weill cornell medical college experience by dr carmen garcias de españa

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