. Patient care Medical knowledge base Communication Information management Community –based and health system- based practice

Clinical Oncology

1. . Patient care

Demonstrate capability to provide comprehensive patient care that is compassionate, appropriate, and effective for the management of health problems, promotion of health and prevention of disease in the primary health care settings.

2. Medical knowledge base

Mastery of a core medical knowledge which includes the biomedical sciences, behavioral sciences, epidemiology and statistics, clinical sciences, the social aspect of medicine and the principles of medical ethics, and apply them 3. Clinical skill Demonstrate capability to effectively apply clinical skills and interpret the findings in the investigation of patient.

4. Communication

Demonstrate capability to communicate effectively and interpersonally to establish rapport with the patient, family, community at large, and professional associates, that results in effective information exchange, the creation of a therapeutically and ethically sound relationship.

5. Information management

Demonstrate capability to manager information which includes information access, retrieval, interpretation, appraisal, and application to patient’s specific problem, and maintaining records of his or her practice for analysis and improvement 6. Professionalism Demonstrate a commitment to carrying out professional responsibilities and to personal probity, adherence to ethical principles, sensitivity to a diverse patient population, and commitment to carrying out continual self-evaluation of his or her professional standard and competence

7. Community –based and health system- based practice

Demonstrate awareness and responsiveness to larger context and system of health care, and ability to effectively use system resources for optimal patient care 4 Udayana University Faculty of Medicine, DME, 2016 THE SEVEN GENERAL CORE COMPETENCY Clinical Oncology Aims: 1. Comprehend the basic principles of haemostasis and transfusion medicine 2. Apply and interpret physical examination, laboratory, and imaging diagnosis of hematology system disorders. 3. Apply general principles of approach and management of patient with malignancy. 4. Diagnose and manage patient with common forms of anemias and to recognize or identify common forms of white blood cell disorders. 5. Diagnose and manage common forms of hemostatic or coagulation disorder. 6. Diagnose and refer special patients with hematology system disorders 7. Plan patient, family, and necessary community education about hematology system disorders and clinical oncology. Sub theme 1 : Hematologic system and disorders. Sub theme 2 : General and clinical oncology. Sub theme 1 LEARNING OUTCOMES 1. Describe The Hematology System Disorder and General Oncology 2. Differentiate and diagnose common form anemia 3. Describe Diagnostic and Therapy of Iron Deficiency Anemia 4. Recognize of Polycythemia, DIC and thrombosis 5. Apply the general principles of transfusion medicine 6. Recognize or identify bleeding disorders 7. Differentiate acute and chronic leukemia 8. Differentiate Hodgkin’s and non-Hodgkin’s lymphoma, Multiple Myeloma 9. Recognize medicaments therapy in hematology Sub theme 2 LEARNING OUTCOMES 1. Apply general principles of diagnostic and therapy of limphadenopathy 2. Apply general principles Clinical and Pathological approach to patient with cancer 3. Describe general