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Q&A Fellowship Series: Cancer Rehabilitation
Cancer Rehabilitation Fellowship Q&A
Cancer Rehabilitation Fellowship Q&A
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Let's go for it. Awesome, yeah. Just for those people who, sometimes it can be a little tricky to find the link on the website. Sometimes, you know, Zoom's like, oh, I need 300 years to start working. Hopefully not 300 years, but we've all been there. Yes, I've been there. All right, so it's okay if I jump right in? Oh yeah, yeah, please start, thank you so much. Yeah, awesome. Well, welcome everyone. It's great to see so many people logging into this tonight. This is awesome, a lot of interest here. So my name is Eric Wasatsky. As you can see from my slides, I'm from the MedStar National Rehabilitation Network at Georgetown program here in DC. And I am tasked with providing a brief introduction about cancer rehabilitation as we pass it to our programs to kind of talk to you about all the different, really amazing learning opportunities there are in cancer rehab around the country. I was supposed to be the unbiased introduction. I was gonna have AAP slides since our program has a separate presentation later, but I couldn't pull that together. So my apologies for the biased initial presentation here with my institution slides. But I just wanted to start and say, you know, the people in this Zoom room here tonight, and, you know, aside from the faculty members here who is not necessarily who I'm referring to here, the attendees, all of you are very, very smart to come here tonight to learn about cancer rehabilitation as this is an extremely growing opportunity for care with a number of cancer survivors alive in the U.S. as of January, 2022 being 18.1 million. And you can see this graph, you know, through the years of cancer survivors rising throughout the United States. And, you know, as you can see, heading up to 2030, continuing to be on the rise as cancer treatments advance. And just putting this into perspective, for those of you here tonight, you know, if anyone sort of tells you, oh, you're interested in cancer rehab, that sounds like kind of a small, nichey area of PM&R. Just to kind of put that into perspective, it's really, it's more than the combined numbers of traumatic and non-traumatic spinal cord injuries in the United States, traumatic brain injuries, Americans who've had a stroke, and it's gonna be, you know, over 22 million by 2030. So, you know, some of these, you know, kind of historically, you know, very common areas that we care for in PM&R that are extremely important really actually are small in comparison to the opportunity we have to treat cancer survivors in the world of rehabilitation. So I hope that kind of puts it into perspective to some degree. In terms of, you know, historical definitions, this is one that, you know, a few people on this call were involved with, that I like to tell people is, you know, cancer rehab is medical care. And I think that's an important distinction. It's performed by trained rehab professionals who can diagnose and treat impairments in this very medically complex population. And our very own Dr. Stubblefield put this definition forward in terms of what is a cancer physiatrist, is the specialist in the identification, evaluation, and rehabilitation of neuromuscular, musculoskeletal, and functional disorders associated with cancer and its treatment, emphasizing the restoration and maintenance of function and quality of life. I really like this definition. And we do a lot. And, you know, I won't read this to you, but, you know, this kind of puts it into perspective, and I'm sure there's folks on our call here who could add to this list. But really, you know, what I often like to say is, you know, we do everything there is in PM&R. That's what's great about the field. You can use all of your physiatry skills to provide so many different services for this very, very special population that has its unique impairments, diseases, and concerns that we can be helpful with that really keeps the field broad and always interesting. And in terms of the specialty, right now there are 10 cancer rehabilitation fellowships in the country. You're gonna hear from, I think, all of us tonight, which is really cool. A great turnout from the program standpoint. And you'll see, as you learn about the programs, you know, what is this field? What do we do? You're gonna see a very, very wide variety in terms of how much inpatient care, outpatient care, consultation, procedural skills, including injections, joint injections, botulinum toxin, you know, many different procedures, ultrasound, electrodiagnosis, maybe palliative care involvement in the training programs, learning about cancer rehab program building, research, and probably much, much more that you'll hear about from the individual programs tonight. You know, this is, cancer rehabilitation is a non-accredited subspecialty. So, you know, one of the, you know, one of the things that arises from that is there is definitely a lot of variation between the programs, and you can kind of learn tonight what some of those differences are and maybe what might be the best fit for you in your training. And in terms of going forward in the future, you know, along those lines, we're really excited, actually, this year coming up is the first year we're actually gonna have a national resident matching program match for our fellowships. So it's gonna be much more official, you know, for our programs and our applicants, which, you know, we're excited is a nice step in the right direction for the recognition of our specialty. And, you know, no breaking news, but we're really hoping going forward, eventually our fellowship programs can be ACGME accredited, can be, have a board exam with the ABPMR. And those are all things that, you know, we really, we think that there is an opportunity to do that in the future. There's momentum looking at this more seriously in the years to come. So we're hoping that's something for us to look forward to in the future as well. So that is all I'm gonna provide for you for now. You're gonna learn a lot more about the specialty as you hear from our other fellowship programs around the country. So thanks for allowing me to set the tone and can't wait to hear from the rest of you. So I don't know who's next, but I'll pass the baton. I think, I think I'm next. So let me share my screen here. saying host disabled screen sharing. There we go. All right. Everyone see that? Yeah, it looks good, Dr. Martone. Great. Hi, everyone. So I'm Patrick Martone. I'm from Northwell Health. So we are located in New York. And we participate, our medical institution is Zucker School of Medicine at Hofstra. So we are very excited to have our cancer fellowship. We're having our first fellow start this year. And we have a growing team of physiatrists. So currently we have four cancer rehab physiatrists who will work with the fellow as they're doing this in multiple different locations. What's great about Northwell Health is that there's been a real push to really build our cancer, the cancer programs here in general. And so we kind of as physiatry and cancer rehab have been on kind of the ground floor of really starting at these, the beginning of all these cancer centers that we have here. So we're really kind of entrenched already and are creating all the protocols and all the algorithms for patient referrals and for survivorship care that we have here. So we are spread out across Southern New York, across Long Island. So if you come to this fellowship, you definitely probably need a car. But the good news is that we have a really diverse patient population. So we work at all of our cancer centers here, which are four at the moment. And we're probably going to have another soon that if our new fellow starting after this year, we'll be working at. So you see diverse patients from city populations, Manhattan, Queens, all the way to almost rural, because we still work all the way out East on Long Island as well. We also have multiple specialized therapy sites throughout Southern New York. So just the core of our, of our rotations, we have our core cancer rehab rotation. And so right now we're working at four different cancer centers. And then pretty soon, hopefully we'll include Lenox Hill in that. So our fellow will definitely be exposed to all these different cancer sites regularly throughout the week. Working really, I, all my clinics are basically with radiation oncology, hematology, oncology right next door. And then we also have specialized rotations with hematology oncology, specifically our oncologists who work in breasts, GYN, colorectal, and head and neck cancer. We'll have rehabilitation therapies rotations, where you work with certified lymphedema therapists, pelvic floor therapy, specialized therapists and head and neck sarcoma and breast cancer. There'll be a surgical oncology rotation, where you rotate with orthopedic oncology, ENT and plastic breast surgery, and then a dedicated palliative care rotation where you work with a palliative care physician who only sees cancer patients in our cancer center. No call. And so at Northwell, we're really big on program building. And so these are some of the like official programs that we have already. And we're very big on, on building these official survivorship programs. So really creating algorithms for how we actually identify patients who need to be seeing us in knee cancer rehab. And so we have dedicated leadership meetings every two weeks with administration. And so our fellow is definitely going to be a part of that. So if you, you know, that's, that's a big part of our program, I think is learning how to build these types of programs. And then academics. So we're putting on national, we're putting on conferences every year now. And part of our program is actually working with a dedicated PhD for our department to actually help to build a project from the first time that you come and start working with us. And that's our quick overview. Thank you. Thanks so much, Dr. Martone. I believe Dr. Andrews is next. All right. Thanks, everybody for coming out tonight. Let me get my slides shared. All right. So I, I'm Cody Andrews. I'm the fellowship director here at the University of Michigan. We're actually, it's hard to believe we're welcoming our sixth fellow starting in just next week. So yeah, just to kind of overview