Patient Safety and Satisfaction With Fully Remote Management of Radiation Oncology Care

[catachip]

Patient Safety and Satisfaction With Fully Remote Management of Radiation Oncology Care

“ These findings suggest that a fully remote management option for properly selected patients receiving radiotherapy is safe and may preserve patient and clinician flexibility, expand access, create less financial toxicity, and reduce the carbon footprint.

Thank you MSKCC for this important work /s

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[taserlaser]

Double the safety incidents? I worry from a malpractice perspective about treating someone remotely at another centre, saying this even as a Canadian with much less litigious society. Remote treatment is not my first choice and I would much rather see someone in the flesh for fiduciail placement, on treatment assessment, set up issues, etc… it does make me uneasy

 

[deleted1180461]

Patient Safety and Satisfaction With Fully Remote Management of Radiation Oncology Care

“ These findings suggest that a fully remote management option for properly selected patients receiving radiotherapy is safe and may preserve patient and clinician flexibility, expand access, create less financial toxicity, and reduce the carbon footprint.

Thank you MSKCC for this important work /s

lol at Mskcc caring about “financial toxicity”

“Carbon footprint” excuse me while I vacation all over the planet on jets.

But got to give credit where credit is due. General supervision FTW

 

[CurbYourExpectations]

As long as it benefits the older, already well set and established doctors, right guys?

 

[Gfunk6]

As long as it benefits the older, already well set and established doctors, right guys?

Well, it depends. Do you define older as 50+? If so,

If on the other hand, you define old as 48+, then,

 

[medgator]

As long as it benefits the older, already well set and established doctors, right guys?

So we should use supervision regs to artificially prop up the job market?

Nope










(Unsurprisingly the only organization and folks calling for a revision back to direct supervision are the folks who are training too many grads to begin with!)

 

[CurbYourExpectations]

I think it's pretty obvious I think the whole situation sucks. I just hate that it is everyone out for themselves and very few that care about the many. I used to think it was about what was doing the best for everyone, but now I realize it's mostly what is best for each individual.

 

[medgator]

I think it's pretty obvious I think the whole situation sucks. I just hate that it is everyone out for themselves and very few that care about the many. I used to think it was about what was doing the best for everyone, but now I realize it's mostly what is best for each individual.

Plenty of us including many on this forum would honestly do better with an oversupply (cheaper labor for anyone who is already entrenched/established) but because we CARE about the longevity of this specialty and are quite frankly appalled at what (mostly) boomer leadership has done to it, we post and contribute to SDN regarding these issues.

Sdn remains literally the only place to discuss these issues freely.

 

[CurbYourExpectations]

Plenty of us including many on this forum would honestly do better with an oversupply, but because we CARE about the longevity of this specialty and what boomer leadership has done to it, we post and contribute to SDN regarding these issue

Going to choose to not get into it, but very hypocritical.

 

[medgator]

Going to choose to not get into it, but very hypocritical.

Don't see it at all. We didn't contribute to or cause the oversupply and many called it out a decade ago before it was vogue to do so.

 

[CurbYourExpectations]

I agree with that and I like you and everyone here personally

 

[CurbYourExpectations]

Well, it depends. Do you define older as 50+? If so,

If on the other hand, you define old as 48+, then,

As a 46 year old who plans to work another 20 years, I am outraged.

 

[NotMattSpraker]

Double the safety incidents? I worry from a malpractice perspective about treating someone remotely at another centre, saying this even as a Canadian with much less litigious society. Remote treatment is not my first choice and I would much rather see someone in the flesh for fiduciail placement, on treatment assessment, set up issues, etc… it does make me uneasy

You should check out the paper, its interesting.

The safety events are incident learning system submissions. They are using the scientific term, which is unfortunate as most people infer the term to mean something serious. Of all the incidents, 99.9% did not cause harm to patients. They aren't mistreatments. Some of them are definitely concerning though (table 2), Id love to hear more. Not surprising though, remote care absolutely screws up clinic workflow in my experience.

This paper does not make me optimistic about the future of cancer care in the US and Im not sure my age matters.

Here is an interesting portion of the methods:

In recent years, a higher percentage of patients at our institution elected to initiate radiation therapy in our community-based regional network sites in New York and New Jersey outside of Manhattan, New York (54.4% in the regional network in 2019 vs 59.3% in 2020, 63.1% in 2021, and 63.1% in 2022). This shift created a strain on resources and staff at the regional centers and disruptions in care due to the need for patient transitions between clinicians at different locations. To address these challenges, the Remote Management Radiation Treatment Program was designed as a phased expansion at our 6 regional clinic sites.

