Impact of COVID-19 on Hematology-Oncology Trainees: A Quantitative and Qualitative Assessment

PURPOSE: Graduate medical and research training has drastically changed during the COVID-19 pandemic, with widespread implementation of virtual learning, redeployment from core rotations to the care of patients with COVID-19, and significant emotional and physical stressors. The specific experience of hematology-oncology (HO) fellows during the COVID-19 pandemic is not known. METHODS: We conducted a mixed-methods study using a survey of Likert-style and open-ended questions to assess the training experience and well-being of HO fellows, including both clinical and postdoctoral trainee members of the American Society of Hematology and ASCO. RESULTS: A total of 2,306 surveys were distributed by e-mail; 548 (23.8%) fellows completed the survey. Nearly 40% of fellows felt that they had not received adequate mental health support during the pandemic, and 22% reported new symptoms of burnout. Pre-existing burnout before the pandemic, COVID-19–related clinical work, and working in a primary research or nonclinical setting were associated with increased burnout on multivariable logistic regression. Qualitative thematic analysis of open-ended responses revealed significant concerns about employment after training completion, perceived variable quality of virtual education and board preparation, loss of clinical opportunities to prepare for independent clinical practice, inadequate grant funding opportunities in part because of shifting research priorities, variable productivity, and mental health or stress during the pandemic. CONCLUSION: HO fellows have been profoundly affected by the pandemic, and our data illustrate multiple avenues for fellowship programs and national organizations to support both clinical and postdoctoral trainees.

Roles of Academic Writers in a Department: Benefits, Structures, and Funding

Background and Objectives: Despite the prevalence of published opinions about the use of professional academic writers to help disseminate the results of clinical research, particularly opinions about the use of ghost writers, very little information has been published on the possible roles for professional writers within academic medical departments or the mechanisms by which these departments can hire and compensate such writers. To begin addressing this lack of information, the Association of Departments of Family Medicine hosted an online discussion and a subsequent webinar in which we obtained input from three departments of family medicine in the United States regarding their use of academic writers. This discussion revealed three basic models by which academic writers have benefitted these departments: (1) grant writing support, (2) research and academic support for clinical faculty, and (3) departmental communication support. Drawing on specific examples from these institutions, the purpose of this paper is to describe the key support activities, advantages, disadvantages, and funding opportunities for each model for other departments to consider and adapt.

Exploring Women Entrepreneurship Prospects, Challenges, and Barriers in Pakistan

This study aims to explore challenges, prospects, and barriers for young graduate Pakistani women entrepreneurs. The article is qualitative, and the scholars used the case study research method. Researchers conducted semi-structured interviews with young graduate female entrepreneurs and analyzed using Gioia methodology. This study explored that the women entrepreneurs used E-business platforms (e.g., social media marketing) as a tool for promoting their innovative business ideas. Current research documents challenges, barriers, opportunities, and support available to Pakistani women entrepreneurs in light of the experiences of the young graduate female entrepreneurs. Further, this article is vital in terms of exclusive methodology, scarcely studies population, contextual value, theoretical advancement by exploring new themes and practical implications. The present paper portrays implications for policymakers to eradicate barriers, address the challenges, and provide opportunities to females by delivering entrepreneurial training and funding opportunities.

Transformation in the Management Models of Higher Education Institutions in Bulgaria – Challenges and Opportunities in the Digital Age

The article explores the trends and challenges facing higher education institutions in Bulgaria arising from digitalization, internationalization, dynamic regulatory framework and students' attitudes towards the educational process. The possibilities for modification in their governance models are characterized by taking into accounts the policies and strategies for the development of higher education at the European and national levels. The study aims to outline the possibilities for transformation in the management models of the Bulgarian higher schools, focusing on the development of digital competencies and the use of modern technologies in research and teaching processes, as well as funding opportunities through EC programs promoting the role of universities in creating regional innovation ecosystems.

Activities of NEW Brain Aging

The Network for Emotional Well-being and Brain Aging (NEW Brain Aging) was funded by NIA with the goal of forming a national, transdisciplinary collaborative that includes investigators with research expertise in emotional well-being (EWB), Alzheimer’s disease and related dementias (ADRD), human and animal neuroimaging, stress regulation, and computational/quantitative methods. Our objective is to stimulate mechanistic research identifying and testing mechanisms by which brain aging influences EWB and how EWB may impact risk for and progression of ADRD. This presentation will explain the structure and functions of the network that serve as a resource for investigators interested in EWB and aging research, and how to access them: a transdisciplinary community of scholars interested in brain, aging, and EWB research from both human and animal fields; webinars; workgroups to establish priorities for NEW Brain Aging activities; a resource repository; and pilot project funding opportunities to which network members can apply.

