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  • 1. RADIATION ONCOLOGYRADIATION ONCOLOGY Resident Training Program DEPARTMENT OF RADIATION ONCOLOGY Barnes-Jewish Hospital | Siteman Cancer Center Washington University School of Medicine

2. RADIATION ONCOLOGY DEPARTMENT OF RADIATION ONCOLOGY Barnes-Jewish Hospital | Siteman Cancer Center Washington University School of Medicine Washington University Medical Center is a 1700 bed complex that includes Barnes-Jewish Hospital (north and south campuses), St. Louis Childrens Hospital, Mallinckrodt Institute of Radiology, The Center for Advanced Medicine, the Alvin J. Siteman Cancer Center and Washington University School of Medicine. The Medical Center is across the street from beautiful Forest Park (site of the 1904 Olympic Games and Worlds Fair) in the fashionable Central West End neighborhood of St. Louis The practice of Radiation Oncology will reach the highest quality when it is based on sound clinical skills, fundamental concepts of cancer biology and radiation physics, and a thorough knowledge of the principles of cancer pathology. Our residency program includes theoretical and practical work in each of these areas. To stress the multidisciplinary nature of cancer therapy, residents work closely with our staff, physicians in the Siteman Cancer Center and members of other departments within the Washington University School of Medicine, fostering an environment of understanding for the indications and limitations of each therapeutic modality or combination of modalities. The objective of the program is to train highly competent, strongly motivated and academically oriented radiation oncologists. Simon N. Powell, MD, PhD Professor and Chairman Department of Radiation Oncology Resident Training Program 3. Our Residency Program DEPARTMENT OF RADIATION ONCOLOGY Barnes-Jewish Hospital | Siteman Cancer Center Washington University School of Medicine 2 Eligibility The residency program is open to United States citizens or foreign-born residents holding a valid visa for training or residence in the United States. Applicants must be graduates from an accredited medical school and must have passed FLEX or National Board examinations to become eligible for medical licensure in the State of Missouri. All foreign applicants with J-1 visas, except graduates of Canadian medical schools, must have passed the FMGEMS (formerly VQE) qualifying examination, have a valid ECFMG certificate and plan to return to academic programs in their countries. Application Applications for the clinical residency program are accepted through the Electronic Residency Application System (ERAS). Completed applications should be submitted by October 30. The review process begins in early November after the Deans letters are available. Candidates will be invited for interviews in late November or early December. The interviews take place in late December through January. Postgraduate Year 2 and 3 (First and Second Year) The Department of Radiation Oncology residency program starts with the Postgraduate Year 2. Postgraduate Year 1, the internship year, must be completed in an ACGME accredited medicine, surgery, family practice, obstetrics/ gynecology, or transitional year internship. The first two years of the residency program are devoted to clinical radiation oncology. Residents become familiar with patient evaluation, treatment planning and techniques, and other clinical aspects of radiation therapy. Residents gradually assume greater responsibility as their fund of knowledge increases. Clinical rotations are designed in 8 week blocks where the resident is responsible to an attending faculty member concentrating on one or two disease sites. Imran Zoberi, MD Residency Program Director 4. Our Residency Program DEPARTMENT OF RADIATION ONCOLOGY Barnes-Jewish Hospital | Siteman Cancer Center Washington University School of Medicine 3 Postgraduate Year 4 (Third Year) All residents are expected to complete a 12 month research block within the third year of training. A program of laboratory or clinical research in cancer biology, physics or computer applications can be pursued depending on individual interests. This research time is conducted under the supervision of a medical school senior investigator after a review of the proposed project by the Residency Director and Chairman. The Departments cancer biology division includes 27,000 square feet of lab space located a few blocks from the medical center within the Forest Park building. In addition, the Department has almost 10,000 square feet of space devoted to medical physics research. Alternatively, residents may pursue their research interests in any other department within the Medical School. Holman Pathway The Department encourages qualified individuals to consider residency training in the American Board of Radiology Holman Research Pathway. The decision to pursue this research oriented training will be made jointly by the resident and the Department during the first year