
environmental factors in oncogenesis.
• They should have a basic knowledge in epidemiological factors and descriptors
of disease.
• Trainees should understand the basic principles of screening and risk
assessment.
• They should know the sensitivity and specificity of the test employed and the
cost-benefit ratio.
• They should know the situations in which screening has a well-defined role and
the situations in which the role of screening is unclear or not defined.

Curriculum for DrNB Medical Oncology PAGE 7 OF 24


• They should be aware of the principles and indications for genetic screening
and counseling.
• They should know the value of prevention in cancer development and what
primary, secondary and tertiary preventive measures may be taken to prevent
cancer development
• Clinical Research including Statistics Trainees must be provided an education in
the design and conduct of clinical trials.
• They must have an exposure to the development and conduct of these trials
through international cooperative groups or in-house protocols.

• basics of statistics: * statistical methods * requirements for patient numbers in


designing studies * proper interpretation of data - toxicity assessment and
grading - role and functioning of the Institutional Review Board and ethical
committees - experience obtaining informed consent from patients -
government regulatory mechanisms of surveillance - instruction in grant
writing and information about mechanisms of support for clinical research -
cost of therapy and the cost-effectiveness of therapy - instruction in preparing
abstracts, oral and visual presentations and writing articles.
• They should be able to critically evaluate the scientific value of published
articles and their influence on daily clinical practice.

Basic Principles in the Management and Treatment of Malignant Tumours

• The trainees should be capable of assessing the patient’s co-morbid medical


conditions that may affect the toxicity and efficacy of treatment in order to
formulate a treatment plan and be aware of the special conditions which
influence the treatment of the growing population of elderly patients with
malignant disorders.
• Pathology/Laboratory Medicine/Molecular Biology: The trainee should know
that the definite diagnosis of cancer is based on a cytology or biopsy.

• The trainees should have the opportunity to review biopsy material and
surgical specimens with a pathologist. They should appreciate the role of the
pathologist in confirming the diagnosis of cancer and in determining the
severity and extent of disease. Trainees should be familiar with newer
pathologic techniques, and the contribution of these techniques to the staging
and management of patients with cancer
• Trainees should be aware of the appropriate testing and intervals for follow-up.

Curriculum for DrNB Medical Oncology PAGE 8 OF 24


• Bioethics, Legal, and Economic Issues.

• Informed consent the trainee should know the requirements for obtaining
informed consent.
• Ethics The trainee should understand the ethics involved in the conduct of
medical research.
• Legal issues they should know the legal issues related to anti-cancer treatment,
institution of life support and withdrawal of life support systems.

• Cost efficiency Trainees should appreciate the cost effectiveness of medical


intervention in the management of cancer. 7.5 Conflict of Interest Guidelines to
define conflict of interest within professional activities.
• Professional attitude Trainees must demonstrate professionalism and
humanism in their care of patents and their families.

The main objective of these certification systems is to improve the quality of patient
treatment and care, to set standards of clinical competence for the practice of medical
oncology, and encourage a continued scholarship for professional excellence over a
lifetime of practice

Professionalism – Ethics Professionalism must be fostered during medical oncology


training. In addition to mastering the comprehensive clinical and technical skills of the
consultant medical oncologist, trainees are expected to maintain the values of
professionalism

III. TEACHING AND TRAINING ACTIVITIES

The fundamental components of the teaching program should include:

1. Case presentations & discussion- once a week


2. Seminar – Once a week
3. Journal club- Once a week
4. Grand round presentation (by rotation departments and subspecialties)- once a
week
5. Faculty lecture teaching- once a month
6. Clinical Audit-Once a Month

Curriculum for DrNB Medical Oncology PAGE 9 OF 24


7. A poster and have one oral presentation at least once during their training
period in a recognized conference.

The rounds should include bedside sessions, file rounds & documentation of case history
and examination, progress notes, round discussions, investigations and management
plan) interesting and difficult case unit discussions.

The training program would focus on knowledge, skills and attitudes (behavior), all
essential components of education. It is being divided into theoretical, clinical and
practical in all aspects of the delivery of the rehabilitative care, including methodology of
research and teaching.

