You can replace and degree the cam in the truck, just remove the radiator. No need to pull the heads. If your replacing the cam, you will need to pull the intake to get to the lifters. Not sure how much room for the degree wheel, but I have used a 9" degree wheel when the engine is in the car, just get one with a large center hole for the crank bolt.
This one looks like it has the large hole and is cheap.
http://www.summitracing.com/parts/cca-4790/recommendedpartsA piston stop that screws in the spark plug hole to find TDC.
I use this Crane one. Has a hole in that makes turning the engine over easy.
http://www.summitracing.com/parts/crn-99412-1/overview/These crank sockets that the degree wheel attaches to make the job easier if you want to spend the extra $40.
http://www.summitracing.com/parts/cca-4799/overview/make/dodgeYou need a 1" travel dial indicator and stand or other attachment device. A set of dial indicator extensions make it easier when checking with the head on, but you could measure off a pushrod or some other extension.
Degree wheel pointer is usually just some thick wire with a pointed end.