WesTalcottMD

Great to see the updated BCLC guidelines include RT! RT now incorporated into most major guidelines for HCC (BCLC, AASLD, EASL, NCCN, others) & should be a standard of care option. Full link here: sciencedirect.com/science/articl… @OncoAlert

Partnerships like this are how innovation happens. We’re joining forces with @NorthwellHealth to bring trusted, evidence-based radiation oncology protocols directly into the Lumonus AI platform. prnewswire.com/news-releases/…

However even the “faster” disease sites have substantial median contouring times. Helpful to show to non-rad onc colleagues who wonder what we do all day/night

Major takeaway: if seeing a lot of H&N, gyn or peds, you should invest in an ergonomic mouse. #radonc pubmed.ncbi.nlm.nih.gov/38519383/

@CCortiMD @subatomicdoc It’s so much less work and higher political/financial yield to make a “supportive” comment or quote a press release vs a “critical” comment (risking a rebuttal intended to make you look foolish). Maybe we need a #ad tag or similar when commenting on studies with genuine COI

Ranking oncologists in social media. What could go wrong? At a major onc conference, just 28.3% of posts by featured voices discussed research—while 34.6% were selfies. Of the research posts, 65.3% supportive, only 9.3% critical. #SoMe may push engagement over scientific rigor.

Last day in clinic @YaleRadOnc with @xrtldw - Thanks Boss

@choo_ek @JessicaSmithMD @EMSwami pubmed.ncbi.nlm.nih.gov/35598798/ @SueEvansMDMPH @XRT_GabrielleWP

@choo_ek @JessicaSmithMD @EMSwami 🤔Not sure one can conclude this conference “caused hundreds of cases of COVID” with a non-peer-reviewed “back-of-envelope... informal” calc from 11 survey responses. Published studies show no reported increase in infection in med conference attendees vs comparable non-attendees

Physicians are a nearly universally vaccinated group. So why did this single emergency medicine conference cause hundreds of COVID cases? Why is that concerning? How can we do better moving forward? Written with @JessicaSmithMD and @EMSwami

@SueEvansMDMPH @WDeanMD @choo_ek @ldawsonmd Yes. And while agreed that caution with live conferences is warranted (and many conference like @ASTRO_org and @ASCO ARE employing rigorous safety measures) the StatNews article is an opinion piece, not peer reviewed data.

🙏 ⁦@HenryParkMD⁩ for arranging for a late night Korean barbecue dinner at Dawa as part of my visit ⁦@YaleRadOnc⁩! Enjoyed spending time with junior faculty, #radonc residents ⁦@XRT_GabrielleWP⁩ ⁦@TalcottMd⁩, and Dr. Veronica Chiang ⁦@IntRRF⁩

There are so many Omicron #'s floating around, it’s overwhelming. In today’s 🧵,I’ll try to simplify things with a couple of rules-of-thumb that I’ve found useful. I’ll be interested in hearing if this helps or confuses more – it might hinge on whether you’re a chess fan.(1/25)

@TylerSbrt @Rad_Nation @TalcottMd @brettcoxmd @BhishamCheraMD @HinaSaeedMD @AmishiBajajMD @KathrynBanfill @AndrewKellerMD @MonaArbabMD @ChaurasiaMD And just as we ask for it - here it is - an article in a national newspaper espousing #radonc - and with a decent pic not culled from stock photos - great work @MontefioreD #radonc #JC theguardian.com/cancer-revolut…

@HinaSaeedMD @ParikhSimul @matthwilliams @Rad_Nation @brettcoxmd @BhishamCheraMD @HoldDownTheFord @subatomicdoc @AmishiBajajMD @ChaurasiaMD @MonaArbabMD @chartrounds My understanding is that it is. @SueEvansMDMPH might be able to give more insight

@ParikhSimul @matthwilliams @Rad_Nation @TalcottMd @brettcoxmd @BhishamCheraMD @HoldDownTheFord @subatomicdoc @AmishiBajajMD @ChaurasiaMD @MonaArbabMD Is @chartrounds a platform for that? @TalcottMd