of our program. So we have, there's Dr. Sean Smith is here. He's our director of cancer rehabilitation. I'm the fellowship director. We're adding a new faculty member here coming up later in the summer. And then some other folks who we work really closely with. So there's a nurse practitioner named Katie Patterson, who, if you interview with us, you'll get the opportunity to meet. She works with palliative care and an interdisciplinary symptom management clinic that we're with. Dr. Nicolette Gable is a neuropsychology professional who is interested in the neuro effects of cancer treatment. She's working with Dr. Smith on some grants. Hopefully we'll have some research rolling and then Melanie Devine here over on the side of the bottom is our fellowship coordinator. So just to put a face to the name, if you're interviewing, if you're emailing with her, just to kind of go over kind of the breakdown of how the fellowship goes. I'm sure you'll get a flavor for different programs are going to have different ways of handling non-ACGME accredited fellows. At here at the University of Michigan, we're our fellows are onboarded as clinical lecturers. So faculty positions in that way are non-accredited spine programs are the same, but then to help fund the program, you end up having your own continuity clinic where you're billing your own patients, maintaining your own schedule, checking results, things like that. So those are your patients that you own and that you'll follow for the year that you're here. And the other half of the program is monitoring inpatient consults and kind of tracking progress of acute care patients. We have lots of flexibility for electives or I'll go through a little bit in a bit, but lots of things that you can do here. We don't have any call or weekend obligations here either on the inpatient side. So I mentioned the main role of the fellow is going to be our Michigan comprehensive oncology rehabilitation program, or what we call MCOR, which is our acute care consultation service. So this is on the acute side where we have dedicated PT and OT teams who are seeing and monitoring the progress of these patients. And basically we have kind of inpatient rehab light with these patients where we have biweekly, but meeting twice a week, not once every other week. So twice a week meetings where we discuss progress. We work with the therapist really closely. We develop relationships with the therapists and the patients to kind of guide them through their acute care experience, ultimately hopefully getting them to their next disposition, whether it's our inpatient rehabilitation unit or not. That's also where we do our weekly educational series, which are interdisciplinary with our PT and OT colleagues. Our outpatient programs, we have clinics in a couple of areas across Ann Arbor here. So our department's main hub is in what we call the Burlington space. That's where we do a lot of our like injections like Botox and ultrasound guided injections. We also have that symptom management supportive care clinic at the cancer center, which is interdisciplinary with palliative care. Dr. Smith and Dr. Gable are both involved in a functional wellness initiative for brain tumor patients, which involves speech therapy, neurosurgery, radiation oncology, and a lot of other folks. Like I mentioned, there's lots of room for electives. You know, we've had fellows do orthopedic oncology. One of our fellows spent some time with neuroradiology, breast oncology, pretty much anything you're interested in is available for you here. One of our MSK faculty also does an ultrasound program with residents and fellows. It's open to our fellows every year. Our fellows do a department grand rounds every year as well. We do ask our fellows to do research projects. You can see a few of the research projects that have been done here. So most of these have been published at this point and various journals are presented at conferences. In terms of salary and benefits, if you're interested, you can go to, basically, like I mentioned, you're going to be onboarded as faculty if you're our fellow. So you can go to the University of Michigan Human Resources website to get a kind of information about what the benefits are like. And then salary, we typically set at the house officer PGY-5 level, which is also available on the internet. There's four weeks of vacation, plus what we call seasonal days here, which are the days around Christmas and New Year's. Past fellows, we've had, I think most of us can attest to, cancer rehab is a very hot market right now. So I think most of our fellows are getting competitive offers in lots of places. So yeah, if you're interested in applying in the future, we just ask for a CV, a personal statement, and three letters of recommendation. We interview virtually in the fall, leading up to the December match that Dr. Wazowski mentioned. Yeah, and so here you can, this is my email, and then Melanie is the program coordinator, like I mentioned. Her email is here as well. Yeah, and yeah, if you have any questions, feel free to reach out. If you just Google Michigan Cancer Rehab Fellowship, it's the first hit that pops up, so you don't have to memorize the whole, like, or write it down. You can just definitely Google us. So yeah, thanks. Thanks so much, Dr. Andrews. Next, we have University of Miami, Dr. Molinares. I'm sorry if I say your name incorrectly. You got it right, Molinares. Hi, everybody. Nice to meet you. I'm Dr. Molinares, Diana Molinares. Sorry about my graspy voice recovering from a cold here, but I'm very excited to talk about the University of Miami Fellowship Program. We are in a combined program with Jackson Memorial Hospital, Lynn Rehab Center, which is this building here that you see here. It's our rehab center, and Sylvester Cancer Center, which is the comprehensive cancer center for University of Miami. We have pictures of our group, but I will tell you a little bit more about who was involved in the program as we go. So I just wanted to put out there our mission and how important is the support of the cancer center and how they have been fundamental in the growth of the cancer rehab program. We are key elements of the survivorship group and the cancer support services, and the teams, the oncology and surgical oncology, lead very heavily on our expertise to improve the function and independence of our patients. So a little bit about the institution, about Sylvester. It's the only NCI designated cancer center in South Florida. So this is very important because what it means is that a lot of the patients are going to be referred to us, which gives us a lot of variety in terms of like the population diversity and also the pathology, and we are also centered for a lot of patients who are Central and South America. So we get a lot of different pathology also from these Latin countries. Like I said, it's a combination of the cancer center. The academic part from the Department of Physical Medicine and Rehabilitation is part of the residency program also, and we are part of the public health trust, which is with the Jackson Memorial Hospital, which is the second largest health system in the country. So that is great because we work with the University of Miami patients, but we also work with the county patients, which have different resources and different type of pathology and treatment plans. So it's very great because they have the opportunity to give back to the community, which is very, very important to me, to contribute a little bit to the closure of the healthcare disparities. We are part of the Survivorship Institute for the Sylvester Cancer Center, so we are a key element on these meetings and programs to improve the quality of life of the survivors. And we recently got our designation as a Lymphedema Center of Excellence. We work very closely with the plastic surgery team and have a whole program for lymphedema care. We have lymphedema board meetings every month, which the fellow, of course, is a fundamental part of that as well, which gives a great opportunity to collaborate with the therapist and nurses and plastic surgery team and come up with comprehensive plans for our lymphedema patients. We also work very closely with this support services, which include the music therapy, acupuncture, exercise physiology, and exercise physiologists help us a lot in the rehabilitation program of our patients. And part of, we are, like I said, part of a strong PM&R department as well. This is a picture from last week when we graduated Dr. Yin Xu, which is our latest graduate. And it's, what is great about the fellowship is, you know, the diversity that I was mentioning to you, not only about the patients, but also the different pathologies. You have the fellowship trained attendings. There is a large, large involvement of the oncology faculty and the surgical oncology. They love having the fellow in their clinics and also are part of the curriculum and the lectures that the fellows have during the year. There is a variety of research opportunity, not only from the department, but also from the council center and a dedicated research mentor, which is part of our program is Dr. Eddie Tiozo, which is a PhD that works a lot in the research projects with the fellow, with the dedicated research team as well. There's a comprehensive exposure to the field. And I will tell you a little bit about how the year looks like and teaching opportunities because we have the residency program and the medical school. There is a lot of teaching opportunities from the fellow to residents and medical students. There's a very structured and balanced curriculum, but there is a lot of flexibility for what you want to develop and how you foresee your career in the future. Mentorship, of course, our alumni have been a great position. Thankfully, cancer rehab is in high demand right now. So there's a lot of opportunities for different programs. Ying is going to NYU next year. So this is how the year looks more or less. So it's a very comprehensive plan because in our minds, we think we know exactly what we want to do, but it is good to have a good, robust training because we don't know exactly what you are going to end up doing. So there's two months of inpatient and four months of outpatient retention. There's two months dedicated to research. And, you know, at the end, we encourage a research project and a publication ideally. And our fellows have been able to accomplish that, especially