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Pediatric Oncology Services
 
 

The pediatric department is responsible for the treatment of children affected with cancer.  New patients may walk in the clinic or be referred from other hospitals.  The staff is accustomed to the unique needs of children with cancer.  Supportive services, including pain management and nutrition play a major role in delivering the best care.  Our staff holds regular meetings to discuss patients with different specialists, including surgeons, radiologists and radiation oncologists.  We have strong ties with international institutions.  Our team meets regularly with oncologists in St. Jude hospital to discuss difficult cases.  A play therapist and a psychologist work closely with our department to ensure the delivery of the best quality of life to our patients during treatment and after finishing their therapy.

 

¡   Department Chairperson’s Message:

The department of Pediatrics at King Hussein Cancer Center is being developed to offer a comprehensive program of services to children and adolescents with cancer and non-malignant blood diseases. The department of pediatrics continues to pursue excellence in all its endeavors and programs. Excellence and distinction are characteristics of our aim to provide comprehensive cancer care to children so that no child is denied of the chance to be cured of cancer and to lead a normal productive life.

 

To ensure this, the department will continue to adapt new, cutting edge therapies and technologies in its fight against cancer; patients will be cared for in modern inpatient and outpatient facilities. The department is well equipped to handle seriously ill patients who require intensive care management.

 

Providing ongoing medical education opportunities for residents, fellows, and faculty has always been a priority of our department. Our entire faculty participates in many CME lectures and courses.

 

Many of our faculty members share their expertise in pediatric hematology/oncology and pediatric intensive care medicine by giving lectures, presenting in grand rounds, as well as participating training courses and workshops.

 

The department will be actively engaged in projects and medical activities that enhance its, and the Center’s, image and prominence on the regional and international levels. Such activities, like the formation of cooperative groups, memberships and contributions to clinical studies will continue to help the department grow. Our expansion goals extend to developing programs, symposia/workshop organization, defining a presence in local, regional and international meetings, as well as developing the visiting professorship and grand round lecture programs.

 

¡   Staff:

            Medical Departments:         Physicians                      10

                                                             Fellows                            5

                                                             Residents                      12

                                                             In-house physicians     3

                                                             Admin Employees         2

 

                                                                                 Inpatient        Outpatient

Nursing:                             RN1                           3                      1

                                                            RN2                           15                    2         

                                                            RN3                           11                    1

                                                            LPN                            7                      1

                                                            PN                              1                      4                                            Clinical Coordinators    (8) Covering services

                                                           

¡   Services:

A.    In-Patient Services:

¡        Number of in-patient beds in the pediatric unit is 29

¡        Children and adolescents up to the age of 18 are admitted for in-patient care

¡     The department has a separate ICU unit for its patients

¡       Following sub-specialties, the following consultations are provided to our patients:

o       Infectious diseases

o       Gastroenterology

o       Neurology

o       Cardiology

o       Nephrology

o       Immunology

o       Pulmonology

 

B.    Out-Patient Unit:

¡    The following specialty services were established to allow for sub specialization and development of fine expertise in the treatment of common childhood cancers.

o       Leukemia service

o       Lymphoma service

o       Brain tumors service

o       Solid tumors service

o       Benign hematology service

o       After-Treatment Clinic

 

¡        A new clinic was established within the solid tumors service: the multidisciplinary pediatric sarcoma clinic.

 

¡    The following multidisciplinary clinical programs have regular clinics:

o       Ocular-Oncology

o       Neuro-Oncology

o       Bone Tumors & Limb Salvage

o       Pain Management

o       Hospice & Palliative Care

o       Parenteral & Enteral Nutrition

 

C.     Chemotherapy Unit:

The chemotherapy area is now equipped to handle pediatric drop-ins and emergencies. The area is staffed from 8:00 am to 10:00 pm daily to allow for the extended uses of hydration, blood component administration and antibiotic administration. This unit has allowed out-patients to be treated for specific ailments, while reducing the load on the floor.

 

Number of patients: old vs. new services

• Number of new cases seen as pediatric in/out patients in 2006 was 336

• Number of pediatric patients seen in 2006 seen at:

            -  Pediatric outpatient clinics:     14364

            -  Pediatric admissions:             1863

            -  Pediatric chemotherapy unit:  3497

 

                              

¡   Education & Training Activities:

The department of pediatrics has two outstanding educational residency and fellowship programs.

 

Fellowship Program:

  • Number of fellows at the department is currently 5:
    •  Two Jordanian third year fellows
    •  One Palestinian fellow
    •  One Iraqi fellow
    •  One is a faculty member of the Ministry of Health as a part of the continuous educational affiliation.
  • Four pediatric fellows graduated in 2006; two of them have joined the department faculty as instructor physicians.
  • Fellows in the department are encouraged to improve their educational skills by being involved in presenting and discussing patient cases in many departmental activities.
  • The department also encourages the fellows to attend all the combined meetings with outside institutions.
  • Regular evaluations are conducted for each fellow. They evaluate personal attitudes, professionalism, and the applicant’s fundamental knowledge during each rotation, in addition to his/her educational skills.

  Residency Program:

  • Number of residents is: 12; 5 categorical residents and 7 transitional.
  • Elective rotations are arranged for the pediatric residents with the pediatric part-time physicians for a month/year rotation, to provide the residents more exposure to  diseases outside oncology.  
  • Residents usually present activities in the department like the PREP, case of the month, and the monthly M&M meeting.

International events:  The department of pediatrics, representing KHCC in cooperation with Jordan Society of Pediatric Oncology completed work on the arrangements for the Second Regional Congress of Childhood Cancer and Blood Diseases that was held in Amman, in September 2007.

 

¡    What makes our service unique?

-        The only center treating children with cancer in Jordan.

-        The only place providing radiation therapy for children with cancer in the country.

-        A comprehensive up-to-date cancer care is now available to children afflicted with all types of cancers. They have available to them, various services, multidisciplinary clinics and programs by a coordinated team consisting of physicians, nurses, social workers, child-nutritionists, play therapists, psychologists and pharmacists.

-        All children are treated according to protocols adopted or adapted from international treatment protocols.

-        The department also participates in international clinical trials.

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