The Curriculum for this two-year program consists of:
- 18 months core gynaecologic oncology
- 2 months radiation oncology
- 2 months medical oncology
- 2 months electives (such as colorectal surgery, surgical oncology, pathology, colposcopy and lower genital tract disorders, palliative care)
Core Gynaecologic Oncology
The fellows will be expected to have extensive knowledge of the etiology, work-up, and management of gynaecologic malignancies, including uterine (endometrial), ovarian, cervical, vaginal, and vulvar cancers, and gestational trophoblastic neoplasia. This includes the spectrum of care from prevention and screening, to surgery, adjuvant therapy, treatment of recurrences, and principles of palliative care. There is a large volume of radical surgery as well as minimally invasive surgery, and outpatient clinics at the BC Cancer Agency and Vancouver General Hospital.
The fellows will be expected to have a working knowledge of the basic sciences and physics of radiation therapy, including the mechanism of action, radiation sources, principles and techniques of dosimetry, and the prevention and management of acute and chronic radiation toxicity to the bowel, urinary tract, vagina, and vulva.
The fellows will be expected to have an in-depth knowledge of chemotherapeutic agents for gynaecologic malignancies, including mechanism of action, indications for use, dosing, adverse effects, prevention and management of toxicity and acute chemotherapy reactions.
Formal Academic Curriculum
The fellows are expected to attend weekly academic half-day sessions throughout the year, which incorporate most of the formal curriculum. These sessions are supervised by members of the multidisciplinary team, including gynaecologic oncologists, radiation and medical oncologists, pathologists, other surgical subspecialists representing urology, colorectal surgery, plastic surgery, genetic counselors, palliative care providers, and other health care providers (enterostomal and wound therapy). The fellows are expected to present at Gynaecologic Oncology Journal Club meetings, BC Cancer Agency Gynecology Tumour Group academic rounds that are broadcast provincially, UBC Department of Gynecology Grand Rounds and Morbidity and Mortality Rounds, and the UBC annual Academic Day for trainees. The fellows are also expected to participate in quarterly meetings with the Fellowship Training Committee, where they have input into the design of the teaching curriculum. They also participate in the annual provincial Gynecology Tumour Group retreat, where they contribute to developing and revising evidence-based guidelines for cancer care. They are expected to present at the annual D.A. Boyes Society meeting (late October) and the annual BC Cancer Agency Colposcopy workshop (early May) to general obstetricians/gynaecologists.