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11.3.2012 The 1st TeamOncology Leadership Academy Japanese Medical Exchange Program 2012 report Outline MD Anderson Cancer Center Japanese Medical Exchange Program Leadership of each professional Vision/Mission/Goal After JME2012... MD Anderson Cancer Center Location Our Vision 世界一のがんセンターになる We shall be the premier cancer center in the world, based on the excellence of our people, our researchdriven patient care and our science. Our Mission がんを撲滅する To eliminate cancer in Texas, the nation and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public. The best hospital for cancer care!! the nine-time in the past 11 years M. D. Anderson Cancer Center • Houston, Texas Japanese Medical Exchange Program 2012 Participants Physician Keisuke Miyamoto (Saiseikai central Hospital) Hiroko Bando (Tsukuba University Hospital) Nurse Ikuko Chiba (National Cancer Center East Hospital) Yuko Hamajima (Tokyo Med University Hospital) Pharmacist Tetsurou Yamaguchi (Kobe University Hospital) Mari Yokota (St.Marianna University Hospital) Departure Apr 19 th Flight to Houston... Japanese Medical Exchange Program 4/23/2012 ~ 5/25/2012 TeamOncology in MDACC 5weeks Leadership Communication skill Role of each professional Vision Mission Carrier development Mentorship Program 03/29/2012 We had “debriefing time” for each section with mentors JAPANESE MEDICAL EXCHANGE PROGRAM - 2012 WEEKLY SCHEDULE WEEK # 1 DATE: APRIL 23-27, 2012 MONDAY, 4-23 Must arrive prior to 7:45 am Check in for Orientation at 7:45 am – 10:00 am Hotel Shuttle will drop you off at Mid-Campus 1 (1MC) Building 7007 Bertner Avenue, Floor 3, Meeting Room Please call Brenda when finished. 713-792-0017 or 713-742-3411 She will meet you after the Training to get a copy of your badge. 12:00 pm – 1:00 pm LUNCH/BREAK TUESDAY, 4-24 8 :00 am – 11 :00 am Nursing Lectures Location : ACB8.1281 12:00 pm – 1:00 pm Integrative Medicine Research Club “Meditation Placebo Trial” Location: FC12.2033 Presented by Dr. Richard Lee Bring your Brown Bag Lunch 1:00 pm – 1:30 pm Integrative Medicine Program Location: FC12.2033 Presented By: Dr. Richard Lee 3:30 pm – 5:00 pm Clinic Station Training Location: FCT17.5005A Presented By: Dr. Barry Feig Afternoon Conferences: 4:00 pm – 5:00pm - Melanoma Multi Conf R9.2184 4:00 pm – 5:15 pm - Neuro-Onc Core Curriculum FC7.3035 4:00 pm – 5:00 pm – Multi Breast Planning Clin – ACB5.2680B 5:00 pm – 6:00 pm - Colorectal Multi Conf FC1.200 2 2:15 pm – 5:00 pm “Your Development as a Leader” Presentation” Location: ACB8.1281 Presented By: Janis Apted Afternoon Conferences: 4:00 pm – 5:00 pm - Multi Clin Mgmt Conf - For benign Breast Lesions ACB6.2680 4:00 pm – 5:00 pm - Sarcoma Multi Conf - R9.1447 4:30 pm – 5:30 pm - Thoracic CA Multi Prot Conf FC1.2002 5:00 pm – 6:00 pm - The Liver Tumor Study Group G3.3659 5:00 pm – 6:00 pm – Surg Breast Ed Conf – FCT17.5005A THURSDAY, 4-26 11:15 am – 11:45 am Chaplaincy Presentation Location: B6.4804 Presented By: Jose Cedillo Lunch served 1:15 pm – 1:45 pm Integrative Medicine Center Tour Location: R1.2000 – outside Main Hospital, to the left of Clark Clinic exit Presented By: Andrea Warren 8:00 am – 11:45 am Breast Medical Oncology Observation Observing (Refer to attached schedule) 12:00 pm – 1:00 pm Lunch/Break 12:00 pm – 1:00 pm Advances in Oncology Institutional Grand Rounds Hickey Auditorium R11.1400 / Lunch/Break 1:15 pm – 3:45 pm Breast Medical Oncology Clinic Observation (Refer to attached schedule) 4:00 pm – 4:30 pm Risk Management and Legal Issues Location: ACB8.1281 Presented By: Ava Plummer 2:00 pm – 4:00 pm Each Mentee will meet with their Mentor or designated host for this day. Location: TBD by Mentor Afternoon Conferences: 4:00 pm – 5:00 pm – GI Pathology Conf G1.3628 2 FRIDAY, 4-27 8:00 am – 11:45 am Nursing/Pharmacy Observation (Refer to attached schedule) 10:30 - 11:00 am Children’s Art Project Location: B6.4804 Presented By: Shannan Murray 12:00 pm – 1:00 pm Statistical Presentation Location: B6.4804 Presented By: Drs. Jack Lee and Yu Shen 1:15 pm – 3:15 pm Complete on line training WEDNESDAY, 4-25 9:00 am – 10:00 am MDACC General Tour Location: Main Entrance Clark Clinic by Aquarium Presented By: TBA Afternoon Conferences: 4:00 pm – 5:00 pm - Sarcoma Multi Conf – R9.1447 4:00 pm – 5:00 pm - Pancreas Multi Conf G3.3659 4:00 pm – 5:00 pm – Multi Breast Planning Clin – ACB5.2680B Happy hour☆ 1:30 pm – 2:30 pm Med Onc Clinical Observation Debriefing Location: ACB7.2680 3:00 pm – 5:30 pm Each Mentee will meet with their Mentor or designated host for this day. Location: TBD by Mentor 6:30 pm Happy Hour Location: Guadalajara Bar & Grille 2925 SW Frwy. Houston, TX Lecture and Observation Lecture ・Orientation ・Nursing ・Pharmacy ・Leadership by Janis ・Integrative medicine ・Radiation therapy ・Statistics ・Chaplaincy ・Risk management ・Quality improvement Observation ・Outpatient clinic (Breast, GI, GU, Thoracic etc) ・Inpatient round (Leukemia, BMT, Thoracic, Surgery, ICU, Palliative care etc) ・Operation, pathology ・Radiation therapy ・Pharmacy & Therapeutics committee ・IRB committee ・conference ・Houston hospice Leukemia round “Multidisciplinary team work” Whenever! Wherever!! Breast Medical Oncology Clinic Thoracic round Health care provider Physician(attending, fellow) Nurse NP, PA →Mid Level Practitioner ・APN(Advanced Practice Nurse) (MLP) Nurse Practitioner (NP) ・RN(Registered