HOPA Now: Recent Episodes
HOPA
The landscape of hematology/oncology pharmacy continues to evolve. Join a select group of industry experts as they discuss initiatives aimed at growing and advancing the field of hematology/oncology pharmacy. Whether you are hematology/oncology pharmacist, pharmacy intern, resident, fellow, student, technician, or administrator, this informative podcast is for you.
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Lisa Holle discusses genitourinary cancer clinical pearls, including bladder cancer survival benefit options such as split dose treatments, primary treatment options for early and late-stage renal cancers, bone modifying agent recommendations for patients with bone metastases and management for asymptomatic patients.
In this episode you will learn:
Genitourinary Cancers: Top 10 Clinical Pearls
- Bladder cancer survival benefit options, including split-dose treatments
- The relationship between vitamin B12 deficiencies and bladder resections
- The primary treatment of early-stage renal cancer with one exception
- Criteria for the treatment of stage 4 renal cancer
- Bone-modifying agent recommendations for renal cancer
- Management for asymptomatic, early-stage prostate cancer patients
- Relugolix as an ADT option in some prostate cancers
- Considerations for treatment of relapsed or refractory prostate cancer patients
- Dosing of bone-modifying agents used in prostate cancer patients
- Radiation therapy recommendations based on cancer stages
- Preferred chemotherapy for nonseminoma and seminoma
- Bleomycin pulmonary toxicity
Mentioned in This Episode:
HOPA
Quotes:
“In early-stage renal cancer, no established role exists for adjuvant therapy except in patients with stage 3 renal cell cancer of clear cell histology and high risk for relapse.” — Dr. Lisa Holle
“Bone-modifying agents are recommended for renal cell cancer patients with bone metastases.” — Dr. Lisa Holle
“Early-stage prostate cancer patients have a very high rate of 10-year survival.” — Dr. Lisa Holle
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Daniel Melzer highlights the top ten clinical pearls regarding various forms and stages of lung cancer and the treatment options for these different disease diagnoses. He also shares chemotherapy treatments and survival rates and other considerations that can help determine future therapy options in various diagnosis situations.
In this episode you will learn:
Lung Cancer Considerations and Treatments
- Stage four non-small cell lung cancer targeted therapy guidelines
- Diagnoses in which treatment must be an immunotherapy plus chemotherapy combination
- Metastatic disease considerations for first- and second-line setting situations
- The importance of histology when determining if a patient needs targeted therapy
- Chemotherapy treatment options and survival rates for stage one, two, and three cancer patients
- How first-line treatment for small cell lung cancer depends on staging
- Timing of relapse considerations to help determine future therapy options
Mentioned in This Episode:
HOPA
Tweetables:
“There is a higher overall rate of survival in patients that receive pembrolizumab in the first-line setting.” — Daniel Melzer
“In stage two and stage three patients, there is a survival benefit in receiving chemotherapy versus observation.” — Daniel Melzer
“First-line treatment for small cell lung cancer depends on staging.” — Daniel Melzer
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Allison Baxley covers the high points of the pathology, diagnostic workup, and biology of GI cancers, including colon cancers, exocrine pancreatic cancers, upper GI cancers, gastric cancers, and hepatocellular carcinoma. She covers testing and recommendations, demographics and risk factors, the role of genetics, staging locations, and distinct variations between these various GI cancers.
In this episode, you will learn:
Gastrointestinal Cancers Fundamentals
- The basic pathophysiology and common genetic predisposition of colon cancers
- Recommendations for testing at various stages at colon cancers, including those with metastatic disease
- BRAF testing and recommendations and common patient response
- Considerations for diagnostic workup and staging process that may affect treatment decisions during early-stage disease
- An overview of exocrine pancreatic cancers origination, prognosis, staging decisions and treatment options
- The role of genetics in pancreatic cancers and recommendations for chemotherapy and PARP inhibitors
- Upper GI cancers including esophageal, gastric, and esophagogastric junction cancers and their histologics
- Distinct variations between the geography, demographics and risk factors of adenocarcinomas and squamous cell carcinomas in esophageal cancers
- Staging locations and clinical trials for EG junction tumors
- Specific hereditary risk factors for gastric cancer
- A brief overview of hepatocellular carcinoma including demographics, risk factors, and pathologic types
Mentioned in This Episode:
HOPA
Quotes:
“All colon cancer patients should be tested for MSI and MMR status.” — Dr. Allison Baxley
“In patients with early-stage disease, there are several things during the diagnostic workup and staging process that may affect treatment decisions.” — Dr. Allison Baxley
“For gastric cancer specifically, there are several hereditary risk factors that put a patient at higher risk.” — Dr. Allison Baxley
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Allison Baxley covers some of the most important clinical topics in the treatment of gastrointestinal cancers. She covers treatment recommendations and updates for colorectal cancer, pancreatic cancer, landmark trials in esophageal and gastric cancer, and hepatocellular carcinoma.
In this episode, you will learn:
Gastrointestinal Cancers: Top 10 Clinical Pearls
- A review of the landmark MOSAIC clinical trial and its subsequent recommendations
- An outline of the treatment paradigm of rectal cancer and its chemotherapy, surgery, and radiation treatment options
- Molecular markers that are relevant in metastatic colon cancer and their effect on the choice of biologic agents
- Primary tumor location in metastatic colorectal cancer and its influence on certain biologic agents
- An overview of three landmark studies concerning adjuvant treatment options for pancreatic cancer patients
- The standard first-line options for metastatic treatment of pancreatic cancer
- The unique role of pharmacists in the unique supportive care needs of pancreatic cancer patients
- Landmark trials in esophageal and gastric cancer and drug regimen recommendations
- An overview of recent findings and recommendations regarding hepatocellular carcinoma
Mentioned in This Episode:
HOPA
Quotes:
“This trial showed us that certain stage two patients don’t benefit from adjuvant chemotherapy at all.” — Dr. Allison Baxley
“All patients with metastatic colorectal cancer should be tested for K-Ras, N-Ras, and B-Ras status.” — Dr. Allison Baxley
“It’s clear that colon tumors have different molecular characteristics depending on where they arise.” — Dr. Allison Baxley
“Nearly all pancreatic cancer patients also require some degree of pancreatic enzyme replacement due to either their disease or surgery.” — Dr. Allison Baxley
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Shrina Patel offers an overview of the incessant ovulation theory, biopsy options for diagnosis and treatment, and the progression and timing of HPV to ovarian cancer over time. She also gives an overview of endometrial cancer based on epidemiology, histology, and prognosis, and explains the pathways of serous carcinoma and clear cell carcinoma in the treatment of endometrial cancer.
In this episode, you will learn:
Gynecologic Malignancies Fundamentals
- Defining the incessant ovulation theory as a potential cause of sporadic ovarian cancer
- Understanding how potential mutagenic lesions in DNA are normally encountered and common risk factors of ovarian cancer
- Biopsy options for diagnosis and fine needle aspiration warnings in treatment of ovarian cancer
- The progression and timing of HPV associated lesions to ovarian cancer
- Treatment of and demographics surrounding HPV
- An overview of endometrial cancer classifications based on epidemiology, histology, and prognosis
- The pathways of serous carcinoma and clear cell carcinoma in the treatment of endometrial cancer
Mentioned in This Episode:
HOPA
Quotes:
“The etiology of ovarian cancer is complex and incompletely understood.” — Dr. Shrina Patel
“The progression and timing of HPV associated lesions to ovarian cancer typically happens over ten to twenty years.” — Dr. Shrina Patel
“Type 2 cancers are considered high grade by definition and primarily include serous carcinoma and clear cell carcinoma.” — Dr. Shrina Patel
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Shrina Patel covers dosage recommendations for ovarian cancer patients and the importance of molecular testing in order to provide treatment and maintenance recommendations and highlights the critical role of pharmacists in ensuring adherence to drug recommendations. She also offers an overview of drug treatments based on various inclusions and exceptions, addresses specific patient treatments, and covers radiation and management of varying acute and chronic toxicities.
