Internal Medicine — Rotations
Hematological Oncology
Teaching
Site: Kuwait Cancer Control System
EPAs mapped to this activity
For residents in F
| C2a. Assessing and managing patients with complex chronic conditions - Part A: Assessment, Diagnosis, and Management | Required |
| C5. Performing the procedures of Internal Medicine | When Possible |
| C8. Caring for patients who have experienced a patient safety incident (adverse event) | When Possible |
| F1. Assessing, diagnosing, and providing initial management for patients with common acute medical presentations in acute care settings | Required |
| F2a. Managing patients admitted to acute care settings with common medical problems and advancing their care plans- Part A: Patient Assessment and Management | Required |
| F2b. Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part B: Communication with Patient/Family | Optional |
| F2c. Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part C: Handover | Optional |
| F3. Consulting specialists and other health professionals, synthesizing recommendations, and integrating these into the care plan | Optional |
| F5. Assessing unstable patients, providing targeted treatment and consulting as needed | Priority |
| F6. Discussing and establishing patients’ goals of care | Required |
| F7. Identifying personal learning needs while caring for patients, and addressing those needs | Required |
For residents in C
| C1. Assessing, diagnosing, and managing patients with complex or atypical acute medical presentations | Required |
| C2a. Assessing and managing patients with complex chronic conditions - Part A: Assessment, Diagnosis, and Management | Required |
| C2b. Assessing and managing patients with complex chronic conditions - Part B: Patient Education/Communication | Required |
| C3a. Providing internal medicine consultation to other clinical services - Part A: Patient Assessment and Decision-Making | Required |
| C3b. Providing internal medicine consultation to other clinical services - Part B: Written consultation note | Required |
| C4a. Assessing, resuscitating, and managing unstable and critically ill patients - Part A: Patient Care | Optional |
| C5. Performing the procedures of Internal Medicine | When Possible |
| C6. Assessing capacity for medical decision-making | Optional |
| C7. Discussing serious and/or complex aspects of care with patients, families, and caregivers | Required |
| C8. Caring for patients who have experienced a patient safety incident (adverse event) | When Possible |
| C9a. Caring for patients at the end of life - Part A: Symptom Management in End of Life | Priority |
| C9b. Caring for patients at the end of life - Part B: Discussion about transition away from disease modifying treatment | Optional |
For residents in TTP
| TTP3. Assessing and managing patients in whom there is uncertainty in diagnosis and/or treatment | Priority |
| TTP4. Providing consultation to off-site health care providers | Required |
| TTP5. Initiating and facilitating transfers of care through the health care system | Optional |
| TTP6. Working with other physicians and healthcare providers to develop collaborative patient care plans | Priority |
| TTP7. Identifying learning needs in clinical practice, and addressing them with a personal learning plan | Required |
| TTP8. Identifying and analyzing system-level safety, quality, or resource stewardship concerns in healthcare delivery | Required |
Competencies covered in this activity
| 1. Practise medicine within their defined scope of practice and expertise | ||||||
| 1.4. Apply knowledge of the following systems, clinical scenarios, conditions, diseases and therapies applicable to Internal Medicine, including the manifestations, investigation, and management | ||||||
| 1.4.12. Infection | ||||||
| 1.4.12.3. Malignancy | ||||||
| 1.4.12.3.1. Oncologic emergencies including, but not limited to: | ||||||
| 1.4.12.3.1.1. Hypercalcemia | ||||||
| 1.4.12.3.1.2. Spinal cord compression | ||||||
| 1.4.12.3.1.3. Superior vena cava syndrome | ||||||
| 1.4.12.3.1.4. Pleural and pericardial effusion | ||||||
| 1.4.12.3.1.5. Tumour lysis syndrome | ||||||
| 1.4.12.3.2. Screening and prevention | ||||||
| 1.4.12.3.3. Complications of chemotherapy including myelosuppression and hyperemesis | ||||||
| 1.4.12.3.4. Principles of diagnosis and treatment of the following: | ||||||
| 1.4.12.3.4.1. Breast cancer | ||||||
| 1.4.12.3.4.2. Ovarian cancer | ||||||
| 1.4.12.3.4.3. Endometrial and cervical cancer | ||||||
| 1.4.12.3.4.4. Urothelial cancer | ||||||
| 1.4.12.3.4.5. Prostate cancer | ||||||
| 1.4.12.3.4.6. Head and neck cancers | ||||||
| 1.4.12.3.4.7. Para-neoplastic syndromes | ||||||
| 1.4.13. Medical aspects of specific situations | ||||||
| 1.4.13.7. End of life | ||||||
| 1.4.13.7.1. Symptoms | ||||||
| 1.4.13.7.1.1. Constipation | ||||||
| 1.4.13.7.1.2. Delirium | ||||||
| 1.4.13.7.1.3. Dyspnea | ||||||
| 1.4.13.7.1.4. Nausea and vomiting | ||||||
| 1.4.13.7.1.5. Pain | ||||||
| 1.4.13.7.2. Disorders | ||||||
| 1.4.13.7.2.1. Nutritional deficiencies | ||||||
| 1.4.13.7.3. Therapies | ||||||
| 1.4.13.7.3.1. Use of opioids and other medications | ||||||
| 1.4.13.7.3.2. Principles of palliative care and medical aid in dying (MAID) | ||||||
| 2. Perform a patient-centred clinical assessment and establish a management plan | ||||||
| 2.2. Elicit a history, perform a physical exam, select appropriate investigations, and interpret their results for the purpose of diagnosis and management, disease prevention, and health promotion | ||||||
| 2.2.8. Perform a quantitative measure of performance status for patients with malignancy | ||||||
| 2.3. Establish goals of care in collaboration with patients and their families1, which may include slowing disease progression, treating symptoms, achieving cure, improving function, and palliation | ||||||
| 2.3.1. Recognize and respond to changes in patient status that indicate a need to reassess goals of care | ||||||
| 2.3.2. Identify and respond to symptoms affecting patient comfort | ||||||
| 2.3.3. Recognize when ongoing resuscitation efforts are no longer effective and should be discontinued | ||||||
Training experiences included in this activity
Core of Discipline
Required1.2. Ambulatory care: clinic and/or day hospital. This must include experience with a broad spectrum of conditions as well as patients with complex disorders
Transition to Practice
Recommended3.5. Experience in any subspecialty of Internal Medicine. This may be inpatient or ambulatory care