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WEILL CORNELL MEDICAL COLLEGE
EXPERIENCE
CARMEN GARCIAS DE ESPAÑAMIR 4 MEDICAL ONCOLOGY
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LOCATION
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DISTANCE FROM HOME
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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
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CONSULTATIONS SPECIALTIES
3th FLOOR UROLOGICAL TUMORSLUNGGYNECOLOGICALSCNS TUMORSHEMATOLOGY
8th FLOOR DIGESTIVEHEAD AND NECK
12th FLOOR DIGESTIVE SARCOMAMELANOMA
8th FLOOR (61 st / York) BREAST
ORGANIZATION
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BUREAUCRACY
Medical exam
Security examSSS
Passwords
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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
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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
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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
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OUTPATIENTS
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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
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PATIENTS
PATIENT + INSURANCE = MONEY
MULTICULTURALITY
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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
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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
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OTHER MEETTINGS
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ASCO GU 2014
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RESEARCH WORK
• Abstract to ASCO 2014• Project with CTCs• Send an article to Asian Journal of Andrology
Invited Research Highlight• Review of toxicity
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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