In this episode, you will learn:
Gynecologic Malignancies: Top 10 Clinical Pearls
- Chemotherapy and dosage recommendations based on different ovarian cancer stages
- The importance of molecular testing for patients in order to provide treatment and maintenance recommendations
- The role of pharmacists in ensuring adherence to oral PARP inhibitors
- How and why the pharmacist needs to define a patient as platinum-resistant, sensitive, or refractory
- Recommended drugs for patients with recurrent or metastatic cervical cancer
- An overview of bone metastases and recommended drugs for proper treatment
- Radiation and management of its associated acute and chronic toxicities
- Hypertension and handling agent limiting bevacizumab treatments
- Inclusions and exceptions to treating patients with pembrolizumab and lenvatinib
- Recommendations for patients with uterine serous carcinoma
Mentioned in This Episode:
HOPA
Quotes:
“There are no randomized data supporting the use of this regimen in patients with stage 2 disease.” — Dr. Shrina Patel
“Oral chemotherapy has revolutionized oncology, yet with great achievements come challenges.” — Dr. Shrina Patel
“Radiation — with or without chemotherapy — is associated with acute and chronic toxicities.” — Dr. Shrina Patel
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Christy Harris addresses the main differentiating characteristics of sarcomas from all other cancers, including risk factors and prognosis, focusing mainly on soft tissue sarcomas. She reviews sarcoma identification and considerations, latest breakthroughs and treatments regarding GIST, and offers details for cytotoxic and other targeted treatments.
In this episode, you will learn:
Adult Sarcomas Fundamentals
- Differentiating characteristics of sarcomas from most other cancers
- An overview of the histology and two main categories of sarcomas
- Identification and percentages of various soft tissue sarcomas
- Risk factors and prognosis of soft tissue sarcomas
- Considerations regarding risk factors to remember when reviewing adult sarcomas
- The correlation between presentation and prognosis of sarcomas and their location
- Latest breakthroughs and treatments regarding GIST
- Details for cytotoxic and other targeted chemotherapy treatments
Mentioned in This Episode:
HOPA
Quotes:
“These characteristics described require us to approach this cancer differently than other neoplasms.” — Dr. Christy Harris
“Some sarcomas are technically considered to be benign tumors but have severe comorbidities so must be treated as a malignant tumor.” — Dr. Christy Harris
“Presentation of a sarcoma as well as its prognosis is heavily dependent on where it is located in the body.” — Dr. Christy Harris
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Christy Harris addresses the top ten clinical pearls regarding adult sarcomas, including an overview of the approval, dosage, and warnings of various drug treatments including doxorubicin, avipritinib, pexidartinib, and tazemetostat. She concludes with recommendations for regimens and collaborations that will produce optimal results for all clinical trials and patients.
In this episode, you will learn:
Adult Sarcomas: Top 10 Clinical Pearls
- An overview of the origin and main categories of sarcoma cancers
- Doxorubicin as the standard treatment option for sarcoma cancers
- Recommendations for dosage and monitoring of ifosfamide-induced encephalopathy
- Targets as an area of possible therapeutic benefit in various sarcomas
- An overview of the newly recognized gastrointestinal stromal tumor (GIST)
- The role, approval, and warnings associated with the new drugs avipritinib and pexidartinib
- Understanding epithelioid sarcomas next new therapy — tazemetostat
- Oral targeted therapies that best demonstrate advancement in the cancer arena
Mentioned in This Episode:
HOPA
Quotes:
“Sarcomas are a large, heterogeneous group of cancers that arise from connective tissues such as bone, skeletal and smooth muscle, adipose tissue and cartilage.” — Dr. Christy Harris
“Doxorubicin remains the standard for treatment for most sarcomas. Other agents may be added to it, but doxorubicin remains the workhorse of the sarcoma world.” — Dr. Christy Harris
“Targets have been identified as possible areas of therapeutic benefit for a number of sarcomas.” — Dr. Christy Harris
“Sarcomas are an uncommon tumor for most clinicians to see, but there is an increasing number of oral targeted therapies for individual tumors that demonstrate some advancement in the cancer arena.” — Dr. Christy Harris
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Samantha Reiss discusses the background and pathophysiology of central nervous system malignancies with a focus on malignant brain tumors and high-grade gliomas. This session covers epidemiology, grading and classification, risk factors, and clinical presentation of central nervous system malignancies. She concludes with an overview of workup and diagnosis information and recommendations for further treatment.
In this episode, you will learn:
Central Nervous System Malignancies Fundamentals
- Data surrounding the epidemiology and characterizations of central nervous system malignancies
- Understanding the WHO classification and grading system through tumor molecular classification
- Genetic alterations including IDH mutations, 1p19q codeletion, and O-6-methylguanine-DNA-methyltransferase
- Risk factors and signs and commonly presented symptoms in CNS malignancies
- An overview of diagnosis, workup, and prognosis information and recommendations for further treatment
Mentioned in This Episode:
HOPA
Quotes:
“Central nervous system malignancies are a heterogeneous mix of neoplasms arising from various cells in the CNS.” — Dr. Samantha Reiss
“Primary brain tumors are classified by their histologic similarities based on their cells of origin and classified by their degree of differentiation.” — Dr. Samantha Reiss
“Genetics are only weakly associated with gliomas and there are few rare hereditary syndromes that are associated with increased risk of glioma.” — Dr. Samantha Reiss
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Samantha Reiss details the standard care for glioblastoma, the most aggressive form of brain tumors. She highlights main considerations surrounding the use of temozolomide, TTFs, and bevacizumab, and touches on the more controversial topics of treating elderly patients and retreatment care options for recurrent glioblastoma. She concludes with an overview of anaplastic gliomas in patients who harbor the 1P19q codeletion and those who don’t.
In this episode you will learn:
Central Nervous System Malignancies: Top 10 Clinical Pearls
- Standard of care for glioblastoma, the most aggressive form of brain tumors
- Considerations when determining if temozolomide is an absolute standard of care for patients with MGMT unmethylated tumors
- Supportive care for the upfront treatment of glioblastoma and options for PJP prophylaxis
- The role of the medical device tumor treating fields (TTF) in the upfront treatment of glioblastomas
- Controversial talking points regarding the treatment of glioblastomas in elderly patients
- The role of bevacizumab as a treatment of glioblastoma and toxicities to monitor for
- Recurrent glioblastoma considerations and retreatment care options
- Goals for the treatment of low-grade gliomas and the role of chemotherapy in this setting
- Anaplastic gliomas in patients who harbor the 1P19q codeletion and those who don’t
Mentioned in This Episode:
HOPA
Quotes:
“This trial showed an overall improvement in survival from 12.1 months with radiation alone compared to 14.6 months with radiation plus temozolomide and the survival benefit lasted through the five-year follow-up.” — Dr. Samantha Reiss
“Chemotherapy-induced nausea and vomiting from temozolomide therapy is dose-dependent and standard emetic prophylaxis should be considered for all patients.” — Dr. Samantha Reiss
“The addition of tumor treating fields improved progression free-survival and overall survival in this patient population.” — Dr. Samantha Reiss
“Timing of radiation therapy should be considered to speed the progression and possibility of late neurotoxicity that patients can experience after brain radiation.” — Dr. Samantha Reiss
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Neelam Patel details the epidemiology, pathophysiology, and staging of breast cancer, one of the most commonly diagnosed cancers in American women. She offers data, diagnosis percentages, and survival rates for breast cancer patients; shares common risk factors, presentation, and common histologies of breast cancer; and details prognostic factors and recent changes to adjuvant treatment guidelines.
In this episode you will learn:
Breast Cancer Fundamentals
- Data, diagnosis percentages, and survival rates surrounding breast cancer
- Common germline mutations in breast cancer patients
- Risk factors regarding breast cancer, including gender, family history, and estrogen exposure
- Common presentation of breast cancer masses and common histologies of breast cancer
- Tumor size, nodal status, and presence of metastatic disease and other prognostic factors including ER/PR and HER2 status and grade of tumors
- Recent changes to adjuvant treatment guidelines
Mentioned in This Episode:
HOPA
Quotes:
“Breast cancer masses usually present as a painless lump that is self-detected or found on screening mammograms.” — Dr. Neelam Patel
“In recent years the AJCC updated their guidelines to include other prognostic factors such as ER/PR and HER2 status and grade of the tumor.” — Dr. Neelam Patel
“One thing to remember is this is a prognostic stage and is more to help the clinician and patient understand what their prognosis is, and does not necessarily dictate treatment.”
