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Radiation Oncology Academic Program The Radiation Oncology program provides comprehensive training through a well-structured system of one-on-one clinical rotations, supported by site and rotation-specific clinical objectives. There is a systematic approach to resident evaluation based on these objectives. Radiation Oncology at Queen’s University is a rigorous program fully accredited by the Royal College of Physicians and Surgeons of Canada. Our graduates are ready to function independently as competent generalists in Radiation Oncology, and have also been thoroughly prepared for the RCPSC examination. The PGY1 year is broad-based and the introduction of Radiation Oncology is highlighted. Other rotations include surgery, gyne-oncology, diagnostic imaging, pathology, and internal medicine. The PGY2 year of radiation oncology training is a period of close supervision. Residents become familiar with the problems seen in radiation oncology practice and develop clinical skills to deal with them. Emphasis is placed on the basic sciences as applied to radiation oncology, initial assessment of cancer patients, and decision- making in common malignancies. In the PGY3 year, consolidation of basic science knowledge and application of it to clinical problems and refinement of clinical skills are highlighted. Major progress in clinical decision-making and treatment planning is expected, and residents take increasing responsibility for patient care. They also have the opportunity to assist in the teaching and supervision of junior colleagues and medical students. As residents near the completion of their training in the PGY4 and 5 years, a final check is completed to ensure that all of the goals and objectives of the program have been achieved. Residents see increased responsibility for independent decision making both in patient assessment and radiation treatment planning. Our faculty provide advice and direction for the transitional period between residency, Fellowship and independent practice. 2 Education Numerous educational opportunities are available for residents. A weekly Academic Half-Day is mandatory and residents are relieved of clinical responsibilities during this time. These half-days include a core seminar series in clinical oncology and radiation treatment planning as well as surgical oncology, medical oncology, diagnostic imaging, and pathology. Other didactic teaching includes comprehensive, formal teaching in basic sciences (physics and radiobiology). Courses in statistics and clinical trials are also offered. An active journal club reinforces critical appraisal skills while regular interdisciplinary clinical conferences take place covering all major tumour sites many times each week. 3 Research Although not a mandatory component, residents are expected to complete a research project during their training period. The program is committed to providing a wide range of research opportunities for residents. A research mentor is assigned on entry into the program and residents are expected to have at least one research project underway by the second year. One of the strong assets of the research component of the program is access to several internationally renowned cancer research groups based at the Queen’s Cancer Research Institute (QCRI). Several members of these groups are also members of the Radiation Oncology department. The Division of Cancer Care and Epidemiology at QCRI is a cancer health services research unit comprised of clinician-scientists, epidemiologists, and biostatisticians. This multidisciplinary research group evaluates access to cancer services, the management and outcome of cancer in the general population, and public policy related to cancer prevention and treatment. NCIC Clinical Trials Group (NCIC CTG) is a national research group that develops, conducts, and analyses multi-institutional trials of cancer therapy. Residents are encouraged to participate in the clinical research activities/ meetings of the NCIC CTG. This Queen’s University-based group is internationally recognized for its expertise in the design, conduct and analysis of Phase I, II and III clinical studies. The group has extensive experience in research pertaining to quality of life, clinical trials methodology and the economic analysis of cancer therapies. Members of this group participate in the clinical and educational activities of the Cancer Centre and are a willing resource for residents. 4 5 6 Kingston General Hospital Kingston General Hospital is a community of people dedicated to transforming the patient and family experience through innovative and collaborative approaches to care, knowledge, and leadership. As southeastern Ontario’s leading centre for complex-acute and specialty care, KGH serves almost 500,000 regional residents through its Kingston facility and 24 regional affiliate and satellite sites. Fully affiliated with Queen’s University, KGH was named as one of Canada’s top research hospitals in 2011. Patients with oncologic conditions requiring hospital admission are admitted to the Hematology Oncology service at KGH. This is a joint service that provides care for patients with both hematological and oncologic conditions. The unit consists of thirteen beds and is supervised by an attending physician from one of the above specialties. The primary care of patients is shared by residents, a General Practitioner in Oncology, and attending staff. Residents are involved in inpatient care throughout the year as well as during their Junior Attending rotation and when on call. Cancer Centre of Southeastern Ontario The Cancer Centre of Southeastern Ontario (CCSEO) is a world-class facility and many of its cancer specialists are recognized internationally for their expertise in cancer treatment and research. It is also an academic cancer centre, housing the Department of Oncology and playing a vital role in educating tomorrow’s health professionals. A major redevelopment of the CCSEO was completed in 2011. Its facilities were modernized and an additional 37,000 square feet was added to improve the patient and caregiver experience. Two new radiation treatment bunkers have been added, an HDR brachytherapy suite has been built, and the chemotherapy space has been increased from 15 treatment spaces to 39. Dedicated space for children with cancer was also created, in addition to separate areas for its palliative medicine and supportive care program. The Radiation Oncology Residency Training Program Back row L - R: Alex Banashkevich, Kadir Mullings, Jim Rose, Bunmi Ogundimu, Pierre-Yves McLaughlin, Micheline Primeau (Program Coordinator), Martin Korzeniowski Front row L - R: Dr. Maria Kalyvas (Program Director), Marc-Emile Plourde, Michelle Ferguson, Darwin Yip Absent: Allison Ashworth 7 photos: Queen’s Marketing and Communications Queen’s University Cancer Centre of Southeastern Ontario 25 King Street West Kingston, Ontario k7l 5p9 613.544.2631 ext 6647 meds.queensu.ca/oncology 12-0064 Queen’s Marketing and Communications DEPARTMENT OF ONCOLOGY