Phone: 1-800-226-2379

Competences and Structure

The curriculum will be delivered through a combination of supervised patient care, clinical laboratory practice, didactic lectures and personal study. Assessment of trainees will utilize an integrated system comprising a variety of “on the job” evaluations, online quizzes, and structured testing. The learning opportunities and teaching methods of the curriculum for each of the five core competences of the curriculum are described below:

Provide medical care for children with cancer and blood disorders. Trainees will:

  • precept senior house officers (residents) rotating in pediatric hematology or oncology
  • take additional pertinent clinical history and physical examination
  • formulate a plan for diagnostic work-up, initial and definitive treatment
  • conduct preliminary ward rounds on pediatric oncology or pediatric hematology floors
  • attend ward rounds with the consultant/faculty physician
  • evaluate, monitor, and prescribe appropriate treatment for new and established patients in outpatient clinics, with appropriate faculty/consultant supervision
  • take out-of-hours on-call responsibilities for all inpatient, emergency room and at-home pediatric hematology-oncology patients
  • participate and post contributions to online problem-case discussions
  • utilize clinical facilities, including:
    • Uganda Cancer Institute pediatric inpatient wards and outpatient clinics, and radiotherapy unit; and
    • Mulago Hospital – pediatric emergency room, pediatric inpatient wards, pediatric surgery and neurosurgery wards, and sickle cell clinic.

Perform procedures and technical skills in diagnosis and treatment of pediatric cancer and blood disorders. Trainees will:

  • obtain verbal or written consent for procedure from family
  • coordinate preparation for the procedure including anesthesia
  • perform procedures
  • prepare bone marrow smears at the bedside
  • perform light microscopy examination of peripheral blood, bone marrow, and cerebrospinal fluid (CSF) under guidance of the hematopathologist
  • interpret automated hematology and flow cytometry results
  • observe blood banking safety and documentation procedures
  • perform blood cross-matching
  • attend lectures and personal study
  • utilize laboratory and training facilities
    • Uganda Cancer Institute – Clinical and Research laboratories
    • Uganda Virus Research Institute, Immunology (flow cytometry) Laboratory
    • Mulago Hospital – Hematopathology laboratory
    • Mulago Hospital – Radiology Department
    • Uganda Blood Transfusion Services, Kampala
    • Telemedicine facility, Texas Children’s Cancer and Hematology Centers laboratory and Uganda Cancer Institute.

Communication, professionalism and interpersonal skills. Trainees will:

Delivery of care and research in pediatric oncology and hematology is heavily dependent on effective communication and coordination of various professionals. Multi-disciplinary team meetings are a routine part of oncology practice at Uganda Cancer Institute, and trainees will be expected to actively participate in these meetings.

The Reflective Practice and Leadership in Medicine and Medical Education® are structured seminars led by non-clinical and clinical faculty at Texas Children’s Hospital and Baylor College of Medicine. The seminars guide trainee fellows through a disciplined analysis of complex clinical and organizational situations to result in strategic, effective action.

Theoretical knowledge of pediatric oncology and hematology. Trainees will:

  • attend education conferences, meetings and lectures
  • engage in personal study and inquiry
  • utilize learning and teaching resources, including:
    • reference textbooks of pediatric oncology and pediatric hematology
    • online, voiced-over, PowerPoint lectures by experts at Baylor College of Medicine via BlackBoard
    • online Texas Medical Center Library via Baylor College of Medicine
    • case conferences, tumor board and journal club conferences

Research, leadership and quality improvement in pediatric oncology and hematology. Trainees will:

  • present and discuss research design and findings at journal club
  • present and discuss organizational challenges at Reflective Practice and Leadership seminars
  • attend and interact with local and international researchers
  • engage in learning and teaching opportunities, including:
    • didactic learning resources for research ethics and biospecimen banking modules
    • journal club
    • reflective practice seminars
    • multidisciplinary team meetings
    • national and international scientific conferences

Structure of the training program