Gynecologic-Oncology

Goals and Objectives

Medical Expert Role

  • Demonstrate the ability to perform a focused history and physical exam pertinent to the patient’s presenting illness.
  • Present cases in a clear, concise, integrated, and problem based manner.
  • Demonstrate the appropriate diagnosis and management of patients with various gynaecological malignancies (vulvar, vaginal, cervical, uterine, tubal, ovarian).
  • Through clinical practice with staff gynecologic oncologists:
    • Develop an understanding of guidelines and indications for screening for various gynecological malignancies.
    • Develop an understanding of risk factors for gynecological malignancies.
    • Develop an understanding of prognostic factors affecting survival for various gynecological malignancies.
    • Develop an understanding of the natural history of the various gynecological malignancies.
    • Develop an appreciation for the role of imaging in aiding in the diagnosis of gynecological malignancy.
    • Develop an understanding of various treatment modalities (surgery, chemotherapy, radiation), and when they are appropriate for different gynecological malignancies. Further to this, the resident should develop an understanding of the multidisciplinary approach to gynecological cancer treatment, including medical oncologists, radiation oncologists, etc.
    • Spend sufficient time in the operating room with gynecologic oncology staff and senior residents and participate in frozen section diagnoses.
    • Cover on call for gyne oncology only (NOT obstetrics).

Communicator Role

  • Effectively advocate and relay patient problems.
  • Develop rapport and healthy alliance with patients and family members.
  • Clearly, consistently and accurately communicate the patient diagnosis, management plan, and prognosis with the patient and relevant family members and decision makers.
  • Demonstrate facility regarding issues of informed consent, breaking bad news, capacity to consent, disclosure of adverse events, and end of life discussions.
  • Continuously and consistently represent the voice of the patient in health care team discussions (patient advocate).

Collaborator Role

  • Describe the role and function of each member of the multi-disciplinary team.
  • Participate in multidisciplinary rounds as appropriate.
  • Work with the team caring for patients on the gynecology oncology ward.
  • Develop an understanding of when disease is incurable, and gain exposure to palliative treatment and its social and ethical implications.
  • Participate in family meetings as appropriate.
  • Work collaboratively with primary care physicians to ensure continuity of care upon discharge.
  • Maintain collegial and healthy relationships with all consulting services.
  • Recognize source of conflict between different health care professionals.
  • Dictation of succinct and informative discharge summaries.

Manager Role

  • Describe the harms of over testing and indiscriminate testing.
  • Learn how to effectively “complete tasks” in a timely and complete manner within the hospital.
  • Describe the community and outpatient resources available to care for the cancer patient (eg. homecare, chemotherapy courses, convalescent care, rehabilitation centers, long term care facilities).
  • Manage time while on the ward, balancing learning, patient care, and personal health, whilst recognizing personal limits.

Scholar Role

  • Present assigned learning topics to the team as appropriate.
  • Explain the principles of evidence based medicine and its relevance to clinical decision making.
  • Record personal learning objectives during the rotation and take responsibility for self- managing your own learning objectives documented at the beginning of the rotation.
  • Seek ongoing feedback from teachers and modify learning objectives as necessary.

Professional Role

  • Take positive steps to maintain a healthy and positive attitude in yourself and to promote it in others.
  • Demonstrate appropriate relationships with patients, family members, and setting limits where appropriate.
  • Showing integrity and honesty and a high level of responsibility towards patient care.
  • Demonstrate appropriate relationships with all staff physicians and consultants.
  • Show up on time and attend all appropriate learning sessions and rounds.
  • Complete all necessary evaluations on time.
  • Adhere to hospital rules and accepted standards of dress while working.

 

Updated April, 2020

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