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Oncology (Williston Park, N.Y.) Nov 2019Burnout is defined as an occupational-related syndrome characterized by physical and emotional exhaustion, cynicism/depersonalization, and low sense of professional... (Review)
Review
Burnout is defined as an occupational-related syndrome characterized by physical and emotional exhaustion, cynicism/depersonalization, and low sense of professional accomplishment. Multiple oncology-specific risk factors are associated with an increased susceptibility for the development of burnout. On a daily basis, oncologists are faced with life and death decisions and grieving much more frequently than are physicians in other specialties. Continuous exposure to fatal illnesses with limited success in curing them, exceedingly long work hours with more administrative time demands, limited autonomy over daily responsibilities, endless electronic documentation requirements, and a shifting medical landscape seem to be making oncologists more vulnerable to suffering from burnout. Evidence suggests that burnout can impact quality of care in a variety of ways and have potentially profound personal implications. In this review, the definition, prevalence, causes, and management of oncologist burnout are analyzed. Steps oncologists can take to promote personal well-being and professional satisfaction are also explored.
Topics: Burnout, Professional; Depression; Hospitals, University; Humans; Medical Oncology; Neoplasms; Oncologists; Quality of Life; Stress, Psychological; Surveys and Questionnaires; Workload
PubMed: 31769864
DOI: No ID Found -
International Journal of Radiation... Jan 2023The goal of this article is to serve as a primer for the United States-based radiation oncologist who may be interested in learning more about radiopharmaceutical... (Review)
Review
The goal of this article is to serve as a primer for the United States-based radiation oncologist who may be interested in learning more about radiopharmaceutical therapy (RPT). Specifically, we define RPT, review the data behind its current and anticipated indications, and discuss important regulatory considerations for incorporating it into clinical practice. RPT represents an opportunity for radiation oncologists to leverage 2 key areas of expertise, namely therapeutic radiation therapy and oncology, and apply them in a distinct context in collaboration with nuclear medicine and medical oncology colleagues. Although not every radiation oncologist will incorporate RPT into their day-to-day practice, it is important to understand the role for this modality and how it can be appropriately used in select patients.
Topics: Humans; United States; Radiopharmaceuticals; Medical Oncology; Radiation Oncologists; Radionuclide Imaging
PubMed: 35970373
DOI: 10.1016/j.ijrobp.2022.08.010 -
Clinical Oncology (Royal College of... Sep 2022
Topics: Humans; Medical Oncology; Oncologists; Physician-Patient Relations
PubMed: 35431120
DOI: 10.1016/j.clon.2022.03.018 -
JAMA Oncology Oct 2017
Topics: Electronic Health Records; Empathy; Fatal Outcome; Female; Humans; Narration; Oncologists
PubMed: 28542680
DOI: 10.1001/jamaoncol.2017.1067 -
The Oncologist Jul 2022Susan E. Bates reflects on the history of The Oncologist and articulates her vision for the future of the journal as she assumes the role of Editor-in-Chief.
Susan E. Bates reflects on the history of The Oncologist and articulates her vision for the future of the journal as she assumes the role of Editor-in-Chief.
Topics: Humans; Oncologists
PubMed: 35790115
DOI: 10.1093/oncolo/oyac125 -
JAMA Oncology Aug 2017
Topics: Adaptation, Psychological; Attitude of Health Personnel; Attitude to Death; Humans; Neoplasms; Oncologists
PubMed: 28033449
DOI: 10.1001/jamaoncol.2016.5105 -
Journal of Medical Imaging and... Jun 2022Although the impressive clinical responses seen with modern cancer immunotherapy are currently limited to a subset of patients, the underlying paradigm shift has... (Review)
Review
Although the impressive clinical responses seen with modern cancer immunotherapy are currently limited to a subset of patients, the underlying paradigm shift has resulted in now hardly a segment in oncology that has not been touched by the immuno-oncology revolution. A growing body of data indicates that radiation therapy (RT) can modulate the tumour immune microenvironment and complement cancer immunotherapy via non-overlapping mechanisms to reinvigorate immunity against cancer. Thus, increasingly RT is viewed as a highly unique partner for immunotherapy across the spectrum of cancer settings, as radiobiology and cancer immunology foreseeably become more intertwined. Considering these developments, this review summarises the key concepts and terminology in immunology for the radiation oncologist, with a focus on the cancer setting and with reference to important recent advances. These concepts will provide a starting point for understanding the strategies that underlie current and emerging immunotherapy trials, as well as the indirect effects of RT by which immune responses against cancer are shaped.
Topics: Humans; Immunotherapy; Medical Oncology; Neoplasms; Radiation Oncologists; Tumor Microenvironment
PubMed: 35352493
DOI: 10.1111/1754-9485.13406 -
Supportive Care in Cancer : Official... May 2024For children with advanced cancer and their families, communication about prognosis is critical. Unfortunately, data demonstrate that prognostic communication occurs...
PURPOSE
For children with advanced cancer and their families, communication about prognosis is critical. Unfortunately, data demonstrate that prognostic communication occurs infrequently and inconsistently across advancing illness. Prior to developing an intervention to improve prognostic communication, we aimed to (1) characterize parent and oncologist perspectives on "best" approaches for prognostic communication, and (2) explore similarities and differences between parent and oncologist perspectives.
METHODS
Children with poor-prognosis solid tumors, their parents, and oncologists were followed prospectively for 24 months or until death. Matched semi-structured interviews were conducted with parents and oncologists 0-7 days after medical encounters at timepoints of disease progression or relapse. Reflexive thematic analysis was conducted to describe parent and oncologist impressions of communication quality.
RESULTS
A total of 68 interviews were conducted following serial disease reevaluation encounters involving 13 parents and five oncologists. Nine main themes were identified as "best" approaches: (1) speaking with honesty and clarity, (2) leaving room for hope, (3) leaning into a long-standing relationship, (4) personalizing language, (5) empowering the patient and family, (6) collaborating with the multidisciplinary team, (7) providing anticipatory guidance, (8) setting the scene, and (9) creating a therapeutic space. Parents and oncologists generally agreed on themes related to helpful communication approaches, while parents more explicitly described communication pitfalls.
CONCLUSION
Parents and oncologists described clear recommendations for helpful communication strategies and pitfalls to avoid during difficult prognostic disclosure. Future work should integrate patient perspectives in the design and testing of an intervention to improve prognostic communication in advanced childhood cancer.
Topics: Humans; Neoplasms; Female; Male; Child; Prognosis; Parents; Oncologists; Communication; Adolescent; Prospective Studies; Truth Disclosure; Professional-Family Relations; Child, Preschool; Adult; Physician-Patient Relations; Qualitative Research; Interviews as Topic
PubMed: 38735892
DOI: 10.1007/s00520-024-08539-7 -
Journal of Clinical Oncology : Official... Sep 2016
Topics: Female; Guilt; Humans; Oncologists; Physician-Patient Relations; Physicians, Women; Women, Working; Work-Life Balance
PubMed: 27400945
DOI: 10.1200/JCO.2016.67.0802 -
International Journal of Radiation... Feb 2022
Topics: Canada; Humans; Job Satisfaction; Radiation Oncologists; Radiation Oncology; Workforce
PubMed: 34998532
DOI: 10.1016/j.ijrobp.2021.09.049