Multidisciplinary care: Building Teams

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Multi-disciplinary care Building Teams

• Jame Abraham, M.D, FACP
• Associate Professor of Medicine
• Chief, Section of Hematology-Oncology

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Blind Men Trying to Understand an Elephant
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• Left sided breast
• cancer

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57 year old, uninsured, Security guard
from Frametown, (Braxton County), WV
Her husband and son work out of town. Come home
only during the weekends. I am not some one who
goes to doctor I did not have insurance also.
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Building trust with the medical establishment
Financial issues
Actual treatment for cancer
Social issues
Surgery
Chemotherapy
Navigating the medical world
Radiation therapy
Reconstruction
Adherence to treatment
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Multi-disciplinary Breast cancer Program
Established October 2001
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Betty Puskar Breast Care Center
Medical Oncology
Genetic Counseling
Pathology
Patient
Social Work Physical Therapy
Nursing
Radiation Oncology
Surgery
Clinical Trials
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Clinic 8AM-12N Monday
Conference 12N-1PM
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Nurse Clinicians
Medical Oncology
Social Worker
Surgery
Pathology
Clinical Trial
Fellows
Students
Residents
Genetic Counseling
Radiation Oncologists
Radiologists
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Clinical

• This is a patient centered care delivery model,
  rather than disease centered.

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Clinical Research

• We offer largest number of clinical trials for
  patients with breast cancer in the state or in
  this region.

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Program 3 Breast Cancer Funding
700,000
600,000
500,000
Not Peer-Reviewed
400,000
Other NIH
300,000
NCI
200,000
100,000
0
7/1/2007
7/1/2008
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Community Support

• 5 Million dollar endowment by the Statler family.
• Part of the largest ever (25 million dollars)
  gift to the University

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Betty Puskar Breast Care Center
Medical Oncology
Genetic Counseling
Pathology
Amazing Team!
Social Work Physical Therapy
Nursing
Radiation Oncology
Surgery
Clinical Trials
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The good physician treats the disease the great
physician treats the patient who has the
disease
Sir William Osler