— Dr. Neelam Patel
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Neelam Patel highlights various drug regimens and recommendations including adjuvant Anti-HER2 therapy, PIK3CA, characteristics of CDK4/6 inhibitors, and considerations for adjuvant chemotherapy. She details the key role that pharmacists can play in helping manage potential toxicities and ends with recommendations on when to stop therapy and how to employ supported care.
In this episode you will learn:
Breast Cancer Top 10 Clinical Pearls
- Utilizing adjuvant Anti-HER2 therapy based on residual disease versus no residual disease
- The relationship between PIK3CA and the place of Alpelisib in therapy
- Mechanical characteristics of CDK4/6 inhibitors, dosing recommendations, recent changes, and its place in therapy
- NCCN guidelines for using endocrine therapy versus cytotoxic therapy in metastatic breast cancer
- Adjuvant chemotherapy for hormone receptor-positive HER2-negative disease and findings of the TAILORx study
- PARP inhibitors used in treating breast cancers and adjuvant Capecitabine
- Bone modifying therapy and drug dosing recommendations
- The evaluation of metastatic disease, when to stop therapy, and supported care
Mentioned in This Episode:
HOPA
Tweetables:
“Ado-trastuzumab emtansine is recommended in the adjuvant setting if patients have residual disease following neoadjuvant HER2 targeted therapy.” — Dr. Neelam Patel
“Close monitoring and management is one of the key roles that we can play as pharmacists in helping manage these toxicities.” — Dr. Neelam Patel
“If a patient is symptomatic and requires quick disease control, cytotoxic chemotherapy may be recommended.” — Dr. Neelam Patel
“In general, chemotherapy is chosen based on patient-specific risk factors.” — Dr. Neelam Patel
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Lisa Holle offers an overview of genitourinary cancers, including bladder, kidney, and testicular cancers, their causes and risk factors, appropriate treatment options, and standard survival rates.
In this episode you will learn:
Genitourinary Cancers Fundamentals
- Key differences between the anatomy and pathophysiology of muscle and non-muscle invasive bladder cancers
- Survival rates of bladder cancer patients
- Various types of kidney cancers and their appropriate treatments
- The cause of early-stage prostate cancer and the inhibitors of normal growth of the prostate
- Possible mechanisms of early-stage prostate cancer
- Understanding testicular cancers as germ cell tumors, their subcategories, and common risk factors
Mentioned in This Episode:
HOPA
Quotes:
“Understanding the pathophysiology of bladder cancer relies on the understanding of the anatomy of the bladder.” — Dr. Lisa Holle
“The treatments for clear cell carcinoma are focused on targeting the pathways that are affected.” — Dr. Lisa Holle
“Most testicular cancers are histologically categorized as germ cell tumors.” — Dr. Lisa Holle
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Bernard Marini reviews key background information on acute leukemias and MDS. He covers the key mutations, common abnormalities, characteristics, and outcomes of both AML and ALL, and offers diagnosis requirements, exceptions, and guidelines regarding various treatment options.
In this episode you will learn:
Adult Acute Leukemias & Myelodysplastic Syndrome Fundamentals
- MDS median age at diagnosis, common risk factors including exposure to radiation and unbalanced chromosomal changes, and the prognostic scoring system
- Secondary AML characteristics and considerations
- AML diagnosis requirements, exceptions, and NCCN guidelines regarding ELN risk stratification
- FLT-3’s role as both an important predictive and prognostic biomarker
- Characteristics and outcomes of ALL as both a pediatric and adult malignancy
- Common abnormalities of ALL, including the presence or absence of the Philadelphia chromosome
- Understanding IKZF13 as a critical regulator of lymphoid differentiation
- Alternate methods and recommendations for testing measurable residual disease
Mentioned in This Episode:
HOPA
Quotes:
“For the diagnosis of AML, more than 20% blasts are required unless certain cytogenetic abnormalities are present.” — Dr. Bernard Marini
“FLT-3 is an important predictive and prognostic biomarker.” — Dr. Bernard Marini
“We typically think of ALL as a pediatric malignancy, however, 40-45% of all cases occur in adult patients.” — Dr. Bernard Marini
“MRD at almost every time point is prognostic for relapse in overall survival in ALL.”
— Dr. Bernard Marini
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Bernard Marini highlights the main clinical pearls of adult acute leukemias and myelodysplastic syndrome, including unique factors that affect dosing, drug monitoring factors, and guidelines, and the oncologic stewardship and dosing caps for various drug usage.
In this episode you will learn:
Adult Acute Leukemias & Myelodysplastic Syndrome: Top 10 Clinical Pearls
- There are unique lenalidomide sensitivities for patients with deletion 5q.
- Thrombopoietin mimetics and growth factors for patients with MDS
- Guidelines for use of potent ASAL antifungals
- Denosumab azomycin and oncologic stewardship and dosing caps
- Secondary AML and oncologic stewardship outcomes and alternatives
- Characteristics and management of IDH inhibitors and differentiation syndrome
- Asparaginase and therapeutic drug monitoring and a comparison of adult versus pediatric patients reactions and survival rates
- Blinatumomab and inotuzumab use and outcomes in patients with less disease burden
- Balancing safety and efficacy of TKIs in patients with ph positive ALL
Mentioned in This Episode:
HOPA
Quotes:
“Patients with deletion 5q are uniquely sensitive to lenalidomide.” — Dr. Bernard Marini
“Given the flaws in the alpha trial and the meta-analysis, this is potentially a place for oncologic stewardship in avoidance in risk in a drug with no overall survival benefit.” — Dr. Bernard Marini
“IDH inhibitors in AML are fascinating agents.” — Dr. Bernard Marini
“Adults and young adult patients have significantly worse survival rates compared to pediatric ALL counterparts.” — Dr. Bernard Marini
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Brian Doe details the background and pathophysiology of lymphoma, how to differentiate T-cell lymphomas, and the aggressive nature of all the lymphomas. He highlights the characteristics and symptoms of various forms of lymphoma and makes recommendations for treatments based on pathological and cellular findings.
In this episode you will learn:
Lymphomas Fundamentals
- Lymphoma presentation and pathophysiology
- Hallmark signs and common symptoms of lymphoma
- Varying characteristics of Hodgkins and non-Hodgkin’s lymphomas
- Characteristics and risks of indolent lymphomas including follicular lymphoma, B-cell lymphoma, and mantle cell lymphoma
- T-cell lymphomas, symptoms, and the effect they have on organs
- Goals of therapy and the effects of peripheral T-cell lymphoma
Mentioned in This Episode:
HOPA
Quotes:
“Hodgkin’s lymphomas, in general, have good prognosis and are considered curable with standard chemotherapy such as ABVD.” — Brian Doe
“Non-Hodgkin’s lymphomas are more responsive to chemotherapy and may be curable despite its aggressive nature.” — Brian Doe
“Controversy exists in how grade 3 follicular lymphoma should be treated as it mimics a more aggressive disease course and carries a risk of transformation to diffuse large B-cell lymphoma.” — Brian Doe
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
In this episode of HOPA Now, Nelly Adel, PharmD, BCOP, BCPS and Deanna Argentieri, PharmD, aim to identify the basic requirements to have students on an oncology APPE site, illustrate the various structures for APPE rotations, set expectations for students versus residents on same rotation, highlight the requirements for delivering and providing timely and appropriate feedback to enhance student performance in an oncology setting with a focus in the ambulatory setting, and demonstrate the essential roles of an oncology pharmacist career in Oncology.
This podcast is part of a General Pharmacy Education Self-Paced Study Module in HOPA Learn. To view the full course and claim credit, please visit HOPA Learn and register for the course.
In this episode, you will learn:
Guidelines for establishing an oncology site
- Determine the affiliations established between the site where you are practicing and the school of pharmacy.
- Considerations include student access to a computer, distance from the university, access to EMRs, and the duration of the rotation.
- Qualifications of preceptors and student interest in oncology
- Article information outlining the process and guidelines Creighton University pharmacists and faculty used to establish an oncology elective
- Understand the specific school curriculum and guidelines for APPE.