Theoretical: The theoretical knowledge would be imparted to the candidates through


discussions, journal clubs, symposia and seminars. The students are exposed to recent
advances through discussions in journal clubs. These are considered necessary in view of
an inadequate exposure to the subject in the undergraduate curriculum.

Symposia: Trainees would be required to present a minimum of 20 topics based on the


curriculum in a period of three years to the combined class of teachers and students. A
free discussion would be encouraged in these symposia. The topics of the symposia
would be given to the trainees with the dates for presentation.

Clinical: The trainee would be attached to a faculty member to be able to pick up methods
of history taking, examination, prescription writing and management in rehabilitation
practice.

Bedside: The trainee would work up cases, learn management of cases by discussion with
faculty of the department.

Journal Clubs: This would be a weekly academic exercise. A list of suggested Journals is
given towards the end of this document. The candidate would summarize and discuss the
scientific article critically. A faculty member will suggest the article and moderate the
discussion, with participation by other faculty members and resident doctors. The
contributions made by the article in furtherance of the scientific knowledge and
limitations, if any, will be highlighted.

Research: The student would carry out the research project and write a thesis/ dissertation
in accordance with NBE guidelines. The trainee would also be given exposure to partake

Curriculum for DrNB Medical Oncology PAGE 10 OF 24


in the research projects going on in the departments to learn their planning, methodology
and execution so as to learn various aspects of research.

IV. SYLLABUS
Section 1: Hallmarks of Cancer

1. The hallmarks of cancer

2. Growth factors and uncontrolled proliferation

3. Cell signaling pathways

4. Cell cycle control

5. Cancer cell death

6. Angiogenesis

7. Invasion and metastases

8. Genetic instability

9. DNA repair after oncological therapy

10. Biology of cancer stem cells

11. Biomarker identification and clinical validation

12. Cancer, immunity, and inflammation

13. Cancer and metabolism

Essentials of Molecular Biology


• Basic Principles. Genomics and Cancer, signal transduction, Immunology,
Cytogenetics, Cell Cycle, Apoptosis, invasion and metastases, angiogenesis and
carcinogenesis, - Genetics, viral physical and Chemical.
• Principles of cancer management surgical Oncology, Medical Oncology,
Radiation Oncology and Biologic therapy.

Curriculum for DrNB Medical Oncology PAGE 11 OF 24


• Cancer Chemotherapy
• Pharmacology of Cancer Biotherapeutics – interferons, interleukins, anti-
hormonal therapy, differentiating agents, monoclonal antibodies, antiagiogenic
factors.
• Clinical Trials
• Cancer Prevention - tobacco related cancers, diet chemoprevention.
• Cancer Screening
• Cancer Diagnosis - Molecular pathology and Cytology, Imaging, Endoscopy,
Laparoscopy
• Principles of Cancer Management – Surgical Oncology, Radiation Therapy,
Chemotherapy, Biologic therapy
• Pharmacology of Cancer Chemotherapy
• Clinical trials in cancer
• Cancer prevention Tobacco related cancer, Diet & Risk reduction
Chemopreventive Agents, Hormones 9. Cancer Screening
• Imaging Techniques of Cancer Diagnosis & Management
• Specialized techniques of Cancer Diagnosis and Management
• Vascular Access and Specialised Techniques of drug delivery

Section 2: Etiology and Epidemiology of Cancer

• Epidemiologic methods, descriptive and analytical epidemiology


• Smoking and cancer
• Viruses
• Chemical carcinogens
• Radiation
• Body fatness, physical activity, diet, and other lifestyle factors

Section 3: Principles of Oncology

• Practice points for surgical oncology


• Practice points for radiation oncology
• Principles of chemotherapy
• Delivery of multidisciplinary cancer care
• Principles of clinical pharmacology: Introduction to pharmacokinetics and
pharmacodynamics
• Design and analysis of clinical trials
• Medical ethics in oncology

Curriculum for DrNB Medical Oncology PAGE 12 OF 24


• Health economic assessment of cancer therapy

Section 4: Population Health

• Cancer control: The role of national plans


• Cancer prevention: Vaccination
• Cancer prevention: Chemoprevention
• Population cancer screening
• Familial cancer syndromes and genetic counseling

