Courses

in
Department of Radiation Oncology
RCC JIPMER
India
2 Courses - Fellowship In Two Regional Sites
1 Course - M.Sc Radiotherapy Technology
ELIGIBILITY FOR ADMISSION:
Minimum qualification required for appearing for the
entrance exam for the proposed two year fellowship
program would be M.D or DNB in Radiation Oncology/
Radiotherapy or any equivalent degree of this Institute
or any other Institute/University recognized as
equivalent there to by the Medical Council of India.
INTAKE OF RESIDENTS PER ANNUM:
1 per year
SELECTION PROCESS:
Entrance Exam
MEDIUM OF INSTRUCTION: English shall be
the Medium of Instruction for all the Subjects of study
and for examinations
• CURRICULUM: The Curriculum and the
syllabus for the course shall be as
prescribed in these regulations and are
subject to modifications by the Standing
Academic Board from time to time.

• DURATION OF THE COURSE:

• Two years
JUSTIFICATION
Head & Neck Cancers managed in Radiation
Oncology
Head & Neck Cancers

• Oral Cavity, Pharynx, Nasopharynx,

Definitive Larynx
• Facial Skin, Eye, Ear, Nose

Adjuvant • Salivary Glands, Paranasal sinuses,

Thyroid
Fellowship in Head & Neck Oncology
Ongoing Research Work:
HN Cancer Trend over last 5 years 1. Endocrine changes after H&N
HN Total irradiation – Dr.Pravesh/Dr.Pooja
100%
0.78 0.81 0.81 0.83 0.82
90%

80% Completed Work

70% 2. Factors associated with compliance to
60%
radiotherapy in underserved head and
neck cancer patients. – Dr Saikumar
50%

40%

30%
0.22 0.19 0.19 0.17 0.18
20%

10%

0%
2015 2016 2017 2018 2019
Why this course?
• Comprises around 25-30% of all cancers registered in our department
• More hypofractionated radiation regimens are very intensive and
carry high risk of toxicities which need prolonged and focussed care.
• Focus on rehabilitation of patients (cancer survivorship) after curative
treatment is limited in the current set-up.

Poster: Soman S, Pandjatcharam, J. Factors associated with

compliance to radiotherapy in underserved head and neck
cancer patients. Radiotherapy and
Oncology,2018;127(S1):S653.
How is this course beneficial?
• Expected betterment in compliance to treatment
• Expected improvement in data collection paving way for better
research practices.
Q & A’s
• Will the allotted resident be involved in only fellowship areas or others?
• Yes. He will be responsible to identify head and neck cancer patients in the General/ and/or TPM OPD, assist
or individually work them up and record the treatment plan decided by the OPD team. He will be following
these patients in the course of his/her treatment plan to Daycare OPD, Palliative Care OPD, Radiation
Treatment Planning, RT Review OPD, wards, minor and major OTs. Besides, the fellow follows up the
treatment course of each of such patients more closely and ensures minimal loss of compliance to patient
evaluation, diagnosis, treatment and follow-up.
• Who else is doing similar programmes?
• Surgical Oncology has similar programmes focussed on regional cancers. Ex: Surgical Fellowship in Head &
Neck Oncology
• Radiation brachytherapy and EBRT Technique-based fellowships are ongoing in TMH Mumbai.
• Where do you get the seats from, how do you manage rest?
• Creating new seats if possible will help the department workload. Else a regular senior resident seat will be
used for this fellowship post.
• Can we get sponsored seat?
Fellowship in Pelvic Oncology
ELIGIBILITY FOR ADMISSION:
Minimum qualification required for appearing for the
entrance exam for the proposed two year fellowship
program would be M.D or DNB in Radiation Oncology/
Radiotherapy or any equivalent degree of this Institute
or any other Institute/University recognized as
equivalent there to by the Medical Council of India.
INTAKE OF RESIDENTS PER ANNUM:
1 per year
SELECTION PROCESS:
Entrance Exam
MEDIUM OF INSTRUCTION: English shall be
the Medium of Instruction for all the Subjects of study
and for examinations
• CURRICULUM:
• The Curriculum and the syllabus for the
course shall be as prescribed in these
regulations and are subject to
modifications by the Standing Academic
Board from time to time.

• DURATION OF THE COURSE:

• Two years
JUSTIFICATION
Pelvic Cancers managed in Radiation
Oncology
Pelvic Cancers

• Prostrate, Penis, Bladder

Definitive • Vulva, Vagina, Cervix
• Anal Canal

Adjuvant • Bladder, Endometrium, Rectum

Fellowship in Pelvic Oncology
Pelvic Cancer Trend over last 5 years Ongoing Research Work:
1. VMAT in rectal cancer
Pelvic Total