T1. Background: How does your institution perform chart rounds and peer review? Who attends chart rounds? Which other means of quality assurance (QA) and quality improvement (QI) are undertaken in your department to promote patient safety? #radonc #JC

@brettcoxmd @MonaArbabMD @HinaSaeedMD @Rad_Nation @TalcottMd @BhishamCheraMD @HoldDownTheFord @subatomicdoc @AmishiBajajMD @ChaurasiaMD @IUradonc TBH, one of the reasons I wanted to publish the virtual versus in-person @IUradonc prospective peer review experience was to have published citable data ready when the inevitable “it would be better if we went back to doing this in-person” arguments began cropping up. #radonc #jc

@IanJPereira @TalcottMd @AmishiBajajMD @Rad_Nation @NorthwesternMed @subatomicdoc @HinaSaeedMD @ChaurasiaMD @SueEvansMDMPH @HoldDownTheFord @brettcoxmd @BhishamCheraMD @IUradonc @YaleRadOnc Thanks to @Rad_Nation and all the participants for another educational #radonc #jc. Kudos to @AmishiBajajMD for moderating! You are amazing!

@Rad_Nation @BhishamCheraMD @brettcoxmd @HinaSaeedMD @BreastDocUK @AmishiBajajMD @MonaArbabMD @KathrynBanfill @AndrewKellerMD A small detail in the study was that # of attendings present wasn't associated with detection rate, ? due to the "bystander effect." At some centers a point person (other than the attending who planned) is assigned for each plan leads review and "owns" the approval #radonc #jc

T5. Conclusion & Next Steps: How may we improve to increase likelihood of detecting errors? What are the relative merits and drawbacks of prospective versus retrospective peer review? What should constitute peer review? How may this support safety culture? #radonc #JC

@HinaSaeedMD @KathrynBanfill @AmishiBajajMD @Rad_Nation @brettcoxmd @BhishamCheraMD @BreastDocUK @MonaArbabMD @AndrewKellerMD @mpPaigeTaylor Chartrounds.org definitely, I think they provide experts based on the disease site to comment on plans as well. ASTRO's Match Program I'm less sure but it's likely there's a fee #radonc #JC astro.org/Patient-Care-a…

@TalcottMd @KathrynBanfill @AmishiBajajMD @Rad_Nation @brettcoxmd @BhishamCheraMD @BreastDocUK @MonaArbabMD @AndrewKellerMD @mpPaigeTaylor Is there a fee associated with participating in it? #radonc #JC

T3. Results & Discussion: What was the rate of error detection for each error type? Which covariates/factors were associated with decreased likelihood of error detection, if any? Were the findings of this study expected? #radonc #JC

@Rad_Nation @TalcottMd @brettcoxmd @BhishamCheraMD @AmishiBajajMD @KathrynBanfill @AndrewKellerMD @MonaArbabMD @ChaurasiaMD @BreastDocUK Increased satisfaction noted upon briefly summarizing some of the QA aspects of treatment at the time of consent #radonc #JC

@KathrynBanfill @AmishiBajajMD @HinaSaeedMD @Rad_Nation @brettcoxmd @BhishamCheraMD @BreastDocUK @MonaArbabMD @AndrewKellerMD @mpPaigeTaylor ASTRO's peer-review match program and chartrounds.org are HIPAA-compliant cross-institutional peer review platforms for smaller centers. I would love to know more about participation rates in these programs. #radonc #JC

@AmishiBajajMD @HinaSaeedMD @Rad_Nation @TalcottMd @brettcoxmd @BhishamCheraMD @BreastDocUK @MonaArbabMD @AndrewKellerMD @mpPaigeTaylor Smaller departments can do virtual peer review with a bigger centre but I imagine that would be a financial impossibility in the US? Who wouldbe billed?

@Rad_Nation @TalcottMd @brettcoxmd @BhishamCheraMD @BreastDocUK @HinaSaeedMD @MonaArbabMD @KathrynBanfill @AndrewKellerMD @mpPaigeTaylor Per earlier discussion, better detection within the first half hour means important to keep attention of audience. For junior residents, that means refraining from waxing poetic with clinical history unless there are pertinent positives or negatives meriting mention #radonc #JC