Jafar Al-Mondhiry, MD, MA

Very excited for the opportunity we had to share our work @InovaSchar during the #ASCO2024 annual meeting, highlighting our ambitious “Artful Oncology” curriculum for our hem/onc fellows — training our fellows in best principles for supportive #onc care! oncodaily.com/dialogues/1729…

🚨New @ASCO Daily News Podcast! What is precision palliative care—and how can it solve a delivery problem in oncology? I joined @realbowtiedoc to talk about tailoring support based on need, not just diagnosis 🎧 Listen here: dailynews.ascopubs.org/podcast 🧵Key takeaways below:

PC3I Program Director @ramsedhom spoke with @realbowtiedoc about the benefits & nuances of Precision #PalliativeCare, which focuses on a patient's needs & preferences rather than diagnosis alone. Listen to the podcast episode from @ASCO Daily News: dailynews.ascopubs.org/do/podcast-pre…

📢 Just published in @JNCCN ! Our RCT shows that a telehealth GA & #SuppCare Intervention (GAIN-S) improved physical function, mood & QoL in older Brazilians with metastatic cancer @WilliamDale_MD @EnriqueSoto8 @Areejmd @RyanNipp jnccn.org/view/journals/…

From our @ASCO @PallOncCoP - wide gaps in #PallCare access across LMIC Grateful to work w this stellar team @ramsedhom @MazieTsangMD @BillyRosaPhD @EnriqueSoto8 @realbowtiedoc @mondhiry @DarcyBurbage @Chaosdyna @NatashaDhawanMD @CThompson_MD #RushilPatel ascopubs.org/doi/pdfdirect/…

Starting now in @PallOncCoP! Dr @NickOdomPhD_RN reviews how to care for #caregivers including: ⭐️The Why ⭐️ The Science ⭐️ The Challenges #pallonc #supponc @MazieTsangMD @DarcyBurbage @Chaosdyna @mondhiry @NatashaDhawanMD @crisbergerot @GretchenMcnally @FionnualaCrowle @vyasabhinav2 @KathrynDeCarli @Cthompson_MD @anhbl9 @mehndz @tomleblancMD @ramsedhom @BillyRosaPhD @EnriqueSoto8

Older adults feel these challenges most acutely & urgently, but the gap between clinical trial outcomes designed by industry & academia vs those that matter to patients is a problem for our entire field to confront. We can find new, meaningful grapes for patients beyond PFS/OS.

🍇 Thrilled to share our latest article in @JGeriOnc "Three lessons from 'The Fox and the Grapes' to inform precision oncology in older adults" Led by 🌟fellow @chefaleixomd sciencedirect.com/science/articl… This timeless fable offers a lens to improve geriatric oncology care 🧵👇

@PaulNWilliamz We also get into some strategies & solutions, with the caveat that many (read: most) of these problems have no easy fix: podcasts.apple.com/us/podcast/cor… @ShreyaTrivediMD @TamarSchiff @WDeanMD @fixmoralinjury

@PaulNWilliamz (Almost) shameless plug: that’s called Moral Distress and it’s rampant in the current healthcare work environment, and comes in many different, terrible flavors! podcasts.apple.com/us/podcast/cor…

@CvonGunten is a true #pallonc legend and foundational for #hpm #hapc training. Grateful to have caught him at #hapc23 Join our @PallOncCoP crew on Oct 24th 4p EST for a fireside chat with many of program directors of these innovative #supponc fellowships too! @DanijelaJakovl9 @RichaThakurMD @RachelA104 @Dr_Butin @Mombada1 @DrAlisonW @MonikaJ95971150 @ChandrikhaC @GretchenMcnally @AnnaLaVigneMD @AlawtonMD @DittamiLisa @JordanDBauman @RachelleBrick @finlay_esme @LDaratsosPhD @mchwistek @FionnualaCrowle @EK_Drake @osutcuoglu @MartinsWelchMD @BenWThompson @aarsh_a_desai @annakenney_DO @Cthompson_MD @ChrisRalphXmed @CWoodrellMD @ApprillNicole @KadakiaKunal @TamrynGray @anhbl9 @Rea_Booker @sachinkalemd @rabrazzak @ELM_Eckert @OncologyOdyssey @AbioyeOyepejuM @NickScelzi @crisbergerot @JananiA779

I am continually impressed with the level of hem/onc applicants @InovaSchar — sometimes it feels like an impossible academic arms race to see how many publications each candidate can get! On a less cynical note, I’d like to think that our specialty’s future looks bright 🌟🤩☀️

So excited to take part in @NaglaAKarimMD’s excellent oncology symposium on early drug development — we live in a dizzying world of #oncology drug advances, with more happening daily than ever before! Looking forward to bringing #TIL therapy for pts w/ melanoma @InovaSchar soon!