with having the two months of dedicated research. Two months of elective where they can be with procedural procedures and also like palliative care. You have a rotation with them and also with cancer, sorry, oncology, psychiatry, psychiatry oncology team and two months of consult. So I put this picture because it just shows you like the different areas where you're gonna be working. On the top left, you have the University of Miami Health Towers where we see a lot of the consults and the Jackson Memorial Hospital also where you see consults as well. And then Sylvester Cancer Center where most of the clinics, this is one of the locations where there are a few and this is the Lean Rehab. So this is our hub, this is our PM&R building and where we have 72 beds and a specialized inpatient program and as well as our clinic and your office space and everything there. Well, this is just to show you like some of the things that we do, but in general is a very comprehensive educational program. And this is just a picture of Miami for those that haven't visited. Miami is not just the beach and it's not just South Beach but it's a lot of different cultures and a lot of activities to do when you are in your downtime here. We put this QR code that if you wanna scan it right now, I'll give you a few minutes so that you can reach directly to more information and also have the application and the instructions of how you can apply it if you're interested in the program. My email is there, you can also Google us but I figured that QR code will give you the direct information. Thank you again for having me and feel free to reach out. I'm happy to meet with any of you if you have questions in the future. Thank you very much. That was wonderful. Thank you so much. And Dr. Stubblefield. Yeah, hey. So let's see if you wanna continue sharing screen. All right. All right. Can you all see a very funny looking squirrel? Yes, we can. Thank God. All right. So hi everybody. I'm Dr. Michael Stubblefield. I've got a few titles. I'm the Medical Director for Cancer Rehab for Kessler which is four hospitals in West Orange, New Jersey. I'm the National Medical Director for Complex Medical for Select Medical which of course includes cancer rehab. I'm, oh God, I'm a professor at Rutgers and I'm the National Medical Director for our Revital Cancer Rehab Program which I'll talk a little bit more about. Mostly I do all of that just so I can photograph wildlife, birds and also I'm kind of really involved in the art world which is a very fun thing. So I'm gonna lead with the quality of life thing. Why on earth would anybody come to New Jersey? My wife, when we were both at Sloan Kettering and she's still there, really had trouble getting hurt. I think this is a good idea. Thank God I can see Gina smiling. So unless she's frozen in that pose, this is working out okay. So the basic reason to come to New Jersey and not New York, we have a much better view of them than they do of us. And I'm actually, this is the view out my window right over here right now. I've got boats coming and going. There's jet skis. You can jet ski around Manhattan. It's really, it's a lot of fun. But it's a good place to both visit and live. There's a ferry right below us that they administered to right there actually so you can see my first. But use this to just emphasize we are a new program. We're starting our very first fellow this year. So the program, we've outlined what the program is gonna be but it's very much gonna be a build your own adventure which means we're gonna emphasize what's important to you and make sure you have very rounded training. One other reason to come here is I'm currently working on the third edition of Cancer Rehabilitation Principles and Practice. A lot of the co-authors or chapter authors are on the call here. Thank you for that. One beauty of working with me is you might make the cover. So here's Dr. Khanna who used to work with me. He made it. So just throwing that out there. But mostly I like to include patients who've done well. So Kessler itself is a very big rehab hospital. One of the top in the country by the US News and World Report. We are cost accredited with distinction for cancer. They were kind of blown away with our inpatient program but that's not really where you're gonna be working. It would be mostly at this West Orange facility and our Saddleburg facility, really just doing consults there. Most of this is gonna be largely outpatient, neuromuscular, musculoskeletal and other functional and pain management sort of components of cancer, lymphedema, everything you would expect. Another big reason here is the Kessler Foundation which is really one of the top rehabilitation institutes. There is millions of dollars of funding particularly in spinal cord and TBI. I'm actually working now on a multimillion dollar grant with some of our researchers there to study return to work in cancer patients. And I'll tell you how that is possible. But again, it's still drone. There will be an expectation for you to do research and publish but where and what you do is really very much gonna be left up to what interests you and what you think is most important. One of my primary duties here is the Revital Cancer Rehab Program. This is a program that didn't exist when I came here. It literally started as yellow post-its on a wall. And we now have about a thousand therapists operating in 24 markets. I don't know quite how many states are here. We're just adding two more markets. We're building all the time. Our goal here is to provide comprehensive cancer rehab across the country. So that includes not just PT, but OT, SLT, cognitive, pelvic floor, lymphedema, et cetera. I'm starting to add medical directors to this program. We just anointed our first two medical directors this year. And my ultimate goal will be to have folks working literally in all of these markets to make sure patients really get the best possible care that they can, no matter if they live, hey, in Alaska. I'm pretty sure we're the only people providing care in Alaska. We're now also looking at Hawaii. We'll have more questions later. You can email me directly. I'll give you that in a minute. The biggest reason to come here is our staff and patients are second to none. We have some of the best therapists literally in the country with a tremendous amount of skill and knowledge based on the huge educational program of the Revital and everything else. Our patients literally come from all over the world, all over the country. My personal thing is radiation late effects. The more complex, the better. So we've become a national draw for these patients and our satellite centers, our other Revital centers outside are also really starting to get some of the most complex and challenging patients they are. So our claim to fame above the fantastic view of New York we have is that we really emphasize in taking care of the most challenging and complicated. And that's what I hope to impart to our fellows. And that's it. That's me photographing birth. And please feel free to reach out to me at mstubble tilde selectmedical.com. Thank you. Thanks so much. And next we have Dr. Power from MedStar. Hello, thank you. Just trying to bring this up. All right, good. Everybody can see. Yep, I'll get it. Thank you so much. So I'm very happy to be here tonight among an awesome selection of colleagues that I'm very proud to know and work amongst. It's an awesome field to be interested in. And I'm very excited for all of you who are looking in this direction, no pressure. So I run the Cancer Rehab Fellowship at MedStar as Dr. Rozoski already presented with mild bias. He trained me and I took over the fellowship and I'm very proud to continue on his tradition. So I seem to be the only one that stole the part of the slides from AAP. So I feel slightly amused that it took me so long to try to do that. So we have two primary locations. The nice thing about that is that while I do drive, it's DC, DC is a really great city. I happen to really enjoy living here. I've lived in many places. And the nice thing is you can walk, you can bike, you can take public transportation, you can drive. There's a lot of opportunities depending on what appeals to you. So the primary locations that you'll be working at would be Georgetown University Medical Center, which is through the Lombardi Cancer Center, which is an NCI, National Recognized Comprehensive Cancer Center, as well as the Washington Cancer Institute, which is accredited by the Commission of Cancer and sees a very large volume of patients per year. So our program, what are some unique things about it? We are CARF accredited, which is cool, and a lot of paperwork, which I happen to say is partly responsible or we owe a debt of gratitude to Dr. Martone, who's from Northwell, who did a lot of help on our behalf on this. It's primarily outpatient, so much more time spent in the clinic. We have the opportunity to spend a little bit more time in consults and inpatient, but that's less of the focus of our particular fellowship. We participate in weekly breast tumor board and have the opportunity to participate in head and neck tumor board and a couple others. We work with different kinds of surgeons, oncologists, radiation oncologists, PT, OT, kind of smattering throughout the year. If particular experiences appeal more to you, we expand upon them or broaden them, as has alluded to previously, since we're not ACG accredited, we don't have to fit into boxes, which gives you flexibility. And most importantly, our emphasis is on learning. So I might have a schedule of 15 patients. You're not going to see all 15 patients. I'm going to try to get you, the new patients are the ones that I feel have more learning opportunity. You're not there to just kind of write notes for me, because that wouldn't really do anybody a service. So we do try to spend the most time with the emphasis being placed on where you're going to get most education. So the two primary cancer rehab attendings are myself and Dr. Brzozowski. You'll have other people providing education, including the palliative care team, who you'll rotate with monthly in their clinic, as well as the aforementioned breast oncologists and surgeons and other specialties. So what do we find to be special about our particular fellowship? You're going to learn a lot of skills. You use ultrasound, you do lots of fun injections. Well, some people find them fun. Intercostal nerve blocks, Botox