Integrative Cancer Care in an  Academic Cancer Centre in the U.S. Gary Deng, MD, PhD Integrative Medicine Service Memorial...
Overview <ul><li>History </li></ul><ul><li>Clinical service </li></ul><ul><li>Research activity </li></ul><ul><li>Educatio...
Memorial Sloan-Kettering Cancer Center  Integrative Medicine Service Clinical Services Research Education & Training 212-6...
Clinical Services   <ul><li>Outpatient center </li></ul><ul><li>Inpatient treatment </li></ul><ul><li>Oncology clinic </li...
<ul><li>Acupuncture </li></ul><ul><li>Massage </li></ul><ul><li>Mind-body therapies </li></ul><ul><li>Exercise, fitness </...
Treatment Room of Integrative Medicine Outpatient Center Published by  Current Oncology  and the  Cancer Knowledge Network...
Clinical Services   <ul><li>Clientele </li></ul><ul><ul><li>Newly diagnosed cancer patients </li></ul></ul><ul><ul><li>Can...
Research  Efficacy Safety harmful useless safe helpful safe insignificant with effects but also risk Published by  Current...
Active Symptom Control Trials at MSKCC  <ul><li>Cancer pain (massage) </li></ul><ul><li>Post-chemo fatigue (acupuncture) <...
Completed Symptom Control Trials at MSKCC  <ul><li>Mood disturbance (music therapy) </li></ul><ul><li>Post-chemo fatigue (...
Botanical Trials at MSKCC  <ul><li>Breast cancer (Maitake extract) </li></ul><ul><li>Solid tumor (Huanglian extract) </li>...
MSKCC Research Center of Botanical Immunomodulators <ul><li>Setting : One of the six Centers in the nation (NIH P50 Grant)...
Immunomodulation <ul><li>Facilitate antigen presentation </li></ul><ul><li>Improve innate immunity </li></ul><ul><li>Enhan...
MSKCC Integrative Oncology T32 Research Fellowship Training Program <ul><li>Setting : The first of the kind program in the...
Integrative Oncology Training Courses <ul><li>Acupuncture for cancer patients </li></ul><ul><ul><li>Level I, II, III, twic...
www.mskcc.org/aboutherbs Published by  Current Oncology  and the  Cancer Knowledge Network  © 2011  Multimed Inc
MSKCC AboutHerbs Website  <ul><li>More than 220 monographs, updated monthly </li></ul><ul><li>More than 1.5 million hits p...
Integration with Mainstream Care <ul><li>Clinical Practice </li></ul><ul><ul><li>Review medical chart prior to providing t...
Expertise of Therapists <ul><li>Professional accreditation required </li></ul><ul><li>Hiring process individualized </li><...
Factors Helping to Ensure a Successful Program <ul><ul><li>Use evidence based therapies </li></ul></ul><ul><ul><li>Follow ...
Past Challenges and Our Approaches <ul><li>Unfamiliarity </li></ul><ul><ul><li>Give seminars, grand rounds, in-services, d...
Future Directions <ul><ul><li>Raise awareness among patients and health care professionals </li></ul></ul><ul><ul><li>Impl...
Upcoming SlideShare
Loading in...5
×

Integrative Cancer Care in an Academic Cancer Centre in the U.S.

1,119

Published on

Integrating Wellness in Cancer Care - Toronto, Ontario - October 4, 2007


Gary Deng, MD, PhD
Integrative Medicine Service
Memorial Sloan-Kettering Cancer Center
New York, NY

Published in: Health & Medicine
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,119
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
21
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Integrative Cancer Care in an Academic Cancer Centre in the U.S.

