Novel Training Methods for the New Age Oncologist

In the ever evolving field of oncology, the challenge is in not just providing the best available treatment option for patients, but also in adequately training the next generation of oncologist in the skill set required for the appropriate use of technology. Also, unlike in other specialties, newer techniques are developed and introduced for clinical use at a rapid pace. Hence the latent period for bench to bedside application of therapy is shorter requiring a more comprehensive & updatable training program for residents. When comparing the three broad branches of oncology, it’s the surgical & radiation oncologists who would definitely need a more hands on approach to inculcate best practices of various techniques and procedures used. Surgeons for centuries have used extensive, open and large field procedures to deliver the tumours en masse in the hope of providing good control rates. However, with development of operating microscopes, smaller ports and robotic accessories the tumor visibility, accessibility and operability has improved. On the flip side, mastering these methods demand a specific and intense training schedule. Similarly in the radiation oncology community, for almost a century since the discovery of radium, training was limited to understanding of concepts of conventional radiotherapy and modifying the treatment plans to these concepts. But the new age throws up new challenges with modern three dimensional imaging, state of the art treatment planning & delivery systems, guidance & verification modes as well as flexible & versatile applicators for modern brachytherapy use. All these methods entail a proper understanding & sufficient pre-clinical hands on exposure for trainees prior to its use on actual patients. A brief outline of some unique training methods has been mentioned here. Harish Krishnamachar*, Ram Charith Alva and Kirthi Koushik Agrahara Sreenivasa Department of Surgical Oncology, HCG MSR Cancer Center, M S Ramaiah Medical College, India Country Incidence Number Rate Number Rate