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Medical Oncology

Introduction

Medical oncologists are physicians who have specialised in the assessment and management of patients with cancer. They are trained to use systemic drugs in the treatment of cancer, and to administer these therapies to patients who either have localised or metastatic malignancy in need of systemic therapy or whose cancer has potentially been cured by surgery but for whom further adjuvant systemic therapy improves their outlook. The role of the medical oncologist is to discuss the treatment options with patients, supervise the therapy and manage any complications of disease and/or treatment that may arise. All such patient management is done in consultation with other clinicians within the context of multidisciplinary meetings and clinical networks.

Some people are confused about the distinction between clinical and medical oncologists. They are the two main medical specialities that actively manage patients with non-haematological malignancy. They often work in partnership, and both give systemic therapy to patients, but only the clinical oncologists administer radiotherapy. However, this simple definition by exclusion hides a number of other differences in work-pattern, approach and focus, which this document clarifies.

Curriculum and Assessment

Competence Based Curricula and Assessment - StRs (for trainees who commenced training from 1 August 2007 to present)

There are two versions of curricula for this training period:

StRs who commenced training between 1st August 2007 and 3rd August 2010 will follow the 2007 version of their specialty curriculum and the 2007 Generic curriculum. Please see the 2007 Curriculum section of this webpage.

StRs who commenced training from 4th August 2010 onwards will use the 2010 version of their specialty curriculum. There is no need to follow the previously known ‘Generic curriculum' as this has now been embedded into the specialty curriculum. Please see the 2010 Curriculum section of this webpage.

2010 Curriculum

The Joint Royal Colleges of Physicians Training Board (JRCPTB) is pleased to announce the 2010 Medical Oncology curriculum which has been reviewed and rewritten to:

  • meet the GMC's 6 new standards as detailed in their Standards for Curricula and Assessment systems
  • keep up to date with medical advances and changes in the service and training
  • incorporate the framework documents produced by the Academy of Medical Royal Colleges (AoMRC) detailing Common, Medical Leadership and Health Inequality competencies
  • include 5 new assessment methods (Acute Care Assessment Tool, Case based Discussion, Patient Survey, Teaching Observation and Audit Assessment).

This new curriculum has improved content, design and usability compared to its predecessors, and reflects a great deal of hard work and time expended by specialty curriculum groups. This curriculum will become the training manual for all trainees entering ST3 from 4th August 2010.

For further information on the 2010 curriculum it is recommended that you read the Quick Start Curriculum Guide.

If you have any queries or problems regarding the 2010 curriculum please email ptb@jrcptb.org.uk.

Core Training Programmes

Entry into Medical Oncology training is possible following successful completion of both a foundation programme and a core training programme.

There are 2 core training programmes for Medical Oncology training:

Assessment

The following methods are used as part of the integrated assessment system:

The assessment blueprint, which is embedded in the clinical syllabus, shows the possible methods that can be used to assess each of the competencies in the curriculum. Trainees and trainers should refer to the blueprint for guidance on the appropriate assessment methods for each aspect of the curriculum, and so plan the training programme according to the criteria set by the ARCP Decision Aid. It is not expected that all competencies will be assessed by all methods, rather that there will be a sampling of competencies within a variety of settings, both within formal and workplace-based assessment, from which overall competence acquisition has to be determined.

The diagram below describes the training pathway:

Please view the 2010 curriculum for Medical Oncology for full details on the training routes and selection criteria.

2007 Curriculum

Entry into Medical Oncology training is possible following successful completion of both a Foundation Programme and a core training programme.

Please view the 2007 curriculum for Medical Oncology for full details on the training routes and selection criteria.

Assessment

The assessment blueprints show the possible methods that can be used to assess each of the competencies in the curriculum. Trainees and trainers should refer to the blueprints for guidance on the appropriate assessment methods for each aspect of the curriculum, and so plan the training programme according to the criteria set by the ARCP/RITA Decision Aid. It is not expected that all competencies will be assessed by all methods, rather that there will be a sampling of competencies within a variety of settings, both within formal and workplace-based assessment, from which overall competence acquisition has to be determined.

Further information on the various methods of assessment can be viewed in the Assessment section of this website.