 

[deleted1180461]

As long as it benefits the older, already well set and established doctors, right guys?

Umm what?

 

[deleted1180461]

If you have safety issues with treatment delivery regardless if your rad onc is in the building or not it’s because your RTT and/or physics staffing is inadequate. Nothing to do with the MD and anyone with half a prefrontal cortex understands that.

 

[CurbYourExpectations]

If you have safety issues with treatment delivery regardless if your rad onc is in the building or not it’s because your RTT and/or physics staffing is inadequate. Nothing to do with the MD and anyone with half a prefrontal cortex understands that.

It's an interesting take, I'm curious what you think you provide benefit for?

 

[CurbYourExpectations]

A meme for the discussion, delete if anyone finds it offensive

 

[deleted1180461]

It's an interesting take, I'm curious what you think you provide benefit for?

Are you serious?

Seriously asking the question of the value the MD brings vs. the day to day treatment delivery done by RTT and certified by physics?

 

[elementaryschooleconomics]

View attachment 388075

A meme for the discussion, delete if anyone finds it offensive

If anyone deletes this

I will rampage so hard, your children's children will tell stories of my wrath.

 

[deleted1180461]

Humor me. What is the benefit you provide?

Edit: Love the devaluation of RadOncs being supported without the explanation for why they are still needed. So,....
Are you a part of some of the deals that other radoncs have placed themselves in to benefit from the replacement of radoncs?

Lets get into this discussion guys

We’ve already got the specious direct supervision argument going. Don’t shoot the messenger that direct supervision is not needed. The problem is gratuitous resident overtraining not general supervision.

 

[medgator]

If anyone deletes this

I will rampage so hard, your children's children will tell stories of my wrath.

Had to Google

Alignment Charts: What is it & How to Use One | Figma

Ready to sort in a more engaging way? Our alignment charts explained guide will walk you through everything you need to know about how to create an alignment chart of your own.

www.figma.com

 

[CurbYourExpectations]

We’ve already got the specious direct supervision argument going. Don’t shoot the messenger that direct supervision is not needed. The problem is gratuitous resident overtraining not general supervision.

Agreed and I honestly mean no direct offense against you as a person. Just want people to expound upon their ideas and build a discussion. I see chinks in the armor, but no real warriors, if you get my drift

 

[deleted1180461]

Agreed and I honestly mean no direct offense against you as a person. Just want people to expound upon their ideas and build a discussion. I see chinks in the armor, but no real warriors, if you get my drift

I’m just offended I didn’t make your chart

 

[CurbYourExpectations]

Newer, but I agree.

And I don't think of Gator and you as evil, but you guys/gals both raise good points in a neutral form like in the form of: This is what makes sense right? This is what everyone wanted? We are fine and people in the future will suffer?.) I don't think of anything you guys/gals are saying as wrong, the real evil is the elite.

 

[CurbYourExpectations]

 

[deleted1180461]

I’m fine with being evil as long as I’m honest as that’s all that matters.

 

[elementaryschooleconomics]

View attachment 388076

 

[Burt Radnolds]

View attachment 388075

A meme for the discussion, delete if anyone finds it offensive

This is so meta my mind is resonating to the point total collapse

 

[StIGMA]

I hope all of you know this chart from your youth. If not should you really be a rad onc?

 

[SneakyBooger]

Well, it depends. Do you define older as 50+? If so,

If on the other hand, you define old as 48+, then,

 

[evilbooyaa]

View attachment 388075

A meme for the discussion, delete if anyone finds it offensive

I'm certainly offended.....



that I'm not included somewhere

Is it a sign I spend too much time on SDN that I immediately recognized everyone except bottom left (still don't know who that is), just by avatars?

 

[elementaryschooleconomics]

Chaotic Neutral reporting in.

 

[deleted1180461]

Bottom left is all the boomer rad oncs that strip mined the specialty and salted the earth for the next crop?

 

[Chartreuse Wombat]

 

[elementaryschooleconomics]

View attachment 388178

I heard @Chartreuse Wombat shows up in chart rounds to pimp the residents on average FPS from a 55g 5.56 FMJ versus 62g...stratified by manufacturer.

 

[Chartreuse Wombat]

I heard @Chartreuse Wombat shows up in chart rounds to pimp the residents on average FPS from a 55g 5.56 FMJ versus 62g...stratified by manufacturer.

I was told not to trigger the residents.

 

[elementaryschooleconomics]

I was told not to trigger the residents.

*slow clap*

I literally groaned reading this.

 

[pikachu]

Bottom left is all the boomer rad oncs that strip mined the specialty and salted the earth for the next crop?

I take it to be the Thought Leaders