principles of cancer therapy 4. Recognize diagnostic laboratory, pathology and imaging of tumorcancer 5 Udayana University Faculty of Medicine, DME, 2016 CURRICULUM BLOCK Clinical Oncology PLANNERS No. NAME DEPARTEMENT PHONE 1. dr. Losen Adnyana, SpPD KHOM Head Internal Medicine 08123995536 2. Dr. dr. Ketut Suega, SpPD KHOM Internal Medicine 081338728421 3. Dr. dr. Sianny Herawati, SpPK Clinical Pathology 0818566411 4. Dr. dr. Wayan Sudarsa, SpB Onk Surgery 0811398971 5. dr. Ketut Ariawati, SpA K Pediatric 08123600792 6. dr. Tjokorda Gde Dharmayuda,SpPD KHOM Internal Medicine 081338728421 7. Dr. dr. Bagus Komang Satriyasa, M.Repro Pharmacology 081805368922 8. dr. Ni Wayan Winarti, SpPA Anatomy Pathology 087862457438 9. dr. Ni Kadek Mulyantari, Sp.PKK Clinical Pathology 08123647413 LECTURERS No . NAME DEPARTEMENT PHONE 1 Prof. Dr. dr. I Made Bakta, SpPD-KHOM Internal Medicine 0811399625 2 Prof. Dr. dr. I B Tjakra Manuaba, MPH SpBKOnk Surgery 08113937779 3 dr. Tjokorda Gde Dharmayuda, SpPD-KHOM Internal Medicine 0811394108 4 Dr.dr. Ketut Suega, SpPD-KHOM Internal Medicine 08133872842 1 5 Dr.dr. Wayan Sudarsa SpBKOnk Surgery 0811398971 6 Dr. Ni G.A.A. Manik Y.W, SpBKOnk Surgery 08123214075 7 Desak Ketut Ernawati, Apt. PhD Pharmacology 08123675364 6 8 Dr. dr. Bagus Komang Satriyasa, M.Repro Pharmacology 08180536892 2 9 dr. Tjokorda Gde Oka, MS, SpPK Clinical Pathology 08133845424 5 10 dr. N Wiadnyana Steven Christian, SpBKOnk Surgery 08123801156 11 Dr.dr. Sianny Herawati, SpPK Clinical Pathology 0818566411 12 Dr. dr. Elysanti SpRad, Radiology 08180567309 9 13 dr. Ketut Ariawati, SpA K Pediatric 08123600792 14 dr. Losen Adnyana, SpPD KHOM Internal Medicine 08123995536 15 dr. Ni Wayan Winarti, SpPA Anatomy Pathology 08786245743 8 16 dr. Ni Putu Ekawati,M.Repro, Sp.PA Anatomy Pathology 08113803933 17 dr. Ni Kadek Mulyantari, SpPK K Clinical Pathology 08123647413 18 dr. AA Widnyana, SpA Pediatric 08133855004 9 6 Udayana University Faculty of Medicine, DME, 2016 BLOCK TEAM Clinical Oncology CLASS A REGULAR CLASS NO NAME GROUP DEPT PHONE VENUE 1 dr. Ni Putu Wardani, M. Biomed, SpAn A1 DME 08113992784 2nd floor: R.2.01 2 dr. I Dewa Ayu Inten Dwi Primayanti, M. Biomed A2 Physiology 08133776129 9 2nd floor: R.2.02 3 dr. Agung Nova Mahendra, M. Sc A3 Pharmacolog y 08786103019 5 2nd floor: R.2.03 4 dr. Muliani, M. Biomed A4 Anatomy 08510304357 5 2nd floor: R.2.04 5 Dr.rer.Nat. dr. Ni Nyoman Ayu Dewi, M.Si A5 Biochemistry 08133714150 6 2nd floor: R.2.05 6 dr. I G A Artini, M. Sc A6 Pharmacolog y 0812650481 2nd floor: R.2.06 7 Dr. dr. Ni Made Linawati, M. Si A7 Histology 08133722256 7 2nd floor: R.2.07 8 dr. Yuliana, M. Biomed A8 Anatomy 08579265236 3 2nd floor: R.2.08 9 dr. I Wayan Sugiritama, M. Kes A9 Histology 08164732743 2nd floor: R.2.21 10 dr. I A Sri Indrayani, Sp. S A10 Neurology 08124675153 6 2nd floor: R.2.22 CLASS B ENGLISH CLASS NO NAME GROUP DEPT PHONE VENUE 1 Dr. dr. Susy Purnawati, M.KK B1 Physiology 08123989891 2nd floor: R.2.01 2 dr. Putu Yuliandari, S. Ked B2 Microbiology 08968541562 5 2nd floor: R.2.02 3 dr. I Nyoman Gede Wardana, M. Biomed B3 Anatomy 08786040562 5 2nd floor: R.2.03 4 Dr. dr. Ni Nyoman Sri Budayanti, Sp.MK K B4 Microbiology 08553711398 2nd floor: R.2.04 5 dr. Putu Gede Sudira, Sp.S B5 DME 08180563399 7 2nd floor: R.2.05 6 dr. I Putu Bayu Mayura, S.Ked B6 Microbiology 08223616580 1 2nd floor: R.2.06 7 dr. Ayu Setyorini MM, M. Sc, Sp.AK B7 Pediatric 08135328678 2nd floor: R.2.07 8 