@MazieTsangMD presents our action packing future schedule for @PallOncCoP with some of the champions in the field including @CvonGunten @MDRoeland @NickOdomPhD_RN @NicoleStoutPT @DrN_CancerPCP @maryam_lustberg and many more📅Save the Date!📅 #pallonc #supponc

1/ 🚨 NEW #AtTheBedside: Moral Distress Part 2: Strategies & Solutions The FIRST and most important step in addressing moral distress:  ❤️‍🩹Naming it We must identify what we’re actually feeling 🖥️: coreimpodcast.com/2024/09/18/mor…

@Gabby_Brauner27 Thanks so much for listening Gabby! And very happy to hear it resonated with you. This is probably the hardest part of our great profession & something I hope we can all stay proactively engaged in discussing and solving. Stay tuned for part 2 next week, all about solutions :)

I’m obviously new to this career as a PGY2, but this episode spoke to my soul

1/ 🚨 NEW #AtTheBedside: Moral Distress Part 1: Definitions, Causes & Consequences Time to really name, talk about, and hopefully unpack some of the hidden weight we carry in the practice of medicine ⤵️ 🖥️: coreimpodcast.com/2024/09/11/mor… Sponsor: @Pan_Financial

Thread of crazy painting details 🧵 1. It's all in the eyes

As part of the research for my (someday upcoming) cancer book, I went to some “functional medicine” appointments to see what the appeal was and I am very glad I did it. Here are two parts of it that I think lead people to engage with non-evidence based healthcare. The first is that these non-evidence based care can fit with whatever the patient feels is healthy, whether it will help them get better or not. It is nice to have a person in a position of authority just vibe with you. They tell you that you can have a positive impact with your choices….some real control over your outcomes by making decisions that feel…wholesome. That was very compelling. But the other thing is just /time/. My oncologist and I only got to have one long conversation during our entire relationship. Every other meeting was less than 30 minutes. The function health person would talk to me for an hour every week…more if I wanted. We would have wide-ranging conversations, veering far away from my body and that was lovely. Of course, the reason my oncologist couldn’t try to heal me with wholesome treatments is that chemotherapy was by far the most effective treatment with the highest probability of curing my cancer and it’s…not a vibe at all. The reason he couldn’t tell me that diet mattered was because, when we look at the data, it doesn’t seem to matter much. That’s a bummer. I wanted more agency and he couldn’t give it to me because I didn’t actually have much. And he couldn’t spend an hour a week with me because his skills are tremendously in demand because he has the knowledge and skill to extend and save lives in a way that my non-evidence-based provider did not. He wasn’t able to just hang out and chat because his skills are more in demand because his treatments are proven to work. I was sharing him with more people, and I couldn’t just pay for more time. All of which is to say, much of what makes non-evidence based treatment appealing is stuff that evidence-based healthcare literally cannot do. The other thing I’ll say is, the reading my non-evidence-based provider gave me to check out was the biggest pile of anti-patient, anti-science slop I have ever read. It made it very hard to go back to those appointments knowing that they suggest such destructive stuff while, in the room, just being really kind and wholesome.

"... thereby shifting the entire distribution in a favorable direction and creating a better health care workplace for clinicians as well as the patients and communities they serve." A goal worth striving for--not just within but between organizations who may learn together 6/6

"The fundamental goal is not to determine an organization’s percentile score on a distribution curve at any one moment but rather to foster genuine and ongoing improvement across all organizations..." 5/

A clear message to organizations in how to demonstrate an authentic & transparent commitment to clinician well-being. We need to see & celebrate examples of the excellence described here. @ramsedhom @guptaarjun90 @MargotHedlin @realbowtiedoc @MazieTsangMD jamanetwork.com/journals/jama/…