scholarly journals Radiation oncology resident education in palliative care

2019 ◽  
Vol 8 (3) ◽  
pp. 305-311 ◽  
Author(s):  
Pericles J. Ioannides ◽  
Randy L. Wei
Keyword(s):  
Palliative Care ◽  
Radiation Oncology ◽  
Resident Education

Radiation oncology program directors’ attitudes towards 27 discrete palliative care skills.

2019 ◽  
Vol 37 (31_suppl) ◽  
pp. 62-62
Author(s):  
Eric M. Chang ◽  
Ann C. Raldow ◽  
Anne M. Walling ◽  
Percy P. Lee ◽  
Emily J Martin
Keyword(s):  
Palliative Care ◽  
Radiation Oncology ◽  
Resident Education ◽  
Program Directors ◽  
Median Score ◽  
High Quality ◽  
Caregiver Support ◽  
Quality Cancer Care ◽  
American Society ◽  
Uncertain Time

62 Background: Dedicated conferences in palliative care have been proposed as an ACGME requirement for radiation oncology (RO) residency programs. We assessed RO program directors’ attitudes towards discrete palliative care skills. Methods: In April 2019, we surveyed 93 United States RO residency program directors. The survey assessed program directors’ views of 27 discrete palliative care skills in eight domains adapted from the American Society of Clinical Oncology/American Academy of Hospice and Palliative Medicine guidance statement defining high-quality palliative care in oncology. Using a nine-point scale, respondents rated each skill on three constructs: 1) importance to high-quality cancer care, 2) scope within RO practice, and 3) importance in RO residency education. Skills were categorized as “Included” (median score ≥7 for all constructs), “Excluded” (median score ≤3 for all constructs), or “Uncertain” (all other skills) using a composite score of all constructs. Results: Twenty-nine program directors (response rate 31%) completed the survey. Of the 27 skills, respondents rated 100% of the skills as important to care (median score ≥7), 70% of the skills as within the scope of RO practice, and 81% of the skills as important to resident education. No skills were rated as unimportant to care, out of scope, or unimportant to resident education (median score ≤3). Seventy percent of skills were categorized as “Included.” The domains of Caregiver Support (100%), End of Life Care (66%), and Spiritual/Cultural Assessment and Management (33%) had the highest proportions of skills rated as “Uncertain.” Time limitations (28%) and lack of education (28%) were rated as the main barriers to further integration of palliative care into RO. Conclusions: RO program directors value palliative care skills within RO. The majority of the assessed skills were rated as important to care, within scope of practice, and important to resident education.

Choosing oncology as specialization: Medical students' perception after clinical rotation in cancer center.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 10528-10528
Author(s):  
Omar Orlando Castillo Fernandez ◽  
Maria Lim ◽  
Lilian Hayde Montano ◽  
Gaspar Perez-Jimenez ◽  
Jhonattan Camaño ◽  
...  
Keyword(s):  
Palliative Care ◽  
Medical Students ◽  
Radiation Oncology ◽  
Cancer Care ◽  
Medical Oncology ◽  
Surgical Oncology ◽  
Cancer Center ◽  
Clinical Rotation ◽  
Chi Square ◽  
Field Methods

10528 Background: Cancer is a leading cause of death worldwide and the demand for oncologist and palliative care specialists is increasing dramatically. Two years ago, The Universidad de Panama incorporated Oncology in the curriculum in order to face the shortage of professionals involved in cancer care. Little information is available concerning young medical students desire to pursue a career in oncology.The aim of this study is to evalute medical students perception about Oncology as a specialization field. Methods: An electronic survey was sent to medical students from Universidad de Panama after finishing Oncology rotation the last 2 years. Chi square and Mann Whitney U tests were used to compare variables. Results: 145 questionnaries were responded (40%). 60% female and 40% male. Median age was 25 years old. Clinical rotation during Oncology practices were: 37% in Medical Oncology, 24% in Surgical Oncology, 21% in Radiation Oncology and 18% in Palliative Care. 20% (29) of students are highly motivated to pursue a career in Oncology. 8 in Radiation Oncology. 8 in Surgical Oncology, 8 in Medical Oncology and 5 in Palliative Care. Variable associated with a oncology preference were: male gender (p=0.007), lack of human resources (p=0.009), contact with patients and family (p=0.005), good experience with mentor (p=0.002), nature and complexity of disease (p<0.001). Potential emotional burden was negatively asssociated (p=0.004) with oncology preference. 66% of students acknowledged that clinical rotation changed positively their perception about cancer patient care and a third of students haved not rule out the possibility to choose Oncology in the near future. Conclusions: Early exposition to medical student to cancer care might help to reduce the global shortage of oncologist and palliative specialists.

scholarly journals The Role of Radiation Therapy in the Management of Metastatic Melanoma in the Brain

