Internal Medicine — Rotations

Hematological Oncology

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
Required
1.2. 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
Recommended
3.5. Experience in any subspecialty of Internal Medicine. This may be inpatient or ambulatory care