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Haematology/Oncology


Short-term attachment


1 Year Diploma

Masters' Programme

DEPARTMENTAL STAFF

Professor and Head:
A Davidson, MBChB MPhil Cape Town DCH FCPaed CertMedOnc (Paeds) SA

Senior Lecturers Full-time:
M G Hendricks, MBChB Cape Town DCH Dip PEC FCPaed CertMedOnc (Paeds) SA
A L van Eyssen, MBChB Stell DCH FCPaed CertMedOnc (Paeds) SA

Contact:
Associate Professor Alan Davidson
Email: alan.davidson@uct.ac.za or colleen.rex@westerncape.gov.za 

See more detail at: http://www.paediatrics.uct.ac.za/scah/clinicalservices/medical/oncology

LOCATION:
Training in paediatric haematology/oncology is based at the Red Cross War Memorial Children’s Hospital in Ward G1 which houses both, the outpatients department and the in-patient  ward. The service consults on children throughout UCT’s academic hospital complex and children are accepted from, or management is discussed with, referral centres locally and further afield. The department is dedicated to caring for children with paediatric cancers as well as those with complex blood disorders. 

AREA OF TRAINING:
The service is extremely busy caring for the entire spectrum of paediatric malignancies, as well as benign blood disorders. The candidate will learn to function as part of a modern multidisciplinary paediatric cancer team. The training is weighted towards clinical exposure and much of the training is through involvement in patient assessment and care. 

ONSITE EXPECTATIONS:
Trainees participate as full members of the clinical team. Out of hours attendance is optional, but daytime attendance (08.00-17.00) is essential to attain adequate teaching and clinical exposure time. Only trainees registered for 1 or 2 year attachments will be eligible to be part of active patient care, shorter attachments will be eligible for observation only (see short attachment, 2 year and 1 year training period below).         

ADDITIONAL ACTIVITIES:
All trainees are afforded an opportunity to spend time in paediatric radiotherapy, stem cell transplantation and the haematology laboratory. The service has access to all modern diagnostic and therapeutic modalities (including PET/CT and brachytherapy) with the exception or proton therapy..  Research projects are encouraged and the supervisors will facilitate this. Trainees are encouraged to become involved in the under and postgraduate teaching program providing their own tutorials and teaching sessions for junior doctors, students and other health practitioners.    

TRAINING OPTIONS: 
The encouraged rotation is the 2 years Master’s program, trainees complete with an accredited exit examination and the Master’s. For specific focused training needs there is a 1 year PG Diploma. Short-term observational attachments can be supported but these must have a specific and clear outcome and the involvement of the referring institution is critical.
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MASTERS PROGRAMME

MPHIL SUBSPECIALISATION IN PAEDIATRIC ONCOLOGY

Convener: Assoc Prof A Davidson (Department of Paediatrics & Child Health)

Duration of training
FMC53
Two years of clinical training, one year of research and completion of the dissertation.

Curriculum outline
FMC54 The curriculum outline is as follows:

   NQFcredits  HEQSFlevel
PED7011W -    MPhil Paediatric Oncology Part 1  120  9
PED7021W -    Paediatric Oncology minor dissertation       60  9
                                                                                                Total NQF credits:  180  

    NQF credits and HEQSF course levels:
All South African tertiary institutions are required to align their qualifications with the prescriptions of the Higher Education Qualifications Subframework (that forms part of the National Qualifications Framework). Each qualification has an exit level that relates to the skills that may be expected of candidates who have completed a qualification or course at that HEQSF level. Each qualification also has a minimum number of NQF credits at that HEQSF level. One credit equals 10 notional hours of learning.

The NQF requires the following minimum credits per qualification:
•    Postgraduate Diploma (exit level 8): Minimum total credits: 120. Minimum credits at HEQSF level 8: 120.
•    Master’s degree (exit level 9): Minimum total credits: 180. Minimum credits at HEQSF level 9: 120; maximum credits at
     HEQSF level 8: 60 (a full dissertation master’s will be 180 credits at HEQSF level 9). A Professional Master’s degree may
     have a reduced research component of at least 45 credits.

Courses for MPhil subspecialisation in Paediatric Oncology:

PED7011W - MPHIL PAEDIATRIC ONCOLOGY PART 1
NQF credits: 120 at HEQSF level 9
Convener: Assoc Prof A Davidson
Course entry requirements: Qualification as specialist paediatrician (see FMD1; MPhil programmes in subspeciality disciplines).
Course outline: This training programme forms part of the credentialing process of specialist paediatricians to become subspecialists in paediatric oncology. Students follow the relevant curriculum of the College of Paediatricians of South Africa and, on successful completion of the Certificate in Medical Oncology (paediatrics) examination of the College, are granted credit towards PED7011W. Training covers, amongst other things, a range of general principles; e.g. of epidemiology, application of molecular biology in childhood cancer and related illnesses; basic tumour biology; pathology relevant to clinical practice, tumour imaging, principles of staging, the role of chemotherapy and the role of surgery in cancer treatment; the principles of radiation treatment; bone marrow transplantation, stem cell rescue and cord blood transplants; statistical principles, methods of research and conduct of clinical trials; and ethics of cancer treatment and clinical trials. Training embodies a comprehensive approach to diagnosis and management of specific tumour types, and includes supportive care of children with cancer.

