- Breast cancer
- Cancer of unknown primary site
- Central nervous system malignancies:
- Endocrine tumours:
- Gastrointestinal cancers:
- colon and rectal cancer
- gastric cancer
- gastroesophageal junction cancer
- gastrointestinal stromal tumour
- hepatobiliary cancers
- oesophageal
- pancreatic adenocarcinoma
- Genitourinary cancers:
- malignant germ cell tumours of the adult male
- prostate cancer
- renal cell cancer
- urothelial cancer
- Gynaecologic malignancies:
- cervical cancer
- endometrial cancer
- ovarian cancer
- Head and neck cancers:
- laryngeal cancer
- nasopharyngeal cancer
- oral cavity cancer
- oropharyngeal cancer
- Skin cancers:
- melanoma
- squamous cell cancer
- Thoracic malignancies:
- mesothelioma
- non-small cell lung cancer
- small cell lung cancer
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Presentations and conditions
- Central nervous system malignancies:
- Endocrine tumours:
- adrenal carcinoma
- thyroid cancer
- Gastrointestinal cancers:
- anal cancer
- appendiceal cancer
- small bowel cancer
- Genitourinary cancers:
- Gynaecologic malignancies:
- gestational trophoblastic neoplasia
- ovarian germ cell
- vulvar and vaginal cancers
- Head and neck cancers:
- salivary duct cancer
- sinonasal cancer
- Sarcomas:
- bone sarcomas
- soft tissue sarcoma
- Skin cancers:
- basal cell cancer
- Merkel cell carcinoma
- Thoracic malignancies:
- thymoma and thymic cancer
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
- Epidemiology, pathophysiology, and clinical sciences of the aforementioned presentations and conditions.
Clinical assessments tools
- Assess patients’ performance status using scoring systems, such as:
- Eastern Cooperative Oncology Group (ECOG)
- Karnofsky performance status (KPS)
- Interpret diagnostic investigations to accurately stage cancers using appropriate staging systems, such as:
- tumour-node-metastasis
- tumour-specific staging systems, such as:
- International Federation of Gynecology and Obstetrics (FIGO)
- Use other clinical tools:
- frailty screening tools
- nutrition scores
Investigations
- Investigations and procedures as they relate to specific cancer types, including:
- appropriate methods for obtaining diagnostic tissue
- genetic and genomic testing
- imaging
- laboratory diagnostics (e.g. blood tests)
- molecular biology / pathology
- tumour histopathology
Treatments
- Detailed knowledge of:
- cancer-specific treatment protocols
- management of complications of therapy
- Clinical trials in cancer:
- consider suitability of clinical trials for all patients presenting with cancer
- recognise vital role of research in advancing cancer care
- Hereditary cancer syndromes:
- genetic syndromes
- principles of screening and counselling for affected patients and family members
- Multidisciplinary cancer care indications for:
- other speciality care in the management of cancer
- radiotherapy
- surgery
- Principles of:
- supportive care and symptom management, including early introduction to palliative care teams if indicated
- survivorship
- Recognition of the psychosocial, cultural, and financial impact of cancer on patients and their families
- Specific communication techniques to lead an empathetic, balanced, and culturally safe
- discussion of the prognostic implications of a diagnosis of advanced cancer, including breaking bad news
- Specific impacts of cancer and treatment:
- body image
- cognition
- fertility
- psychosocial wellbeing
- sexuality
