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What are the differents careers in pediatric oncology?

I'm a junior in high school and I've been trying to figure out what I would like to do the rest of my life. I know I want to do something in the medical field and have been leaning towards oncology. I would also love to do something with pediatrics, but I have no idea what jobs are out there in pediatric oncology. I have done a lot of research but came seem to find any answers. Can anyone help?

Asked By: Erin - 11/28/2011
Best Answer - Chosen by Asker
I work in pediatric oncology as a child life specialist. The goal of my job is to lessen anxiety and help children understand. I explain new diagnoses and treatment, prepare kids for procedures, provide distracton during procedures, run support groups, go to their schools to teach their classmates about cancer, do therapeutic play and medical play, bereavement support (with dying children, their parents, siblings, etc., including legacy building, explanations, etc.) and much more.

There are many other things within pediatric oncology, too. Pediatric oncologists are the doctors who treat children with cancer. Most pediatric oncologists are also hematologists and treat children with blood disorders, as well.

Pediatric cancer is often treated outpatient, in a clinic setting within the hospital, but sometimes, patietns do need to be admitted. So there are nurses in clinic and nurses on the inpatient unit. We also have APNs (advanced practitioners of nursing, or nurse practitioners.) All of our clinic & inpatient nurses are chemo certified.

We also have social workers. Their job overlaps mine quite a bit and we work closely together. They also handle insurance issues, financial issues, parent work situations, etc., and do less of the therapeutic play and teaching with the patients.

Within our center, we also have a nutritionist, a certified research analyst (works with the data and protocols), and receptionists. Elsewhere in the hospital are the radiation oncologists (oncologists focusing on radiation) and radiation therapists.

There are also radiologists who work with our kids and radiology techs- this is all about the imaging. Most children's hospitals don't have specific pediatric oncology surgeons, but have various pediatric surgeons who work with the oncology team (general pediatric surgery, orthopedic surgery, ENT.)

Some hospitals have oncological psychologists. We do not, but we do have a cognitive behavioral therapy team that sees some of our oncology patients for short term therapy, and we refer out to a community psychiatrist and psychologist for long term counseling/medication.

I strongly advise volunteering. Contact your local children's hospital or general hospital with a big pediatric department and ask what the requirements are. You might be too young to volunteer with patients right now (at my hospital, we only take 18 & up) but it's good to ask. This will give you an idea of what it's like to work in a medical setting.
Answered By: TrueSnapdragon - 11/28/2011
Additional Answers ()
Pediatric oncology: concerned with the diagnosis and treatment of cancer in children.
In most countries it is now common that patients are treated by a multidisciplinary team. These teams will meet on regular basis and discuss the patients under their care. These teams consist of the medical oncologist, a clinical oncologist or radiotherapist, a surgeon (sometimes there is a second reconstructive surgeon), a radiologist, a pathologist, an organ specific specialist such as a gynecologist or dermatologist, and sometimes the general practitioner is also involved. These disease oriented teams are sometimes in conflict with the general organisation and operation in hospitals. Historically hospitals are organised in an organ or technique specific manner. Multidisciplinary teams operate over these borders and it is sometimes difficult to define who is in charge.
Answered By: gangadharan nair - 11/28/2011
Well it depends on what you want to do, where you live, and whether you mind repetative work :)

Basic cancer careers:

DOCTOR BASED CAREERS
Oncologist = Doctor of cancer (oncology) who sees patients and prescribes treatments.

There are two main types - Radiation Oncologist (deals only with radiation therapy) or Medical Oncologist (deals only with chemotherapy and hormonal treatments).
This would involve MANY (12+) years of study, and is VERY demanding work, but you will be in high demand throughout the world, and it is a very high paid job. I know a Medical Oncologist who was paid $700/hour but he also worked all the time, and was on call 24/7 - very stressful, so remember money is not everything. Having studied for 12+ years you will also have a huge university debt!
You would also need to specialise in pediatric oncology (even more study).

TREATMENT ORIENTATED CAREERS

Would you prefer to plan and deliver treatments rather than prescribe them?

1) Chemotherapy nurse - work in delivering the chemotherapy treatment to patients. This involves cannulating (injections), and delivering chemotherapy agents directly into patients. This requires a nursing degree as well as oncology training. It is reasonably well paid, but you are on your feet all day, and wearing "scrubs" and will need to be good in an emergency.

2) Radiation Therapist - (I used to work in this field) - Don't know where you are from, but in Australia, Radiation Therapists are trained to plan radiation treatments as well as to deliver them. In America, they are only trained to deliver the treatments - planners are called dosimetrists there.

If you can, study this in Australia, because then you can work in all areas of Radiation Therapy and it provides more variety and you will be in high demand throughout the world.

RTs plan radiation treatments that have been prescribed by Radiation Oncologists. You receive the prescription, and use computers with CT scan images on them to plan how to best deliver the treatment to the tumour. You will also be involved in delivering the treatments directly to patients.

It is a very well paid career (in Australia anyway). As this is the field I worked in, I can provide more details on this than other areas...but limited space here, so feel free to email me if you want more info.

You need to be good at patient care, communication, computing, physics and medical knowledge (anatomy and physiology). At school, you will need to study biology, physics and mathematics, with English, computing and communications also being useful.

Work environment:
- very repetative work (same thing every day with little variety)
- Treatment area requires you to be on your feet all day, Planning area you are sitting in front of computes and paperwork all day
- Working in groups (in treatment you are NEVER alone, always working in pairs)
- Moving between light and dark rooms, working in bunkers underground (very little natural light)
- You need to move very fast on your feet
- Working with large machines (called linear accelerators - google images to get an idea of what it looks like).
- Lifting heavy and awkward items, sometimes above your head

Another point to make is that in Radiation Therapy, the treatment is delivered directly to the skin, which requires the patient to be in state of undress. You will be drawing on their skin with pens, and palpating bones - so need to be comfortable with touching people in all areas...yes, all.

I note that your interest is in pediatrics. In Radiation Therapy, there are set clinics that specialise in pediatric cancers, and some that have no children - this depends if they have a pediatric oncologist.

Maybe volunteer in a cancer pediatric ward to get an idea if you could handle it, and see if you can get work experience in a Radiation Therapy clinic.

Also may like to look in to the option of studying in an Australian Universtiy. For RT, I would recommend University of South Australia, Monash University (this is more work on the job based, but think it is only postgraduate), Newcastle University or Queensland University. There are currently no courses in Western Australia or Tasmania - though you have work placements throughout the country, so can combine travel, study and work. Would also need to take in to account expense of living in each town - South Australia cheapest, Sydney or Newcastle most expensive to live.

Feel free to contact me if you want more information on these or other areas, and I can always try and find information and support on getting to Australia for study.
Answered By: angelic markings - 11/28/2011
Medical research.
Answered By: tod m - 11/28/2011
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