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Setting up Oncology unit in a Multispeciality Private hospital
- Few Insights on the Journey
Disclaimer : One year is too short a time to feel " experienced" but the work Intensity if high , limited time is enough to feel so
https://twitter.com/sujithonco/status/1308179803195891712
- Few Insights on the Journey
Disclaimer : One year is too short a time to feel " experienced" but the work Intensity if high , limited time is enough to feel so
https://twitter.com/sujithonco/status/1308179803195891712
One of the pitfalls of #LMIC Oncology I have seen is options of the practice of Oncology at selected few centres in the country.
The patients often travel great distance from their home place.
We must bring treatment options to the patients in Tier 2 and 3 cities
@cspramesh
The patients often travel great distance from their home place.
We must bring treatment options to the patients in Tier 2 and 3 cities
@cspramesh
My experience at Kannur may be useful to young Oncology minds
who Wish to go back to their Home towns but don't dare because of uncertainty of Unknown.
It's very rewarding experience I can assure you
You will need to have patience though to build up from basics
@Avinashp9Dr
who Wish to go back to their Home towns but don't dare because of uncertainty of Unknown.
It's very rewarding experience I can assure you
You will need to have patience though to build up from basics
@Avinashp9Dr
1) Constitute an Oncology team
The most important member of team is "The Oncology Nurse"
Select among existing nursing staff based on 1) Oncology training 2) More importantly, Interest to practice their expertise
Of few interested,Get Inspired ones in team
@OncologyNursing
The most important member of team is "The Oncology Nurse"
Select among existing nursing staff based on 1) Oncology training 2) More importantly, Interest to practice their expertise
Of few interested,Get Inspired ones in team
@OncologyNursing
2)" The Oncology pharmacy "
Expect less than 10% to be insurance patients, our patients pay from their pockets or bank loans
Affordable (for patient)and reasonable (for hospital): Balance vital
Generic choices are plenty: Negotiate with price not Quality
@IJMPOofficial
Expect less than 10% to be insurance patients, our patients pay from their pockets or bank loans
Affordable (for patient)and reasonable (for hospital): Balance vital
Generic choices are plenty: Negotiate with price not Quality
@IJMPOofficial
"The Oncology Daycare"
Don't wait for a full fledged 10 bed daycare to be ready as you join. It never happens in non Oncology multispeciality hospital
I turned a Suite room into 3 bedded Oncology daycare
Get the Biosafety cabinet as part of your joining requirement
@CRSTonline
Don't wait for a full fledged 10 bed daycare to be ready as you join. It never happens in non Oncology multispeciality hospital
I turned a Suite room into 3 bedded Oncology daycare
Get the Biosafety cabinet as part of your joining requirement
@CRSTonline
"The Joint Team"
Most hospital dont have Surgical Oncology unit
Lucky if surgeons experienced in cancer surgery (I was!)
Concept of tumor board but is not clear to them: hurdles in care
Create regular Tumor Boards
Invite and Pursue hard,treat them well
@NawazUsmanDr
Most hospital dont have Surgical Oncology unit
Lucky if surgeons experienced in cancer surgery (I was!)
Concept of tumor board but is not clear to them: hurdles in care
Create regular Tumor Boards
Invite and Pursue hard,treat them well
@NawazUsmanDr
4)"Inter department referral"
As you join, the primary specialty like Gastro, Pulmo, Med already have referral pattern to bigger cancer centers around
Communicate and Create mutual respect and discussion
"You need patience before other doctors refer you patients"
@JGO_ASCO
As you join, the primary specialty like Gastro, Pulmo, Med already have referral pattern to bigger cancer centers around
Communicate and Create mutual respect and discussion
"You need patience before other doctors refer you patients"
@JGO_ASCO
5) "Connect to Cancer Centers Around"
Identify cancer centers in Tier 1 cities near
Talk to senior Oncologists there : Ask their insights
Inform availability and services
Be part of Oncology association meetings: get new friends
They add value to our Life!
@Amolpatel_dr
Identify cancer centers in Tier 1 cities near
Talk to senior Oncologists there : Ask their insights
Inform availability and services
Be part of Oncology association meetings: get new friends
They add value to our Life!
@Amolpatel_dr
6)"The Oncology Records"
If Electronic medical records already available, call IT person and learn it
Though daily little time more needed, later saves much
If no system, write in Files/ Books : No loose papers
Keep File safe in medical records
For each visit
@VanitaNoronha
If Electronic medical records already available, call IT person and learn it
Though daily little time more needed, later saves much
If no system, write in Files/ Books : No loose papers
Keep File safe in medical records
For each visit
@VanitaNoronha
" The Palliative Care"
Expect more patients in advanced stages in your first months
Mostly they are advised Best supportive care from distant cancer centers to back home
Be there for them : they deserve it
Learn Pall care well: thats most important unmet need
@NaveenSalins
Expect more patients in advanced stages in your first months
Mostly they are advised Best supportive care from distant cancer centers to back home
Be there for them : they deserve it
Learn Pall care well: thats most important unmet need
@NaveenSalins
8) "The Oncology coordinator"
Being able to contact doctor in case of Emergency ie
"Accessibility" :helpful in improving QOL of patient but can cause Burnout esp if frequent calls (casual ones!)
Get an Oncology coordinator as the Link between you and patient
@oncologician
Being able to contact doctor in case of Emergency ie
"Accessibility" :helpful in improving QOL of patient but can cause Burnout esp if frequent calls (casual ones!)
Get an Oncology coordinator as the Link between you and patient
@oncologician
9) " The Patient Care"
You all are trained to treat cancer ,so no tips on that
" Communicate what you document, Document what you Communicate"
Avoid Jargon and Technical terms : Ask, Tell, Ask again
Respect wishes of family's choice after they have understood you.
@venkymd
You all are trained to treat cancer ,so no tips on that
" Communicate what you document, Document what you Communicate"
Avoid Jargon and Technical terms : Ask, Tell, Ask again
Respect wishes of family's choice after they have understood you.
@venkymd
10) Have a Life " Outside" Your Job
Being lone Oncologist, it's tough not to be busy
But,
Your family, your hobbies and Your responsibilities outside hospital
make you the person you are. You exist because of them
Your plans stand on these pillars of strength
@lingarajnayak
Being lone Oncologist, it's tough not to be busy
But,
Your family, your hobbies and Your responsibilities outside hospital
make you the person you are. You exist because of them
Your plans stand on these pillars of strength
@lingarajnayak
11) " The Academic Elixir"
As Oncologists, we are lifetime students with changing syllabus every day
Working in tier 2 cities, outside an institution,lack of academics will fatigue you
Create your own way of learning
through social media platforms, online CMEs
@DrNikitaMehra
As Oncologists, we are lifetime students with changing syllabus every day
Working in tier 2 cities, outside an institution,lack of academics will fatigue you
Create your own way of learning
through social media platforms, online CMEs
@DrNikitaMehra
12) "The Preventive Oncology"
Whichever city you decide to work on, be involved in cancer prevention activities
It helps you to remain young in mind and action just like the MBBS days
It refreshes you so well when you come back after a school talk
or marathon
@oncology_bg
Whichever city you decide to work on, be involved in cancer prevention activities
It helps you to remain young in mind and action just like the MBBS days
It refreshes you so well when you come back after a school talk
or marathon@oncology_bg
