You are here

Core Curriculum Conference Schedule

Hematology/Oncology Goals and Objectives

Goals and Objectives

Subspecialty Education Coordinators: Jane Huang MD & Petros Nikolinakos, MD

I. The Educational Plan

The general internist routinely encounters benign and malignant lympho-hematopoietic conditions. In addition, oncologic diseases are the second major cause of death and a leading
cause of morbidity in the United States. The purpose of this rotation is therefore to provide general exposure to a broad range of hematologic and oncologic conditions commonly seen by
the practicing internist. Internists must be comfortable with prevention, screening, initial diagnostic evaluation and management, indications for prompt referral, and appropriate comanagement of a plethora of hematologic and oncologic conditions. They must also be knowledgeable regarding indications for transfusion of blood components, management of neutropenia and immunosuppression, care for treatment-related side effects, and palliative care.

This rotation is an elective for residents at all levels.

Educational Goals and Objectives

  1. Develop the ability to perform a medical history, review of systems, and physical examination to adequately evaluate, diagnose and begin to provide therapy and advice for patients with suspected or confirmed hematologic and oncologic disorders and their complications
  2. Learn how to perform consultations and become a competent and caring physician in the needs of patients with hematologic and oncologic disorders
SPECIFIC OBJECTIVES:
  1. Demonstrate the ability to evaluate new patients for the presence of hematologic and oncologic disorders
    1. Identify characteristics on the review of systems that are consistent with the presence of various hematologic-oncologic disorders and their complications.
    2. Perform a thorough physical examination with focus on manifestations of hematologic and oncologic disorders
    3. Order and interpret appropriate diagnostic testing for patients with hematologic and oncologic disorders and their complications
    4. Learn to function as a consultant for the evaluation and management of patients with hematologic and oncologic disorders
  2. Develop skills to evaluate and co-manage, together with the sub specialist, patients with established hematologic and oncologic diseases
    1. Learn to diagnose and treat complications of hematologic and oncologic disorders
    2. Manage the complications associated with the treatment of various hematologic and oncologic disorders by chemotherapy and/or radiation therapy
  3. Learn and practice hematologic and oncologic procedural skills including:
    1. Examination of the peripheral blood smear
    2. Understand the indications for and, if possible, learn to perform bone marrow aspirate and biopsy under the supervision of the faculty physician

Educational Content

Mix of Diseases:
Hematology:

The resident will learn the pathophysiology, prevention, evaluation and management of common hematology problems and practice cost-effective utilization of laboratory studies, blood
products, and coagulation factor concentrates.

  • Anemia and abnormalities of peripheral blood smear
  • Hemoglobinopathies including sickle sell
  • Bleeding, bruising, petechiae
  • Lymphadenopathy
  • Splenomegaly
  • Venous or arterial thrombosis
  • Polycythemia
  • Neutropenia
  • Leukocytosis
  • Thrombocytopenia
  • Thrombocytosis
  • Coagulopathies
  • Common hematologic malignancies.
Oncology:

The resident will learn the pathophysiology, prevention, evaluation and management of common oncology problems and practice cost-effective utilization of laboratory studies, blood products, and coagulation factor concentrates.

  • Lung Cancer
  • Breast Cancer
  • Colorectal Cancer
  • Prostate Cancer
  • Pancreatic Cancer
  • Urinary Caner
  • Liver Cancer
  • Lymphoma
  • Leukemia
  • Skin Cancer including melanoma
  • Head & Neck cancers
Oncologic Emergencies:
  • Superior Vena Cava Syndrome (SVC)
  • Cord Compression
  • Brain metastasis
  • Tumor lysis syndrome
  • Febrile neutropenia
  • Hypercalcemia
Secondary Conditions:
  • ascites
  • bleeding
  • bowel obstruction
  • cough/hoarseness/hemoptysis
  • soft tissue mass
  • organ enlargement
  • pleural or peritoneal effusion
  • sensory polyneuropathy
  • weight loss
Hereditary Cancers:
  • Lynch Syndrome
  • BRCA
  • Li-Fraumeni syndrome
  • Other germline mutations
Treatment of Cancers:

Types, modes of action, uses:

  1. Molecular target therapies
  2. Immunotherapy
  3. Chemotherapy

Sample Hematology Oncology Rotation Education Plan

Daily residents will attend Noon Conference/Weekly residents attend continuity clinic ½ half day

Mon Tues Wed Thu Fri
Week 1 7:30AM Inpatient rounds

Palliative Care

Nurse Practitioner
7:30AM Inpatient rounds

Clinic Social Worker

4:30PM Chest Conference
7AM General Oncology Conference

Inpatient rounds

Oncology N.P.
7AM Breast Conference

Inpatient rounds

Continuity Clinic
Neuro-Oncology Conference

Inpatient rounds

Breast Health Center
Week 2 7:30AM Inpatient rounds

Palliative Care

Genetic Counselor

Nurse Practitioner
7:30AM Inpatient rounds

Research Manager Clinic

4:30PM Chest Conference
7:30AM Inpatient Rounds

Clinic
7AM Breast Conference

8:00AM Inpatient rounds

Continuity Clinic
7:30AM Inpatient Rounds including Hema/Pathologist

Clinic

Athens Regional Health System

Piedmont Athens Regional Health System is one of Northeast Georgia's largest health care systems. Comprised of an acute care facility with 350-plus beds, four urgent care centers, a quality network of physicians and specialists, a health maintenance organization and a home health agency, Piedmont Athens Regional is a progressive health care system committed to excellence and dedicated to improving the health, wellness and quality of life of our communities.

 

1199 Prince Avenue
Suite 70
Athens, GA 30606 / USA