Innovation, education, and research: A multidisciplinary survivorship care model.

Authors

Hira Latif

Hira Latif

Medstar Washington Hospital Center, Washington, DC

Hira Latif , Patrick Martone , James Edward Shaw , Eric Wisotzky , Asma Ali Dilawari

Organizations

Medstar Washington Hospital Center, Washington, DC, Georgetown University Hospital, Washington, DC, MedStar National Rehabilitation Network, Washington, DC, MedStar Washington Hospital Center, Washington, DC

Research Funding

Other

Background: Advances in early detection, therapeutics, and an aging population are expected to lead to an increase in the number of cancer survivors in the United States to 20 million by year 2026. The Institute of Medicine and Commission on Cancer recommends delivery of survivorship care plans on completion of curative treatment. While models exist for high-quality survivorship care, institutions encounter barriers such as lack of resources and limited training in survivorship. Our institution piloted a unique model combining fellows’ education with guideline-driven recommendations from a multidisciplinary team to provide consolidated survivorship care. Methods: A survey for self-reported competence and experience was conducted amongst the hematology and oncology fellows at the MedStar Washington Hospital Center. A bimonthly clinic staffed by a medical oncologist, oncology fellow and a cancer rehabilitation fellow was initiated in September 2018. Didactic lectures, curriculum syllabus and recommended assessments were established. Screening tools for distress, patients’ confidence in knowledge about survivorship and physical function via PROMIS 20a were administered; clinical assessments including the “6-minute walk test” were used to assess cardiovascular health. Results: Most fellows had not encountered a survivor of lung (16%), GU (0%) and head and neck cancer (33%). Majority of the fellows had never delivered a survivorship care plan. Scores were low in competence and experience in survivorship. By December 2018, 15 patients with 17 diagnoses of cancer were referred to the clinic. 10 were survivors of hematologic malignancies while 7 were of solid tumors. The no-show rate was 40%. Fellows conducted the assessments and were supervised by an oncology attending. Of the 9 patients seen, 4 were referred for physical therapy; additional referrals for psychology and cardiology were frequent. Conclusions: A comprehensive multidisciplinary survivorship clinic focusing on fellows’ education is a feasible model for delivery of survivorship care and aims to bridge the gap in experience and competence of fellows. Future goals include re-assessment of patient-reported outcomes, physical function, and competence of fellows.

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Abstract Details

Meeting

2019 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Education Research and Professional Development

Track

Medical Education and Professional Development

Sub Track

Education Research

Citation

J Clin Oncol 37, 2019 (suppl; abstr 10519)

DOI

10.1200/JCO.2019.37.15_suppl.10519

Abstract #

10519

Poster Bd #

98

Abstract Disclosures

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