The diagram below describes the training pathways in general terms.

Competence Based Curricula - SpR (for trainees who commenced training between 1 Jan 2003 and 31 July 2007)

The JCHMT introduced revised curricula for all the medical specialties together with a generic curriculum that applied to all trainees back in 2003. These are competence-based and set out the knowledge, skills and attitudes to be acquired by trainees before they may be awarded a CCT.

Curricula  - SpR (for trainees who commenced training before 1 Jan 2003)

The curricula for trainees enrolling pre 01/01/03 are no longer available on the website but can be obtained by request to ptb@jrcptb.org.uk 

Documents

PTB Training Level
Expand/Collapse PTB Document TypeAssessment Blueprints and ARCP Decision Aids ‎(3)
2007 Generic Curriculum Assessment Blueprint.pdf2007 Generic Curriculum Assessment Blueprint191 KB05/02/2010 16:03ACCS (Medicine); FTSTA; ST2; ST1; ST3+
2007 Medical Oncology ARCP Decision Aid.pdf2007 Medical Oncology ARCP Decision Aid66 KB13/07/2010 15:33ACCS (Medicine); FTSTA; ST1; ST2; ST3+
2010 Medical Oncology ARCP Decision Aid.pdf2010 Medical Oncology ARCP Decision Aid21 KB14/07/2010 14:53ST3+
Expand/Collapse PTB Document TypeCurriculum ‎(7)
2003 Generic Curriculum.pdf2003 Generic Curriculum93 KB05/02/2010 16:03SpR
2003 Medical Oncology Curriculum.pdf2003 Medical Oncology Curriculum623 KB05/02/2010 16:03SpR
2007 CMT + ACCS(M) Acute Medicine Level 1 Curriculum.pdf2007 CMT + ACCS(M) Acute Medicine Level 1 Curriculum459 KB05/02/2010 16:03ACCS (Medicine); FTSTA; ST1; ST2
2007 Generic Curriculum.pdf2007 Generic Curriculum339 KB05/02/2010 16:03ACCS (Medicine); ST1; ST2; ST3+; FTSTA
2007 Medical Oncology Specialty Training Curriculum May 2007.pdf2007 Medical Oncology Specialty Training Curriculum May 2007654 KB05/02/2010 16:03ST3+
2010 ACCS curriculum.pdf2010 ACCS curriculum2066 KB28/06/2010 14:43ST1; ST2; ST3+
2010 Medical Oncology Curriculum.pdf2010 Medical Oncology Curriculum455 KB15/06/2010 11:06ST3+
Expand/Collapse PTB Document TypeGuideline ‎(1)
2010 Gold Guide.pdf2010 Gold Guide639 KB16/07/2010 12:24ST1; ST2; ST3+
Expand/Collapse PTB Document TypeReport ‎(1)
Medical Oncology Annual Specialty Report 2009.pdfMedical Oncology Annual Specialty Report 200921 KB05/02/2010 16:03SAC; SpR; ST3+
Expand/Collapse PTB Document TypeUpdate ‎(1)
2007 Medical Oncology Statement to Trainees.pdf2007 Medical Oncology Statement to Trainees47 KB05/02/2010 16:03

Related Links

SAC Membership

Current members of the Medical Oncology Specialist Advisory Committee. Please contact the Committee Manager for further details.
PersonPositionRepresenting
Professor David CunninghamChairLondon Deanery
Dr Graham Geoffrey DarkCo-opted MemberCo-opted
Professor David Andrew BlackLead DeanCOPMeD
Dr Fareeda Yasmine CoxonMemberNorthern Deanery
Dr Lesley Katherine DawsonMemberScotland
Dr Helena Margaret EarlMemberEast of England Deanery
Dr Janine Lucia MansiMemberCo-opted
Professor Poulam Manubhai PatelMemberEast Midlands Deanery
Dr Christopher Gerard Adrian PriceMemberSevern Deanery
Dr Charlotte Nicola ReesMemberWessex Deanery
Dr Alison Helen Myles ReidMemberTrainee's Committee
Dr Joyce ThompsonMemberWest Midlands Deanery
Mr Donald WatsonMemberLay Representative
Dr Natalie CookTrainee RepresentativeTrainee - England