Journal of the Advanced Practitioner in Oncology Podcast: Recent Episodes
Harborside
Diagnosing and treating cancer is complex and requires a team effort. Nurse practitioners, physician assistants, and pharmacists are crucial members of the cancer care team, yet their voices are rarely heard. In a new podcast by JADPRO, we hear from real clinicians about what it means to support and guide people on their cancer journey.
Victoria Reiser, RN, BSN, BMTCN, OCN, author of the JADPRO article "Beyond CAR T-Cell Therapy: Continued Monitoring and Management of Complications" speaks with co-host Wendy Vogel, MSN, FNP, AOCNP, on caring for patients who have received CAR T-cell therapy.
2:07 Introductions
3:42 If you had a billboard about your article, what would the headline be?
4:25 Why is this topic important for APs?
5:27 How would you explain CAR T-cell therapy to family members?
6:35 Infusion process
7:52 Monitoring for cytokine release syndrome
8:26 Immune effector cell-associated neurotoxicity syndrome (ICANS)
11:05 Inpatient vs. outpatient
11:35 Caregiver involvement
14:02 Hemophagocytic lymphohistiocytosis (HLH)
15:48 Recovery period
16:28 Long-term toxicities
17:34 Assessing response
18:18 Prophylaxis after therapy
19:30 COVID-19 advice for patients
20:52 Geriatric patients
22:15 Myths
23:42 What's the hardest thing about CAR T-cell therapy?
What’s the quickest way to ruin a dinner party? Talking about death might be one, but Debra Jarvis, former chaplain with Seattle Cancer Care Alliance, TEDMED speaker, podcaster, author, and writer-in-residence at University Congregational United Church of Christ doesn’t shy from talking about taboo topics. After her keynote at JADPRO Live, Debra sat down with freelance medical writer and editor, Kate MacDougall, on her journey on the Camino de Santiago, similarities she recognized between her hike and the practice of oncology, and fine-tuning attitudes and perspectives on death.
In early 2020, the Trump administration rolled out a Medicaid block grant program, where states apply to received capped federal funding and have new flexibility to dictate coverage and benefits. Tennessee's application is a telling example of how health benefits for the most vulnerable populations have the potential to change drastically.
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References:
Kaiser Family Foundation estimates based on 2017 National Health Expenditure Accounts data from CMS, Office of the Actuary; The Kaiser Family Foundation, Medicaid in the United States Fact Sheet, October 2019. http://files.kff.org/attachment/fact-sheet-medicaid-state-US.
The Facts on Medicare Spending and Financing
https://www.kff.org/medicare/issue-brief/the-facts-on-medicare-spending-and-financing/
Trump Administration Announces Transformative Medicaid Healthy Adult Opportunity
https://www.cms.gov/newsroom/press-releases/trump-administration-announces-transformative-medicaid-healthy-adult-opportunity
Trump Administration Clears The Way For Medicaid Block Grants
https://www.npr.org/sections/health-shots/2020/01/30/800841612/trump-administration-offers-states-a-way-to-block-grant-medicaid
In this episode, we're sharing the acceptance speech of the first recipient of the annual Mary Pazdur Award for Excellence in Advanced Practice in Oncology, Jeannine Brant, PhD, APRN, AOCN®, FAAN, Billings Clinic, Billings, Montana. If you have an advanced practitioner in your life who’s mentored you and inspired you, you can nominate that person for the 2020 award at marypazduraward.com. The winner will receive $5,000, a trip to the 2020 conference in Minneapolis, and recognition at the conference and in the journal.
In this episode, we're sharing the acceptance speech of the second recipient of the annual Mary Pazdur Award for Excellence in Advanced Practice in Oncology, Jody Pelusi, PhD, FNP, AOCNP®, of HonorHealth Research Institute, Scottsdale, Arizona. If you have an advanced practitioner in your life who’s mentored you and inspired you, you can nominate that person for the 2020 award at marypazduraward.com. The winner will receive $5,000, a trip to the 2020 conference in Minneapolis, and recognition at the conference and in the journal.
Are you curious about what goes on in the FDA? Natasha Kormanik, MSN, RN, OCN, Senior Regulatory Health Project Manager at the FDA describes her day-to-day job and debunks myths about the expanded access program. Reporting by A. Kate MacDougall, editor and writer.
Brianna Hoffner, Director of Clinical Outreach and Development here at Harborside, talks with guest Cindy Murray of Princess Margaret Cancer Centre in Toronto on the nuances between practicing oncology in the US and Canada.
A. Kate MacDougall, editor and writer, speaks with Beth Eaby-Sandy, MSN, CRNP, OCN, of the Abramson Cancer Center on data showing that women still lag behind men in areas like pay and leadership positions, and the particular challenges in oncology for women.
Articles referenced in this episode:
Women in Healthcare Leadership 2019, Oliver Wyman. https://www.oliverwyman.com/our-expertise/insights/2019/jan/women-in-healthcare-leadership.html
Still a Man's Labor Market: The Slowly Narrowing Gender Wage Gap, Institute for Women's Policy Research, November 26, 2018. https://iwpr.org/publications/still-mans-labor-market/
2017 National Nurse Practitioner Sample Survey, American Association of Nurse Practitioners, August 8, 2018. https://www.aanp.org/news-feed/2017-national-nurse-practitioner-sample-survey-results
How Medicine Became the Stealth Family-Friendly Profession, Claire Cain Miller, The New York Times, August 21, 2019. https://www.nytimes.com/2019/08/21/upshot/medicine-family-friendly-profession-women.html
Female Physicians Reject Good Enough Miriam A. Knoll, MD, Forbes, 2019. https://www.forbes.com/sites/miriamknoll/2019/08/23/female-physicians-reject-good-enough/#1664020f63ca
The Business of Health Care Depends on Exploiting Doctors and Nurses, Danielle Ofri, The New York Times, June 8, 2019. https://www.nytimes.com/2019/06/08/opinion/sunday/hospitals-doctors-nurses-burnout.html
What's Holding Women in Medicine Back from Leadership, Harvard Business Review, June 19, 2018. https://hbr.org/2018/06/whats-holding-women-in-medicine-back-from-leadership
Meet two leaders in immunotherapy and melanoma: Krista Rubin, MS, RN, FNP-BC, of the Center for Melanoma at Massachusetts General Hospital in Boston, and Anthony J. Olszanski, MD, RPh, Vice Chair of the Department of Hematology/Oncology and Director of the Early Drug Development Phase 1 Program at Fox Chase Cancer Center in Philadelphia.
The Journal of the Advanced Practitioner in Oncology, the only journal written by and for nurse practitioners, PAs, and pharmacists in oncology, was started this time 10 years ago. We talk with Editor-in-Chief Pamela Hallquist Viale about the vision behind the idea and what drives her in her role.