Weill cornell medical college experience by Dr Carmen Garcias de España

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Jonathan McFarland

Health & Medicine Business

WEILL CORNELL
MEDICAL COLLEGE
EXPERIENCE
CARMEN GARCIAS DE ESPAÑA
MIR 4 MEDICAL ONCOLOGY

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 TUMORS
LUNG
GYNECOLOGICALS
CNS TUMORS
HEMATOLOGY
8th FLOOR DIGESTIVE
HEAD AND NECK
12th FLOOR DIGESTIVE
SARCOMA
MELANOMA
8th FLOOR (61 st / York) BREAST
ORGANIZATION

BUREAUCRACY
Medical exam
Security examSSS
Passwords

PLANNING
HOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
7.00 UROLOGICAL
SESSION *
8.00 FELLOWS
SESSION
GRAND
GROUNDS*
SESSION
APPROVAL OF
CLINICAL
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

WHAT I LEARNED
LOCALIZED PROSTATE CANCER
METASTATIC PROSTATE CANCER
CTC not PSA
BLADDER TRANSITIONAL CARCINOMA LOCALIZED
BLADDER 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

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

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