injections, or toxin injections, rather, to both the head and neck, as well as chest wall. So it's a little bit different from your traditional rehab medicine toxin injections. You can often see serratus plane blocks being booked in your own personal injection clinic, which I'll allude to later. You'll also be getting some EMGs and doing screening for lymphedema using bio-imputes. So unique aspects, we have a weekly procedure clinic. So every Wednesday afternoon, you have a handful of patients that are there particularly for injections. The nice thing is you have a nice good slot of time so you don't feel pressured. You can read up about it the day before, kind of reacclimate yourself to certain things or learn new skills. We go over it and then you proceed. You're also, as mentioned, part of the palliative care team. So you'll participate with their clinics once a month and you get to work with the Children's National Medical Center and some pediatric cancer patients. So program building, also alluded to from prior organizations. You're going to learn how to run a cancer rehab program. So you're going to be participating in meetings such as Commission on Cancer and APBC so that you can kind of understand that if you decide to try to get a job that requires you to start building a program, you have the blocks that you know will help you get your foot in the door and establish yourself. So other things that are nice about the program, there's a lot of conference funding. So usually a typical fellow will go to at least three conferences, lots of teaching opportunities available. All fellows as of yet have completed research projects, publications, some of them started before they even got here and kept going. So it's not required, but it's very much encouraged and usually we present you with opportunities and a little bit of time to work on them. So where have our fellows gone? A handful of our fellows are listed here, including myself. You'll recognize one as the Northwell Health Fellowship Director, Christina Kleinquartz is over at Vanderbilt, Sheikhana over at Emory and our most recent fellow is going to be starting in the Cleveland Clinic in the fall. So questions, please feel free to email me. You can also do the Google, but I'm happy to answer any questions and I'm very excited for everybody's interest in cancer rehab. So exciting. Thank you. Thank you for MedStar. And next we have Penn Medicine. Great, thank you so much. Let me share my screen here. Okay. Just trying to move this little tab. Here we go. All right. Great. Nice to see you all virtually. Echoing what Dr. Power just said, it's really great to see the numbers of people who showed up today to hear about all our awesome programs. I'm Dr. Jasmine Zane. I'm the Fellowship Program Director for our Cancer Rehab Program here at Penn Medicine. Thank you, Billy. So there's four main pillars to our Cancer Rehab Program, people, clinical care, education, and research. And so one of the main goals today will be to really show you guys our education pillar, which really helps us, our program, stay on its feet. So to give you a little bit of a timeline, our fellowship was born in 2019. So a fairly young fellowship. And so far we've had three fellows come through and we're starting, we'll be starting with our fourth fellow as of July 1st. And as Dr. Vysotsky mentioned earlier in the program tonight in 2023 of this year, our program will also be participating in the NRMP Fellowship Match. And also one of the exciting news for this upcoming FY24 is that Dr. David Lee is our graduating fellow that was just hired. And so learning opportunities are gonna expand now outside of Philadelphia into New Jersey, where he's also going to be running a new cancer rehab clinic. In terms of where our graduated fellows have gone so far, one is at University of Virginia as the Cancer Rehab Director. One is gonna be starting at Spalding Rehab as the Cancer Rehab Physician. And as I mentioned, Dr. David Lee is gonna be staying with us here at University of Pennsylvania. So this is a one-year program mainly focused on the outpatient side. So if you come join our team, you will be participating in cancer rehab clinics with core PMNR faculty. These clinics involve both procedures and non-procedural time. There's also gonna be elective clinic time with oncology specialists and also our physical therapists, occupational therapists, speech therapists, pelvic floor therapists, and also elective opportunities depending on what your main interests are in. So if you want to get more time in the procedural suite, we can find that opportunity for you, whether that be with an EMG, with our spine interventionalists, with our faculty who do more ultrasound-based procedures, et cetera. There is also a half day per week of an independent fellow clinic. So that is going to be your clinic, your patients. You're responsible for following up with aftercare as well. It is, there will, it will be overseen by either me or Dr. Lee in this upcoming year. In terms of inpatient sessions, so we will be doing twice weekly inpatient consultations with our cancer patients in the TB care hospital. And then also half a day, you will spend providing mentorship and consult opportunities to our inpatient rehab teams on our freestanding rehab hospital. And so this is an opportunity for you to interact with our residents and our medical students and our other PM&R faculty who are not core cancer rehab faculty. In terms of education and research, so the fellowship year is split up month to month and every month has a different theme just to make sure that we spend enough time covering the core cancer types and cancer type information that you really need to know before you graduate. So journal clubs, tumor boards are all going to be dependent on the month that you're rotating. So for example, July and August, we typically focus on breast cancer. So journal club is going to be breast cancer themed. We're going to be asking that you participate in the breast cancer tumor boards. And in terms of the elective opportunities, you're going to be predominantly seen rotating with our breast oncology, medical oncology, radiation oncology, surgical oncology, and our lymphedema therapists as an example. There is a grand rounds presentation once per year. And then also quarterly cancer rehab patient case review with our residents. So this is time when you as a fellow would sit down with the residents during their didactic time and go over cancer cases that they've seen in their inpatient or outpatient experiences and answer questions. You also will have the opportunity to provide lectures to residents during our cancer rehab didactic block every year. You are required to participate in at least one research project. And in terms of elective projects, there's also opportunity for you to gain experience with program development, with QI projects, and some examples of things our fellows have participated in in the past is our Exercise Oncology Task Force at Pennsylvania Hospital, which is one of our core hospitals at University of Pennsylvania. The Survivorship Program for Breast Cancer also at Pennsylvania Hospital. The Head and Neck Task Force at the hospital at the University of Pennsylvania or Maine Hospital. And then the Prospective Surveillance Project for our breast cancer population. And then also we are a center of excellence for lymphatic diseases and lymphedema. And so one of the other main projects that you have the opportunity to work on is with our interventional radiology, plastic surgery, and therapy teams in terms of identifying patients with central lymphatic issues and also peripheral lymphatic issues and get involved in our multidisciplinary weekly core meetings to discuss those patients and manage those patients. So up here, you'll see a sample schedule. It changes week by week and month by month, but in general, this should give you a pretty good sense of what you're involved in. Usually you get some elective and research project time, a little bit of downtime for you to do other things that you have responsibilities outside of our core rotations. In terms of inpatient rehab consults, that may happen on Tuesday morning, followed by procedure time in outpatient cancer rehab clinics with me. There's also the cancer rehab consults on the inpatient hospital wards with Dr. Shurnack or Dr. Tucker. And then also potentially the opportunity to work with Dr. Shurnack in her hospice team meetings and home visits as well. And then on Fridays, we have our fellow outpatient cancer rehab clinic and additional outpatient cancer rehab time. In terms of things that make us unique, we are an NCI Comprehensive Cancer Center. We're one of the leaders in basic translational, clinical, population science research and oncology. And I will say one of the things I've been most impressed with at Penn is just the kindness and the dedication that all our specialists, whether that be in PM&R or in oncology, have just dedicated to the patient population. And so everyone will go out of their way to help answer questions and to work collaboratively with you. And they've been really receptive to shadowing experiences for our fellows and just a lot of learning opportunities and group projects and group research as well. We do have an emphasis on palliative and supportive care training. Dr. Shurnack, one of our PM&R faculty, is also palliative care trained and board certified. And so when you work with her on the inpatient consult service, there is gonna be a little bit more emphasis on supportive care, which is pretty cool. And as I mentioned, per our sample schedule, if you are interested in delving more into hospice team meetings, having those tough conversations, and also potentially doing home visits, that will be the opportunity, there will be that opportunity with Dr. Shurnack as well. Our therapy team is through Good Shepherd Penn Partners, and we have a robust oncology lymphedema team through them. And so a lot of our fellows in the past and residents as well have had really close and collaborative relationships with that team. And they've offered shadowing experiences and also research opportunities too. As I'm from Michigan originally, go blue. And when I first moved to Philly, I like had no idea that it was at such a hub for cancer care and for patients coming from all different states. So you can see in the little map, I put a little star where Philly is. And so because of where we are located, we