Haematology & Oncology
Draft proposed by Dr Frankie Cheng, Dr Rever Li
Reviewed by Dr Joanna Tung
Essential Skills
Domain 1 Professional Values & Behaviour
Domain 2 Communication
Domain 4 Patient Management
Domain 5 Health promotion and Illness Prevention
Domain 9 Safeguarding
Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises
Basic Training
General Understanding of Paediatric Oncology
Understand the characteristics, aetiology and epidemiology of common childhood tumours
Red Flags of the presentation of Common Oncological Conditions
Recognize the red flags of the presentation of common childhood oncological conditions including, but not limited to,
Acute leukemias
CNS tumors
Lymphoma
Neuroblastoma
Osteosarcoma
Hepatoblastoma
Oncological Emergencies
Recognition of presentations and proper initial management of oncological emergencies including, but not limited to,
Leukocytosis
Tumor lysis syndrome
Superior vena cava obstruction
Raise intra-cranial pressure
Spinal cord compression
Neutropenic fever
Management approach of common oncological conditions
Overview of treatment approach of common oncological conditions.
Basic knowledge on the short and long term side effect of cancer treatment (chemotherapy and radiotherapy)
General Understanding of Common Haematological Conditions
Understand the physiology and disorder of red blood cells, white blood cells, platelet and haemostasis
Anaemia
Recognizes, investigates and initiates treatment for anaemia, including, but not limited to
Iron deficiency anaemia
Hereditary anaemia
Haemolytic anaemia
Transfusion
General understanding and precaution of blood and blood products transfusions
Thalassemia and other haemoglobinopathies
Presentation and management of transfusion –dependent thalassemia
Complications of thalassemia
Iron chelation and complication of iron overload
Haemophilia and other clotting disorders
Presentation and overview of management of haemophilia and clotting disorders;
Complications of haemophilia;
Concept of factor replacement
Common platelet disorders
Presentation and management of acute ITP;
Treatment options for persistent and chronic ITP
Multi-disciplinary care
Roles of health professionals including oncologists, nurses, child life specialists, palliative care team, clinical psychologists and social workers
Desirable skills
1. Bone marrow aspiration and trephine biopsy
2. Safe administration of chemotherapy by various route: Intrathecal, intravenous and intramuscular chemotherapy
3. Appropriate handling of central venous catheter.
Higher Training
Acute Leukemia / Lymphoma
Recognize and initiate the investigation of suspected haematological malignancy
General understanding of management of common types of acute leukemias and lymphomas, acute lymphoblastic leukemia; acute myeloid leukemia / non-Hodgkin lymphoma / Hodgkin lymphoma
Complex haematological conditions
Recognize and initiate investigation of suspect bone marrow failure syndrome / haemophagocytic lymphohistiocytosis / histiocytic conditions and other complex haematological conditions
CNS Tumors and Solid Tumors
More in-depth understanding of treatment modalities of CNS tumors and solid tumors
Concept of radiotherapy in children
Complications of radiotherapy
Haematopoietic Stem Cell Transplantation (HSCT) and Cellular Therapy
General understanding and concept of HSCT and cellular therapy
Indications of HSCT and cellular therapy
Understanding of the principle of apheresis
Common complications of HSCT and cellular therapy
Cancer Survivorship
Understand the problems encounter in cancer survivors
General understanding of the long-term follow-up approach
Desirable skills
1. Communication skills in challenging clinical situations namely in diagnosis interview, breaking bad news in relapse or refractory conditions and terminal event
2. Handling of specific problem of the central venous catheter like blockage or dislodgement