weill cornell medical college experience by dr carmen garcias de españa
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WEILL CORNELL MEDICAL COLLEGE
EXPERIENCE
CARMEN GARCIAS DE ESPAÑAMIR 4 MEDICAL ONCOLOGY
LOCATION
DISTANCE FROM HOME
MY HOSPITAL
2600
20 OMD
12 fellows (4/year) MD
Does not exist Oncology floor
Patients are divided into different areas (N, S, E, W, C) of different floors
CONSULTATIONS SPECIALTIES
3th FLOOR UROLOGICAL TUMORSLUNGGYNECOLOGICALSCNS TUMORSHEMATOLOGY
8th FLOOR DIGESTIVEHEAD AND NECK
12th FLOOR DIGESTIVE SARCOMAMELANOMA
8th FLOOR (61 st / York) BREAST
ORGANIZATION
BUREAUCRACY
Medical exam
Security examSSS
Passwords
PLANNINGHOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
7.00 UROLOGICAL SESSION *
8.00 FELLOWS SESSION
GRANDGROUNDS*SESSION
APPROVAL OFCLINICAL TRIALS MEETING
9.00-12.00 CLINIC CLINIC CLINIC CLINIC CLINIC
12.00-13.00 CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
14.00-15,30 GU CLINICAL TRIAL MEETING
CLINIC LIBRARY CLINIC LIBRARY
16.00-17.00 GU COMITTE CLINIC CLINIC
PLANNINGHOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
7.00 UROLOGICAL SESSION *
8.00 FELLOWS SESSION
GRANDGROUNDS*SESSION
APPROVAL OFCLINICAL TRIALS MEETING
9.00-12.00 CLINIC CLINIC CLINIC CLINIC CLINIC
12.00-13.00 CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
14.00-15,30 GU CLINICAL TRIAL MEETING
CLINIC LIBRARY CLINIC LIBRARY
16.00-17.00 GU COMITTE CLINIC CLINIC
ADMITTED PATIENTS
EMERGENCIES
EMERGENCIES AFTER PHONE A FELLOW
HOW TO BE ADMITTED
MEDICAL CONSULTATION
HOW THEY WORK
Fellow (SECOND STEP)
Fellow + MD of medical oncology
Resident (FIRST STEP)
MD reponsible
OUTPATIENTS
WHAT I LEARNED
LOCALIZED PROSTATE CANCERMETASTATIC PROSTATE CANCER
CTC not PSA
BLADDER TRANSITIONAL CARCINOMA LOCALIZEDBLADDER TRANSITIONAL CARCINOMA METASTATIC NEOADJUVANT THERAPY MVAC
LOCALIZED RENAL CELL CARCINOMA METASTATIC RENAL CELL CARCINOMA ADJUVANT/NEOADJUVANT THERAPY TKIs
HT
INTERMITTENT THERAPY
TT SEQUENCES ABI/MDV3100, ABI+QT
PATIENTS
PATIENT + INSURANCE = MONEY
MULTICULTURALITY
PLANNINGHOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
7.00 UROLOGICAL SESSION *
8.00 FELLOWS SESSION
GRANDGROUNDS*SESSION
APPROVAL OFCLINICAL TRIALS MEETING
9.00-12.00 CLINIC CLINIC CLINIC CLINIC CLINIC
12.00-13.00 CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
14.00-15,30 GU CLINICAL TRIAL MEETING
CLINIC LIBRARY CLINIC LIBRARY
16.00-17.00 GU COMITTE CLINIC CLINIC
PLANNINGHOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
7.00 UROLOGICAL SESSION *
8.00 FELLOWS SESSION
GRANDGROUNDS*SESSION
APPROVAL OFCLINICAL TRIALS MEETING
9.00-12.00 CLINIC CLINIC CLINIC CLINIC CLINIC
12.00-13.00 CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
CLINICAL SESSION
14.00-15,30 GU CLINICAL TRIAL MEETING
CLINIC LIBRARY CLINIC LIBRARY
16.00-17.00 GU COMITTE CLINIC CLINIC
OTHER MEETTINGS
ASCO GU 2014
RESEARCH WORK
• Abstract to ASCO 2014• Project with CTCs• Send an article to Asian Journal of Andrology
Invited Research Highlight• Review of toxicity
CONCLUSIONS
GOOD EXPERIENCE (to learn medicine and english)
DIFFERENT WAYS TO WORK
GOOD ORGANIZATION
MEDICINE MEANS BUSINESS
RESEARCH AS IMPORTANT AS CLINIC (time and money)
NURSE PRACTITIONER