Haematology & Oncology

Happy Children
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

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

1. Bone marrow aspiration and trephine biopsy

2. Safe administration of chemotherapy by various route: Intrathecal, intravenous and intramuscular chemotherapy

3. Appropriate handling of central venous catheter.

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

Recognize and initiate investigation of suspect bone marrow failure syndrome / haemophagocytic lymphohistiocytosis / histiocytic conditions and other complex haematological conditions

CNS Tumors and Solid Tumors

More in-depth understanding of treatment modalities of CNS tumors and solid tumors

Concept of radiotherapy in children

Complications of radiotherapy

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