do see patients not just from urban Philadelphia, but also from other urban regions in New Jersey and Delaware. And we also get a very large rural population coming in from those regions as well. There's no call, no weekends. There's 10 paid vacation days, five paid sick days, and $1,000 that you get for professional activities like attending conferences and getting textbooks, et cetera. So, as I mentioned, I'm so excited that our cancer rehab team is growing. I think this is gonna be really fabulous for incoming learners to really experience the depth of the cancer rehab curriculum. And I think this is gonna really offer us to all work together to better identify and address gaps in rehab care and education and oncology here at Penn. Nothing is perfect. I think we're still young and we're still growing. And I think there's the growing pains, which could be seen as a negative, but I also think there's a lot of positives because there's a lot of flexibility and eagerness and enthusiasm to get better at what we're doing here. If you've never been to Philly, I had not been here much before I moved here about seven years ago, but it's a fabulous place where there's a lot of good food. I have to say, I was really surprised. We just won Friday, Saturday, Sunday, just won the 2023 James Beard Award for best restaurant in the country. I'd only been there for a happy hour. So now I had to go back for dinner. But so there's a lot of good food, there's sports and there's happy hours, there's parks, there's beaches, there's hiking. And it's a relatively cheap place to live for a big city. I did sell my car when I moved to Philly. I never bought a new one and I've been walking everywhere. So it's a really walkable city as well. So I'm really into that. We're accepting applications deadline, September 1st. If you have any questions, feel free to reach out to me via email and I can also send you an informational packet with all the things that we're looking for and more information about our program. Thank you so much. That was so great. Yay, thank you, Dr. Zhang. And next we have Carolina's Rehab. Hey, how are you guys? Let me see if I can share my screen. All right, can you all see that? Yep, great job. Thanks. All right, give me one sec. Sorry. You know what, I'm gonna just do it this way because it's easier. My daughter decided she's gonna join me. So she's sitting right next to me. There we go. All right, there we go. All right, everybody. Well, thank you. So I'm Vish Raj. I am the Director of the Cancer Fellowship at Carolina's Rehab at Atrium Health. We're part of three attendings, Terrence Pugh and Charlie Mitchell, who are my other attendings in the cancer program. And we're actually adding Bhavesh Patel, who is our current fellow. He's gonna be starting in August. So we'll have four attending strong moving forward. Our program's a little different. We're part of Atrium Health, which is a very, very large healthcare system. If you don't know much about us, we've been growing at a very rapid pace over the last several years. Our first growth was a integration with Wake Forest Medical Center. So we're all faculty at Wake Forest. I'm a clinical professor at Wake Forest. And then we've also joined with the Advocate Aurora Organization in the Midwest. So we are now the sixth largest not-for-profit healthcare system in the country. But Atrium Health in Charlotte has had a rich history, very academic program. And prior to being affiliated with the university-based program at Wake, we actually had several residency programs, fellowship programs, and we're one of the largest independent academic medical centers in the country. So just a little geography. So Carolingian Rehabilitation is there on the left. We're part of a large campus in Charlotte, and that's just the Charlotte-based work that we do. We have campuses all throughout the Carolinas in North and South Carolina, in Georgia, and then, as I mentioned, the Midwest now. So Carolingian Rehab anchors one end of the Atrium Health Carolina's medical center campus. And on the other end is the Levine Cancer Institute, and our fellowship is based out of both institutes. So Carolingian Rehab is our flagship hospital. We actually have 72 beds, and this is a brand new hospital that opened up back in January. The top floor, the fifth floor, is actually all cancer rehab inpatient. So we actually have a very strong inpatient program with 24 beds split between two attendings. And then we also have a very strong outpatient program as well, but we'll talk about that in a second. In addition, I mentioned Wake Forest. So Wake Forest School of Medicine is our academic wing, and we are actually building a brand new four-year medical school in Charlotte, which will be the second medical school for Wake Forest. So that'll be complete in 2024, and that'll formalize our academic program from MS-1 all the way through residency and fellowship training. So when you look at the Carolingian Rehab program, the Levine Cancer Institute program, we have several fellowships. We actually added a spinal cord injury fellowship this year. So we have three fellowships based out of Carolingian Rehab. We have a very large residency training program, 15 residents a year. We have supportive care services. So that's at Levine Cancer Institute, where we do a lot of patient-centric clinical services, including art therapy, healing touch, massage therapy, music therapy, psychological counseling. And then we have several subspecialty clinics even at Levine Cancer Institute. That's where our outpatient wing is, where we have cancer rehab, integrative medicine, palliative care, psycho-oncology, and survivorship, and that's all under one department. So we all collaborate with each other and have great experiences in terms of providing comprehensive outpatient cancer care. On the inpatient side, we do, like I said, inpatient bed service, but we also do acute care consults. And just a little more background on Carolingian Rehab, we are the largest not-for-profit rehab provider in the Southeast. We're a top 20 U.S. news hospital for rehab. We were the first ever CARB-accredited cancer rehabilitation program, both on an inpatient and outpatient basis. And because of that, we have, I think, a very comprehensive cancer service line. So we're able to take care of patients from the time of diagnosis all the way through the end of life in all settings of care, at least in the Charlotte-Manchur area. So it provides for a very unique experience, especially when working with the interdisciplinary team at Carolingian Rehab, but also when working with the collaborative services at the Levine Cancer Institute, where you'll have experiences in all of these clinical services as a fellow. To look a little bit more about our educational programs, so from a cancer rehab education perspective, we do didactics, journal clubs. We also have the opportunity to participate in regional and national workshops. Our fellows have the opportunity to present to the resident didactic series, Grand Rounds. They also do bedside and clinical teaching. And then you'll be integrated into the educational program at the Cancer Institute. So you have the opportunity to participate in their Grand Rounds, Supportive Care Grand Rounds specifically, or the Cancer Institute Grand Rounds. And you can participate in the research meetings at Supportive Care. So you have really a very broad-based educational experience that allows you to see cancer in many different forms and many different settings. This is just a bunch of activities. I didn't have a chance to update everything, but our current fellow, Bhavesh Patel, who's gonna be joining us in August, actually has done quite a lot of academic work this year. He's had two national presentations at the ACRM. He's published, or will be publishing a review article through an international journal that he was invited to do on our behalf. And he's gonna be revising our inpatient rehabilitation chapter in Dr. Stubblefield's book, or he's gonna be working on it as one of the primary authors moving forward. So our fellows actually have great opportunities, I think, to get more involved in the academic world, national level especially, and get great experiences in learning how to participate in cancer rehab at that level. And then just finally, just very briefly, life in the Carolinas. If you're not from Charlotte, if you're not from the Carolinas, North Carolina is a terrific place. You got the mountains, you got the coast, you got the Piedmonts in the center where Charlotte is, a lot of different universities, a lot of academic opportunities all throughout the Piedmont, a lot of cultural opportunities as well through the state. And then when you come to Charlotte, Charlotte really does have a lot going on. If you've never been here before, it's a very dynamic city, very diverse city, growing rapidly with a lot of different opportunities and experiences and people of all walks of life who are now settling here in the Southeast. So it provides for a very unique clinical experience because we have elderly folks, we have younger folks, we have people from the Midwest, West Coast, Northeast, South and native to the Carolinas. And so you're gonna see a ton of different people with a ton of different diagnoses and get to learn a lot more about their, you know, socioeconomic situation, their cultural situation and how you adjust your treatment plans accordingly. Consistent with the other folks, we don't have call and, you know, go over the benefits package whenever the time is right. So if you have any questions, please feel free to reach out to myself, Terrence, Charlie, Bhavesh, you know, in about a month when he starts and you can follow us on the social media sites. And thanks so much again for being part of this presentation and thanks for being part of this session and look forward to answering any questions later on. Okay, thank you so much. Next we have Ohio State University. Okay. It says screen sharing is disabled. Mandy, can you help us with that? Yeah. It's flooding me now. So, let me get on my screen share here. All right. So my name is Whitney Luke I am the chair at Ohio State here in Columbus, Ohio. So just to tell you a little bit about our program. We have a fairly large PM&R program here. We have 21 residents so seven a year, and we have about 60 faculty members. So for our inpatient cancer rehab programming we started that in 2013. This is a picture of our current