The Hamad Medical Corporation (HMC) Gynaecological Oncology Service at the Women’s Hospital is the national referral centre for the sub-specialty. It is affiliated with the National Centre for Cancer Care and Research (NCCCR).
The Department of Obstetrics and Gynecology seeks to augment the Gynecological Oncology Team resources by appointing a sub-specialist gynaecological oncologist to share the leadership of the service with the current Service Lead. The current Team involves the
Service Lead Consultant and is supported by a Consultant and a Specialist.
The four HMC hospitals providing Obstetrics and Gynecology services are linked by the Women’s and Newborn Health Network lead by the HMC Director of Women’s Services who is also Chairman of Obstetrics and Gynecology at the Women’s Hospital. Each of the four hospitals provides secondary level services and the Women’s Hospital provides the tertiary care hub. The Gynecological Cancer Leads will provide leadership across the Network for Gynecological Cancer Services.
The Gynecological Oncology service is responsible for the management of women with suspected or proved gynecologic malignancies. The team comprises consultants, specialist and a resident. There is a dedicated gynecologic oncology clinic which has colposcopy facilities and in- patients are admitted to the gynecology ward. In addition there is a fully equipped operating room available to the team on a weekly basis.
Overview of management of gynecologic oncology patients at WH.
1. Referral to Gynecologic Oncology service at Womens Hospital:
The referral process is streamlined, all eligible cases are directly referred to the gynecology oncology clinic. Based on the diagnosis the priority for appointment is decided with cancer cases being seen within 2 working days.
2. Workup of patients in WH
After the first visit the Patient pathway coordinator (PPC) ensures that all the relevant radiological investigations and cross referrals are completed within 10 days and the patient is referred to the Multidisciplinary team (MDT) within 2 weeks. The MDT comprises of senior physicians from different specialties e.g. gynecologic oncology, medical oncology, radiation oncology, radiology, pathology etc.
3. Treatment in WH
All patients are discussed at the MDT meeting and a treatment plan is jointly decided based upon accepted guidelines. It is mandatory to present cases at MDT prior to surgery and to proceed as per the MDT decision. As per the MDT decisions patients are contacted by the PPC to arrange for clinic appointments or admission.
4. Treatment of cancer cases after surgery
Cases requiring chemotherapy and radiotherapy have their treatment plan discussed and finalized at the MDT. Subsequent appointment and initiation of treatment at the NCCCR are facilitated by the PPC so that there is no delay and inconvenience for the patient. After treatment follow-up visits to the clinic are also arranged by the PPC and communicated to the patients
The Gynecologic Oncology Multidisciplinary team was awarded the Rising Star award in the health practice category at the annual Stars of Excellence awards in 2013. The award was given for developing a clear pathway for the management of women with gynecological cancer or suspected cancer, offering timely treatment that aligned with evidence-based guidelines with minimal inconvenience to the
patient as a result of which patients receive coordinated care across different facilities leading to better outcomes.
Key responsibilities of the role include:
- Clinical practise across all aspects of Gynecological Oncology (GO)
- Leadership in developing the GO service
- Promote training within the GO service
- Strategic alignment of the GO service with the National Cancer Strategy.
- Ensure compliance of GO service with Joint Commission International (JCI) accreditation requirements
- Support GO service engagement with Institute of Health Improvement (IHI) Initiatives
- Board certification or equivalent specialist qualification in Obstetrics and Gynaecology
- Sub-specialty accreditation as a Gynaecological Oncologist
- Clinical leadership skills and the ability to contribute to strategy and policy development at Institutional level
- Strong networking and team building skills
- Strong analytical and communication skills
- An ability to work as part of an inter-professional team.