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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!!