Dr. dr. Elysanti Dwi Martadiani, SpRad B8 Radiology 08180567309 9 2nd floor: R.2.08 9 Prof. Dr. dr. I Putu Adiatmika, M.Kes B9 Physiology 08123811019 2nd floor: R.2.21 10 dr. I A Dewi Wiryanthini, M. Biomed B10 Biochemistry 08123999039 9 2nd floor: R.2.22 7 Udayana University Faculty of Medicine, DME, 2016 FACILITATORS Day Date Topic Learning Situation Regular Class English Class PIC 1 Thursday Nov, 24, 2016 General Information: The Hematology System Disorder Intro. Lect 08.00-08.30 09.00-09.30 Dr. dr. Ketut Suega, SpPD KHOM General Information: General Oncology Intro.Lect 08.30-09.00 09.30-10.00 Dr. dr. Wayan Sudarsa, SpBKOnk Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 Dr. dr. Ketut Suega, SpPD KHOM Dr. dr. Wayan Sudarsa, SpBKOnk 2 Friday Nov, 25 2016 Overview of Anemia, Agranulocytosis Intro. Lect 08.00-09.00 09.00-10.00 dr. Losen Adnyana, SpPD KHOM Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Losen Adnyana, SpPD KHOM 3 Monday, Nov,28, 2016 Iron Deficiency Anemia IDA Epidemiology, Pathophysiology, Diagnosis Intro. Lect 08.00-09.00 09.00-10.00 Dr. dr. Ketut Suega, SpPD KHOM Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 Dr. dr. Ketut Suega, SpPD KHOM 4 Tuesday Nov, 29, 2016 IDA, Aspect of Therapy in Adults Intro. Lect 08.00-08.30 09.00-09.30 Dr. dr. Ketut Suega, SpPD KHOM IDA, Aspect of Therapy in Children 08.30- 09.00 09.30-10.00 dr. AA Widnyana, Sp.A Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 8 Udayana University Faculty of Medicine, DME, 2016 TIME TABLE Day Date Topic Learning Situation Regular Class English Class PIC Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 Dr. dr. Ketut Suega, SpPD KHOM dr. Ketut Ariawati, SpAK 5 Wednesday Nov, 30, 2016 Overview of Hemolytic Anemias Intro. Lect 08.00-09.00 09.00-10.00 dr. Ketut Ariawati, SpAK Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Ketut Ariawati, SpAK 6 Thursday Des, 1 st , 2016 Congenital Hemolytic Anemias Intro. Lect 08.00-08.30 09.00-09.30 dr. Ketut Ariawati, SpAK Acquired Hemolytic Anemias Intro. Lect 08.30-09.00 09.30-10.00 dr. Tjok Gde Darmayudha, SpPD. KHOM Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Ketut Ariawati, SpAK dr. Tjok Gde Darmayudha, SpPD. KHOM 7 Friday Des, 2, 2016 Aplastic Anemia Intro. Lect 08.00-09.00 09.00-10.00 dr. Losen Adnyana, SpPD KHOM Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Losen Adnyana, SpPD KHOM 8 Monday Des, 5, 2016 Macrocytic and Megaloblastic Anemias Intro. Lect 08.30-09.00 09.30-10.00 dr. Losen Adnyana, SpPD KHOM Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Losen Adnyana, SpPD KHOM 9 Tuesday Des, 6, Polycythemia Intro. Lect 08.00-09.00 09.00-10.00 dr. Tjok Gde Darmayudha, SpPD. KHOM 9 Udayana University Faculty of Medicine, DME, 2016 Day Date Topic Learning Situation Regular Class English Class PIC 2016 Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Tjok Gde Darmayudha, SpPD. KHOM 10 Wednesday Des, 7, 2016 Bleeding Disorders: Hemophilia, Von Willebrand Intro. Lect 08.00-08.30 09.00-09.30 dr. AA Widnyana, Sp.A Thrombocyte Disorders: Thrombocytopenia ITP, Thrombocytosis Intro. Lect 08.30-09.00 09.30-10.00 dr. Ketut Ariawati, SpAK Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. AA Widnyana, Sp.A dr. Ketut Ariawati, SpAK 11 Thursday Des, 8, 2016 DIC Intro. Lect 08.00-08.30 09.00-09.30 Dr. dr. Ketut Suega, SpPD KHOM Thrombosis Intro. Lect 08.30-09.00 09.30-10.00 dr. Losen Adnyana, SpPD KHOM Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 