rehab hospital, which is right on our medical campus, and we are finalizing plans to build a new rehab hospital with at private beds somewhere near our medical campus so stay tuned. And just for our inpatient service line. We were the first in Ohio and second in the United States behind the Carolinas to be CARF accredited. Currently our inpatient program is our largest volume program. And this last fiscal year I think we had close to over 350 admissions. So almost 30% of our inpatient program is cancer rehab admissions. So I think what makes us a little bit different is our outpatient cancer rehabilitation programming, we actually have a very large clinic embedded within our survivorship. This is our James Cancer Hospital and Soul of Research Institute, it's a freestanding 356 bed comprehensive cancer center. And within our clinic, which is in one of our outpatient facilities about a mile from here. We have embedded PT OT lymphedema therapy, we have a pain psychologist social worker, and we are kind of one floor up from our palliative care team. I might be the only person I'm ACG fellowship trained interventional pain physician. So a lot of what we see is in collaboration with our palliative care teams our oncologist for uncontrolled cancer pain. So we see close to probably over 200 consults a year for interventional procedures for uncontrolled cancer pain within our inpatient cancer center. And mainly kind of the procedures we perform we do intercostal nerve blocks, spinal cord stimulators, intrathecal pain pump implants, vertebroplasty, celiac plexus blocks, you name it. We do it for uncontrolled cancer related pain. So currently, this last year close to 700 visits which doesn't include our procedural visits, which average probably over 200 a year just specifically for cancer related pain, and does not include our psychosocial rehab psychologists. Additionally, we have a transitional clinic that allows for a transition of patients with either no evidence of disease or stable metastatic disease to our clinic. We have more than 150 patients currently where we provide their symptom management. And then we also have a harm reduction clinic ran by our palliative care team that we provide interventional pain consults for patients that have active cancer with coexisting substance abuse. Additionally, for any elective, we pretty much have everything under the sun with an extremely large multidisciplinary sarcoma team that we see a lot of patients for orthopedic oncology team. There's four orthopedic oncology surgeons plus one over at our children's hospital. We have a very large lymphedema clinic. And then we also have tons of EMGs, lots of spasticity management with our PM&R faculty with a very large seating and mobility clinic, integrated medicine, pediatric oncology, neurosurgery. So whatever the fellow is interested in, we have available for electives. And just overall quick benefits, you're hired on as a clinical house instructor, so PGY-5 usually. Our retirement is one of our best benefits. We have a 14% employer match. You have three weeks of vacation, one week of CME and CME allowance. And that's pretty negotiable. And then some people would say it's a benefit, some wouldn't. OSU football. And then for applications, here is my address, our program coordinator. We just require your CV, personal statement, and three letters of recommendation can be emailed to either one of us. Thank you. All right, thank you so much, Dr. Luke. And lastly, we have Memorial Sloan-Kettering. I almost forgot to unmute. So, thank you to the ADP for hosting this and thank you everyone for attending, and I'm looking forward to some robust questions at the end of all of our presentations. So I am the program director, I'm Chris Custodio of Memorial Sloan Kettering Cancer Center. We're located in New York, New York. We are one of the top hospitals, cancer hospitals in the country. We're also the oldest freestanding cancer hospital in the world, established in 1884. But not only are we a top cancer hospital, but we rank in the top 40 for best hospitals across multiple specialties, including urology, ENT, pediatric cancer, GI, diabetes, pulmonary, and geriatrics. So you get to work alongside not just some of the top oncologists and some of the top cancer rehab physicians, but across multiple physicians at the top of their game and multiple specialties. We are located, like I said, in New York City, but we are rapidly sprawling, expanding into the surrounding areas. We have multiple regional sites in New Jersey, Westchester, and Long Island. We have multiple outpatient clinics within Manhattan, including our Koch Center, which houses our outpatient transplant BMT population. We have our dedicated breast center and the Kimmel Center for Urology and Prostate Cancer. We have a psychology and psychiatry center. So you see the whole gamut and spectrum of the continuity and continuum of cancer care. We are also the birthplace, I think, of cancer rehabilitation. This is Dr. Dietz, who established the paradigms of cancer rehabilitation that you will learn as part of your training, looking at the cancer patient from the preventative, restorative, palliative, and the supportive standpoints. We have a robust educational component. We have weekly didactics with lectures given by the attendings. Regional clubs are run by our two fellows, and our education is integrated with the New York Presbyterian Columbia Cornell Demonar Residency Program. So we get didactic training and services from the residents, and our fellows are expected to teach the residents and rotating medical students as well. There is a lot of hands-on bedside teaching. We have had multiple local and national symposiums and presentations. Our fellows do have a scholarly activity requirement as part of their training. This can be either a poster presentation, a podium presentation, a lecture at a local, national, or even international level. We are integrated in the cancer community. We participate in cancer activities, such as Cycle for Survival, FREDSTEAM, and New York City Marathon coverage training. Our fellows get the full experience and armamentarium of Demonar-based procedures, including EMGs, ultrasound-guided injections, diagnostic ultrasounds, botulinum toxin injections, and fluoroscopic injections if they choose to do a pain fellowship, as we are closely integrated with our New York City Tri-Institute Pain Fellowship through Memorial Sloan Kettering, Weill Cornell, and Hospital for Special Surgery. We have a rehabilitation service that I think rivals any rehabilitation department in the country. Dr. Gillis is our service chief. She happens to be specialty boarded in both pain medicine as well as hospice and palliative medicine. I'm the program director. I completed an EMG fellowship. Dr. Lisa Rupert completed a spinal cord injury medicine fellowship. She is our associate program director. Dr. Ibanez is our pediatric cancer rehabilitation attending. Come September, she's actually going to get much needed help because we hired a second pediatric cancer physiatrist, Debbie Cassidy. So excited to have her coming on. Dr. Gutierrez is sports medicine fellowship trained. And Drs. Padra Guzman, Dr. Sirkin, and Dr. Julia Riley are all former MSKCC cancer rehab trained fellows. So I think you get to rotate with each and every one of us on a one-to-one basis. And I think come when you graduate, you will take a little bit of all of us and hopefully become the most well-rounded cancer rehab physiatrist you can be. This is our mission statement. Our goal coming out of the fellowship is to develop leaders in the field of cancer rehab. And we provide our fellows what we feel is a very comprehensive, innovative training and exceptional mentorship in a supportive learning environment. So like I said, we take two fellows a year. Your clinical curriculum is unique. You get to rotate at specialized multidisciplinary clinics, such as our spine clinic, where you're working alongside physiatrists, neurosurgery, radiation oncologists, interventional pain physicians. You get to rotate through our graft-versus-host disease clinic, working alongside the bone marrow transplant team, dermatology, endocrinology, and nutrition, a breast center working alongside the breast oncologist, breast surgeon, and lymphedema therapists. And you also get to rotate at our regional sites, like I said, which is kind of more of a general cancer rehab clinic. And it's a nice way of seeing how different methods and different practices can be used to help treat our cancer patient population. So this is my email. This is Dr. Rupert's email and our program coordinator, Alexis Schmidt's email. Feel free to reach out to any and all of us for questions and the applications. And since my colleagues were waxing poetic about their regions and where they live and everything, I'm just going to leave it with this ending slide. Thank you. Thank you, Dr. Custodio. That was great. And my apologies, we do have one more amazing program. MD Anderson is next. Hello, everyone. Can you all see and hear me okay? Yes, yes, we can. All right. Okay, great. Thank you, everyone, for joining us today. So I'm Raj Yadav, one of the faculty members at University of Texas MD Anderson Cancer Center in Houston. And MD Anderson is one of the largest cancer centers in the country and was ranked this year as number one by the U.S. News ranking. And Houston is a diverse city, although I think we prize ourselves mostly on eating food and shopping. And something else to think about is MD Anderson is located in the largest medical center in the country, if not the world. And MD Anderson is, that's the Texas Medical Center. And MD Anderson is a huge part of that. There is two medical schools in the center itself, a pharmacy school, multiple hospitals, including specialty centers for other institutions also for cancer, but not necessarily cancer rehab. There's a heart center of excellence. So there's a lot happening within Texas Medical Center. And MD Anderson is part of that. We've been around since 1940s, late 40s. And back then it was a pasture land. And it's grown into this huge campus where you need a golf cart to get around. But everything is interconnected. Everybody's on one campus. So you don't have to take a car to drive somewhere else. Our program, the cancer rehab actually started kind of on and off. And I think, I believe we had something in 1960s. And then right around late 70s, things kind of fell through. And