A multispecialty approach to immuno-oncology education for community providers.

2019 ◽  
Vol 37 (8_suppl) ◽  
pp. 80-80
Author(s):  
Tara Perloff ◽  
Monique Dawkins ◽  
Jennie Robertson Crews ◽  
Jeffrey P. Gregg ◽  
Ivo Abraham ◽  
...  

80 Background: The Association of Community Cancer Centers (ACCC) Immuno-Oncology Institute was developed in 2015 to prepare all members of the multidisciplinary cancer care team for the complex implementation of immuno-oncology in the community setting. Today, with more than 50 cancer immunotherapy indications and over 2,500 clinical trials with cancer immunotherapies, the challenges and issues related to recognizing and managing immune-related adverse events (irAEs) have grown even more complex for community practitioners. Methods: The ACCC Immuno-Oncology Institute assembled 4 working groups focused on addressing the diverse issues around the delivery and management of patients on cancer immunotherapies. The working groups were divided by 4 topics: staff training and education; multispecialty care coordination and communication; telemedicine; and big data. A detailed systemic review of the literature was conducted for each topic in the context of immuno-oncology, to determine the current landscape of information and available resources. The findings were then shared with the working group members and collaborative discussions ensued over 12 virtual committee meetings. The 19 working group members are diverse by discipline, including specialties such as emergency medicine, dermatology, primary care, survivorship, pathology, and academic researchers. Results: The ACCC Working Group Summit convened in September 2018 to develop innovative educational opportunities for community practitioners related to managing irAEs across the 4 topic areas. Eight unique action plans were developed by working group members. Conclusions: For each of the 4 key areas, working group members identified a list of opportunities that would improve how clinicians are managing irAEs for patients being treated with immunotherapy. It is critical for future educational interventions to encompass the multispecialty team perspective related to the management of irAEs.

2019 ◽  
Vol 37 (8_suppl) ◽  
pp. 87-87 ◽  
Author(s):  
Latha Shivakumar ◽  
Christine B. Weldon ◽  
Lorna Lucas ◽  
Tara Perloff

87 Background: The rapidly expanding indications for cancer immunotherapies pose a significant challenge to community clinicians to integrate this new class of agents into practice. Community cancer centers need guidance around the practical issues that must be addressed to implement immunotherapy safely and effectively to patients in their own communities. The Association of Community Cancer Centers (ACCC) initiated a quality improvement (QI) research study to assess the impact of comprehensive educational interventions targeting the multidisciplinary cancer care (MDCC) team on evidence-based integration of immunotherapies in the community setting. Methods: The QI study collected baseline data from two community cancer centers to identify barriers to optimal implementation of immunotherapies at each institution for the following metrics: co-morbidities in patients, immune-related adverse events (irAEs), laboratory tests, ER visits and hospitalizations, patient education materials, and immunotherapeutic adherence. Retrospective data was collected for 100 patients initiating immunotherapy between Dec 2017-April 2018. Results: Analysis of the data revealed that only 61% of the patients fully completed the immunotherapy treatment as planned. Eighty-one percent of patients were found to have 4 or more irAEs. On average patients were each diagnosed with more than 2 co-morbidities, including cardiac disease, diabetes, dyslipidemia, hypothyroidism, hypertension, and obesity. Using Fisher’s exact test to calculate two-tailed P values, we attempted to investigate a correlation between the number of co-morbidities to the lack of treatment adherence. We found a trend towards statistical significance between lack of treatment adherence and patients with two or more co-morbidities ( P value = 0.1256). Conclusions: Timely management of irAEs is crucial for the adherence to the immunotherapy regimen. The baseline data collected in our QI study revealed a trend towards the impact of the presence of two or more co-morbidities on treatment adherence. However, we did not find a statistically significant correlation between treatment adherence and the number of irAEs recorded in patients.


Retos ◽  
2015 ◽  
pp. 264-269
Author(s):  
Txema Córdoba Jiménez ◽  
Laura Carbonero Sánchez ◽  
David Sánchez Aguayo ◽  
Siscu Inglada Moreno ◽  
Marien Serra Figueroa ◽  
...  