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Angela Hong ◽  
Gerald Fogarty ◽  
Michael A. Izard
Keyword(s):  
Palliative Care ◽  
Radiation Therapy ◽  
Brain Metastasis ◽  
Metastatic Melanoma ◽  
Radiation Oncology ◽  
Randomized Trials ◽  
Medical Oncology ◽  
General Management ◽  
The Brain

Brain metastasis is common in patients with melanoma and represents a significant cause of morbidity and mortality. There have been no specific randomized trials for patients with melanoma brain metastasis, so treatment is based on management of brain metastasis in general and requires multidisciplinary expertise including radiation oncology, neurosurgery, medical oncology, and palliative care. In this paper, we summarize the prognosis, general management, and the role of radiation therapy in the management of metastatic melanoma in the brain.

scholarly journals Emergency Medicine Resident Education in Palliative Care: A Needs Assessment

2010 ◽  
Vol 39 (2) ◽  
pp. 333-334 ◽  
Author(s):  
Sangetta Lamba ◽  
Anne Mosenthal ◽  
Joseph Rella ◽  
Amy Pound ◽  
Thomas Driscoll ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Palliative Care ◽  
Needs Assessment ◽  
Resident Education ◽  
Emergency Medicine Resident ◽  
Medicine Resident

scholarly journals A Case for Increased Medical Student and Psychiatric Resident Education in Palliative Care

2015 ◽  
Vol 40 (2) ◽  
pp. 203-206 ◽  
Author(s):  
Richard Balon ◽  
Lucie Bankovska Motlova ◽  
Eugene V. Beresin ◽  
John H. Coverdale ◽  
Alan K. Louie ◽  
...  
Keyword(s):  
Palliative Care ◽  
Medical Student ◽  
Psychiatric Resident ◽  
Resident Education

Characteristics of urgent palliative cancer care consultations encountered by radiation oncologists.

2017 ◽  
Vol 35 (31_suppl) ◽  
pp. 135-135
Author(s):  
Muhammad Mohsin Fareed ◽  
Monica Shalini Krishnan ◽  
Alexander Spektor ◽  
Mai Anh Huynh ◽  
Yaseer Mohammed Khouj ◽  
...  
Keyword(s):  
Palliative Care ◽  
Brain Metastases ◽  
Cancer Diagnosis ◽  
Nurse Practitioners ◽  
Radiation Oncology ◽  
Time Course ◽  
Hospice Care ◽  
Systems Of Care ◽  
Metastatic Cancer ◽  
Radiation Oncologists

135 Background: Palliative radiation therapy(PRT)is often employed in patients with advanced cancers requiring urgent consultation given the rapidity of presentation.We report on characteristics of urgent palliative oncologic issues encountered by radiation oncologists(RO). Methods: We prospectively evaluated patterns of presentation in162 consecutive consultations for urgent PRT at 3 centers from 5/19/14 to 9/26/14.Survey of palliative care issues was completed by physicians/nurse practitioners including assessment of reasons for urgent radiation oncology consultation,disease presentation characteristics and site of RT delivery.Response rate was 86% with 140 of 162 responses received. Results: Median age of patients was 63 years(29-89)with 39% > 65, 41% from 50-65 and 20% < 50 years;56% were males and 44% females. Most were married(62%)and 30% non-Caucasians.48% had ECOG PS 0-1,whereas it was 2, 3 and 4 in 24%,9% and 3%.Primary cancer diagnoses were lung (28%),breast(13%),prostate(10%),melanoma(10%),sarcoma(7%) and other diagnoses in 32%.Pain was predominant reason for consult(57%)followed by brain metastases(29%),spinal cord/cauda compression (13%),dyspnea (10%),bleeding (8%),bone fracture(4%)and dysphagia(2%).Clinicians managed pain (69%),neurologic symptoms(51%),fatigue (49%),intestinal(21%),respiratory (19%) symptoms,bleeding (14%),insomnia (13%),nausea/vomiting(12%)and dysphagia(6%).Patients presented at all stages 79% at the time of their diagnosis of metastatic cancer,63% with an established ( > 1 month) metastatic cancer diagnosis and continuing to further cancer therapies and 17% proceeding to hospice care without further anti-cancer therapy after PRT. Conclusions: Radiation oncologists care for patients across time course of metastatic cancer diagnosis managing variety of urgent oncologic issues,most commonly metastases causing pain followed by brain metastases and cord compression.They also manage cancer-related symptoms,mostly pain,neurological symptoms and fatigue.These findings point to need for palliative care to be well integrated into radiation oncology practice including education and systems of care.

Emergency Medicine Resident Education in Palliative Care: A Needs Assessment

2012 ◽  
Vol 15 (5) ◽  
pp. 516-520 ◽  
Author(s):  
Sangeeta Lamba ◽  
Amy Pound ◽  
Joseph G. Rella ◽  
Scott Compton
Keyword(s):  
Emergency Medicine ◽  
Palliative Care ◽  
Needs Assessment ◽  
Resident Education ◽  
Emergency Medicine Resident ◽  
Medicine Resident
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