then early 1990s, Dr. Gillis, who is now the head at Sloan Kettering, she is the one who started the program here as a halftime faculty. And then since then, early 1992, I want to say, we have now eight faculty at our cancer rehab program. We have three APNs. We have one nurse. This is the oldest cancer rehab fellowship program in the country. First person who came to us was Dr. Asher. He's in Los Angeles now. He graduated in 2008, and we have graduated 28 fellows so far as the end of this month. The downstream nature of cancer rehab, and just like any other place, is really sort of contingent on how the institution, how the doctors who are practicing cancer refer patients to us. So as understanding changes, as things change, the nature of what we do and thereby what the fellows do changes. As of right now, we have two fellows annually. We're doing cancer rehab in a variety of settings, inpatient, outpatient, and consult-based services. All of this information is on our website. Of course, there's some changes, some changes here and there. Just Google MD Anderson Cancer Rehab Fellowship, and everything that you need to know is there. A sample curriculum is also there, and that also is subject to change, meaning that we're flexible in terms of how we like to do things. But needless to say that you will see a wide variety of cancers, both solid tumors, liquid tumors. I can't emphasize to you how big this place is. It's just kind of overwhelming. That sort of gets lost when things are just on the web, but if you see it, the sheer size is impressive. Many cancer centers may talk about having oncologists X, Y, Z. Here we have departments for geomedical oncology. We have faculty who might do nothing but renal cell carcinoma. You can begin to appreciate the talent that's here. We're fortunate that we get referral from pretty much everybody in the inpatient setting and outpatient setting. Our outpatient program has evolved quite a bit in the last decade, decade and a half. We're doing, the fellows are spending a couple of months, Dr. Molinaris is also our former graduate. Even since she left, we have changed the program up a little bit. So we have actually a couple of months people can spend in outpatient, which used to be formerly thought of as a weakness in our program, but you're working Monday through Friday in the clinics, months at a time, two, three months, if you like, and that can be spread out over the year. Doing routine stuff, doing injections, including Botox and ultrasound guided. There's a variety of rotations and electives that are available. I can't begin to list all of them, but that includes a pain clinic where you can actually see some fluoroscopic guided injections, but you're not necessarily doing them. There's orthopedics, head and neck, lymphedema, integrative medicine, breast cancer, plastic surgery, a lymphedema clinic that exists. There's fatigue clinic, wound ostomy, ethics, palliative care is a rotation. So is psychiatry, so is pain. So you're seeing a gamut of everything. And we also leave it open. If you don't like something, you want something else off the menu and you say, hey, Dr. Yadov, I want something here that let's see what we can work up. There's opportunities to do electrodiagnosis. We don't have a routine of electrodiagnosis because it tends to, we get referrals in referrals in complicated cases. So sometimes some people do them, but it's not as much but it's throughout the year. It's a longitudinal experience. Let's see what else. In the type of patients we see, we see them from beginning through the end. Diagnosis just made, we've got a solid tumor. Surgery is coming up. There's going to be some pre-op chemotherapy. So we'll see them as prehab trying to get them ready. We see patients who are undergoing a stem cell transplant. We see them before a CAR T treatment. So you get a lots of variety. Our program has lots of palliative care integrative medicine seasoning, like a Cajun blend. There's a lot of flavor of that because we're within that department of palliative care rehab and integrative medicines and lots of educational opportunities from weekly didactics, institutional didactics for all the fellows in the institution. There's a grand rounds, there's professors rounds. There's rounds that you can do Zoom at UT PM&R program. By the way, we're affiliated with them. So their residents rotate with us. Fellows from other programs around the institution also rotate with us, including pain in particular. What else? Lots of opportunities as far as research and there's good deal of infrastructure available including institutional workshops and how to do research, how to write things. There's departmental resources available, blueprint meetings, you can do all of that stuff. There is a requirement to do at least some aspect of research, but if you're interested we can set up more time, at least a month is available. If you want, Dr. Yadav, I want to do more, sure. What do you got? How much time do you need? Month and a half, fine, let's work on it. So I hope that gives you a little sense of what we do here. I want to emphasize that there is ongoing didactics with the various PM&R faculty every month. You're working at least a couple of, with the faculty on didactics. So you get cancer rehab specific didactics, there's a journal club also. I think you can also participate in palliative care journal club. So that's where we are. All this information really is on our website. There's also snapshots of our alumni and current fellows. I think I just wanted to give a little, if you let me, I'll probably keep talking for an hour. So I'll just talk myself. Thank you so much. Thank you so much for sharing your MD Anderson. And I just want to just say thank you to everyone for sticking with us. I know it's a late night, but you are all just stellar humans and I am so glad that we have cancer rehab and so many amazing fields in the field of PM&R taking care of our cancer patients. And so glad there's so many people that came to listen that are also interested in the wonderful field of cancer PM&R. Feel free to put questions into the chat. You can send them to me directly. If you would rather me say it out loud for you. I have a few questions that I have prepared for us tonight. I know it is getting late, so I won't keep everyone too much longer, but it looks like we have one question already from Ms. Jessica Casey. She has two questions about the application process specifically. Is it okay in general for letter writers to directly email the coordinator with the letter of rec? We'll start with that one and then I'll ask the next one. Anybody want to answer that one for us? Works for us. Yeah, I will say. Yeah, it works for us. And we used to do this application process where we discover the system is being phased out at the end of this month. So I think for now we're trying to sort out the exact details, but feel free to send it directly to Tamika Buggage and me. And once again, our email address is on the website. Great, great. Yeah, and so secondly, are most interviews being pushed back as the match date has also been pushed back with NRMP? I'm guessing that'd be compared to last year's interview dates. At MedStar, we're planning to do it, our interview in early September. Yeah, I would say in general, there are more or less like at the end of the summer, beginning of the fall. It changes between programs, but on average is around the same time. Everyone's pretty much right after summer, early fall. Yeah, so just to give you a little historical perspective, we used to sort of first come, first serve, like buffet line, right? And so we started, used to start in April. And I think that as programs, as the number of programs started to increase, we sort of came together and decided, let's do this. So I think things have been historically kind of moving backward. We started from right around maybe March, April, May, through summer, through now September. And now with NRMP doing the match at the end of, in mid-December, I suspect the process might be extended a little bit further. But generally speaking, somewhere around August, September, maybe even October. We had planned on moving things back a bit, but it'll definitely vary by program. So if you're interested in specific programs, we should all be coming up with dates relatively soon, I think. I'm not sure if anybody's finalized theirs yet or not. Okay. Great, great. All right. It looks like, and someone mentioned too, that some places may also be doing some interviews in October, November as well. And another question we have from our group is, do you anticipate your interview days being like half day, full day, morning and afternoon, morning or afternoon? No, at Memorial, it's generally a half day interview. It will also just depend on the number of applicants that we have and faculty available to interview on any day. Yeah, yeah. I would say MD Anderson, yeah, I think half day sounds about okay. It depends on, just like Dr. Custodio said, depends on the number of faculty availability and so forth. And the other question was virtual. Yes, virtual is fine. That's what we're doing, but yeah. Our institution is, for all programs, it's a virtual interview policy. Yeah, it looks like most everyone's saying virtual. Anybody in person? No, no, okay. If somebody wants to come, I'll take him out to lunch and show you around. Send you an email. Those lunches are very good, Dr. Yadav. Lunches are very good, just for the record. We'll go to Chinatown. But Dr. Zhang may take you to the best restaurant in the country, so we can't. Yeah, perfect opportunity for me, perfect excuse. That is true. They did win that fancy award. Question, just for general, some people, maybe they're in their intern year, PGY2 year, they're thinking about possibly doing cancer rehab, but they haven't had any exposure. They have PGY3 year coming up, and for many people, that gives them elective time, a little more wiggle room in their schedule. Do you have any suggestions for people that are interested in cancer rehab, looking at getting exposure? Maybe they want to do this as a fellowship. Well, our hospital does offer an elective for residents, as well as a medical student elective. So you can reach out to me or Alexa Schnitt as well. So I think for a two or four week elective, it is a good way to kind of get a little more in-depth exposure than someone's residency program might have. Yeah, same at Kessler. We have a number of