A neuro-oncologist was recruited in 2005 with the aim of providing care to not only patients with primary and metastatic brain tumors, but also to any cancer patient with neurological symptoms or complications. We are seeing more of these patients in the clinic and at the West Jefferson Medical Center because we are the only institution in the Southern Gulf area with a well-assembled neuro-oncology team. This resource offers an enormous learning experience to residents and fellows, and at the same time stimulates an environment of interdisciplinary work that interfaces Medicine, Neurology, Neurosurgery, Oncology, and Radiation Oncology. Our patients from Louisiana and neighbor states will be the ultimate beneficiaries of this effort. We hope it will be a time–intensive yet rewarding rotation.
To introduce trainees to the discipline of Neuro–Oncology
To help develop in trainees a standardized approach to the cancer patient with neurologic symptoms or complications
To help develop in trainees a standardized approach to the patient with primary brain and spine tumors
To help develop in trainees a standardized approach to the patient with brain and spine metastases
To prepare residents for neuro-oncology questions in the American Board of Psychiatry and Neurology Board Exam
The residents will receive instruction in appropriate and compassionate methods of end-of life palliative care, including adequate pain relief and psychosocial support and counseling for patients and family members about these issues.
At the end of this elective, trainees should:
Efficiently evaluate the mental status of patients in the office or at the bedside, and conduct time–efficient, focused neurological exams for anatomical localization
Based on the data collected from the history, physical exam, and ancillary studies, formulate a diagnosis, make treatment recommendations, and establish a prognosis
To become familiar with the Karnofsky Performance Score (KPS) as the most commonly used performance scale used in Neuro–Oncology, and the recursive partitioning analysis (RPA) classes for prognosis in brain metastases
To be familiar with the pathology, radiology, prognosis, and current treatment options for:
Procedures (when indicated): Lumbar puncture, intrathecal administration of chemotherapy; Puncture of Ommaya reservoirs and intraventricular administration of chemotherapy
We will follow the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology, v.1.2006 on CNS Cancers, and the World Health Organization textbook on the Pathology of Tumors of the Nervous System IARC Lyon, 2000