- Identify prior student experiences and rotations to determine interest.
Setting expectations for students in their rotations
- Communication, interest, and a clearly-defined plan is a critical step to understanding what the student is hoping to get out of the rotation.
- Investing time in students will ensure that you have their best interests in mind.
- Recommendations for syllabus details that will clearly outline your expectations.
- Taking on students is a time commitment from everyone, but setting expectations will result in a greater payoff in the end.
Handling students vs. residents
- Many practice sites have students and residents — be sure to delineate between student and resident expectations.
- The benefits of providing layered learning as an effective way to integrate multiple learners into a practice setting.
- Clearly define the goals and objectives of the rotation, preceptor, and learner.
- Students and residents need to have clear and distinct differences between their objectives and expectations, including in their rubrics.
- Students and residents should NOT have access to the same information based on their differing levels of verification.
Feedback for students vs. residents
- Feedback is crucial in learner growth and essential to help students develop the necessary clinical skills for practice.
- Feedback should be the backbone of the learning experience.
- Feedback can be formal or informal but should be done regularly to assess performance and set future goals and expectations.
- Ongoing feedback helps to encourage interest and motivation and has been linked to satisfaction of the preceptor.
- Feedback allows for self-reflection and the ability to assess their impact on the team/service.
- Ideas for giving effective feedback that is descriptive, adapted to the situation at hand, succinct, and include first-hand knowledge
- Ineffective feedback that should be avoided in all situations
Role Model — Careers in Oncology
- Role modeling is one of the crucial roles of a preceptor as it demonstrates the skills that a pharmacist performs in a given time as well as shows to the student how they can practice in the future.
- Precepting can give students various insights on how an oncology pharmacist can practice in any setting, including inpatient and outpatient settings.
- Roles can extend to hospital satellites, a clinical specialist, a manager, a coordinator, a faculty, and more.
- A variety of options for practice can vary among several hospital systems.
Mentioned in This Episode:
HOPA
Literature for this Episode:
Nystrom KK, Pick AM. An oncology pharmacy practice elective course for third-year pharmacy students. Am J Pharm Educ. 2013; 77(1) Article 12.
Bates JS, Buie LW. A study of layered learning in oncology. Am J Pharm Educ. 2016; 80(4) Article 68.
Hall A, Miguel A, Weitzel K. Providing feedback to learners in outpatient and ambulatory care practice settings Curr Pharm Teach Learn. 2015; 7:348-356
Quotes:
“There are many opportunities to teach a student on rotation, not only about the oncology topics but insights into future career options.” — Nelly Adel
“Investing time in students from the beginning of their practice experience really helps to establish that trust and assurance that you have their best interests in mind.”
— Deanna Argentieri
“Keep in mind that the senior preceptor is the major driver of pharmacy services.”
— Deanna Argentieri
“For preceptors, it’s important to note that when discussing topics or patient presentations there is a variation between what a resident can see versus a student.” — Nelly Adel
“Feedback should be the backbone of the student’s learning experience. It should be informal, given regularly, and in a timely manner.” — Deanna Argentieri
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Brian Doe offers an overview of the fundamentals of lymphomas, including biopsy recommendations, histological determinations, and screenings that are commonly administered during treatment. He highlights the indicators for starting follicular lymphoma treatment and shares guidelines and criteria for administering high dose methotrexate, and concludes with information regarding various B-cell lymphomas and mycosis fungoides.
In this episode you will learn:
Lymphomas: Top 10 Clinical Pearls
- Biopsy recommendations for making an accurate diagnosis
- Ensure necessary workup is completed and considered prior to initiating treatment
- Proper management and prevention of Hepatitis B reactivation
- Understanding Rituximab and the biosimilars and NCCN recommendations
- Indications for starting follicular lymphoma treatment
- Prevention of toxicities in HD methotrexate and indicators for alternate treatment options
- Dose-adjusted R-EPOCH treatment guidelines and criteria
- Prevention of bacterial and other infections
- CNS prophylaxis for patients with diffuse large B-cell lymphoma
- Maximizing patient care for patients with various B-cell lymphomas and mycosis fungoides
Mentioned in This Episode:
HOPA
Quotes:
“It is important to delay the use of corticosteroids until obtaining the biopsy when possible as lymphomas are sensitive to steroids and specimens may be affected.” — Brian Doe
“If Hepatitis B surface antigen or core antibody screening is positive, a consultation to a gastroenterologist or infectious disease expert is recommended.” — Brian Doe
“When we think about late-stage disease, we sometimes immediately jump to consider treatment, however not all patients benefit and may be better managed with the watchful waiting approach to minimize treatment-related toxicities.” — Brian Doe
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Kirollos Hanna highlights the fundamentals regarding multiple myeloma, the 14th most common cancer in the U.S. He offers details regarding diagnosis data and risk factors, the pathophysiology and molecular biology of multiple myeloma, the tools used to stage select patients and the importance of patient adherence to varying degrees of therapy regimens.
In this episode you will learn:
Multiple Myeloma: Fundamentals
- Diagnosis data and figures surrounding multiple myeloma
- Risk factors for developing multiple myeloma
- The main differentiating factors for MGUS smoldering and active myeloma
- Pathophysiology and disease-related symptoms of multiple myeloma
- C.R.A.B. symptoms, their causes, and common resulting effects
- Molecular biology of myeloma and cytogenetic abnormality prognostic factors
- High-risk differentiating factors and the tools used to stage select patients
- The importance of patient adherence to therapy regimens
Mentioned in This Episode:
HOPA
Quotes:
“We know that cytogenetic abnormalities oftentimes have a lot to do with preventing normal differentiation of apoptosis.” — Dr. Kirollos Hanna
“It is very rare or uncommon to see patients have IGM or IGD myeloma, and extremely rare to see patients not have any M proteins present in the blood or the urine.” — Dr. Kirollos Hanna
“Response criteria ranges anywhere from stringent and complete response all the way to progressive or refractory disease.” — Dr. Kirollos Hanna
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Kirollos Hanna details the top ten clinical pearls for managing patients with multiple myeloma. Topics include the goals of therapy, the proper approach to treatment and transplant options, details of inhibitors and administration guidelines, the role of the pharmacist in managing complex regimens, and more.
In this episode you will learn:
Multiple Myeloma: Top 10 Clinical Pearls
- The goals of therapy regarding the disease state of multiple myeloma
- C.R.A.B. symptoms as the hallmark representation of multiple myeloma patients
- The approach to treatment and transplant options is based on various patient factors.
- The efficacy and complexities of triplet therapies
- Details of the three main proteasome inhibitors, administration guidelines, and common adverse reactions
- Approved immuno module drugs and their associated increased patient risk factors
- Highlighting the role of the pharmacist in managing complex regimens
- Novel upcoming mechanisms for managing multiple myeloma patients
Mentioned in This Episode:
HOPA
Quotes:
“It’s important to note that multiple myeloma remains, to date, an incurable disease.”
— Dr. Kirollos Hanna
“Proteasome inhibitors are indicated in numerous frontline and relapse refractory regimens in multiple myeloma, regardless of transplant eligibility.” — Dr. Kirollos Hanna
“Pharmacists really play an integral role in managing these patients.” — Dr. Kirollos Hanna
“It’s likely that we will see some of these therapies come to light within the next several years for the multiple myeloma patient population.” — Dr. Kirollos Hanna
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
In this episode of HOPA Now, HOPA president Dr. David DeReemer moderates a discussion on the current landscape of pancreatic cancer care, treatment, and research. Dr. DeReemer is joined by CEO and President of PanCAN, Julie Fleshman; FORD model and pancreatic cancer advocate Maria Montgomery; and Dr. Thom George, a Professor of Medicine and director of the GI Oncology Program at the University of Florida and Director of the Cancer Center Experimental Therapeutics Incubator and Associate Director of Clinical Research. They discuss ongoing initiatives and current volunteer and advocacy opportunities of PanCAN, the future of pancreatic cancer treatment and research, and the exciting work that is happening with PanCAN’s Precision Promise trial.
