IB Senior Educational Objectives - UCSF Radiation Oncology

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Rev. 9/14/10 3. Demonstrate proficiency in neurological examination as well as a basic physical exam. Learn to recognize neurologic syndromes which reflect the lesion(s), and the subsequent evolution of these signs/symptoms during the course of therapy/disease. 4. Understand the epidemiology, anatomy, and natural history, and pathophysiology of various CNS tumors (both benign and malignant; primary and metastatic) 5. Be familiar with the role of molecular markers and gene expression profiles as predictive and prognostic markers for disease recurrence and response to treatment. 6. Know the classification of various CNS tumors (benign and malignant), including grading of benign conditions such as arterio-venous malformations (AVMs). 7. Demonstrate knowledge base of factors that influence treatment decisions (clinical, pathologic, and biologic) 8. Discuss management of primary and metastatic brain and spine tumors, including indications for surgery and systemic therapy , and these modalities are integrated with radiation therapy. 9. The junior and senior residents are expected to using the linear-quadratic (LQ) model to predict acute and late toxicity, adjust fractionation schemes, and convert between different fractionation schemes. 10. Demonstrate familiarity with acute and long-term side effects of radiation and their management; for conventionally-fractionated or hypofractionated treatments as well as radiosurgery (e.g. Gamma knife) 11. Know radiation safety principles, particularly with respect to use of sealed sources. PRACTICE-BASED LEARNING and IMPROVEMENT Residents must demonstrate the ability to use information technology and feedback to improve their fund of knowledge and skills. The expectation is that they learn how search, review, and analyze medical information in PubMed as well as the UCSF Medical Library. INTERPERSONAL and COMMUNICATION SKILLS All residents are expected to: 1. Communicate with patient and their family/caregivers in an easily understood and culturally sensitive manner. 2. Communicate effectively with medical and support staff, demonstrating respect and maintaining professional relationships with all members of the radiation oncology team. 3. Communicate with other physicians and health care professionals. 4. Work effectively as a team member, progressively accepting more responsibility and participate in a leadership role as progressing through the residency. 5. Maintain comprehensive, accurate and timely medical records. All relevant medical records must be completed within 48 hours of the patient visit. PROFESSIONALISM All residents are expected to: 1. Demonstrate compassion, respect, and integrity and responsiveness to patient's needs. 2. Be accountable to their patients and their profession. 2
Rev. 9/14/10 3. Be responsive to the needs of the referring/primary healthcare team; completing patient-care tasks in a timely and responsible manner (especially in the inpatient setting) so as not to delay or impede patient’s further care or discharge from the hospital. 4. Demonstrate a commitment to excellence and on-going professional development. 5. Function well as a member of the team. 6. Practice in an ethical manner with regard to provision or withholding of care, confidentiality of PHI, and informed consent. 7. Maintain comprehensive, accurate, and timely medical records. 8. Function as role models and mentors for junior residents. SYSTEM-BASED PRACTICE Senior residents will demonstrate an awareness of and responsiveness to the health care system and ability to call on resources to provide care. They are expected to: 1. Understand how their professional patient care practices affect other health care professionals, the healthcare organization and the community. 2. Practice cost-effective health care that does not compromise quality of care. 3. Advocate for quality patient care practices and help patients navigate through complexities in the healthcare system. 4. Be able to partner with healthcare managers and providers to access, coordinate, and improve health care; be aware of how these activities affect system performance. LIST OF SPECIFIC EXPECTATIONS The following is a list of specific expectations for resident physicians in training at UCSF while assigned to the Neuro-Oncology Service In Radiation Oncology. The goal of the list is to facilitate learning, improve patient management skills, and to improve knowledge of relevant literature and its application to the individual patient. 1. Be prepared to discuss relevant literature with attending physician(s). Literature should be reviewed in advance of patient presentation to the attending physician. The reference reading list will be located on the department server and many seminal articles which apply to the daily practice will be provided on the server in the PDF format. Additional reading recommendations will be made by the attending physician as indicated. 2. Attend relevant CNS conferences: a. Pediatric and Adult Neuro-Oncology Conference (Thursday, 12:30 – 2:30 pm, weekly) b. Radiosurgery Conference (Thursday, 2:30 – 3:30 pm, weekly); starts immediately after the Neuro-Oncology Conference c. Skull Base Conference (Thursday, 3:30 – 4:30 pm, first week of every month) d. Spine Tumor Conference (Wednesday, 7:30 – 8:30 am, third week of every month) e. CNS Chart Rounds (Wednesday, 8:00 – 9:00 am, weekly) 3. Check and sign port films with the attending for on-treatment patients weekly. 4. Gamma knife: Participate in the simulation, planning, and treatment delivery of radiosurgical procedures. The residents are expected to remain in the Gamma knife control area for the entire duration of the patient’s procedure. They are also responsible for helping the attending physician position the patient for treatment and then for helping to remove head frame post-treatment. They are also expected to assist the attending physician with providing patients post-treatment 3
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Page 5 and 6: Rev. 9/14/10 9. Brainstem (from the

IB Senior Educational Objectives - UCSF Radiation Oncology

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