Developing a curriculum for advanced fellowship training in complex cancer for the UK

Area of Science:

• Surgical Oncology
• Medical Education
• Colorectal Surgery

Background:

• Complex colorectal cancer surgery requires extensive preoperative, operative, and postoperative expertise.
• Existing training lacks a structured curriculum for advanced and recurrent pelvic malignancy, particularly complex colorectal cancer.
• A standardized curriculum is essential for improving surgeon competency and advancing the field.

Purpose of the Study:

• To design and develop a curriculum framework for fellowship training in complex colorectal cancer, specifically including pelvic exenteration surgery.
• To establish a structured educational pathway for surgeons managing advanced pelvic malignancies.
• To create a foundation for research, governance, and international collaboration in complex cancer surgery.

Main Methods:

• Utilized steps 1-4 of Kern's six-step curriculum design method.
• Conducted a literature review and needs assessment through focus groups with trainees and experts.
• Established learning needs, set objectives, and achieved expert consensus on educational strategies and assessment frameworks.

Main Results:

• Identified a significant gap in existing curricula for complex cancer surgery.
• Key learning needs include anatomy, hands-on experience, and adequate case volume.
• Defined curriculum goals across six domains and recommended a minimum of 20 pelvic exenteration operations per fellowship.

Conclusions:

• A comprehensive curriculum framework for advanced fellowship training in complex colorectal cancer has been developed in the UK.
• Further validation through implementation and seeking national/international affirmation is required.
• This framework aims to enhance surgical expertise and standardize training in pelvic exenteration surgery.