In this episode, you will learn:
Ongoing initiatives of PanCAN
● Fund research including peer-reviewed grants and large research initiatives
● Advocating in Washington D.C. for increased federal research funds
● Patient services including information that is available through a call center and email
● Building a community of volunteers, patients, families, researchers, and stakeholders
● Telehealth has received increased support and provides quality care during the COVID-19 pandemic.
● Virtual advocacy has been widely successful and effective during the pandemic.
● Volunteer activity for fundraising is supported by passionate people who have been touched by pancreatic cancer.
A story of patient treatment, care, and advocacy
● Maria shares the story of her dad’s pancreatic cancer journey
● A look at common challenges in care, including a physical and emotional support system
● The silver linings that come with caring and advocating for a pancreatic cancer patient
● Go Fund Me information for Maria’s pancreatic cancer journey documentary
● The number one change Maria would like to see in cancer prevention
Looking to the future of pancreatic cancer care
● Details on immunotherapeutic strategies such as ICI in combos and CAR-T
● Possible reasons that early treatment approaches have been unsuccessful
● A combination approach including chemotherapy and stimulating the immune system will offer the most promising future for pancreatic cancer care.
PanCAN’s Precision Promise trial
● This Clinical research trial platform allows for testing different treatments at the same time.
● The platform is FDA-registration-enabled, allowing questions to be asked and answered that could lead to practice changes that would be FDA approved.
● The adaptive part is the most innovative program with a learn-as-you-go approach to offering treatments to patients as they are showing promise.
● Current national enrollment information
● Key inclusion and exclusion criteria of the study patient population
Mentioned in This Episode:
HOPA
PanCAN
Pancreatic Cancer Documentary (by Maria Montgomery) Go Fund Me
Tweetables:
“Our goal at PanCAN is to take bold action by improving the lives of everyone impacted by pancreatic cancer.” — Julie Fleshman
“Although there are sad stories there are also so many positive stories about how we connect to each other. So many good people are touched by this disease.” — Julie Fleshman
“The challenges of caring for a pancreatic cancer patient were more than I’d ever realized but watching people come together and support you during that time is the silver lining.” — Maria Montgomery
“Early treatments we have tried haven’t worked because the cancer has gotten a head start.” — Thom George
“At the end of the day, we all just want to save lives and make people’s lives better.” — Julie Fleshman
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Diana Wu provides a review of several concepts related to the physiology of pediatric malignancies and survivorship that will help introduce the material in the rest of this module. Topics include the results of advancements in diagnostic and risk-adapted treatment modalities, the four subgroups of acute medulloblastoma leukemia, and the social risks and needs of a growing population of survivors.
In this episode you will learn:
Pediatric Malignancies and Survivorship Fundamentals
- The two main factors that affect the risk stratification and prognosis in pediatric acute lymphoblastic leukemia
- Patient-related and cytogenetic factors that affect risk stratification and prognosis
- The four subgroups of acute medulloblastoma leukemia that affect prognosis and possible targeted treatment options
- An overview of the common staging and unique qualifications of neuroblastoma
- Characteristics and categories of high-grade childhood non-Hodgkin’s lymphoma
- The resulting needs and risk advancements in diagnostic and risk-adapted treatment modalities
Mentioned in This Episode:
HOPA
Quotes:
“Recently, the recognition of the subgroups based on molecular markers is beginning to change the treatment of childhood medulloblastoma.” — Dr. Diana Wu
“Screening for neuroblastoma is not recommended in the general population even though a potentially viable screening marker does exist.” — Dr. Diana Wu
“Advancements in diagnostic and risk-adapted treatment modalities have significantly improved survival in pediatric malignancies, creating a growing population with unique health and psychosocial risks and needs.” — Dr. Diana Wu
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Diana Wu addresses 10 clinical pearls related to pediatric malignancies and survivorship and their management. She focuses on acute lymphoblastic leukemia and CNS directed treatment and offers guidelines for treatment options and schedules, associated risks, and updates regarding current pediatric trials, strategies, and survival rates for pediatric malignancies.
In this episode you will learn:
Pediatric Malignancies and Survivorship: Top 10 Clinical Pearls
- Pediatric ALL therapy is modified based on initial and during-treatment risk stratification and these modifications will only result in increased intensity of therapy.
- The treatment schedule and phases, and details regarding initial risk stratification including patient and cytogenetic factors
- CNS directed therapy is required for all patients during pediatric ALL treatment regardless of CNS status.
- Adherence rates and the associated significant risk of relapse
- Cranial radiation treatment and age guidelines
- Steroid usage guidelines for the antiemetic regimen for CNS malignancies
- Risks associated with utilizing COP therapies for various lymphomas
- Screening recommendations for cancer survivors based on systemic factors
- Current updates on pediatric trials, strategies, and survival rates
Mentioned in This Episode:
HOPA
Quotes:
“Pediatric ALL therapy is modified based on initial and during-treatment risk stratification and these modifications will only result in increased intensity of therapy.” — Dr. Diana Wu
“Once a patient has been transitioned to higher risk treatment they cannot be de-escalated, regardless of subsequent disease response or MRD status.” — Dr. Diana Wu
“Steroids should not be included in the antiemetic regimen for CNS malignancies.”
— Dr. Diana Wu
“Treatment strategies on pediatric malignancies often incorporate modifications to reduce long-term toxicities to improve overall quality of life and health in pediatric cancer survivors.”
— Dr. Diana Wu
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Linda Barnachea highlights the fundamentals of both head and neck cancer as well as thyroid cancer. She details the statistics and risk factors of each, explains the characteristics of the clinical presentation and the pathophysiology of each, and explains the role of molecular testing in targeted therapies and clinical trials in the diagnosis and treatment of each of these cancers.
In this episode you will learn:
Head, Neck, and Thyroid Cancer Fundamentals
- The five areas from which head and neck cancer generally originates
- Statistics and risk factors regarding head and neck cancer
- The relationship between HPV and oropharyngeal cancers and the pathophysiology of the disease
- Characteristics of the clinical presentation for head and neck cancer and diagnoses parameters
- Thyroid cancer statistics and risk factors including hereditary conditions, exposure to radiation and iodine in the diet
- Pathophysiology of thyroid cancers and its associated mutations
- The role of molecular testing in both the curative setting and in targeted therapy and clinical trials
- Clinical presentation of thyroid cancer and an overview of the thyroid cancer staging system
Mentioned in This Episode:
HOPA
Quotes:
“Head and neck cancer is the sixth most common cancer in the world and generally starts from one of five areas.” — Dr. Linda Barnachea
“It has been noted that epidermal growth factor receptors are overexpressed in 90 percent of head and neck cancers.” — Dr. Linda Barnachea
“Thyroid cancer is the most common malignancy in the endocrine system.”
— Dr. Linda Barnachea
“Only 4 to 6.5 percent of all thyroid nodules result in thyroid malignancy.”
— Dr. Linda Barnachea
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
In this episode of HOPA Now, HOPA board of directors and oncology residency director Dr. Leanne Kennedy moderates a discussion on how to survive the first 60 days of an oncology pharmacy residency. Dr. Kennedy is joined by recent oncology graduates Lauren Curry and Jessica Lewis-Gonzalez to answer the FAQs of new residents regarding best practices for surviving both the first 60 days of residency. They offer advice that will help residency students best succeed, including tips to help avoid feeling overwhelmed, tools to help stay organized, and ideas for tackling research projects. They cover the key topics that will lead to successful rotations, how to determine what you want to be when you grow up, and ways to avoid burnout and get through the hardest days that are guaranteed to come. They conclude with final encouraging words of wisdom and each share whether or not they would do it all over again.
In this episode, you will learn:
How to avoid feeling overwhelmed
- Recognize that it’s okay to feel overwhelmed.
- Take the time to look up information that you are less comfortable with.
- Acknowledge that starting in PGY2 is like starting all over again — everything will feel new and that’s okay.
- Keep your information and notes organized by using tools such as a color-coding system, the Outlook calendar, and the OneDrive app.
- Create a weekly to-do list that breaks down tasks and the steps to their completion.
- Key journals that can help new residents stay informed
- Medical Facebook, Twitter, and Instagram accounts worth following
- Apps and podcasts that will help you stay up-to-date on the latest research
How to tackle your research project and key topics for successful rotations
- Get an early head start to avoid last-minute scrambling.