Document Links:
Cert Medical Oncology (SA) Paed Portfolio   
Cert Medical Oncology (SA) Paed Regulations

DP requirements:  At least 18 months as a subspeciality trainee in an accredited paediatric medical oncology unit; a written report from the head of the institution/programme indicating adequate clinical progress and competency; a completed logbook; presentation or acceptance for presentation of an original first-author research poster or paper at a local or international congress, or submission or acceptance for publication of an original first-author or co-authored manuscript in a peer reviewed journal; certification of an elective attachment of at least one week to a bone marrow transplant unit or a haematology laboratory service; and certification of an elective attachment of at least one week to a radiation oncology unit.
Assessment: Candidates write the relevant examination of the College of Paediatricians of South Africa. The examination includes a written and an oral component. Each of the two components contributes 50% to the overall mark. A subminimum pass mark of 50% is expected for each of the two (written and the oral) components of the examination.

PED7021W - PAEDIATRIC ONCOLOGY MINOR DISSERTATION 
NQF credits: 60 at HEQSF level 9
Convener:  Assoc Prof A Davidson
Course entry requirements: Qualification as specialist paediatrician (see FMD1; MPhil programmes in subspeciality disciplines).
Course outline: The minor dissertation, prepared under supervision, is a requirement for those senior registrars who wish to graduate with the MPhil degree. Those with a South African specialist paediatric qualification who are South African Citizens, and who choose not to complete a dissertation, may still register with the HPCSA as subspecialists after successful completion of the relevant Certificate in Medical Oncology (paediatrics) examination of the College of Paediatricians of South Africa. The dissertation may be submitted in “publication-ready format” including a publication-ready manuscript of not more than 3000 words and a separate introduction, or it may be submitted as a standard monograph, usually between 15 000 and 20 000 words in length and must
be on a topic in paediatric oncology. It must be based, moreover, on a study the work for which was commenced while the candidate was registered as a postgraduate student. The findings of the dissertation should contribute to the scientific understanding of the topic. Students are trained in statistics, in research methods, in conducting literature reviews, in designing a research proposal, and in writing a dissertation. The candidate may also be required to present the work at a congress and submit the research for publication.
DP requirements: Approval of the research proposal by head of the relevant departmental research committee, the supervisor(s), the Health Sciences Human Research Ethics Committee, and the chair of the relevant masters committee.
Assessment: External examination of the minor dissertation.
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ONE YEAR POSTGRADUATE DIPLOMA

POSTGRADUATE DIPLOMA IN CLINICAL PAEDIATRIC HAEMATOLOGY & ONCOLOGY
[Qualification code: MG029. Plan code: MG029PED19: Subject to accreditation by the HEQC]

The purpose of the qualification is to train practising doctors to develop foundational skills in treating and Managing children with both complex haematologic disorders and malignancy, particularly those from vulnerable populations affected by the neglected diseases of poverty.

Convener:  Assoc Prof A Davidson (Department of Paediatrics and Child Health)

Admission requirements:
FPJ1 
(a) To be eligible for consideration, the applicant shall be a qualified medical doctor (MBChB or equivalent qualification) and have approved experience working in paediatrics. (All doctors must be registered with the HPCSA by the time they start the programme.)
(b) Applicants who are screened via the African Paediatric Fellowship Programme must be referred by a tertiary African centre allied to the programme, and must have demonstrated the need for clinical training in this discipline.
(c) Doctors from within South Africa (practicing in “outreach settings”) must be working in the field of paediatrics.
Structure and duration of Diploma

FPJ2 
The Diploma shall be completed over one year full-time. The student is attached to the paediatric haematology-oncology service at the Red Cross Children’s War Memorial Hospital, and will also spend at least a week in the Department of Radiation Oncology and the F4 Bone Marrow Transplant Unit at Groote Schuur Hospital. Each student will complete a long essay relevant to the application and translation of the knowledge they have acquired to their own practice on returning home. Satisfactory completion of a logbook and satisfactory performance in three formative assessments are DP requirements for the final clinical examination which consists of a case-based oral assessment and the formal evaluation of the long essay.