Nurse) Physician assistant(PA) Pharmacist Clinical Pharmacy Specialist Staff pharmacist pharmacy technician Leadership of Physicians Decision maker of the team care Push science forward as a “creator” Respect every discipline and their roles Leadership of Nurses The core of nursing Patients’ advocate including decision -making support Direct patient care including addressing patients’ self-care Increasing patients’ coping skills, self-efficacy and efficiency etc.. Leadership of Nurses ~Expanding Roles of Nurses @ MDACC~ APN(Nurse Practitioner ・Clinical Nurse Specialist) ⇒Evidence-based practice including Research ⇒diagnose, prescribe, run a clinic Research Nurse ⇒ Can be an investigator if it's not necessary to prescribe CNL(Clinical Nurse Leader) ⇒ sometimes functions as Liaison of multidisciplinary team Leadership of Clinical pharmacist PharmD + Residency program → Professional Providing “Pharmaceutical care” Prescribing medicine To improve patient QOL and outcome through pharmacist intervention!! What did we learn from JME? Multidisciplinary care goes smoothly through expanding each role as a team Confirmed system and attitude for accepting diversity Evaluating validity about our approach as a science objectively Vision/Mission/Goal Mentorship “What is your reason for existing?” “To develop the research for cancer therapy” “To get married and make my family happy” “To help all cancer patient from suffering through my nursing skill” etc... Vision? Mission?? Goal??? Vision Ideal image of the future ・Special, Specific, Unique... Mission A “Specific task” to achieve shared vision “SMART” goal Goal Specific Measurable Action oriented Realistic Timeframe How did we create our vision in JME? Mentoring time every Friday afternoon Meeting and e-mail with Dr.Ueno Discussion with JME member After JME2012... After JME2012...? How do we utilize our experiences and learning in our institute? What’s the difference “before/after”? Carrier development Leadership Vision Mission Just “ Dream”・・・ Vision To create and practice evidence based medicine with multidisciplinary team by expanding my knowledge and ability about pharmacotherapy and cancer therapy. Mission Cleared To make all cancer patients satisfied by providing individualized pharmaceutical care to improve their QOL. !! Short-term goal To make algorithm for managing skin toxicity by EGFR inhibitors for colorectal cancer patients with multidisciplinary team until this August. something vague Vision should … *be highly public *be an ideal future *be achieved with passion *inspire others *have uniqueness because of me Reconstructed through JME2012 @ MDACC Vision To Improve oncology nursing in order to save all patients (survivors) who suffer difficulties caused by chemotherapy. Mission To make and publish evidence of any difficulties with patients’(survivors) care caused by chemotherapy. What I need is an action! Vision With warmest cordiality and scientific mind, I will deliver happier and hopeful environments for breast cancer patients, survivors and their family in underserved area in Japan. Mission As a general breast oncologist, I will dedicate myself to achieve the most patient centered practice and support by activating multidisciplinary approach in regional network and , especially in underserved area. MISSION Before After To relieve lung cancer cancer patients patients from from pain,pain, suffering suffering and fear and fear through clinical research medicine.and clinical medicine. Why do I exist? VISION After Before To become become a a prominent prominent oncologist oncologist who who can can manage manage patients cancer To patients with internal integrated medical oncology andoncology infectious with general medicine-based medical disease through outstanding multidisciplinary through multidisciplinary care, clinical researchcare, and clinical research and education, to create the world where cancer education. patients minimally suffer from infectious diseases. What will I become? GOALS After Before Completed! 1) IIwill taking USMLEand by August 31 program to get into willfinish get into residency fellowship in the residency program 2013 to become an oncologist. US to become an oncologist. 2) IFurther, will finish residency by 2016oncology and get into medical I will find a medical program that has oncology that has a strong ID fellowship. a strong fellowship ID fellowship. 3) online leadership program 2012 to 2) IIwill willtake takean a leadership program throughinMPH course to develop skills tocare organize organizeleadership multidisciplinary team.multidisciplinary care team. “SMART” goals Specific Measurable Action oriented Realistic Timeframe Before…… To release all cancer patients from cancer pain with Best side effects management ! After…… My Vision 『Provide an environment with no treatment failure due to adverse drug effects by becoming an expert of cancer systemic treatment.』 My Mission 『Compose a multidisciplinary team and provide pharmacological management (conducting research, proposing tailor-made therapy and optimizing supportive care), which will provide seamless cancer treatment from inpatient treatment to Our Message☆ It’s important that developing own leadership as professional to accomplish Vision/Mission. How can we relate personal Vision/Mission to “shared Vision/Mission” in institution or society? (next step!!) Thank you for your attention!!