Objectives
  • To understand the cellular origin, natural history, diagnosis and treatment modalities and outcome of patients with thyroid cancer

  • To be able to perform specialist assessment, treatment and counselling of patients with thyroid cancer

Awareness
  • Awareness of the existence of different biological and pathological subtypes of thyroid cancer

  • Awareness of the existence of different prognostic classifications for the risk of thyroid cancer death and recurrence that are used for the selection of appropriate treatment strategies

  • Recognition of the availability of different diagnostic procedures, including fine needle aspiration (FNA) and neck ultrasonography

  • Appreciation of the importance of the multimodality approach to treat patients with thyroid cancer

  • Recognition of the use of surgery and radioiodine in patients with localised disease

  • Recognition of the use of radioiodine and kinase inhibitors in patients with advanced disease

Knowledge
  • Understanding of the tissue of origin and pathological classification of thyroid cancers

  • Knowledge of the epidemiology of thyroid cancers, and its relation to screening procedures, environmental factors and genetic factors

  • Familiarity with most important prognosticators for cancer-related death and for recurrence (TNM stage, histological diagnosis and grade)

  • Knowledge of the diagnostic management and biochemical thyroid function profile of patients with thyroid cancer

  • Knowledge of the indications for the use of imaging modalities for staging

  • Familiarity with the indications for surgery and for its extent, for radioactive iodine ablation (indications, modalities and radioprotection), and external beam radiotherapy in the management of localised disease

  • Knowledge of the indications for focal treatment modalities, radioiodine treatment, and chemotherapy and novel targeted agents for locally advanced and metastatic thyroid cancers

Skills
  • Ability to contribute actively to a variety of thyroid cancer clinical scenarios and patient presentations

  • Ability to discuss critically the treatment options/recommendations

  • Ability to perform a history and physical examination in patients with thyroid cancer, including different subtypes

  • Ability to contribute to discussions on general management strategies in patients with thyroid cancer, including different subtypes in order to understand all the considerations on which treatment to use and which sequence to select for the multidisciplinary strategy

  • Ability to prescribe kinase inhibitors and to prevent/manage side effects of kinase inhibitors