Dr. dr. Ketut Suega, SpPD KHOM dr. Losen Adnyana, SpPD KHOM 12 Friday Des, 9, 2016 ABO Incompatibilities Intro. Lect 08.00-08.30 09.00-09.30 dr. Ni Kadek Mulyantari, Sp.PKK Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Ni Kadek Mulyantari, Sp.PKK 13 Tuesday Acute and Chronis Leukemia Intro. Lect 08.00-09.00 09.00-10.00 dr. Tjok Gde Darmayudha, SpPD. 10 Udayana University Faculty of Medicine, DME, 2016 Day Date Topic Learning Situation Regular Class English Class PIC Des, 13, 2016 KHOM Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Tjok Gde Darmayudha, SpPD. KHOM 14 Wednesday , Des, 14, 2016 Multiple Myeloma and Lymphoma Intro. Lect 08.00-09.00 09.00-10.00 dr. Losen Adnyana, SpPD KHOM Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Losen Adnyana, SpPD KHOM 15 Thursday, Des, 15, 2016 Overview of Lymphadenopathy Intro. Lect 08.00-09.00 09.00-10.00 dr. Ketut Ariawati,Sp.AK Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Ketut Ariawati,Sp.AK 16 Friday, Des,16, 2016 Lymphadenopathy Pathogenesis and Diagnosis Intro. Lect 08.00-09.00 09.00-10.00 Dokter Bedah Onkologi Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 Dokter Bedah Onkologi 17 Monday Des, 19, 2016 Lymphadenitis Surgical aspects Intro. Lect 08.00-08.30 09.00-09.30 Dokter Bedah Onkologi Lymphadenitis Medical Aspects Intro. Lect 08.30-09.00 09.30-10.00 dr. Tjok Gde Darmayudha, SpPD. KHOM Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 11 Udayana University Faculty of Medicine, DME, 2016 Day Date Topic Learning Situation Regular Class English Class PIC Pleno 14.00-15.00 15.00-16.00 Dokter Bedah Onkologi dr. Tjok Gde Darmayudha, SpPD. KHOM 18 Tuesday Des, 20, 2016 Medicaments Therapy in Hematology: Agent Used in Anemia Intro. Lect 08.00-08.30 09.00-10.00 Dr.dr. Bagus Komang Satriyasa, M.Repro Chemotherapy and Immunosuppressive Agents Intro. Lect 08.30-09.00 09.00-10.00 Desak Ketut Ernawati, Ph.D., Apt Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 Dr.dr. Bagus Komang Satriyasa, M.Repro Desak Ketut Ernawati, Apt. PhD 19 Wednesday Des, 21, 2016 Laboratory Picture Intro. Lect 08.00-09.00 09.00-10.00 Dr.dr. Sianny Herawati, SpPK Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 Dr. dr. Sianny Herawati, SpPK 20 Thursday Des, 22, 2016 Pathology Diagnostic of Tumor Intro. Lect 08.00-08.30 09.00-09.30 dr. Ni Wayan Winarti, SpPA Imaging Diagnostic of Cancer Intro. Lect 08.30-09.00 09.30-10.00 Dr.dr. Elysanti SpRad Ind. Learning 09.00-10.30 12.00-13.30 Facilitator SGD 10.30-12.00 13.30-15.00 Break 12.00-12.30 11.30-12.00 Student Project 12.30-14.00 10.00-11.30 Pleno 14.00-15.00 15.00-16.00 dr. Ni Wayan Winarti, SpPA Dr.dr. Elysanti SpRad 12 Udayana University Faculty of Medicine, DME, 2016 Clinical Oncology In the middle of each block curriculum, a meeting is held among the student representatives, facilitators, and resource person of the block. The meeting is to discuss about the effectiveness of on going teaching and learning processes, facilitators and lectures as a feedback to improve process. This meeting is held on… schedule to be advise. Assessment in this thema consists of: SGD : 5 SP review article : 15 Final exam : 80 . 13 Udayana University Faculty of Medicine, DME, 2016 MEETING OF STUDENT REPRESENTATIVES ASSESSMENT METHOD Clinical Oncology Format Paper Article Review TITLE subjecttopic: choose from compentency list Name NIM Faculty of Medicine Udayana University 2016

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