- Craft a well-designed research question and research team.
- Plan out smaller weekly due dates to keep yourself on track.
-
Work your personal due dates further in advance so that you can collaborate effectively.
-
Focus on broader topics first, such as antimicrobial prophylaxis, chemotherapy-induced nausea and vomiting, and growth factors.
- Oncologic emergencies are among the topics that you need to master in the first 60 days as a PGY2.
Is it possible to figure out what you want to study in the first 60 days?
- Topics from PGY1 may offer some potential topics to help structure rotations.
- Pursue the topics you’re interested in early on to either solidify the interest or eliminate it.
- Determine what you want to study before December to best prepare for PPS interviews.
Preventing burnout and getting through the hardest days
- Take time for yourself no matter how full your schedule is, even if it's just a few minutes a few times a week to eliminate built-up stress by exercising.
- Read books that are not oncology-related for ‘me time.’
- Recognize that the to-do list will still be there after you take a quick break.
- Pace yourself throughout the year so that you’re not rushing to hit deadlines.
-
Schedule time to re-energize yourself when necessary.
-
Talk to colleagues about lost patients to gain closure as a team and lean on your mentors to help you through the hardest times.
- Remember how worthwhile the work that you’re doing is despite the lowest lows.
Opportunities for organization involvement
- Practice clinical writing by contributing to organizational newsletters.
- Look for mentorship programs that you can participate in.
- Volunteer programs can help expand your network.
Mentioned in This Episode:
HOPA
ASTCT
Blood
HemOnc Today
ASH
ASCO
Oncology Times
Prime Oncology
NCCN
Ash Pocket Guides App
OncoPharm Podcast
Plenary Session Podcast
Quotes:
“It’s okay to take a moment to look things up, look things up and dig deeper into the literature.” — Jessica Lewis-Gonzalez
“Getting started on projects as soon as possible is important. Even though you have a year, a lot can come up in that year.” — Lauren Curry
“There are topics that you might have had a little exposure to in PGY1, but not to the depth that you need to understand it as a PGY2.” — Jessica Lewis-Gonzalez
“Remember that the work you’re doing is so worthwhile and that there are so many good moments there.” — Lauren Curry
“Stay organized. Pacing yourself throughout the year is going to be your best friend.” — Jessica Lewis-Gonzalez
Description: HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Linda Barnachea highlights the main points of head, neck, and thyroid cancer risk factors, diagnosis, and treatment options. She begins with head and neck cancer considerations and then moves to thyroid cancer, covering treatment options including dosages and common side effects of the most effective medications, and other considerations for each.
In this episode you will learn:
Head, Neck, and Thyroid Cancer
- Induction chemotherapy is a controversial topic for head and neck cancer therapy.
- Diagnoses and various risk factor considerations
- Pathological features that dictate which treatment is recommended for various diagnoses
- Radiation is the main driver in the treatment and chemotherapy adds only a 5–10% benefit to the overall treatment.
- Post-treatment follow-up guidelines and further monitoring recommendations
- Acute and long-term complications associated with chemotherapy, including mucositis and xerostomia
- Differentiated thyroid cancer treatment recommendations, including dosages for multitargeted TKIs and other medications
Mentioned in This Episode:
HOPA
Quotes:
“It’s important to remember that radiation is the main driver in the treatment of this cancer.”
— Dr. Linda Barnachea
“Both pembro monotherapy and pembro plus chemo are associated with a longer duration of response and a favorable safety profile.” — Dr. Linda Barnachea
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Daniel Melzer explains the background and etiology of lung cancer, which is the leading cause of cancer-related deaths in the United States. He highlights the main risk factors for lung cancer, details the pathophysiology and molecular biology of various kinds of lung cancers, and wraps up with an overview of the biomarkers that have revolutionized the way we treat lung cancer.
In this episode you will learn:
Lung Cancer Fundamentals
- The background and etiology of lung cancer
- Lung cancer has a higher death rate than colorectal, breast, and prostate cancers combined.
- Main risk factors including smoking, pack per day history, exposure to secondhand smoke, family history, and radon exposure.
- Treatments include cessation of smoking in addition to systemic and targeted therapies.
- Pathophysiology of lung cancer and characteristics of subtypes of non-small lung cell cancer
- Molecular biology of small cell lung cancer and non-small cell lung cancers
- Biomarkers regarding EGFR, ALK, and other resistance mutations of lung cancer and their most effective therapies
Mentioned in This Episode:
HOPA
Tweetables:
“Lung cancer has a higher death rate than colorectal, breast, and prostate cancers combined.” — Dr. Daniel Melzer
“Lung cancer patients who stop smoking reduce their risk at five years.” — Dr. Daniel Melzer
“By reducing patient smoking by half a pack a day you can reduce your risk of lung cancer by 25 percent.” — Dr. Daniel Melzer
“Without treatment for lung cancer, patients can die within two to four months.”
— Dr. Daniel Melzer
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Katie Gatwood provides an overview of the goals of and indications for hematopoietic stem cell transplantation, which is often the only curative treatment option for several malignant and non-malignant diseases. She covers the goals and considerations of hematopoietic stem cell transplantation, common indications for allogeneic transplants, the three conditioning chemotherapy regimens that are administered prior to stem cell infusion, and key supportive considerations for hematopoietic stem cell transplant recipients.
In this episode you will learn:
Hematopoietic stem cell transplantation and opportunistic infections
- The goals of hematopoietic stem cell transplantation include eradicating disease, restoring normal hematopoiesis, and to induce immunologic activity to prevent disease relapse.
- Stem cell transplantation considerations and donor options for transplants
- Common indications for allogeneic transplants and sources of hematopoietic stem cells
- Three conditioning chemotherapy regimens that are administered prior to stem cell infusion
- Leading causes of transplant-related morbidity and mortality
- Understanding infection as one of the leading causes of transplant-related mortality
- Key supportive considerations for hematopoietic stem cell transplant recipients
Mentioned in This Episode:
HOPA
Tweetables:
“Stem cell transplantation is used only to administer high dose chemotherapy.”
— Dr. Katie Gatwood
“Peripheral blood is most commonly utilized due to ease of collection and low graft failure rate and faster engraftment time.” — Dr. Katie Gatwood
“Stem cell transplant infection is one of the leading causes of transplant-related mortality.”
— Dr. Katie Gatwood
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Katie Gatwood offers a quick and convenient resource regarding hematopoietic stem cell transplantation and opportunistic infections to assist you in caring for your transplant patients. She highlights the indications for effective transplant, general indications, and strategies, and leading causes of transplant-related morbidity and infections. She also offers management and prevention tactics to help best overcome major infection concerns.
In this episode you will learn:
An overview of hematopoietic stem cell transplantation and opportunistic infections
- Indications for effective transplant, the curative treatment for over 70 different malignant and non-malignant conditions
- Stem cell mobilization strategies and general indications
- Intensity levels and other criteria of various transplant conditioning regimens, including the high-risk VOD
- Standard practices for prevention of GVHD and allogeneic transplantation
- Leading causes of transplant-related morbidity and mortality GVHD and effective treatment options
- Risks and management of CMV, including preemptive therapy
- Management of and major concerns regarding EBV reactivation
- The reason that reimmunization of vaccine-preventable diseases is required following transplantation
Mentioned in This Episode:
HOPA
Quotes:
“Acute leukemias are the most common indications for allogeneic transplant.” — Katie Gatwood
“For patients at high risk for mobilization failure … combination strategies are generally preferred.” — Katie Gatwood
“Despite prophylaxis, 30–80% of patients will develop GVHD.” — Katie Gatwood
“Following transplantation, patients are at a major risk for CMV reactivation and disease, which is associated with significant morbidity.” — Katie Gatwood
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Laura Alwan highlights the fundamentals of melanoma skin cancers, including current statistics and risk factors, the epidemiology of melanoma, common genetic mutations, and advances in the treatment of metastatic disease. She concludes with a look at the relationship between melanoma and the immune system and offers a brief overview of genetic mutations and other considerations for non-melanoma skin cancers.
In this episode you will learn:
An overview of melanoma and non-melanoma skin cancers
- Diagnosis, death rates, common causes and other statistics for melanoma
- Genetic variability is increasing in melanoma subtypes, including cutaneous and non-cutaneous melanomas.