O-P08 Optimising design of national collaborative studies in surgery: national availability of electronic data in the NHS

Background Clinical trials are constrained in part by cost and limited funding opportunities. Trainee-led collaborative, multi-centre research models have become increasingly popular, enabling clinicians to undertake impactful national and international practice-changing studies with limited funding. However, ensuring equitable and efficient data collection from participating centres requires understanding data accessibility. Here, we reflect upon our strategies in designing and delivering collaborative research (The RICOCHET Study). Specifically, we consider the availability of data sources for UK hospitals, to enable effective design of study case report forms to ensure study success. Methods RICOCHET was a National trainee-led audit of UK hospitals treating patients with pancreatic cancer. All registered hospitals were asked to complete a site-survey at point of registration. The site survey was completed by the lead consultant (surgeon or gastroenterologist) or the lead trainee at each site. The site-survey detailed hospital demographics, including size, availability of services and availability of patient data electronically. The survey was completed online via REDCap. Sites lacking full reporting were excluded from the analyses. Results 98 UK sites registered for RICOCHET, and 94 completed the site-survey (26 specialist pancreatic sites; 68 non-specialist sites). 100% sites had electronic radiology reports. However, electronic ward-round notes were available at only 19% (5/26, 19.2% specialist vs. 13/68, 19.1% non-specialist; p = 0.99). Furthermore, sources such as external letters were low (29%; 11/26 42.3% specialist vs. 16/68, 23.5% non-specialist; p = 0.072). Although electronic interventional radiology reports were broadly available at 79% sites, this was significantly lower at non-specialist sites (49/68 72.1% vs. 25/26 96.2%; p = 0.011). Conclusions Availability of electronic data is not consistent across sites managing pancreatic cancer patients. Significant disparity exists between specialist and non-specialist centres, highlighted by lack of availability of interventional radiology reports. To ensure success in trainee-led cohort studies we recommend designing concise case report forms that can be easily completed from electronic data sources. Until this report, there was no data available for the availability of electronic data across the NHS. This represents the most comprehensive report of such data sources, and will guide future study design of national studies at both specialist and non-specialist pancreatic centres in the UK.

Using Existing Software Systems to Collect Outcome Data in Adult Day Services

Recently, there has been a resounding call for standardized outcome data collection in adult day services (ADS). Outcome data have the potential to demonstrate the effectiveness of ADS, aid in program development, and help leverage funding opportunities. Unfortunately, many ADS centers do not collect outcome data for several reasons, including the cost of data collection software and systems. In this presentation, we present one effort to utilize an existing multiuse ‘off the shelf’ software solution to collect ADS outcome data for a network of ADS providers. The researchers collaborated with software developers and ADS providers to adapt the software to incorporate outcome measures and reporting functionality on both the individual and program levels. Adaptation and adoption required attention to HIPAA compliance, workflow integration, measurement fidelity, and data management processes. Despite these challenges, adapting existing software systems may be a cost-effective way to enable expanded outcome data collection in ADS.

National Cancer Institute's Cancer and Aging Priorities

Modern improvements in cancer detection and treatment coupled with the implementation of population-based cancer prevention and control strategies have contributed to a sustained decline in overall cancer mortality rates. Although this trend is promising, challenges at the nexus of cancer and aging are, in turn, becoming more prominent. Older adults (age 65 years and older) are the largest growing segment of the U.S. population, and aging into older adulthood is disproportionally associated with the incidence of common cancers. Many survivors of childhood cancer will live for decades after cancer treatment and mature into older age. Strategic investments in aging research will contribute to population health by preserving or improving healthspan and ensuring equitable access to – and benefit from – advances in cancer prevention, control, and population science. This presentation will describe ongoing cancer and aging efforts at the National Cancer Institute, including programmatic priorities and current funding opportunities.

Unpacking Data From Adult Day Centers in Order to Realize Their Untapped Potential in Dementia Care

Adult day centers (ADCs) in the United States represent a vital, but commonly overlooked, resource for dementia care among community-dwelling older adults. However, the severity of dementia in ADC users, their medical complexity, the supports offered to them, and health outcomes associated with adult day services among persons living with dementia is poorly understood. This is in part due to a lack of standardized data collection in this industry. In this symposium, we present the most current research on these issues, as well as strategies to improve data collection across ADCs to strengthen care. The symposium begins with analysis of data from the state of California that identifies patterns of chronic conditions in ADC users with dementia that are associated with emergency department visits and hospitalizations. We then examine data from the Centers for Disease Control, comparing dementia specialized ADCs and their participants to non-specializing ADCs. We compare the extent to which states with ADC programs require collection of patient centered reported outcomes on persons with dementia. Finally, we explore an innovative collaboration between researchers and community partners to simplify data collection in these centers. Our findings suggest that persons with dementia in ADCs are an extremely complex population and that some ADCs are better suited than others to meet their extensive needs. Additional patient-centered data collection can be supported with widely available software, and has the potential to demonstrate the effectiveness of ADCs, aid in program development, and help leverage funding opportunities.