Section 5: Support for the cancer patient

• Supportive palliative care, hospice care, home care, bereavement counselling


• Pain management
• End of life care
• Quality of life: metrics and measures
• Cancer survivorship and rehabilitation

Biologic Therapy

Trainees should be familiar with the activities and indications for biologic therapy
including cytokines and haematopoietic growth factors.
basic concepts of targeted molecular therapies, such as monoclonal antibodies, tumour
vaccines, cellular therapy, and gene-directed therapy.

Disease

Cancer of the head and neck. the risk factors for head and neck cancers

• Natural histories of the individual primary tumour sites.


• Staging of head and neck cancers as the proper evaluation for therapeutic
recommendations. Panendoscopy is needed for staging.
• Selecting surgery and/or radiation therapy as definitive treatment.
• Role of chemotherapy and palliation of advanced disease

• Organ preservation long term management of these patients and of risks of


second malignancies.
• Oesophageal cancer

Curriculum for DrNB Medical Oncology PAGE 13 OF 24


• Gastric cancer
• Rectal cancer
• Colon cancer
• Pancreatic cancer
• Hepatobiliary cancer
• Peritoneal mesothelioma
• Cancer of the breast
• Gynaecological cancers
• Genitourinary cancer
• Lung cancer / Mesothelioma

Risk factors for developing lung cancer or mesothelioma.

1. 1 Small-Cell Lung Cancer: Multi-modality approach to limited-stage disease and the


role of chemotherapy in patients with advance disease.
2. Non-Small-Cell Lung Cancer: Criteria of inoperability and the surgical and non-
surgical staging of patients with localized disease. Value of surgery, chemotherapy,
and radiation therapy in localized disease often given as combined modality
treatment, and the role of chemotherapy and/or radiation therapy in the palliation of
advanced disease.
• Neoplasms of the thymus
• Pleural mesothelioma
• Skin cancer: melanoma
• Skin cancer: non-melonoma
• Acute leukemia
• Chronic leukemias
• Myeloma
• Lymphomas
• Sarcomas of the soft tissue
• Cancer of the central nervous system
• Cancer of the eye and orbit
• Endocrine cancers
• Cancer of unknown primary site
• Para-neoplastic syndromes
• Cancer in immunosuppressed host
• Oncologic emergencies – SVC syndrome, spinal cord compression, metabolic
emergencies, urologic emergencies

Curriculum for DrNB Medical Oncology PAGE 14 OF 24


• Treatment of metastatic cancer - brain, lung, bone, liver, malignant effusions
and ascites
• Haematopoetic therapy - transfusion, grown factors, autologous, allogenic,
haplo identical and matched unrelated stem cell transplantation
• Infections in the cancer patient
• Supportive care and quality of life - pain management, nutritional support,
sexual problems, genetic counselling,
• Psychological issues
• Community resources
• Care of the terminally ill patient
• Adverse effects of treatment - nausea and vomiting.
• Oral complications, pulmonary toxicity, cardiac toxicity, hair loss, genital
dysfunction, second cancers, miscellaneous toxicity.
• Rehabilitation of the cancer patient.
• Oncology nursing including venous access.
• Ethical issues in oncology
• Information systems in Oncology.
• Alternative methods of cancer treatment.
• Newer approaches in cancer treatment – Immunotherapy, Gene therapy,
molecular therapy, cancer vaccines, image guided surgery, heavy particles in
radiation therapy.
• Reconstructive surgery
• Cancer prevention
• Tobacco related cancer,
• Diet & Risk reduction Chemopreventive Agents
• Hormones
- Cancer Screening
- Imaging Techniques of Cancer Diagnosis & Management
- Specialized techniques of Cancer Diagnosis and Management
- Vascular Access and Specialised Technique of drug delivery
• Cancers of childhood

Rehabilitation

• The role of physical therapy particularly in the postoperative setting,


occupational therapy, speech therapy and swallowing therapy

Supportive and Palliative measurements.

