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I. Introduction
A. Definition and Scope of Subspecialty Musculoskeletal oncology
is the component of orthopaedic
(orthopaedics,Plastic
Surgical Operating Microscope)
that is focused on the
diagnosis and treatment of children and adults with benign and
malignant tumors of
bone and connective soft tissues. The field also includes the
diagnosis, treatment, and palliative care of patients with
metastatic carcinoma to skeleton.Musculoskeletal
oncologist work in concert with experts from musculoskeletal
(Surgical Operating Microscope,
Plastic Surgical
operating Microscope,orthopaedics)
radiology, pathology,medical and pediatric oncology,
radiotherapy, and care for patients with sarcomas of
bone and soft tissue.
B. Duration and Scope of Education
Postgraduate fellowship education in orthopaedic
(orthopaedics)
is a
component in the continuum of the educational process, and such
education should take place after completion of an accredited
residency. Graduate medical education programs in the
subspecialties of orthopaedic
(Surgical
Operating Microscope,Plastic
Surgical Operating Microscope,orthopaedics)
will be accredited to
offer 12 months of education.
II. Institutions
A. Sponsoring Institution One sponsoring institution must assume
ultimate responsibility for the program,as described in the
Institutional Requirements, and this responsibility extends to
fellow assignments at all participating institutions(Orthopaedics).
1.Postgraduate fellowship programs in subspecialties of orthopaedic
(orthopaedics)
may be accredited in institutions which
sponsor accredited residency programs in orthopaedic or
which are affiliated with an orthopaedic residency
accredited by the Accreditation Council for Graduate Medical
Education (ACGME). Requests for exceptions to this policy will
be reviewed on a case-by-case basis.
2. When orthopaedic
(orthopaedics)residents and fellows are being educated in
the same
institution, the residency director and the director of the
fellowship must jointly prepare and approve a written agreement
specifying the educational relationship between the residency
and fellowship programs, the roles of the residency and
fellowship directors in determining the educational (Orthopaedics)
program of residents and fellows, and the roles of residents and
fellows in patient care.
3. There must be close monitoring of the relationship between
residency and
fellowship education. It is imperative that orthopaedic
(orthopaedics,
operating Microscope, Surgical Operating Microscope,Plastic
Surgical Operating Microscope)
fellowship education not interfere with the education of
residents. Lines of responsibility for the orthopaedic resident and the fellow must be clearly defined. In
addition, the
fellow should maintain a close working relationship with
orthopaedic residents and fellows in orthopaedic (Orthopaedics,
operating Microscope)
and in other disciplines.
B. Participating Institutions
1. Assignment to an institution must be based on a clear
educational
rationale, integral to the program curriculum, with
clearly-stated activities and objectives. When multiple
participating (Orthopaedics) institutions are used, there should be assurance
of the continuity of the educational experience.
2. Assignment to a participating institution requires a letter
of agreement (Orthopaedics)
with the sponsoring institution. Such a letter of agreement
should:
a) identify the faculty who will assume both educational and
supervisory responsibilities for fellows;(orthopaedics,
operating Microscope)
b) specify their responsibilities for teaching, supervision, and
formal
evaluation of fellows, as specified later in this document;
c) specify the duration and content of the educational
experience;and
d) state the policies and procedures that will govern fellow
3education during the assignment (orthopaedics).
E. Oversight
1.Each program must have written policies and procedures
consistent with
the Institutional and Program Requirements for fellow duty hours
and the working environment(orthopaedics,
operating Microscope) . These policies must be distributed to
the
fellows and the faculty. Duty hours must be monitored with a
frequency
sufficient to ensure an appropriate balance between education
and
service.
2. Back-up support systems must be provided when patient care
responsibilities are unusually difficult or prolonged, or if
unexpected (orthopaedics,
operating Microscope)
14 circumstances create fellow fatigue sufficient to jeopardize
patient care.
F. Duty Hours Exceptions
An RRC may grant exceptions for up to 10% of the 80-hour limit
to individual
programs based on a sound educational rationale. Prior
permission of the
institution¡¯s GMEC, however, is required...........etc. |
