Resident Clinical Care Responsibilities
Residents will review the documentation of all patients referred to their rotation; obtain a detailed medical history; perform an appropriate level physical exam; present the case to the faculty; and dictate the history and physical examination findings including the clinical assessment and plan, after full review of the case with the faculty member. The resident will dictate a letter with the evaluation and recommendations to the referring physician, primary care physician, and other physicians involved in the management of the patient.
Residents will develop patient assessment and treatment plans with the attendings including: appropriate diagnostic radiology studies and laboratory tests to complete the staging evaluation of the patient; consultations with other physicians and services as appropriate; and simulation appointments for patients in our department. All of the above will be coordinated with the assistance of the hospital staff.
Residents will document simulation procedures (templated notes are available in IMPAC for simulation and treatment planning notes); check the initial patient setup and verification imaging; see the patients under treatment at least weekly to assess toxicity with the faculty; prescribe medications; and assess tumor response if possible. If they have any concerns they will page the faculty. In addition, the resident will attend weekly chart rounds with the faculty member to coordinate patient care and tumor boards to coordinate multi-disciplinary care.
Residents will dictate an end-of-treatment note summarizing the patient's care at the completion of therapy. They will also dictate a summary letter to the referring physician and other physicians involved in the patient's cancer care and the primary care physician.
Following a brachytherapy procedure, residents will be involved in removal of the implant, and will dictate a brachytherapy procedure.
Residents will see follow-up patients with the faculty to assess locoregional control, metastatic disease development, and acute/late toxicity of treatment. They will develop assessment and treatment plans, order any necessary follow-up laboratory and radiological tests or physician consults, and review the results of these tests with the attending faculty. They will dictate a follow-up note.
Residents on clinical rotations are expected to remain in the clinic at all times while patients are being seen and treated. They should be available to see patients in nursing, check patient set-ups, and approve port films unless they are performing clinical duties outside of the department. Junior residents will give their pager to a senior resident when they are at Physics and Radiobiology Lectures and should not be disturbed with clinical duties during these lectures.
Clinical Curriculum Responsibilities (Overview)
Resident Patient Logs
Didactic Lectures and Conferences
Residents are required to attend, prepare for, and participate in didactic lectures, Journal Club, Multi-Disciplinary Tumor Boards, New Patient and Simulation Conference, and Morbidity and Mortality Conference. Attendance of the residents and faculty will be kept. Residents will document all scholarly activity on an electronic calendar and submit this to the program director at the time of their bi-annual evaluation. In addition, residents will be required to attend appropriate institutional conferences, seminars, and tumor boards as well as regional and national meetings to enhance their training.
Resident Research Project
Residents are required to have completed a clinical or laboratory investigative project by the end of their fourth year. This should be suitable in quality for presentation at MASRO (Mid-Atlantic Society of Radiation Oncologists) or other regional/national/ or international meeting and/or published in a peer review journal. More detailed information is provided later.
Resident Conference Organizational and Committee Responsibilities
Third year residents will act as resident representatives on the Departmental Quality Assurance Committee and will organize the Morbidity and Mortality Conference.
Fourth year chief residents will represent the radiation oncology residents on the Departmental Residency Curriculum Committee and will coordinate the Journal Club and Resident Presentations and help develop the resident call schedule.
Resident Review of the Program and Faculty