Curriculum for DrNB Medical Oncology PAGE 15 OF 24


• The indications of the different supportive treatments, their limitations and side
effects and its indications.

Supportive measurements -- Nausea and vomiting:

• Pain: They should have a working knowledge of the World Health


Organization (WHO) pain ladder and an understanding of the pharmacology
and toxicity of the opiate narcotics and other analgesics
• Infections and neutropenia: They should know the indications and
contraindications of the use of haematological growth factors.

Anaemia:

• Thrombocytopenia: Marrow and Peripheral-Blood Progenitor Cells (PBPC

Organ protection

• Gonad preservation to ensure the fertility of the patient (cryopreservation


techniques)

Oncologic Emergencies:

• Trainees should recognize the clinical presentations that require immediate


intervention (e.g. spinal cord compression, pericardial tamponade

Nutritional Support: Indications for and complications of enteral and parenteral


support
• They should be able to manage cancer pain with the available modalities and
recognize when referral for an invasive palliative intervention

Recent Advances in Oncology

1. Essentials of Molecular Biology


2. Molecular Biology of Cancer: Oncogenes Cytogenetics
3. Bone Marrow dysfunction in cancer patient
4. Infections in cancer Patients and neutropenic patient
5. Adverse effects of treatment
6. Supportive Care and Quality of Life
7. Rehabilitation of Cancer Patient

Curriculum for DrNB Medical Oncology PAGE 16 OF 24


8. Newer approaches in cancer treatment
9. Newer drugs in cancer treatment

Research Methodology and Data Base

1. Clinical Trial Protocol designing.


2. Statistical evaluation & Kaplan-Meyer plot, etc.
3. Bioethics.

Biostatistics, Research Methodology and Clinical Epidemiology Ethics


Medico legal aspects relevant to the discipline
Health Policy issues as may be applicable to the discipline

V. COMPETENCIES
The candidate works in the department of medical oncology as following

1. INPATIENT POSTING This may vary from 8 to 12 months: the candidate is


allotted certain beds and the trainee is required to work up patients admitted on
those beds. The trainee plans out a diagnostic work up and treatment plan,
discusses it with the concerned consultants, presents it on the grand rounds and
assumes complete responsibility of the patients during their hospitalization.
The trainee should work in harmony with the ward nurses.
2. OUT PATIENT DEPARTMENT (OPD) POSTING Duration is 16 months. The
candidate is posted to chemotherapy evaluation clinics and various specialty
clinics including breast cancer, gastrointestinal, urology, lymphoma-leukemia,
pain evaluation, bone and soft tissue, pediatric tumors, head and neck,
gynecology oncology, pulmonary oncology. The candidates posted to these
clinics work under the supervision of consultants. They are expected to see new
as well as follow-up patients so as to plan out the management and assess the
therapeutic responses of a particular patient.
3. DAY CARE AND OPD PROCEDURES (MINOR OT) POSTING Duration is 4
months. During this posting a candidate is expected to learn skills in
introducing per cutaneous subclavian, internal jugular, and femoral vein
catheters Familiarity with different venous access devices likes Hickman
catheter, subcutaneous port etc. Institution of chemotherapy and supervision of
side effects Procedures like bone marrow biopsy, liver biopsy, trucut biopsy,
lumbar puncture, intrathecal chemotherapy and aspiration of fluids.

Curriculum for DrNB Medical Oncology PAGE 17 OF 24


4. BMT UNIT POSTING Duration is 2 months. The candidate works under the
supervision of concerned consultants and assumes responsibility of managing
the patients undergoing high dose chemotherapy.
5. ELECTIVE POSTING It is for 6 weeks. The trainee selects the area of his or her
interest; it may be training within the institute or at other specialized centers
within or out side India. The candidate is required to seek acceptance from the
concerned departments/centers where the trainee wishes to work and also
permission from the Chief IRCH.

