Diploma in Medical Radiotherapy Syllabus : www.bfuhs.ac.in Baba Farid University

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PG Curriculum
Diploma in Medical Radiotherapy (DMRT)
Syllabus

3.1 Theory
Medical Physics
a) Orientation to Radiation Oncology
b) Introduction to physical aspects of radiation therapy and treatment planning.
c) Radiation sources in the Department

http://bfuhs.ac.in/Examination/syllabus.asp
http://bfuhs.ac.in/Examination/Syllabus/DMRT.pdf

d) Radiation protection
** General Physics and Mathematics
** Review of basic mathematics.
** Review of basic physics
** Work and energy
** Structure of matter
** Properties of electro magnetic radiation.
** Production of penetrating radiation.
** Radiation Physics
** Absorption of radiation
** Radiation chemistry
** Survival curves-theory and experiment
** Oxygen effect
** Chemical modifiers of Radiation damage
** L.E.T and R. B.E
** Cell cycle dependence of radiosensitivity
** Repair phenomena
** Dose Rate effects
** Solid tumor radiobiology
** Cell and tumor kinetics
** Tissue radiosenstivity
** Acute and late effects, Partial and Whole Body Radiation
** Time, Dose & Fractionation relationships
** Biology of Hyperthermia
** Clinical Radiation Oncology
** Principles of Oncology
** Principles of Molecular Biology and Genetics
** Principles of Carcinogenesis
** Principles of Cancer Prevention
** Epidemiology of Cancer
** Principals of Surgical Oncology
** Principles of Radiation Oncology
** Principles of Chemotherapy
** Principles and application of Biological therapy
** Clinical Pharmacology of Cancer Chemotherapy
** Specialized Techniques of Cancer Management
** Cancer of Head and Neck
** Cancer of Lung
** Neoplasms of the Mediastinum
** Cancer of Esophagus
** Cancer of Stomach
** Cancer of Pancreas
** Cancer of Hepatobiliary system
** Cancer of Small Intestine
** Colorectal Cancer
** Cancer of Anal Region
** Cancer of Kidney and Ureters
** Cancer of Bladder
** Carcinoma of Prostate
** Cancer of Urethra and Penis
** Gynecologic Tumors
** Cancer of Ovary
** Cancer of the Breast
** Cancer of Endocrine system
** Sarcomas of the soft tissues
** Benign and Malignant Mesotherlioma
** Sarcoma of Bone
** Cancer of Skin
** Cutaneous Melanomas
** Intralocular Melanomas
** Neoplasms of Central Nervous System
** Solid tumors of Childhood
** Leukemias and Lymphomas of Childhood
** Hodgkin’s Disease
** Plasma cell Neoplasms
** Paraneoplastic Neoplasms
** Cancer of Unkown Primary site
** Cancer in AIDS and other immunodeficiency states
** Oncologic Emergencies
** Supportive care of Cancer Patients
** Supportive care of Cancer Patients
** Adverse effects of Treatment
** Psycologic Aspects of Patients with Cancer
** Treatment of Metastatic Cancer
** Rehabilitation of Cancer Patients
** Newer Methods of Cancer Treatment
** Design and conduct of clinical trials
** Research Methodology
** Palliative Care: Palliative medicine, Principles, Symptom management,
Psychosocial Oncology, Nursing issues, End of life care, Communication skills and Spiritual aspects.
** Log Book: Log book should be construed so that the candidate should have attained the expected knowledge at the end of the specified period of tenure.

3.2 Practical
** Ability to obtain, organize, document and present a cohesive patient history and perform a physical examination appropriate for the patient.
** Ability to stage tumor according to the AJCC staging system.
** Ability to plan a course of Radiation Therapy and write a Radiation Prescription.
** Ability to perform uncomplicated simulations.
** Ability to research the medical literature to address uncommon or complex clinical problems.
** Understanding of the concepts relating to the use of radiation therapy as part of multi-modality treatment.
** Understanding of the natural history, epidemiology and treatment of the tumors most commonly encountered in a Radiation Oncology Department.
** Understanding of the basic concepts of Brachytherapy.
** Radiobiology
Mastery of basic radiobiological concepts, particularly as they relate to
clinical radiation therapy.
** Physics
Understanding of the basic concepts relating to simulation and treatment
planning. Understanding of the basics of radiological physics and radiation safety.
** Further refinement of the clinical skills including ability to perform a
comprehensive pelvic examination and head and neck examination.
** Ability to perform more complicated treatment planning.
** Ability to perform more complicated simulation (i.e. mantle, cranio-spatial).
** Ability to produce a comprehensive consultation note, including delineation of a plan of management supported by the clinical literature.
** Ability to accurately and succinctly orally present clinical cases.
** Ability to interact appropriately with referring physicians and fellows or residents from other specialties.
** Ability to perform virtually all types of simulation.
** Ability to critically analyze the medical literature with particular attention to the methodological and statistical approaches of the author.
** Ability to research the recent medical literature for current and/or recently concluded clinical trials that impact on patient management.
** Radiology
Further refinement of understanding and practical applications of
radiobiological principles.
** Physics
** Ability to perform uncomplicated dosimetric calculations, evaluate treatment plans, and actively participate in generation of 3D conformal and/or IMRT treatment plans.
** Reinforcement and further refinement of concepts learned in the PGY-1 year.
** In addition to further refinement of understanding of Physics, residents should now be familiar with the physics of specialized treatment techniques including Stereotactic Radiosurgery, total skin electron beam treatment and total body irradiation.

4. Teaching Programme
4.1 General Principles
Acquisition of practical competencies being the keystone of postgraduate
medical education, postgraduate training is skill oriented. Learning in postgraduate program is essentially self directed and primarily
emanating from clinical and academic work. The formal sessions are merely meant to supplement this core effort.
4.2 Teaching Sessions
In addition to conducting and reporting of routine and special investigation in the area of posting under direct supervision, formal teaching session to be held on working days. These include seminars in physics and general radiology, journal clubs, case presentations; Interdepartmental meets, Film reading session.
4.3 Teaching Schedule
The suggested departmental teaching schedule is as follows:
Postgraduate Training: The teaching should be structured as follows:
** Didactic lectures in Radiation Physics, Radiation Biology, Radiological Protection and principals of Radiotherapy & Oncology.
** Seminars, Journal clubs, Reviews, Symposia and Guest Lecture
** Interactive sessions (rounds, Group discussions, Bedside Teaching, Grand Rounds, Clinical Demonstrations and Audits)
** Inter-Departmental meetings like Tumor Boards (with the department of General Surgery & its various specialities, ENT, Gynaecology, Radio-diagnosis and pathology)
i. Students should be made conversant and responsible in the treatment planning, Execution and Monitoring of the patients throughout the treatment both in Teletherapy & Brachytherapy for the common malignancies as per their phase of training.
ii. Students should have hand-on training in various Medical and Brachytherapy procedures for the management of common cancers should be well versed with quality assurance with Quality Assurance Programmes in Radiotherapy and Chemotherapy.
iii. All sessions will be co-ordinated by the faculty members.
iv. All the teaching sessions to be assessed by the consultants at the end of session and graded
v. Attendance of the Residents at various sessions should be atleast 75%

5. Posting
The postgraduate student should be posted in Radiotherapy unit.