Haematology & Oncology

Draft proposed by Dr Frankie Cheng, Dr Rever Li
Reviewed by Dr Joanna Tung

Essential Skills

Domain 1 Professional Values & Behaviour
Domain 2 Communication
Domain 4 Patient Management
Domain 5 Health promotion and Illness Prevention
Domain 9 Safeguarding

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises.

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Basic Training

General Understanding of Paediatric Oncology

Understand the characteristics, aetiology and epidemiology of common childhood tumours.

Red Flags of the presentation of Common Oncological Conditions

Recognize the red flags of the presentation of common childhood oncological conditions including, but not limited to,

  • Acute leukemias
  • CNS tumors
  • Lymphoma
  • Neuroblastoma
  • Osteosarcoma
  • Hepatoblastoma
Oncological Emergencies

Recognition of presentations and proper initial management of oncological emergencies including, but not limited to,

  • Leukocytosis
  • Tumor lysis syndrome
  • Superior vena cava obstruction
  • Raise intra-cranial pressure
  • Spinal cord compression
  • Neutropenic fever
Management approach of common oncological conditions
  • Overview of treatment approach of common oncological conditions.
  • Basic knowledge on the short and long term side effect of cancer treatment (chemotherapy and radiotherapy)
General Understanding of Common Haematological Conditions

Understand the physiology and disorder of red blood cells, white blood cells, platelet and haemostasis.

Anaemia

Recognizes, investigates and initiates treatment for anaemia, including, but not limited to

  • Iron deficiency anaemia
  • Hereditary anaemia
  • Haemolytic anaemia
Transfusion

General understanding and precaution of blood and blood products transfusions.

Thalassemia and other haemoglobinopathies
  • Presentation and management of transfusion –dependent thalassemia
  • Complications of thalassemia
  • Iron chelation and complication of iron overload
Haemophilia and other clotting disorders
  • Presentation and overview of management of haemophilia and clotting disorders
  • Complications of haemophilia
  • Concept of factor replacement
Common platelet disorders
  • Presentation and management of acute ITP
  • Treatment options for persistent and chronic ITP
Multi-disciplinary care

Roles of health professionals including oncologists, nurses, child life specialists, palliative care team, clinical psychologists and social workers.

Desirable skills

Recognise the presentation of hypertrophic and dilated cardiomyopathy.

 

Higher Training

Acute Leukemia / Lymphoma

Recognize and initiate the investigation of suspected haematological malignancy.
General understanding of management of common types of acute leukemias and lymphomas, acute lymphoblastic leukemia; acute myeloid leukemia / non-Hodgkin lymphoma / Hodgkin lymphoma.

Complex haematological conditions
  • More in-depth understanding of treatment modalities of CNS tumors and solid tumors
  • Concept of radiotherapy in children
  • Complications of radiotherapy
CNS Tumors and Solid Tumors
  • Interpreting echocardiogram reports and associating them with clinical, radiographic and ECG features
  • Understand the indications for treatment and urgency of cardiology referral for congenital heart diseases
  • Stabilisation of the cyanotic or collapsed newborn and subsequent transport
  • Acute management of a hypercyanotic spell
  • Acute management of a pulmonary hypertensive crisis
  • Understanding the expansion of adult congenital heart disease and long term issues before they can be transitioned
Haematopoietic Stem Cell Transplantation (HSCT) and Cellular Therapy
  • General understanding and concept of HSCT and cellular therapy
  • Indications of HSCT and cellular therapy
  • Understanding of the principle of apheresis
  • Common complications of HSCT and cellular therapy
Cancer Survivorship
  • Understand the problems encounter in cancer survivors
  • General understanding of the long-term follow-up approach
Desirable skills

1. Communication skills in challenging clinical situations namely in diagnosis interview, breaking bad news in relapse or refractory conditions and terminal event.
2. Handling of specific problem of the central venous catheter like blockage or dislodgement.

 

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