6. ANCILLARY POSTING It will be for 3 months as follows:

• Surgical oncology (3 weeks)


• Radiation oncology (3 weeks)
• Laboratory (4 weeks)
• Rotation to blood bank and nuclear medicine department (1 week each)
• Radio diagnosis & nuclear medicine (2 weeks)

7. LABORATORY TRAINING The candidate, apart from understanding the


value of laboratory tests in a given malignancy must possess the basic
knowledge of interpreting the laboratory data and correlating it with clinical
data.
• For this purpose, candidate is posted in various laboratories through
laboratory posting or dissertation topic.
• The trainees are posted to various laboratories, some o which are attached
to medical oncology itself, such as Cytogenetics laboratory, in-vitro tissue
culture laboratory. In addition, candidate is posted in immunology,
microbiology, HLA and pathology laboratory.
• These postings enable the candidate to understand histopathology,
immunopathology, histochemsitry, cytopathology, genetics of tumors,
their functional properties and modes of spread etc.
• The trainee is also made familiar with the various types of stem cell
mobilization, harvesting, and cryopreservation techniques.

• The candidate is required to learn the basic techniques of tissue culture,


Cytogenetics, staining and study of peripheral/bone marrow smears,
operation of blood cell counter and cell separator machine.

8. RESEARCH TRAINING The candidate is introduced to the field of research in


medical oncology; both at clinical and laboratory level.

Curriculum for DrNB Medical Oncology PAGE 18 OF 24


9. PRACTICAL HAND ON TRAINING

i. Anti-cancer agent administration. The trainee should have knowledge


how to prescribe and safely administer anticancer agents. The trainee
should be able to care and access indwelling venous catheters. The trainee
should have knowledge about the handling and disposal of
chemotherapeutic and biologic agents.
ii. Bone Marrow Aspiration, Biopsy, and Interpretation: Trainees should be
able to perform a marrow aspiration and biopsy. They should have an
experience in the interpretation of marrow aspirations and biopsies.
Trainees should have a fundamental knowledge about marrow
interpretation
iii. Lumbar Puncture Training must demonstrate an ability to perform a
lumbar puncture and to administer chemotherapy by that route.
iv. Administration of medication by subcutaneous device. The trainee should
be able to use a subcutaneous device to administer medication. The
trainee should be able to recognize and solve complication of such device.
Trainees must be capable of administering chemotherapy through an
Ommaya reservoir.
v. Paracentesis: ascitic fluid tapping, indications, fluid analysis and
interpretation
vi. Intrperitoneal chemotherapy: indications and practical aspects
vii. Intravesical chemotherapy with BCG, mitoxantrone, etc: Indications and
complications
viii. Thoracocentesis and chest tube placement for drainage along with
pleurodesis using talc, tetracycline and chemotherapeutic agents
ix. PICC line placement
x. Central venous access, including tunneled catheter placement and
chemoport placement

VI. LOG BOOK

A candidate shall maintain a log book of operations (assisted / performed) during the
training period, certified by the concerned post graduate teacher / Head of the department
/ senior consultant.

This log book shall be made available to the board of examiners for their perusal at the
time of the final examination.

Curriculum for DrNB Medical Oncology PAGE 19 OF 24


The log book should show evidence that the before mentioned subjects were covered
(with dates and the name of teacher(s) The candidate will maintain the record of all
academic activities undertaken by him/her in log book.

1. Personal profile of the candidate


2. Educational qualification/Professional data
3. Record of case histories
4. Procedures learnt
5. Record of case Demonstration/Presentations
6. Every candidate, at the time of practical examination, will be required to
produce performance record (log book) containing details of the work done by
him/her during the entire period of training as per requirements of the log
book. It should be duly certified by the supervisor as work done by the
candidate and countersigned by the administrative Head of the Institution.
7. In the absence of production of log book, the result will not be declared.