- Risk factors can be identified and summarized with the ABCDE acronym.
- Targeted immunotherapies are changing traditionally low metastatic melanoma survival rates.
- The pathophysiology of melanoma lesions, starting with genetic mutations from the melanoma transition
- Immune surveillance examines the relationship between melanoma and the immune system while immune targeted theory has improved the disease response rate and overall survival rates.
- Common genetic mutations in melanoma and current testing options for high-risk patients
- Genetic mutations and other considerations for non-melanoma cancers
Mentioned in This Episode:
HOPA
Quotes:
“Most patients are diagnosed with early-stage disease, and only 4–5% are diagnosed with metastatic disease at the time of presentation.” — Laura Alwan
“The primary risk factor for melanoma is ultraviolet light exposure.” — Laura Alwan
“Melanoma is thought to have a close and unique relationship with the immune system.”
— Laura Alwan
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Laura Alwan shares ten clinical pearls regarding melanoma skin cancers, including immunotherapy as a main treatment option in melanoma cancers, management of related adverse events, and other patient considerations for immunotherapy. She also highlights specific considerations for select immune-related adverse events, offers timelines for high dosage steroids, and details treatment options for unique melanoma cancers.
In this episode you will learn:
Melanoma skin cancer treatments
- Immunotherapy as a main treatment option in melanoma cancers
- The when and how of immune-related adverse events
- Data and symptoms surrounding PD1 inhibitors and CTLA4 inhibitors, including dose-related toxicities
- How to monitor and manage immune-related adverse events
- Specific considerations for select immune-related adverse events, including rapid GI transit
- Timelines for managing high dose steroids
- Treatment and management options for patients with BRAF mutations
- Unique therapy for melanoma through the use of T-VEC
Mentioned in This Episode:
HOPA
Quotes:
“Melanoma is known to have a high degree of somatic mutations and has a unique relationship with the immune system.” — Laura Alwan
“It’s important for the oncology pharmacist to consider if infection prophylaxis is warranted.”
— Laura Alwan
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Allison Duffy highlights the fundamentals of various chronic leukemias, including the background and pathophysiology of CLL, hairy cell leukemia, and CML. She shares information about the current treatment landscape for this malignancy and highlights the key role that pharmacists can play in treatments as well as drug interaction and administration considerations, supportive care and management, and more.
In this episode, you will learn:
An overview of chronic leukemia fundamentals
- CLL remains the most prevalent adult leukemia in Western countries.
- CLL and FLL are different manifestations of the same disease which receive similar care.
- Deletion 17p is the single most important prognostic factor in CLL.
- Identifying characteristics and disorders associated with hairy cell leukemia
- CML highlights, including diagnosis, prevention and screening guidelines, and treatment
- The key role of pharmacists in drug interactions and supportive management
Mentioned in This Episode:
HOPA
HOPA Now Live Webinars
Tweetables:
“CLL remains the most prevalent adult leukemia in Western countries.” — Allison Duffy
“CML is a unique malignancy in which a single genetic chain acts as the ultimate transformative event.” — Allison Duffy
“Collaboration among all pharmacists caring for patients with these malignancies is essential for effective transitions of care and ongoing management across settings.” — Allison Duffy
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Allison Duffy explores NCCN preferred first-line treatment options, explains medication dosage guidelines for various forms of leukemia and offers an overview of the potential side effects that may result from different management recommendations. She concludes with a look at potential future relapse rates based on patient adherence to medication guidelines.
In this episode you will learn:
Screening and prevention information
- NCCN preferred first-line treatment options
- Guidance for medication dosages
- CLL inhibitor side effects and management recommendations
- Understanding CLL evaluation of response
- A look at hairy cell leukemia and CML progressive disease
- CML toxicity and supportive care management
Mentioned in This Episode:
HOPA
NCCN Clinical Practice Guidelines
Tweetables:
“Regardless of patient factors, there are three NCCN preferred first-line treatment options.”
— Allison Duffy
“Greater than 85% adherence is tied to a higher probability of achieving complete cytogenetic remission at two years.” — Allison Duffy
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, Dr. Jennifer Godden addresses the top ten clinical pearls of molecular pathways and pharmacogenomics with the goal of ensuring that oncology pharmacists have a strong understanding of the key concepts related to oncology precision medicine, including tumor genomic test processes and test results, and to make accurate resulting treatment recommendations. Topics covered include classifications of cancers and characteristics of genetic mutations, treatment implications and gene alteration implications, signal transduction pathways, and the impact of semantic and germline alterations on treatment selections.
In this episode you will learn:
Molecular Pathways and Pharmacogenomics
- Classification of cancers and characteristics of genetic mutations as the cause of cancer
- Prognostic and predictive tumor molecular profiling processes and standards
- Functional and clinical impacts of alterations
- Treatment implications and decisions based on various gene alteration implications and their functions
- The two major signal transduction pathways that facilitate signaling from the extracellular domain to the nucleus
- Homologous recombination deficiencies and mismatch repairs
- How semantic and germline alterations in cancer genes can impact treatment selection and medication response
Mentioned in This Episode:
HOPA
Quotes:
“The application of molecular pathways and the treatment of oncology patients is expanding at a rapid pace.” — Dr. Jennifer Godden
“Cancer is a process that develops as a result of dysregulated pathways.”
— Dr. Jennifer Godden
“It is important to recognize that a VUS should not routinely be used as part of treatment decision making.” — Dr. Jennifer Godden
“It is becoming increasingly important for oncology pharmacists to understand molecular pathways and pharmacogenomics.” — Dr. Jennifer Godden
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
These educational podcasts are part of our BCOP Preparatory and Recertification Course, which is designed to prepare oncology pharmacists preparing to sit for the BCOP Certification Exam, as well as meet the BPS requirement to complete a BCOP Preparatory/Recertification Review Course.
In this episode of HOPA Now, HOPA Fellow Dr. Robert Mancini shares information regarding cancer screening and prevention, including health and lifestyle factors, top genetic and familial risk factors, and effective pharmacological interventions. He concludes with an update on the ACS goal to increase cancer screening and prevention methods by the year 2035.
In this episode you will learn:
Screening and prevention information
- What do we know about cancer prevention and risk factors?
- Understanding accurate guidelines for cancer prevention
- Additional recommendations include smoking cessation and use of sunscreen
- Pharmacological interventions — what really works?
- Average vs. high-risk cancer screening options and controversy
- Genetic and familial syndromes
- An update on the ACS 2035 challenge
Mentioned in This Episode:
HOPA
ACS 2035 Challenge
Quotes:
“Education is the key to moving cancer prevention forward.” — Robert Mancini
“Rates of liver, pancreas, and uterine cancers will all increase if nothing is done to improve detection.” — Robert Mancini
“If major risk factors decrease and screening rates among Americans increase, … there will be an additional 20.5% drop of overall cancer deaths by the year 2035.” — Robert Mancini
In this episode of HOPA Now, President David DeRemer hosts a panel discussion regarding the increased need for telehealth during the COVID-19 pandemic. The panel consists of three well-informed doctors that are representing both the East and West coasts. Eve Segal, PharmD, BCOP is the Lead Clinical Oncology Pharmacist at the University of Washington Medical Center/Seattle Cancer Care Alliance in Seattle, WA. Maurice Alexander, Pharm.D., BCOP, CPP is a Clinical Manager Hematology/Oncology Pharmacy Services at UNC Chapel Hill, and John Valgus, Pharm.D. MHA, BCOP, CPP is the Assistant Director of Pharmacy at UNC Chapel Hill. They discuss the need that COVID-19 has created to rethink traditional patient care, address various implementation strategies for telehealth, and offer a look at the potential future of telehealth.
In this episode you will learn:
What did telehealth look like before COVID-19?
● Telemedicine has always been part of a traditional practice, but concerns about patient relationships and access to technology limited full adaptation of telehealth.
● Prior to COVID-19, UNC only conducted 25 telehealth visits per month.
● Telehealth visits were limited by a narrow set of eligibility requirements.
Implementation strategies for telehealth
● The adaptation of telehealth is now essential in order to deliver care as safely as possible.
