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Radiation Oncology The Primary FFRRSCI Examination in Radiation Oncology19. The Examination will be held in March and September unless otherwise ordered.20. The examination may not be taken until three years after full registration (Four years after graduation e.g. MB. BCh). Graduates require two years clinical experience after full registration, and a full academic year approved training in an accredited post in Radiation Oncology The Primary Examination comprises the following 4 subjects orientated towards their clinical applications in clinical oncology. (1) Physics: The application of physical principles and methods in clinical Radiotherapy, physical basis of the therapeutic uses of radioactive isotopes, radiation hazards and protection. (2) Medical statistics: with special reference to clinical trials, assessment of results, and the epidemiology of cancer. (3) Cancer Biology and Radiobiology: The processes of cancer cell transformation and tumour development, & how these processes can be demonstrated, and the response to ionising radiation of cells both individually and grouped as tissues. (4) Clinical Pharmacology: The structure, action, use and evaluation of drugs used in the treatment of a patient with cancer. Candidates are permitted to sit the Primary FFRRCSI examination upon completion of Faculty approved lectures in the above courses. It is obligatory to hold a training post in an approved Department of Radiotherapy to take the Primary examination. The Primary Examination consists of two modules (a) and (b): (a) Physics Medical Statistics and Epidemiology (b) Cancer Biology / Radiobiology Pharmacology The Examiners will be: (a) Clinical Oncologists, Medical Physicists and Medical Statisticians (b) Clinical Oncologists, Clinical Pharmacologists, and Cancer Biologists Each Module is held in March and September and consists of : (a) For each subject there is a single paper of single best answer questions Candidates may enter the examination at any four consecutive attempts. Unsuccessful attempts at the First FRCR examination of the Royal College of Radiologists will be counted in the total four sittings. Unsuccessful candidates will retain credit for any module passed. The Faculty of Radiologists of the Royal College of Surgeons in Ireland reserves the right to refer for twelve months any candidate who fails all parts of the Primary Fellowship of the Faculty of Radiologists. A Candidate who has been referred by the Royal College of Radiologists in London, having failed the First FRCR examination of the college, will not be permitted to sit the Primary examination of the Faculty of Radiologists, RCSI during the period of referral Physics: The emphasis is placed on candidates acquiring a broad knowledge of physics relevant to the clinical practice of radiotherapy. It is essential that during the course of instruction there should be demonstrations of therapeutic and related equipment and procedures to illustrate the importance of the subject to radiotherapeutic practice. Medical Statistics: Candidates will be expected to have sufficient knowledge of the principles of the subject to enable them to study critically the statistical validity of published investigations, Particular emphasis is placed on candidates acquiring sufficient knowledge of the subject to enable them to appreciate the requirements needed to design, monitor and assess trials and epidemiological studies. Cancer Biology and Radiobiology: (1) Cancer Biology: The understanding of carcinogenesis, cellular and molecular features of malignancy including biochemical control, signalling and cell death, tumour development, growth kinetics, micro-environmental changes, metastases and immune responses, and common laboratory techniques to demonstrate these features (2) Radiobiology: A knowledge of the cellular and molecular basis for the response of cells, tissues and tumours to ionising radiation is expected. Candidates are expected to understand the chemical interactions between radiation and cells and to understand the development of malignancy and the principles and developments underpinning the therapeutic applications of radiation. A knowledge of current models of radiation response is expected. Clinical Pharmacology: The emphasis is on cytotoxic drugs, hormones and biological therapies used in clinical practice, their modes of action and side effects. The syllabus also includes the basic principles of pharmacokinetics and pharmacodynamics, clinical trials and the basic pharmacology of drugs used in the supportive care of patients with cancer. For further details refer to Royal College of Radiologists website www.rcr.ac.uk |
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