VII. RECOMMENDED TEXT BOOKS AND JOURNALS

1. American Journal of Paediatrics


2. ActaOncologicaHematologica/Ontologica
3. British Journal of Cancer
4. Cancer
5. CA.A Cancer Journal for Clinicians
6. Cancer Detection & Prevention
7. Cancer Genetics and Cytogenetics
8. Cancer Journal (Scientific American) (NP
9. Cancer Survey (NP)
10. Cancer Treatment Review
11. Clinical Oncology
12. Current Problem in Cancer
13. Current Opinion in Oncology
14. European Journal of Cancer
15. European Journal of Surgical Oncology
16. Genes, Chromosomes and Cancer
17. Gynecologic Oncology
18. Haematological Oncology
19. Haematology Oncology Clinics of North America

Curriculum for DrNB Medical Oncology PAGE 20 OF 24


20. Indian Journal of Medical & Paediatric Oncology
21. Indian Journal of Cancer (Indian)
22. International Journal of Cancer (UICC)
23. International Journal of Gynecological Cancer
24. International Journal of Radiation Oncology Biology/Physics
25. Journal of Cancer Education (NP)
26. Journal of Clinical Oncology
27. Journal of National Cancer Institute (Gift)
28. Journal of Psycho social Oncology
29. Journal of Surgical Oncology
30. Medical & Paediatric Oncology
31. Nutriton and Cancer
32. Oncology (NP)
33. Psycho-Oncology
34. Radiotherapy & Oncology
35. Seminars in Oncology
36. Seminars in Oncology Nursing
37. Seminars in Radiation Oncology
38. Seminars in Surgical Oncology
39. Surgical Oncology Clinics of North America
40. Blood
41. British J. Hematology
42. Seminars in Haematology
43. Haematology& Oncology Clinics
44. Bone Marrow Transplantation

BOOKS FOR READING (LATEST EDITION)

1. Molecular Diagnosis of Cancer, COTTER.F.E.


2. Molecular Biology for Oncologists,YARNOLD..J.R. et al
3. Cancer Chemotherapy Handbook, BAQUIRANJ DELIA~
4. The Lymphomas, CANELLOS,[Link] al
5. Chemotherapy source book, PERRY,M.C,
6. Leukemia, HENDERSON,[Link] al
7. Cancer Medicine, HOLLAND, J .F. et al.
8. Atlas of clinical Haematology, BEGEMANN
9. Text book of Malignant Haematology, Degos.L et al
10. Clinical Haematology, ROCHARD Lee. et al

Curriculum for DrNB Medical Oncology PAGE 21 OF 24


11. Clinical Oncology, ABELOFF et al
12. Important Advances in Oncology, .DEVITA, V.T.
13. Cancer Principles and Practice of Oncology, DEVITA , V. T. et al,
14. Decision Making in Oncology Evidence Based Management, . DJULBEGOVIC.
B & SULLIVAN.
15. AJCC Cancer' Staging Manual (American Joint Committee on Cancer Cancer
Treatment, HALNAN E .K
16. Cancer' Treatment, HASKEL • Oncology for' Palliative Medicine, HOSKIN
PETER & MAKING WENDY)
17. Regional Therapy of Advanced Cancer, RUBIN,J.T
18. MAGRATH, I. The Non-Hodgkin's Lymphoma,
19. Comprehensive Text book of Oncology, Vol 1-2,.MOSSA, A.R
20. Oxford textbook of Oncology PECKHAM, M. et al I
21. A Multi-disciplinary Approach for Physicians and Students, RUBIN Clinical
Oncology.
22. Atlas of diagnostic oncology, SKARIN, A.T
23. Basic Science of Oncology, TANNOCK,E.I
24. Pediatric oncology ,Philip LANSZOWSKY
25. William’s Haematology[Beutler, Lichtman, Coller&Kipps]
26. Wintrobe’s Clinical Haematology [ Greer et al]
27. Haematology – Basic Principles & Practice [Hoffman, Benz, Shattil, Furie,
Cohen & Silberstein]
28. Practical Haematology [Dacie& Lewis]
29. Bone Marrow Transplantation. [Forman, Blume & Thomas]
30. Clinical bone marrow and blood stem cell transplantation [Atkinson et al]
31. The molecular basis of Blood Diseases [Stamatoyannopoulos, Neinhuis, Leder&
Majerus].
32. Paediatric Haematology by [Nathan &Ozaskie] F.

Curriculum for DrNB Medical Oncology PAGE 22 OF 24


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Curriculum for DrNB Medical Oncology PAGE 23 OF 24

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