  1. 1. Integrative Cancer Care in an Academic Cancer Centre in the U.S. Gary Deng, MD, PhD Integrative Medicine Service Memorial Sloan-Kettering Cancer Center New York, NY Integrating Wellness in Cancer Care Toronto, Ontario October 4, 2007 Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc .
  2. 2. Overview <ul><li>History </li></ul><ul><li>Clinical service </li></ul><ul><li>Research activity </li></ul><ul><li>Educational efforts </li></ul><ul><li>Future direction </li></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc .
  3. 3. Memorial Sloan-Kettering Cancer Center Integrative Medicine Service Clinical Services Research Education & Training 212-639-4700 http://www.mskcc.org/mskcc/html/1979.cfm Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc .
  4. 4. Clinical Services <ul><li>Outpatient center </li></ul><ul><li>Inpatient treatment </li></ul><ul><li>Oncology clinic </li></ul><ul><li>Classes for employees </li></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc .
  5. 5. <ul><li>Acupuncture </li></ul><ul><li>Massage </li></ul><ul><li>Mind-body therapies </li></ul><ul><li>Exercise, fitness </li></ul><ul><li>Nutritional counseling </li></ul>MSKCC Integrative Medicine Clinic <ul><li>1429 First Avenue (74 th Street) </li></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc .
  6. 6. Treatment Room of Integrative Medicine Outpatient Center Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc .
  7. 7. Clinical Services <ul><li>Clientele </li></ul><ul><ul><li>Newly diagnosed cancer patients </li></ul></ul><ul><ul><li>Cancer patients undergoing treatment </li></ul></ul><ul><ul><li>Cancer survivors </li></ul></ul><ul><li>Non-cancer patients </li></ul><ul><ul><li>Employees </li></ul></ul><ul><li>Interacting departments </li></ul><ul><ul><li>Medical, surgical and radiation oncology </li></ul></ul><ul><ul><li>Pain and palliative care, psychiatry, physical medicine and rehabilitation, sexual health clinic, geriatric program, survivorship program </li></ul></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc .
  8. 8. Research Efficacy Safety harmful useless safe helpful safe insignificant with effects but also risk Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc .
  9. 9. Active Symptom Control Trials at MSKCC <ul><li>Cancer pain (massage) </li></ul><ul><li>Post-chemo fatigue (acupuncture) </li></ul><ul><li>Shoulder pain and dysfunction in H&N cancer (acupuncture) </li></ul><ul><li>Post-operative ileus (acupuncture) </li></ul><ul><li>Thoracotomy pain (acupuncture) </li></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  10. 10. Completed Symptom Control Trials at MSKCC <ul><li>Mood disturbance (music therapy) </li></ul><ul><li>Post-chemo fatigue (acupuncture) </li></ul><ul><li>Symptom control (massage) </li></ul><ul><li>Dyspnea (acupuncture) </li></ul><ul><li>Hot flashes (acupuncture) </li></ul><ul><li>Functional MRI (acupuncture) </li></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  11. 11. Botanical Trials at MSKCC <ul><li>Breast cancer (Maitake extract) </li></ul><ul><li>Solid tumor (Huanglian extract) </li></ul><ul><li>Lung cancer (JFK herbal formulation) </li></ul><ul><li>Hepatitic C (SST herbal formulation) </li></ul><ul><li>More Information: </li></ul><ul><ul><li>212-639-4700 </li></ul></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  12. 12. MSKCC Research Center of Botanical Immunomodulators <ul><li>Setting : One of the six Centers in the nation (NIH P50 Grant) </li></ul><ul><li>Theme : Immunomodulators and cancer </li></ul><ul><li>Study Agents : Echinacea, Astragalus, Turmeric, Maitake, Coriolus and other botanicals </li></ul><ul><li>Institutions : MSKCC, CUHK-ICM, Cornell, Rockefeller U. </li></ul><ul><li>Goals : to study the effects, mechanisms of action and active constituents of botanicals purported to boost the immune system for their potential application in prevention and treatment of cancer or infectious diseases </li></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc Botanical Research Center