of residency training. Postgraduate Year 5 (Fourth Year) Residents continue with a final year of clinical service and assume greater responsibility for patient management and decision making. Our Residency 5. Resident Education DEPARTMENT OF RADIATION ONCOLOGY Barnes-Jewish Hospital | Siteman Cancer Center Washington University School of Medicine 4 Clinical Rotation The majority of the residents time will be spent in the clinic taking care of patients. The one-to-one ratio of attending faculty to residents for all rotations in the radiation oncology program is highly conductive to learning and encourages effective interaction. The resident will become well versed in all aspects of patient care from initial consultation and multidisciplinary decision making, through simulation and treatment planning, to weekly on treatment management, to short-term and long- term follow-up care. Therefore, experience in each of these areas is provided in the clinical rotations. Over the past three decades, Mallinckrodt Institute has helped to define the standard of care for clinical radiation therapy. This legacy continues in the newly constructed clinical facility housed within the lower level of the Center for Advanced Medicine, on the north end of the Medical Center. Nearly 3,000 new patients are seen, and 45,000 external beam treatments are delivered annually in a single facility that covers 54,000 square feet and includes 7 linear accelerators (5 Varian and 2 Elekta), 1 Tomo Therapy unit, 2 CT simulators, 1 conventional simulator, and dedicated suites for brachytherapy, Gamma Knife radiosurgery, magnetic resonance imaging, and hyperthermia. The department continues to expand and beginning in late 2008 we will open our proton beam radiation therapy center across the street. The Department continues its role as a leader in state of the art treatment with the routine use of intensity modulated radiation therapy (IMRT) for curative patients. MRI fusion, and PET or PET/CT are routinely used in treatment planning. Extensive experience in high-dose rate brachytherapy is gained on the gynecology service. There is an active prostate interstitial seed implant service. Additionally, HDR is often used to treat patients with breast, sarcoma, and endobronchial tumors. There is a busy thyroid cancer service, and residents become well trained in the use of radioactive iodine in treating this disease. The radiosurgery service continues to expand; over 250 patients are treated by Gamma Knife radiosurgery every year. Other modalities include total body irradiation, radioactive eye plaque irradiation for intraocular tumors and endo-cavitary rectal radiation therapy for early stage rectal cancers. All patients from the adjoining St. Louis Childrens Hospital who require radiation therapy receive treatment within the Department, resulting in a busy pediatric service. 6. Resident Education Resident Education DEPARTMENT OF RADIATION ONCOLOGY Barnes-Jewish Hospital | Siteman Cancer Center Washington University School of Medicine 5 Lectures and Conferences In addition to seeing and treating patients, residents participate in a wide range of educational lectures and conferences. Cancer Biology This lecture series deals with basic principles of cellular and radiation biology, cancer chemotherapy and immunology. The material is covered in two courses in the second half of the academic year. The relevance of these concepts to the clinical practice of radiation therapy is emphasized. PGY2- and PGY4 residents attend. Radiation Physics A lecture series is presented on the physics of radiation therapy and its application to clinical radiation therapy, dosimetry, treatment planning, brachytherapy, and radiation protection. A series of laboratory exercises supplements the didactic lectures. This lecture series is offered each year in the fall semester. PGY-2 and PGY-4 residents attend. Experimental Design and Statistics A series of lectures is held in alternate years to familiarize the staff and residents with the basic principles of experimental design, data analysis, and statistical validity testing. Some lectures are devoted to describing the foundations of computer design, data processing, and application of this technology to radiation oncologys clinical operation, patient information systems, data processing and analysis. Socioeconomic and Ethical Issues A series of lectures is held in alternate years surveying diverse topics, including death and dying, medical ethics, radiation oncology facility design, private practice experiences, physician-insurer relations, and medical economics. Intramural Conferences Patient Management Conference This conference occurs on Monday, Tuesday and Wednesday. One resident presents a case from their clinical rotation to the faculty and fellow residents. The discourse includes a review of work up, staging, prognostic factors and all treatment options based on pertinent literature. While decision maki


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