Sherif Mohamed El-Refai is an oncology pharmacist at the University of Kentucky's Markey Cancer Center, which received a National Cancer Institute designation in 2013. Receiving an NCI designation means a cancer center is part of an elite program and can receive grants, but the center must focus on clinical research, population science, laboratory research, and have a record of scientific leadership. Only 69 centers across 35 states have received the designation, which is associated with higher patient survival rates and access to innovative treatments unavailable elsewhere.