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WEILL CORNELL
MEDICAL COLLEGE
EXPERIENCE
CARMEN GARCIAS DE ESPAÑA
MIR 4 MEDICAL ONCOLOGY
LOCATION
DISTANCE FROM HOME
MY HOSPITAL
2600
20 OMD
12 fellows (4/year) MD
Does not exist Oncology floor
Patients are divided into different areas
(N,...
CONSULTATIONS SPECIALTIES
3th FLOOR UROLOGICAL TUMORS
LUNG
GYNECOLOGICALS
CNS TUMORS
HEMATOLOGY
8th FLOOR DIGESTIVE
HEAD A...
BUREAUCRACY
Medical exam
Security examSSS
Passwords
PLANNING
HOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
7.00 UROLOGICAL
SESSION *
8.00 FELLOWS
SESSION
GRAND
GROUNDS*
SESS...
PLANNING
HOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
7.00 UROLOGICAL
SESSION *
8.00 FELLOWS
SESSION
GRAND
GROUNDS*
SESS...
ADMITTED PATIENTS
EMERGENCIES
EMERGENCIES AFTER PHONE A FELLOW
HOW TO BE ADMITTED
MEDICAL CONSULTATION
HOW THEY WORK
Fello...
OUTPATIENTS
WHAT I LEARNED
LOCALIZED PROSTATE CANCER
METASTATIC PROSTATE CANCER
CTC not PSA
BLADDER TRANSITIONAL CARCINOMA LOCALIZED
B...
PATIENTS
PATIENT + INSURANCE = MONEY
MULTICULTURALITY
PLANNING
HOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
7.00 UROLOGICAL
SESSION *
8.00 FELLOWS
SESSION
GRAND
GROUNDS*
SESS...
PLANNING
HOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
7.00 UROLOGICAL
SESSION *
8.00 FELLOWS
SESSION
GRAND
GROUNDS*
SESS...
OTHER MEETTINGS
ASCO GU 2014
RESEARCH WORK
• Abstract to ASCO 2014
• Project with CTCs
• Send an article to Asian Journal of Andrology
Invited Research...
CONCLUSIONS
GOOD EXPERIENCE (to learn medicine and english)
DIFFERENT WAYS TO WORK
GOOD ORGANIZATION
MEDICINE MEANS BUSINE...
Weill cornell medical college experience by Dr Carmen Garcias de España
Weill cornell medical college experience by Dr Carmen Garcias de España
Weill cornell medical college experience by Dr Carmen Garcias de España
Weill cornell medical college experience by Dr Carmen Garcias de España
Weill cornell medical college experience by Dr Carmen Garcias de España
Weill cornell medical college experience by Dr Carmen Garcias de España
Weill cornell medical college experience by Dr Carmen Garcias de España
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Weill cornell medical college experience by Dr Carmen Garcias de España

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Weill cornell medical college experience by Dr Carmen Garcias de España

  1. 1. WEILL CORNELL MEDICAL COLLEGE EXPERIENCE CARMEN GARCIAS DE ESPAÑA MIR 4 MEDICAL ONCOLOGY
  2. 2. LOCATION
  3. 3. DISTANCE FROM HOME
  4. 4. MY HOSPITAL 2600 20 OMD 12 fellows (4/year) MD Does not exist Oncology floor Patients are divided into different areas (N, S, E, W, C) of different floors
  5. 5. CONSULTATIONS SPECIALTIES 3th FLOOR UROLOGICAL TUMORS LUNG GYNECOLOGICALS CNS TUMORS HEMATOLOGY 8th FLOOR DIGESTIVE HEAD AND NECK 12th FLOOR DIGESTIVE SARCOMA MELANOMA 8th FLOOR (61 st / York) BREAST ORGANIZATION
  6. 6. BUREAUCRACY Medical exam Security examSSS Passwords
  7. 7. PLANNING HOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 7.00 UROLOGICAL SESSION * 8.00 FELLOWS SESSION GRAND GROUNDS* SESSION APPROVAL OF CLINICAL TRIALS MEETING 9.00-12.00 CLINIC CLINIC CLINIC CLINIC CLINIC 12.00-13.00 CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION 14.00-15,30 GU CLINICAL TRIAL MEETING CLINIC LIBRARY CLINIC LIBRARY 16.00-17.00 GU COMITTE CLINIC CLINIC
  8. 8. PLANNING HOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 7.00 UROLOGICAL SESSION * 8.00 FELLOWS SESSION GRAND GROUNDS* SESSION APPROVAL OF CLINICAL TRIALS MEETING 9.00-12.00 CLINIC CLINIC CLINIC CLINIC CLINIC 12.00-13.00 CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION 14.00-15,30 GU CLINICAL TRIAL MEETING CLINIC LIBRARY CLINIC LIBRARY 16.00-17.00 GU COMITTE CLINIC CLINIC
  9. 9. ADMITTED PATIENTS EMERGENCIES EMERGENCIES AFTER PHONE A FELLOW HOW TO BE ADMITTED MEDICAL CONSULTATION HOW THEY WORK Fellow (SECOND STEP) Fellow + MD of medical oncology Resident (FIRST STEP) MD reponsible
  10. 10. OUTPATIENTS
  11. 11. WHAT I LEARNED LOCALIZED PROSTATE CANCER METASTATIC PROSTATE CANCER CTC not PSA BLADDER TRANSITIONAL CARCINOMA LOCALIZED BLADDER TRANSITIONAL CARCINOMA METASTATIC NEOADJUVANT THERAPY MVAC LOCALIZED RENAL CELL CARCINOMA METASTATIC RENAL CELL CARCINOMA ADJUVANT/NEOADJUVANT THERAPY TKIs HT INTERMITTENT THERAPY TT SEQUENCES ABI/MDV3100, ABI+QT
  12. 12. PATIENTS PATIENT + INSURANCE = MONEY MULTICULTURALITY
  13. 13. PLANNING HOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 7.00 UROLOGICAL SESSION * 8.00 FELLOWS SESSION GRAND GROUNDS* SESSION APPROVAL OF CLINICAL TRIALS MEETING 9.00-12.00 CLINIC CLINIC CLINIC CLINIC CLINIC 12.00-13.00 CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION 14.00-15,30 GU CLINICAL TRIAL MEETING CLINIC LIBRARY CLINIC LIBRARY 16.00-17.00 GU COMITTE CLINIC CLINIC
  14. 14. PLANNING HOURS MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY 7.00 UROLOGICAL SESSION * 8.00 FELLOWS SESSION GRAND GROUNDS* SESSION APPROVAL OF CLINICAL TRIALS MEETING 9.00-12.00 CLINIC CLINIC CLINIC CLINIC CLINIC 12.00-13.00 CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION CLINICAL SESSION 14.00-15,30 GU CLINICAL TRIAL MEETING CLINIC LIBRARY CLINIC LIBRARY 16.00-17.00 GU COMITTE CLINIC CLINIC
  15. 15. OTHER MEETTINGS
  16. 16. ASCO GU 2014
  17. 17. RESEARCH WORK • Abstract to ASCO 2014 • Project with CTCs • Send an article to Asian Journal of Andrology Invited Research Highlight • Review of toxicity
  18. 18. CONCLUSIONS GOOD EXPERIENCE (to learn medicine and english) DIFFERENT WAYS TO WORK GOOD ORGANIZATION MEDICINE MEANS BUSINESS RESEARCH AS IMPORTANT AS CLINIC (time and money) NURSE PRACTITIONER

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