Curriculum
FPJ3: The curriculum outline is as follows:

   NQF credits HSQSF level
PED4031W   -  Clinical Management of Paediatric Haematology and Oncology    90  8
PED4032W   -  Essay: Transition and Translation Of Knowledge    30  8
                                                                                                                    Total NQF credits:  120  

NQF credits and HEQSF course levels: 
All South African tertiary institutions are required to align their qualifications with the prescriptions of the Higher Education Qualifications Subframework (that forms part of the National Qualifications Framework). Each qualification has an exit level that relates to the skills that may be expected of candidates who have completed a qualification or course at that HEQSF level. Each qualification also has a minimum number of NQF credits at that HEQSF level. One credit equals 10 notional hours of learning.

The NQF requires the following minimum credits per qualification:
•    Postgraduate Diploma (exit level 8): Minimum total credits: 120. Minimum credits at HEQSF level 8: 120.
•    Master’s degree (exit level 9): Minimum total credits: 180. Minimum credits at HEQSF level 9: 120; maximum credits at
     HEQSF level 8: 60 (a full dissertation master’s will be 180 credits at HEQSF level 9). A Professional Master’s degree may
     have a reduced research component of at least 45 credits.

FPJ4.1 
Each course is made up of individual, discrete modules. Unless otherwise indicated, students must pass each module in order to pass the course.

FPJ4.2 
Students are required to maintain a logbook of clinical procedures and to submit this by the due date.

FPJ4.3 
Students are required to submit all supervisors’ reports before the final mark for the relevant course will be released. Should this not be done by the due date, the student will fail the course.

FPJ4.4 
Students may be permitted to repeat a course they have failed, at the convener’s discretion. No course may be repeated more than once. Where a candidate fails a course twice, or fails three or more courses, a recommendation will be made to the Faculty Examinations Committee to refuse readmission.

FPJ4.5
Regular assessments of level of competency achieved throughout the course, undertaken at 3-monthly intervals. Students are required to attend at least 70% of group supervision sessions.

FPJ4.6 
Students who obtain 45% – 49% for the course may be reassessed before the final mark is submitted for approval to the Faculty Examinations Committee, and/or may be granted a supplementary examination at the discretion of the Faculty Examinations Committee.

Distinction
FPJ5 
The Diploma may be awarded with distinction if the student obtains 75% – 100% for all the courses with not less than 70% for any individual course.

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Courses for Postgraduate Diploma in Clinical Paediatric Haematology/Oncology:

PED4031W CLINICAL MANAGEMENT IN PAEDIATRIC HAEMATOLOGY AND ONCOLOGY
NQF credits: 90 at HEQSF level 8
Convener:  Assoc Prof A Davidson
Course entry requirements: None
Course outline:  This course is delivered over a twelve month period by way of lectures, small group tutorials, and mainly practical workplace experience. The aim of the course is to equip the student to become conversant with the diagnosis and management of haemaglobinopathies, complex anaemia’s, nutritional anaemia’s, thrombocytopenia’s, acquired and congenital bleeding conditions, haematologic conditions encountered in the neonate, and those related to HIV and TB. The student will develop a clinical approach to neutropenia and will develop confidence in the approach to the diagnosis and management of oncological emergencies and all the common childhood tumours including acute leukaemia’s, Wilms Tumour, neuroblastoma, Hodgkin and Non-Hodgkin lymphoma, soft tissue sarcomas, retinoblastoma, bone tumours, brain tumours and HIV-associated malignancies. The student will also have developed a knowledge of supportive care and understand the importance of a multidisciplinary team approach. In addition, he/she will have acquired all the necessary practical skills and procedures required for the practice of paediatric oncology.
DP requirements: A pass mark of 50% for the coursework components. Submission of completed logbook by the due date.
Assessment: The final clinical examination consists of a case-based oral assessment.

PED4032W ESSAY: TRANSITION AND TRANSLATION OF KNOWLEDGE
NQF credits: 30 at HEQSF level 8
Convener: Prof David Woods
Course entry requirements: None
Course outline:  This course equips students to apply the knowledge and insights gained during their training to their home settings. Students will analyse the epidemiology of the centres at which they practise healthcare and will analyse the healthcare needs of the region, then plan ways in which to apply the knowledge they have gained in the diploma programme to such settings. 
DP requirements: Full attendance and completion of all coursework requirements by the due dates.
Assessment:  Completion of an essay (100%). This is preceded by ongoing assessment of performance through regular clinical supervision/tutorial sessions and coursework tasks. A pass mark of 50% is required for the long essay, failing which the student will be required to make the necessary corrections or improvements and submit the Assignment for reassessment. The terms of resubmission of the assignment will be at the discretion of the convener.

SHORT-TERM ATTACHMENTS

{Short term attachments are accepted in the department but require careful planning in consultation with referring supervisors. HPCSA registration is not attained for short attachments and as such observation only is possible.}