El objetivo principal de este artículo es describir la influencia que ha tenido el grupo de trabajo de Educación Física del Instituto de Ciencias de la Educación de la Universidad Autónoma de Barcelona, que basa su trabajo en el aprendizaje cooperativo, en el desarrollo de la identidad personal y docente de sus miembros. Se refleja como las experiencias, las convicciones y las tareas compartidas contribuyen a ello, analizando la importancia de la formación permanente y el apoyo mutuo entre docentes como procesos colectivos de aprendizaje. La metodología utilizada para ello es el relato autobiográfico mediante la historia de vida colectiva. Está narrada en primera persona del singular, pero responde a un proceso de escritura colectiva, utilizando el método de los alumnos de Barbiana en “Carta a una maestra” (1970), donde se ponen en común las experiencias y reflexiones de cada uno de los miembros de dicho grupo de trabajo. Como resultado de este proceso se extrae que la pertenencia a un grupo puede ser fundamental para el crecimiento profesional y personal de un docente. Para ello, los recursos de formación permanente colaborativa, como los grupos de trabajo, son una excelente respuesta a esa necesidad ya que facilitan el compartir y contrastar experiencias, pensamientos e ideas, exponerlas en colectividad y promover la creación de sinergias entre sus miembros.Abstract. The aim of this paper is to describe the influence that the Physical Education working group from the Education Sciences Institute of Autonomous University of Barcelona has had in the personal and teaching identity development of its members. This group bases its work on cooperative learning in Physical Education. The paper reflects how shared experiences, beliefs and tasks contribute to the development of the working group members, through the analysis of the importance of the in-service teacher education and the mutual support between teachers as collective learning processes. The methodology employed is the autobiographical story using the collective life story. Despite being told in first person, it responds to a collective writing process based on “Letters to a teacher” written by Barbiana’s pupils (1970), where the experiences and the reflections of the working group members are shared. As a result of this process, we can conclude that belonging to a group can be of primary importance for the professional and personal development of a teacher. With this in mind, collaborative in-service teacher education resources like working groups are an excellent answer to this need because they make it easier to share and compare experiences, thoughts and ideas, presenting them collectively, and to promote synergies between its members.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Alessia Paglialonga ◽  
Raffaella Gaetano ◽  
Leema Robert ◽  
Marine Hurard ◽  
Luisa Maria Botella ◽  
...  

Abstract Background The European Reference Network on Rare Multisystemic Vascular Diseases (VASCERN) was launched in 2017 and involves, to date, 35 highly specialised multidisciplinary expert centres (from the 30 full Healthcare Provider members) coming from 11 countries and more than 70 patient organizations from 16 countries. The eHealth Working Group (WG) of VASCERN was set up to develop practical, patient-centred solutions and strategies for effective use of eHealth tools to answer the needs of patients with multisystemic vascular rare diseases. The eHealth WG Following the identified patients’ needs and following the guiding principles of collaboration and patient-centredness, the eHealth WG was created with the following aims: to develop a mobile app to help patients find expert centres and patient organizations, and to develop resources (Pills of Knowledge, PoK) for training and education via digital platforms (eLearning). The mobile app includes, to date, functionalities that allow users to find expert centres and patient organizations across Europe in the area of rare multisystemic vascular diseases. Discussed app developments include personalized digital patient passports, educational material, emergency management guidelines and remote consultations. Regarding training and education, a variety of PoK have been developed. The PoK cover several topics, target several user groups, and are delivered in various formats so that they are easy-to-use, easy-to-understand, informative, and viable for delivery and sharing through digital platforms (eLearning) including, e.g., the VASCERN YouTube™ channel. Conclusion Overall, the work carried out by the eHealth WG of VASCERN can be seen as a pilot experience that may serve as a basis to for collaborative development of patient-centred eHealth tools that answer the needs of patients with various rare diseases, not limited to rare multisystemic vascular diseases. By expanding the multidisciplinary approach here described, clinical and research networks can take advantage of eHealth services and use them as strategic assets in achieving the ultimate goal of ensuring equity of access to prevention programs, timely and accurate diagnosis and specialized care for patients with rare diseases throughout Europe.


1989 ◽  
Vol 24 (sup161) ◽  
pp. 36-40
Author(s):  
W. Michener ◽  
C. F. Kiire ◽  
Z. Zhitian ◽  
B. I. Hirschowitz ◽  
C. Tasman Jones

2012 ◽  
Vol 04 (03) ◽  
pp. 91-96
Author(s):  
John WONG

NEAT is a loosely constituted regional scheme under the ASEAN plus Three (APT) framework. Its main objectives are to promote exchange among APT scholars and research institutes in the region, and to promote relevant research that can facilitate the APT regional cooperation process. Research is done through organising Working Groups. NEAT has made important progress in the past 10 years. To grow and expand in future, it will have to improve on its networking function and strengthen its Working Group mechanism.


2020 ◽  
Vol 245 ◽  
pp. 04027
Author(s):  
X. Espinal ◽  
S. Jezequel ◽  
M. Schulz ◽  
A. Sciabà ◽  
I. Vukotic ◽  
...  

HL-LHC will confront the WLCG community with enormous data storage, management and access challenges. These are as much technical as economical. In the WLCG-DOMA Access working group, members of the experiments and site managers have explored different models for data access and storage strategies to reduce cost and complexity, taking into account the boundary conditions given by our community.Several of these scenarios have been evaluated quantitatively, such as the Data Lake model and incremental improvements of the current computing model with respect to resource needs, costs and operational complexity.To better understand these models in depth, analysis of traces of current data accesses and simulations of the impact of new concepts have been carried out. In parallel, evaluations of the required technologies took place. These were done in testbed and production environments at small and large scale.We will give an overview of the activities and results of the working group, describe the models and summarise the results of the technology evaluation focusing on the impact of storage consolidation in the form of Data Lakes, where the use of streaming caches has emerged as a successful approach to reduce the impact of latency and bandwidth limitation.We will describe the experience and evaluation of these approaches in different environments and usage scenarios. In addition we will present the results of the analysis and modelling efforts based on data access traces of the experiments.


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