ONE YEAR FELLOWSHIP PROGRAMME

Fellowship Programme

How to Apply

Admission processes to the fellowship course is done through Srimanta Sankaradeva University of Health Sciences, Guwahati. The courses are affiliated to Srimanta Sankaradeva University of Health Sciences, Guwahati. Please visit University website http://ssuhs.in/ for more information.

Total Seats: 2 seats

Stipend: Rs. 1,01,000/- (per month)

Name of Fellowship Courses:

One year Senior Fellowship in Breast Onco- Surgery

(Under Srimanta Sankaradeva University of Health Sciences)

The goals of these fellowships are to provide comprehensive, multidisciplinary training to individuals committed to a career in breast surgical oncology. The fellowship training will provide a broad exposure to the full range of clinical problems encountered in a tertiary breast oncology practice. At the completion of One year fellowship, the candidate will have developed expertise to independently manage and treat breast cancer patients.

Training Program:

• A. Multidisciplinary management of breast cancer following evidence-based guidelines
• B. Appropriate stage-wise surgical management of breast cancer including conservative surgery
• C. Adjuvant systemic therapy and radiotherapy techniques
• D. Clinical care and counseling of women with breast cancer
• E. Clinical research methodology and its practical application in breast cancer research
• F. Management of metastatic breast cancer
• G. Supervised hands-on training in major and minor surgeries with maintenance of log book records
• H. Rotational posting in all related specialties in Radiotherapy, Radiology, Medical Oncology, Plastic Surgery, and Preventive Oncology.
• I. Palliative care and end-stage management of terminal patients

Training outline - 52 weeks :

• 50 - Didactic lectures
• 50 - Journal club / case presentations

General outline for training :

The candidate will maintain a log book and get it signed by their respective teacher every month. At the end of one year every fellow will have at least two publications in journals of repute and present at least one paper at a national and preferably at an international conference.

Outline training schedule:

First Six months

Fellow will attend a minimum of

• OPD - 24 sessions
• Minor OT - 12 sessions - under supervision
• Major OT- Will assist for first three months

In next 3 months, will perform in major OT (assisted by a senior) Modified

• Radical mastectomy- 3
• Breast conservation surgery-3
• Latissimus Dorsi Pedicle flap - 2

Will assist seniors in other cases and will maintain a log book which will be reviewed every month.

Second 6 months

• Fellow will attend a minimum of Minor OT- 12 sessions
• Will assist in supraclavicular lymph node dissection, Microdochectomy, etc
• Attend OPD with Medical Oncology consultant
• Attend OPD with Radiation Oncology to learn planning and simulation.
• In Major OT - will independently perform a minimum of (under supervision)
• Breast conservation with reconstruction - 8-10 cases
• Radical and Modified Radical Mastectomy- 8 cases
• Intravenous Port placement - 4
• Out Patient Department (OPD)
• Will work-up patients and present at the joint clinics (held 4 times in a week, 3 being multi- disciplinary)

Common Lectures or Course material or other training program during course curriculum:

1. Epidemiology and Biostatistics
2. Cancer Screening & Prevention
3. Onco Surg course

Course topics and Lectures: (Areas to cover)

1. Management of Early Breast Cancer including sentinel node biopsy
2. Locally advanced breast cancer
3. Recurrent breast cancer and Metastatic breast cancer
4. Evolution of breast cancer management
5. Systemic chemotherapy for breast cancer - principles governing use of chemotherapy,dose intensity & combinations, drug resistance, immune therapy etc
6. Neoadjuvant chemotherapy and hormonal therapy
7. Adjuvant hormonal therapy in breast cancer - premenopausal women, postmenopausal women
8. Radiation therapy for breast cancer
9. PET scan in breast cancer
10. Breast imaging and screening
11. Microarrays in breast cancer
12. Molecular biology - cell cycle, apoptosis, angiogenesis, invasion, metastasis, circulating tumor cells
13. Quality of life and breast cancer
14. Palliative care, pain management and Hospice
15. Targeted therapy -HER2neu, EGE, IGF, etc 16. Interventional Radiology
16. Biomarkers
17. Oncological emergency in breast cancer
18. Newer approaches - Stem cells, immune therapy, nanotechnology

Suggested Journals for reading

1. New England Journal of Medicine ( NEJM )
2. Journal of National Cancer Institute ( JNCI)
3. Journal of Clinical Oncology ( JCO)
4. Lancet Oncology
5. The Lancet
6. Cancer
7. Cancer Clinical Research
8. The Breast Journal
9. Mammology ( Official Journal of IBG )
10. BMJ
11. British Journal of Cancer
12. Breast Cancer Research and Treatment

Suggested books for reading