folks coming through doing electives, and sometimes just an informal observership for a day or two can actually just give you a rough idea of what it would be like on a busy clinic day, for instance, and same for us. Yeah, we welcome people to spend time with an elective, but we know not all programs give people elective time. So we certainly don't hold it against you if you haven't had the opportunity that some other programs do provide, but yeah. Historically, MD- Miami. Oh, sorry. No, sorry. Also, Miami, welcome to do a rotation elective of observership, or just come and check it out, spend like a few hours with us if you don't have more time. Yes, MD Anderson. Yes, electives are available for students. Oh, actually even medical students. I think they've done some things in the past, but certainly residents are welcome. Things were shut down a little bit during COVID time, but things have opened up, but do apply early and reach out to me. My email address is on the website, and Tamika Buggett, she's the program coordinator. That's really great. I think that's a great idea, great exposure for people interested in doing cancer rehab, getting that elective time in. And it sounds like the best way for people to do that since most of you have that opportunity is to just either email you guys directly or email the clinical coordinator. And I know most people presented their emails tonight on their PowerPoint, but otherwise, is your information on your website as well? Everybody's, okay, great. That is great, awesome. That is, I just love how welcoming you all are. Like, yes, come to a rotation with us. We will show you the wonderful world of cancer rehab. That is so great. That's so great. All right, I just wanna make sure we have no more questions. I didn't make sure I gave everyone plenty of questions or time for questions in the chat. But otherwise, another question I had just for the general group. So everyone kind of mentioned that the application process for NRMP is a little different this year with NRMP. So just to confirm, it's still sending the application to each individual program, correct? Yeah, and then we just also have to sign up on the actual NRMP website to get that NRMP ID for the official match day and doing the match process. Okay, great, great. And then a lot of you mentioned in your presentation, there was three letters of recommendation that you needed. Do you expect one of those letters of recommendation to come from like the program or program director? Or Memorial, yeah. Okay, okay. I think if they're coming out of residency, that's a good idea. It's not super formal here. I mean, we'll take whatever letters of recommendation you have, but one from your program director would be good. It's not required, but encouraged. Yeah, it's an idea. Encouraged. Okay, encouraged. Yeah, same here at MD Anderson. Great, I just wanted to clarify that. I figured it probably was, but just wanted to check there. Okay, great. Oh, thanks so much, Dr. Stubblefield for putting that application right there for us. That's awesome. And then if anybody else has any questions, feel free to put in the chat, but I think my closing question would be any last minute advice for that PGY-3 or PGY-4, or I guess the current PGY-3 getting ready to apply right now for the upcoming application cycle. Any tidbits, words of advice or suggestions for them? What I would say, MD Anderson, is that, yeah, reach out early, ask questions. I'll even give you my cell phone number. Just call, text, whatever, it doesn't matter. I'd certainly email. Yeah, and so just reach out early, ask questions. Reach out to all the programs and see what fits your, meets your needs the best, and go from there. Yeah. We're all one big family, so we all work for slightly something different, so. Roger's one of my attendings, right? So we're all interconnected in so many different ways, and I think the key is just to keep an open mind as you're looking at the different programs. Every program has something special to offer that's just a little bit different than the other programs. So I think it's a great opportunity for you to really learn about cancer rehab and all the different ways that it could be delivered, and also all the different ways you can receive education on it. So just have fun with it. This is a great opportunity for you as you move on in the next steps of your career. So take advantage of it and get to know people because these are the people you'll be working with the rest of your career. Second, Ted. I would say that if you're in the fences, cancer rehab is an awesome specialty. And like they were saying at the beginning, you have the opportunity to do a little bit of everything. One thing I can tell you is that you're never gonna get bored. It's gonna keep you in your toes and challenge every day, it keeps you humble. So the patients are so wonderful to work with. So if you're not sure or you're trying to figure out, take the advice from a very biased person. That is such a great deal. And like all of us are like work together and always mentor. And so even if you don't come to our specific program, we are always there to support like your career and the field. I would just suggest that you look at the programs and see what fits best for you, where you feel more comfortable. And sometimes you get a little worried about like, oh, going away or something, but it's just a year from somebody that went to fellowship with a four month old baby all the way from Florida to Texas. It goes fast, but it's so worth it. Completely agree. And I have to echo one thing you said. Honestly, what drew me specifically to this field is that our patients are wonderful. Like they're trying really hard to have a good quality of life function return back to whatever they like. You know, people think cancer rehab, like, oh no, everybody's dying, crap. People are doing wonderful. People are doing less wonderful. We're there for those people. I love my patients. And I'm so excited that I get to help take care of them. And I just wanted to throw in, you know, it's everybody's thinking, oh my God, which program? It's like choosing what color your Mercedes is going to be. There's really not a lot of bad choices. Every one of these programs is really solid, really good. So go where you want to be, go with who you want to be with because you may really bond with some of the people. And you will have like some programs will be heavier on certain aspects than others, but you're not going to come out unhirable for many of these programs. The world will be your oyster no matter where you go. So just keep that in mind and don't put so much stress on yourself for it. I love that. What kind of Mercedes do you want to drive? And we do have another question in the chat if everyone's okay with doing one more. Any recommendations for conferences, societies for cancer rehab collaboration, like networking and work options outside of AAPMNR? Yeah, there's some, I mean, depending on where you want to be in the PMNR world, AAPMNR is probably one of your core where you have physiatrists who are getting together. ACRM has multidisciplinary opportunities between physiatry, PT, OT, speech and others. ISPRM is developed into an international physiatry framework that might be maybe not quite where you want to be as a resident or medical student, but that's another opportunity. And I think other organizations are continuing to grow and develop. As a matter of fact, I think in the AAP, there's some interest to continue to grow and further develop cancer rehab programming there. And then, amongst a lot of the other allied health professionals in rehab, there's several different organizations that are very active, including the APTA and others. So there should be ample opportunities to find cool niches where you can have interdisciplinary collaboration or you can have a physiatric collaboration as well. Well, that's great. Awesome. All right, I think that is all our questions in the chat and we've gone pretty late. So I just want to thank everyone so much for sticking it out with us, giving us all your time. You've just given us some stellar information. If I was applying to Cancer Fellowship last year, this would have been, oh my gosh, priceless. Priceless information to have so many program directors all in one spot chatting about their own program and you're all like, oh, here, email me. And I'm like, oh my gosh. I think this is amazing. Thank you all so much for your time and for your hearts to serve our cancer patients with rehab. Thank you so much. And I hope you all have a great rest of your night. Thank you. Good luck, bye. Bye-bye. Thank you, everyone.
Video Summary
The video features representatives from various cancer rehabilitation fellowship programs who provide information about their programs. They discuss details such as the program's location, unique aspects, clinical experiences, research opportunities, and application processes. Some programs offer elective rotations or observerships for individuals interested in gaining exposure to cancer rehabilitation. The representatives emphasize the importance of networking and collaboration within the field and mention organizations like AAPM&R, ACRM, ISPRM, and professional organizations for allied health professionals as resources for networking. They advise individuals considering applying to cancer rehabilitation fellowship programs to reach out early to programs, ask questions, and keep an open mind to find the program that aligns with their interests and goals. The representatives express enthusiasm for the field of cancer rehabilitation and encourage individuals to join the field to improve the quality of life and function for cancer patients.
Asset Caption
Originally recorded on June 26th, 2023.
This panel features:
✔️Intro to CANCER REHAB MEDICINE
✔️Core competencies of the fellowship
✔️Q and A w/ Cancer Rehab Medicine Leaders
✔️Updates to this year's application process
We have major leaders in the fellowship (Eric Wisotzky, Katherine Power, Jasmine Zheng, Michael Stubblefield, Patrick Martone, Diana Molinares, Rajesh Yadav, Vishwa Raj, Whitney Luke, Christian Custodio) who are very excited to participate.
Keywords
cancer rehabilitation fellowship programs
program location
unique aspects
clinical experiences
research opportunities
application processes
elective rotations
networking
collaboration
AAPM&R
ACRM
ISPRM
quality of life
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