● Telehealth care at UWA is currently limited to those who have been credentialed, and they are working to expand telehealth credentials to all oncologists.
● At UNC, AmWell has helped meet the increasing need to expand telehealth services.
● Telemedicine platforms have improved exponentially because physicians, pharmacists, and hospital administrators are now all on board.
Rethinking traditional patient care
● Telehealth tends to improve care as patients feel more comfortable asking questions in a personal environment.
● More dedicated patient education sessions allow for increased preparation for treatment.
● Telemedicine offers increased convenience for patients but also requires improved coordination of care and lab testing.
● Staffing models have remained largely unchanged through the transition to telehealth.
● COVID-19 has forced us to break down the barriers that have limited the use of telehealth in the past.
Platforms that support telehealth
● Health and human services technology rules have changed to allow doctors to use any platform including Skype for Business, FaceTime, Google Hangouts, or Zoom.
● Zoom offers a HIPPA-based platform that includes a virtual waiting room.
● American Well offers a telehealth solution that can be embedded into your patients’ health records.
● Doximity allows doctors to connect with patients with minimal steps.
● Security and user-friendliness need to be the two biggest priorities for selecting successful platforms.
Looking to the future of healthcare
● The slow reopening of states will allow hospitals to offer elective outpatient procedures.
● Pharmacies have the opportunity to embrace telemedicine and to offer best practices for their patients.
● The increased convenience and safety measures offered by telehealth benefit patients in a way that can and should be sustained beyond COVID-19.
Mentioned in This Episode:
HOPA
AmWell
Zoom Healthcare Plan
Doximity
Quotes:
“In the past month, the culture around telemedicine has completely changed. It went from a nice option to something that is absolutely necessary.” — John Valgus
“Our leadership has recognized that we need to adapt in order to deliver care as safely as possible.” — Eve Segal
“Telemedicine gives us the opportunity to safely manage patients with an even higher level of quality than in the past.” — John Valgus
“Telehealth is an excellent, convenient service that should sustain itself beyond the time of COVID-19” — Maurice Alexander
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
In this episode of HOPA Now, At-Large Board Member Jeremy Whalen is joined by LeAnne Kennedy, At-Large Board Member and stem cell transplant pharmacist, to discuss the exciting possibilities of moving transplants into the outpatient space. She addresses the benefits, the challenges, and the safety concerns associated with this next chapter of cancer patient care.
In this episode you will learn:
Benefits of moving transplants to the outpatient space
● Decreased risk of infection by minimized exposure to the hospital environment
● Increased mobility enhances a patient’s physical strength.
● The quality of post-procedure rest is enhanced in an outpatient setting.
● Outpatient care is a financially viable solution for both patients and providers.
Overcoming challenges to successfully switch to outpatient care
● The challenges of outpatient transplant care include the need for the patient to have a dedicated caregiver and reliable transportation.
● Pharmacists, social workers, nurses, and advanced practice providers all need to be involved in initial outpatient care.
● LeAnne walks through the process of switching transplants to outpatient care, including options for ordering medications.
● Pharmacists can now act as an independent provider for outpatient care.
● A collaborative effort is essential from all affected parties, including advanced practice providers, to minimize feelings of competition.
Other types of potential outpatient transplant care
● A cellular therapy program will start this spring.
● Outpatient visits can now be followed up by an at-home call via telemedicine.
● Telemedicine can allow providers to monitor the patient via a face-to-face call from home and eliminate the need for an additional daily trip to the hospital.
● Allogeneic transplants are being explored, including the conditioning regimen and chemotherapy in the outpatient setting.
● Home setting transplants have already started taking place at Duke University.
Mentioned in This Episode:
HOPA
Wake Forest Baptist Health
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association, an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
In this episode of HOPA Now, At-Large Board Member Jeremy Whalen is joined by Larry Buie, At-Large Board Member, to discuss recent advances in AML. The paradigm in AML treatment has shifted dramatically in recent years, and impressive advances have been made regarding accurate categorization and more effective drug use. Larry highlights these advancements, offers suggestions for ways that pharmacists can play a more integral role in patient treatment, and offers a look at the promising future of AML treatment.
In this episode you will learn:
An overview of Acute Myeloid Leukemia, or AML
● AML is an expansion of myeloblasts that can occur in peripheral blood and bone marrow.
● AML is the leading cause of leukemia in adults with over 21,000 diagnoses in 2019 and a 50% mortality rate.
● Bone marrow biopsies provide information for varying risk categorization and subsequent treatments.
● There is pressure to determine risk categorization quickly because of the rapid advance rate of this disease.
● Initial therapies may include induction and consolidated transplant depending on patient response and eligibility.
Special considerations for elderly AML patients
● Experts are constantly working to make modifications to standard chemotherapy treatments without increasing toxicity.
● Age, physical fitness, frailty, comorbidity, and performance status all factor into determining appropriate levels of chemotherapy.
● Alternative treatment options include targeted therapies or a lower intensity targeted agent combined with hypomethylating agents.
● Guidelines are taken from the NCCN and the European LeukemiaNet Group.
● Details on particular toxicities that may be associated with targeted therapies and their success rates.
Ways pharmacists can increase involvement in AML care
● Increase patient monitoring and assisting in therapy selection.
● Offer inpatient and outpatient counseling regarding medication recommendations.
● Participate in pharmacist-led research and collaboration regarding drug studies.
A look at the future of AML
● More options are being presented with new drugs than ever before.
● Increased efficiency in identifying genetic abnormalities will allow for more targeted treatment.
● Chemo-free AML therapy may be a possibility in the future.
● Thorough screening will continue to be a critical component for ensuring appropriate drug use and safeguarding against toxicity.
Mentioned in This Episode:
HOPA
NCCN Guidelines
European LukemiaNet Group
HOPA Now is the official podcast of the Hematology/Oncology/Pharmacy Association (HOPA). HOPA is an organization dedicated to supporting pharmacy practitioners and promoting the advancement of Hematology/Oncology/Pharmacy to optimize the care of individuals impacted by cancer.
In this inaugural episode of HOPA Now, At-Large Board Member Jeremy Whalen interviews Larry Buie, At-Large Board Member, and Ryan Bookout, Immediate Past President. They will be discussing the 16th annual HOPA Ahead 2020 Conference highlights and the value of attending. Scheduled for March 11–14th in Tampa, Florida, HOPA Ahead is the must-attend event for pharmacists, pharmacy researchers, administrators, technicians, residents, and interns specializing in hematology-oncology.
In this episode you will learn:
How attendees can best prepare for the conference
● Download the HOPA conference app — the link will be emailed out two weeks prior to the conference.
● Build a schedule on the app to view poster abstracts, electronic posters and to prioritize key sessions.
● Conference highlights include two pre-conference sessions focusing on geriatrics and leadership and keynote speaker Leigh Boehmer.
After-hour recommendations for the Tampa Bay area
● The conference hotel is centrally located in downtown Tampa with access to Harbor Island, the Channelside District, and Hyde Park.
● For outdoor dining and bowling, visit Sparksman’s Wharf.
● For some great drink options, consider Meridien Hotel, Hotel Bar, and GenX Tavern.
● For award-winning dining and shopping, visit Armature Works, Hyde Park Village, Bern’s Steakhouse, Tampa Heights, and International Plaza Mall.
● For live entertainment, visit Straz Center or Ybor City.
● Several running trails are accessible from the conference hotel.
Additional conference offerings
● Attendees can receive up to an additional 20.25 ACPE credits by attending conference sessions.
● Book club discussions will center around The Making of a Manager.
● Networking and professional development opportunities will be readily available at the conference, including HOPA Gives Back volunteer event, leadership roundtables, and the student, resident, fellow, and new practitioner networking event.
● Nine different oncology events will take place over two days.
● “HOPA Cabana” is the Friday night reception that you won’t want to miss.
Mentioned in This Episode:
HOPA’s 16th Annual Conference
Leigh Boehmer
Sparkman Wharf
Le Méridien Hotel
Hotel Bar
GenX Tavern
Armature Works
Hyde Park Village
Bern’s Steakhouse
The Making of a Manager: What To Do When Everyone Looks To You, by Julie Zhuo
International Plaza Mall
Straz Center
Ybor City