  13. 13. Immunomodulation <ul><li>Facilitate antigen presentation </li></ul><ul><li>Improve innate immunity </li></ul><ul><li>Enhance antibody mediated cytotoxicity </li></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  14. 14. MSKCC Integrative Oncology T32 Research Fellowship Training Program <ul><li>Setting : The first of the kind program in the country </li></ul><ul><li>Funding : NIH T32 Grant </li></ul><ul><li>Goals : To foster the development of cross-trained young investigators in Integrative Medicine and Cancer Care </li></ul><ul><li>Candidate : MD or MD/PhD completing or having completed residency training in the U.S. </li></ul><ul><li>Program : </li></ul><ul><ul><li>Three years of training </li></ul></ul><ul><ul><li>Core curriculum in Integrative Medicine and research methodology </li></ul></ul><ul><ul><li>Clinical practice </li></ul></ul><ul><ul><li>Laboratory and clinical research projects </li></ul></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  15. 15. Integrative Oncology Training Courses <ul><li>Acupuncture for cancer patients </li></ul><ul><ul><li>Level I, II, III, twice a year </li></ul></ul><ul><li>Medical massage for cancer patients </li></ul><ul><ul><li>Level I, II, twice a year </li></ul></ul><ul><li>Integrative Oncology Summer Research Fellowship </li></ul><ul><ul><li>Three medical students/year, NCI funded </li></ul></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  16. 16. www.mskcc.org/aboutherbs Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  17. 17. MSKCC AboutHerbs Website <ul><li>More than 220 monographs, updated monthly </li></ul><ul><li>More than 1.5 million hits per year </li></ul><ul><li>Cited in JAMA, Nature, Washington Post, Wall Street Journal </li></ul><ul><li>Named one of the top five websites in all of Medicine by Scientific American. </li></ul><ul><li>More hits than MSKCC home page </li></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  18. 18. Integration with Mainstream Care <ul><li>Clinical Practice </li></ul><ul><ul><li>Review medical chart prior to providing treatment </li></ul></ul><ul><ul><li>Collaborate with members of the healthcare team </li></ul></ul><ul><ul><li>Document all treatment, response and plan in medical chart </li></ul></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  19. 19. Expertise of Therapists <ul><li>Professional accreditation required </li></ul><ul><li>Hiring process individualized </li></ul><ul><li>Staff only with highly experienced clinicians with related work experience </li></ul><ul><li>Continually monitor practitioners and provide advanced training/education </li></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  20. 20. Factors Helping to Ensure a Successful Program <ul><ul><li>Use evidence based therapies </li></ul></ul><ul><ul><li>Follow norms of clinical practice </li></ul></ul><ul><ul><li>Develop a strong administrative component </li></ul></ul><ul><ul><li>Maintain a professional image </li></ul></ul><ul><ul><li>Assure excellence of staff </li></ul></ul><ul><ul><li>Deliver superior service </li></ul></ul><ul><ul><li>Remain adaptable and responsive to client needs </li></ul></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  21. 21. Past Challenges and Our Approaches <ul><li>Unfamiliarity </li></ul><ul><ul><li>Give seminars, grand rounds, in-services, demonstrations </li></ul></ul><ul><ul><li>Write book chapters, reviews </li></ul></ul><ul><ul><li>Conduct join research </li></ul></ul><ul><li>Skepticism </li></ul><ul><ul><li>Establish trust and credibility </li></ul></ul><ul><ul><li>Have patients provide positive feedback </li></ul></ul><ul><ul><li>Conduct high quality research </li></ul></ul><ul><ul><li>Get NIH grants </li></ul></ul><ul><ul><li>Participate in institutional committees </li></ul></ul><ul><li>Competition for resources </li></ul><ul><ul><li>Provide value-added services </li></ul></ul><ul><ul><li>Elicit support from institutional leadership </li></ul></ul><ul><ul><li>Bring in external funding </li></ul></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  22. 22. Future Directions <ul><ul><li>Raise awareness among patients and health care professionals </li></ul></ul><ul><ul><li>Implement closer integration throughout a patient’s journey through cancer treatment and beyond </li></ul></ul><ul><ul><li>Develop more efficient and effective programs </li></ul></ul><ul><ul><li>Elevate the level of sophistication in research </li></ul></ul>Published by Current Oncology and the Cancer Knowledge Network © 2011 Multimed Inc
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×