100%
2. Adaptive Brachytherapy
0.75 0.74 0.75 0.75 0.76
90%

80%
Completed Work
70% 3. Retrospective outcomes in
60% endometrial cancer –
50% Dr.Muthulingesh
40%
4. Clinical outcomes of anal cancer –
Dr.Bharadwaj
0.25
30% 0.26 0.25 0.25 0.24
5. Randomised study of Balloon vs
20%
combined ICBT in cervix cancer –
10%
Dr.Rishanthini
0%
2015 2016 2017 2018 2019
Why is this course needed?
• Pelvic cancers comprises >25 % of all cancers managed in our department
• More refinement in radiation treatment techniques
• Radiation treatment techniques are increasingly becoming adapted to the region. IGRT to
account for pelvic organ motion.
• Adaptive Image-guided Brachytherapy techniques for uterine cancers
• Toxicities of pelvic irradiation need focused care
• Chronic Cystitis (5-10% prevalence, >Gr2) – Cold irrigation, Alum
• Chronic Proctitis (15%-20% prevalence >Gr2) – Steroid enema, Laser coagulation, Formalin
Dab
• Sudha SP, Kadambari. Int J Colorectal Dis. 2017 Sep;32(9):1285-1288.
• Nelamangala  RVP, Reddy KS. Colorectal Dis. 2012 Jul;14(7):876-82
• Poster: EP-1528: Evolution of acute toxicities in VMAT of uterine cervix
cancer. KS Harsha, Jagadesan P. Radiotherapy and Oncology 2018;127
(S1):S827.
• A study on the variation of bladder and rectal doses with respiration in
intracavitary brachytherapy for cervix cancer. R Prabhakar, P
Jagadesan. J Contemp Brachyther 2 (1), 24-27
How is this course beneficial?
• Better tracking and management of pelvic cancer patients comprising
of genitourinary, gynecologic and lower gastrointestinal cancers is
expected to lessen the loss to follow-up.
• Better data collection will less missing data and so more relevant
research ideas generation.

Poster: EP-1681: Loss of follow-up in cancer care for the

management of cervix cancer patients. J Pandjatcharam, P
Chinnakali, Radiotherapy and Oncology 2018;127(S1):S902-
S903.
Q & A’s
• Will the allotted resident be involved in only fellowship areas or others?
• Yes. He will be responsible to identify Pelvic cancer patients such as rectal, prostrate, bladder, cervix,
endometrial, penile cancers and so in the General/ and/or TPM OPD, assist or individually work them up and
record the treatment plan decided by the OPD team. He will be following these patients in the course of his/her
treatment plan to Daycare OPD, Palliative Care OPD, Radiation Treatment Planning, RT Review OPD, wards,
minor and major OTs. Besides, the fellow follows up the treatment course of each of such patients more closely
and ensures minimal loss of compliance to patient evaluation, diagnosis, treatment and follow-up.
• Who else is doing similar programmes?
• Surgical Oncology has similar programmes focussed on regional cancers. Ex: Surgical Fellowship in Head & Neck
Oncology
• Radiation brachytherapy and EBRT Technique-based fellowships are ongoing in TMH Mumbai.
• Where do you get the seats from, how do you manage rest?
• Creating new seats if possible will help the department workload. Else a regular senior resident seat will be
used for this fellowship post.
• Can we get sponsored seat?
 COURSE

M. Sc. Allied Medical

Sciences (Radiotherapy
Technology)
ELIGIBILITY FOR ADMISSION:
B.Sc Radiotherapy technology from AERB recognized
university with 5 years experience in Radiotherapy or
B.Sc Radiology or equivalent from recognized university
with 5 years experience in Radiotherapy.
INTAKE OF RESIDENTS PER ANNUM:
4 per year (Department/ in-house candidates- 2 per
year + Sponsored candidates 2 per year)
SELECTION PROCESS:
Interview among in-house eligible candidates -
Preference will be Seniority based, nominated and
recommended by Dept. of Radiation Oncology. Interview
for Sponsored Candidates.
MEDIUM OF INSTRUCTION: English shall be
the Medium of Instruction for all the Subjects of study
and for examinations of the M.Sc – RADIOTHERAPY
TECHNOLOGY DEGREE COURSE UNDER ALLIED HEALTH
SCIENCES.
• CURRICULUM: The Curriculum and the
syllabus for the course shall be as
prescribed in these regulations and are
subject to modifications by the Standing
Academic Board from time to time.

• DURATION OF THE COURSE: The

duration shall be Two year study period
including period of exam. The admitted
candidates should complete this course
within 4 years (double the duration) from
the date of joining the course.
• JUSTIFICATION:
Cancer is one of the leading causes of deaths in India,
which has nearly three million patients suffering from
the disease. Radiation therapy is an important tool for
treating cancer, and is often used in conjunction with
other therapies, such as chemotherapy or surgery.
• Radiation therapy technologists (RTTs) play an
important role in the professional health care team,
working closely with radiation oncologists and medical
physicists in the delivery of optimal treatments for
cancer patients.
• The RTT’s operate radiation equipment to deliver high
energy ionizing radiation treatments. As the
technology advances in Radiation oncology, it
becomes imperative to have skilled professionals who
can deliver radiation therapy to the patients and can
work with the oncology team.
• Moreover, imaging in oncology is an integral part of
radiotherapy treatment planning & treatment delivery
for which advance training is required to handle these
equipment’s efficiently. In addition to delivering
treatment to patients, they shall demonstrate care and
empathy to guide the patients through the treatment
process
• To discharge these important responsibilities, the RTTs
should be equipped with the necessary education and
skills during their training program. On the academic
front, for teaching/training of BSc. RTTs, apart from
radiation oncologists and medical physicists, qualified
MSc RTTs are also needed.
• Institute of National Importance such as PGIMER
Chandigarh conducts MSc (Radiotherapy) course for
eligible In-House/Sponsor candidate.
• Upon completion of this course, the student shall be
able to execute all routine and advanced radio
therapeutic procedures as per prescription of
Radiation Oncologist and also assist the Radiation
oncologist, Medical physicist in treatment of cancer
patients, radiotherapy planning & procedures, and
implementation of new equipment/ technology .
• provide adequate knowledge about the safe handling
of medical radiation sources, keeping in mind the
radiation protection of staff, patients and public,
transfer knowledge and skills to students as well as
younger professionals, actively participate and also
independently work in research in the field of
radiotherapy delivery / clinical research/ trails and
related areas.
M.Sc in Radiotherapy Technology
• Commensurate with the increase in technology used in safe delivery
of therapeutic radiation, there is an increased need in better qualified
technologists
• Need Dedicated teachers for radiotherapy technology
• Career progression among Technologists