Goals & Objectives

CANMEDS Objectives of Fellowship in Gynaecologic Oncology at UBC

March 2014

Objectives of Training

Definition

A Fellowship in Gynaecologic Oncology is an obstetrician/gynaecologist with advanced education and expertise in the field of women’s cancer care. He/she has the appropriate medical, surgical, gynaecologic, and oncologic knowledge and skills for the prevention, diagnosis and management of cancers of the female genital tract. As well as providing expert clinical care to women dealing with cancer, the subspecialist will be prepared to contribute to administrative, educational and research activities in the field of gynaecologic oncology.

Two levels of knowledge and proficiency are referred to in this document:

  • An extensive level refers to an in-depth understanding of an area, from basic science to clinical application, and possession of skills to manage independently a problem in the area.
  • A working level indicates a level of knowledge sufficient for the clinical management of a condition, and/or an understanding of an approach or technique sufficient to counsel and recommend it, without having personally achieved mastery of that approach or technique.

General Objectives

Upon completion of training, the fellow is expected to be a competent subspecialist capable of assuming an independent consultant’s role in gynaecologic oncology.  He/she must have acquired the necessary knowledge, skills and attitudes for appropriate and competent management of women presenting with a wide range of oncologic conditions. The fellow must have the ability to develop the trusting and effective partnership with female patients necessary to achieve successful outcomes.

The fellow must also demonstrate the knowledge, skills and attitudes relating to gender, culture and ethnicity pertinent to cancer care, and have the ability to appropriately incorporate gender, culture, and ethnic perspectives into research methodology, data presentation, and analysis.  Additionally, the fellow must have an understanding of the impact of various factors, including fear, anxiety, depression, socioeconomic status and domestic violence on pain, patient satisfaction and treatment outcomes.

Upon completion of his/her training, the fellow in gynaecologic oncology must have a working understanding of the normal function and the pathological processes and diseases that affect the female external genitalia and the pelvic viscera (including the vagina, cervix, uterus, fallopian tubes, and ovaries), the lower urinary tract, and the bowel.  This includes an understanding of embryology and normal female development, and the unique biochemistry, physiology, anatomy, and gross and microscopic pathology of the genitourinary tract.

Management of a patient with gynaecologic oncologic conditions will require the following:

  1. The fellow will be competent with the clinical assessment, investigation and diagnosis of women presenting with cancers of the female genital tract.
  2. The fellow will recognizing the impact of intrapersonal, interpersonal and social/political and cultural factors that will effect a patient’s health care.
  3. The fellow will obtain an informed consent around all diagnostic and therapeutic interventions. This implies that the physician will:
    • discuss the natural course of the illness;
    • recommend a management strategy, explaining the likelihood of success, benefits, side effects and or risks associated with any surgical and non-surgical intervention;
    • discuss alternative diagnostic and therapeutic interventions where applicable.
  4. The fellow will be a competent surgeon and recognize and manage the perioperative and postoperative complication that may arise secondary to surgery on the genitourinary tract.

Specific Objectives (CanMeds Format)

At the completion of training, the fellow will have acquired the following competencies and will function effectively as:

  1. Medical Expert/Clinical Decision-Maker
  2. Communicator
  3. Collaborator
  4. Manager
  5. Health Advocate
  6. Scholar
  7. Professional