The three-year medical oncology fellowship programme provides comprehensive teaching and experience in the field of Solid Tumor Oncology and Haematological Malignancies. A comprehensive teaching ground is available for the Fellowship Programme in Medical Oncology. Fellows are responsible for giving quality care to the patients admitted to the hospital, seen in clinics and while receiving chemotherapy, directly under faculty supervision. They are encouraged to treat patients independently, especially in their senior years. They have separate rotations in haematology, paediatric oncology, radiation oncology, surgical oncology, histopathology, radiology and infectious diseases. A specific schedule for each fellow is given at the beginning of each year.
The programme aims to produce Medical Oncologists who understand all aspects of care of patients with cancer including: diagnosis, staging, treatment, palliative and psychological care. They would have the expertise in medical treatment of patients with solid tumors and haematologic malignancies that includes chemotherapy, hormonal therapy, biological therapy, analgesic and supportive and end of life care. They would be able to comprehend and evaluate the merits and demerits of new therapies available, and to determine how these therapies can be incorporated into the care of cancer patients. They would have sound knowledge of the social, legal, and financial issues involved in the care of cancer patients, both during the active treatment phase and then at the terminal phase of care of these patients. They would be able to understand the principles of prevention and early detection of cancer including screening. A Medical Oncologist would also understand the principles and indications of autologous and allogeneic bone marrow transplantation.
Duration of Training:
The Medical Oncology Fellowship encompasses a minimum of three years’ which includes separate rotations in radiation oncology, paediatric oncology, laboratory haematology, radiology and infectious diseases. Electives are also provided for research, breast surgery, histopathology, daycare oncology and bone marrow transplant.
- MBBS or equivalent degree approved by the PMDC
- FCPS-Part II in Internal Medicine, or MRCP-Part II, or Diplomate ABIM is required for entry.
Scope and Content:
Skills and Clinical Training:
Medical Oncology fellows should know how to infuse chemotherapy and be able to perform bone marrow aspiration and biopsy and paracentesis. They should have the knowledge in identifying and treating the toxicities associated with cancer treatment. They should understand the multidisciplinary approach required to optimise cancer care. They should be able to interpret the radiological imaging and to coordinate that into cancer care. They are supposed to present in journal clubs held weekly, attend all multi-disciplinary tumor board meetings, and they are encouraged to start their fellows’ clinic in the last six months under the supervision of faculty to fine tune their skills attained over the previous years.
Fellows will have the opportunities to participate in laboratory or clinical research in all years of their training with supervision of faculty members. Some protected time will be provided to permit meaningful research experience. Proper experimental design, methodology and data analysis will be encouraged. Results of their research activities will be encouraged to be reported in various meetings.
Trainees are evaluated for clinical competence. Supervising faculty specifically evaluates clinical judgment, medical knowledge, clinical skills (history/ exam/ procedures), humanistic qualities, professional attitudes and behavior, medical care and overall competence as a subspecialist consultant. Faculty also regularly reviews medical records to assess the record keeping and written communication abilities of trainees. The supervising faculty provides verbal feedback to trainees regarding their performance prior to the end of each rotation. Records of evaluations are maintained in file for credentialing and are accessible to trainees for review on request.
Faculty evaluations by fellows are conducted periodically. Formal sessions are held between fellows and the faculty on regular basis to review their progress.
Currently one candidate is selected annually. However we are anticipating increase in the number of seats to two per year.
There are five full-time and two part-time faculty members involved in teaching. The Programme Director is Dr Nehal Masood, MD, Associate Professor, Department of Medicine.
Dr Nehal Masood, MD
Section Head, Haematology/Oncology,
Director, Oncology Fellowship Programme
Dr Adnan Abdul Jabbar
Haematology and Oncology
Dr Munira Shabbir Moosajee
Haematology and Oncology
Dr Yasmin Abdul Rashid
Dr Tayyaba Z. Ansari
Dr Azmina Vali Mohammad
Lecturer, Haematology and Oncology
Dr Ghulam Haider
Lecturer, Medical Oncology