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Radiation Oncology Residency Program – Curriculum

In addition to rotations at Tufts Medical Center, our residents enjoy clinical rotations at Rhode Island Hospital (RIH) which is the principle teaching hospital for the Warren Alpert Medical School at Brown University, Beth Israel Deaconess Medical Center and Boston Children's Hospital.

Each of these centers has areas of academic excellence that compliment resident experience at Tufts.

Our program provides each resident with a diverse and formalized curriculum. The curriculum comprises Bone & Soft tissue, Breast, Central Nervous System (CNS/Eye), Gastrointestinal tract, Genitourinary tract, Gynecology, Head, Neck & Skin, Lung, Lymphomas/Leukemia and Pediatrics. Rotations are typically three (3) months in duration.

Clinical training is divided into three month blocks with rotations primarily at Tufts Medical Center and the Rhode Island Hospital. The program is structured to foster an understanding of true multi-disciplinary clinical management.

Using the New Innovations Residency Management Suite, residents and faculty receive learning goals and objectives for each rotation prior to the start of the rotation. The distribution is set-up based on PGY-year level.

The primary goal of each rotation is for the resident to be able to provide the best possible care for patients from initial consultation to creation of a multidisciplinary care plan, radiation simulation and planning, management during and after therapy, and continuous follow-up. Residents will be exposed to discussions of practice-changing and informing papers as well as hands-on experience with the surgical, radiological and medical disciplines including extensive time spent with the radiation therapy team. Clinical rotations are a 1:1 apprenticeship with supervising faculty to provide experiential learning with increasing autonomy. Feedback is provided to assist residents and the program director in identifying strengths and weaknesses.

Resident case logs are reviewed by the program director and discussed with the resident twice a year during the semi-annual resident evaluation to monitor for the breadth of cases and inform scheduling for the individual resident to maximize the variety of their clinical exposure. 

Board preparation courses
Christopher Melhus

Physics

Our Physics course, directed by TMC Chief Physicist Christopher S. Melhus, PhD, is taught by faculty and practitioners from Tufts Medical Center and the Rhode Island Hospital.

 


Kathryn Huber

Radiobiology

Dr. Huber teaches “Cancer and Radiation Biology” which consists of more than 20 hours of didactic lectures. In addition, she has created “on demand” videos as supplementary study material

 


kara leonard

Statistics

Kara L. Leonard, M.D. (Rhode Island Hospital faculty) facilitates our Statistic course. Information is presented by viewing selected videos and is followed-up by a discussion of the material. Dr. Leonard is the author of “Biostatistics for Oncologists”.

Call schedule

Call is distributed among residents in 1-week blocks. Maximum call time is 1 week in a row. PGY-2 residents do not participate in the call rotation for the first two months of their residency. Call coverage extends to Tufts Medical Center, Rhode Island Hospital, and Miriam Hospital. Residents take call a total of 24 weeks over the 4 years of training. Travel reimbursement is provided for weekend call. There is NO in-house call coverage.

While on call, residents and their assigned attending assume after-hours care of all radiation oncology needs for patients at their assigned institution: phone calls, in-house consultations and arranging urgent/emergent radiation. These responsibilities teach and reinforce the essentials and basics of addressing common and important clinical situations such as managing the side effects and sequelae of radiation and treating patients with new indications for treatment, especially brain metastases, malignant spinal cord compression, malignant hemorrhage, painful metastases, and airway obstruction. Tufts Medical Center Radiation Oncology residency training program fully complies with the ACGME regulations governing resident work hours.

Electives

Residents are encouraged to take electives in other departments (e.g. pathology, nuclear medicine, radiology, etc.) in the PGY-4 through PGY-5 years. Elective rotations are available at our Boston and Rhode Island sites in all major radiation oncology subspecialties. In addition, elective time can be spent on clinical or basic research projects.

Residents have completed electives in  Radiology, Pathology, Neuroradiology, Physics and Dosimetry,  Pediatric oncology, Breast and Urology. An international elective to research the need for Radiation Oncology in India was completed by a past graduate.

Full day academics

Friday is designated as protected educational time for Radiation Oncology residents, during which residents gather at Tufts Medical Center for the day. Conferences are based on a well-developed curriculum, composed of 2 hours of clinical didactics/journal club led by residents. This is followed by 2 hours of medical physics instruction, 1 hour of radiobiology instruction, 1 hour (as designated on the schedule) of biostatistics instruction, all provided by faculty members. Tufts School of Veterinary Radiation Oncology residents as well as the Tufts University School of Medicine Oral Medicine residents join our residents during their academic day providing a unique perspective on cancer biology and management.

Quality improvement projects

Residents and Faculty engage in Quality Improvement projects as mentors and learners. Each project is interdisciplinary and involves nursing, radiation therapists, and/or medical physics providing robust opportunity for identifying and working on areas in need of process improvement.  Residents attend our bi-monthly Quality Assurance Working Group (QWAG) and quarterly Morbidity and Mortality (M&M) and QA Committee meetings where they are educated about process improvement and how to communicate with patients and regulatory agencies.

Examples of Quality Improvement projects that residents have participated in include the following:

  1. Devised and Implemented hash-tag system for RO-ILS at Tufts Medical Center
  2. Developed a Pacemaker/ICD policy and checklist at Tufts Medical Center
  3. Revised documentation for the Management of Pain and Opioid Use at Tufts Medical Center
  4. Created the “GRAY” Hand-off system
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