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CMS proposed physician payment rule 2023
Any guesses on how this would be implemented if it goes through? CMS Proposes Physician Payment Rule to Expand Access to High-Quality Care | CMS The Centers for Medicare & Medicaid Services (CMS) today issued the Calendar Year 2023 Physician Fee Schedule (PFS) proposed rule, which would significantly expand access to behavioral health services, Accountable Care Organizations (ACOs), cancer screening, and dental care — particularly in... www.cms.gov “CMS is also proposing to bundle certain chronic pain mana...
Source: Student Doctor Network - July 8, 2022 Category: Universities & Medical Training Authors: Linktones Tags: Pain Medicine Source Type: forums

Psychedlics
I'm very much a believer in this approach when it comes to a number of things, but specifically, I believe psychedlics can serve a significant role in helping terminal cancer patients. Anyone have any experience in getting patients to places that do this? Based on my understanding of things, I'd certainly prefer psilocybin or lsd treatment, but my impression is that similar results can be achieved with mdma or ketamine infusions, which are used in certain situations off trial/legal. (Source: Student Doctor Network)
Source: Student Doctor Network - July 3, 2022 Category: Universities & Medical Training Authors: Ray D. Ayshun Tags: Radiation Oncology Source Type: forums

Oligometastatic SBRT: any benefit if you can ’t treat all of the lesions?
I know there is quite a bit of controversy here, so I wanted to open the discussion. Say you have a patient that is 77, ECOG 0, with a history of high risk prostate cancer that has had radiation to the prostate twice (std frac EBRT in 2012 and salvage brachy in 2018). He recently experienced BCR and PSMA demonstrated recurrence in an internal iliac node (not treated before) AND a focal area on the right side of the prostate gland. Re-biopsy of the gland confirmed recurrence. Patient has... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 1, 2022 Category: Universities & Medical Training Authors: thesauce Tags: Radiation Oncology Source Type: forums

Oncology Care Model, part deux
Enhancing Oncology Model | CMS Innovation Center The Enhancing Oncology Model (EOM) aims to drive transformation and improve care coordination in oncology care by preserving and enhancing the quality of care furnished to beneficiaries undergoing treatment for cancer while reducing program spending under Medicare fee-for-service. Under EOM... innovation.cms.gov Just announced by CMS. It is everything the RO APM is NOT, namely: 1. It is voluntary 2. You get paid extra money on top of fee for service (Source: Student Doctor Network)
Source: Student Doctor Network - June 28, 2022 Category: Universities & Medical Training Authors: Gfunk6 Tags: Radiation Oncology Source Type: forums

WAMC MD? / School List Suggestions? Low GPA / High MCAT / Good(?) Vibes
CA, 27M, ORM. ~3.39 cGPA and ~3.3 sGPA. Trend is bad --> worse, w/ nadir in jr yr and then did well senior yr. So ~3.2 in ugrad many moons ago, then 4.0 in a full time postbacc w/ 50 credits this past year. Took tough classes + was mcat studying half the yr. 523 (132/129/132/130). CA. White. UC Berkeley. Clinical Exps: 7 mo as a psych clinical research asst. 3.5 years as a clinical research assistant at an academic cancer center = ~7200 hr where about half... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 27, 2022 Category: Universities & Medical Training Authors: nontoxicology Tags: What Are My Chances? WAMC Medical Source Type: forums

Lutetium Psma localized prostate cance
Anyone know the status of trials for lutetium Psma in localized prostate cancer either alone or neoadjuvant to surgery. Could really transform the specialty if it pans out. How about lutetium vs as? Lutetium-PSMA Appears Safe in Locally Advanced High-Risk Prostate Cancer Treatment with neoadjuvant lutetium prostate-specific membrane antigen followed by radical prostatectomy exhibited a favorable safety profile in patients with locally advanced high-risk prostate cancer. www.onclive.com (Source: Student Doctor Network)
Source: Student Doctor Network - June 22, 2022 Category: Universities & Medical Training Authors: RickyScott Tags: Radiation Oncology Source Type: forums

Re: Diagnosing prostate cancer in asymptomatic patients
(Source: BMJ Comments)
Source: BMJ Comments - June 10, 2022 Category: General Medicine Source Type: forums

ASTRO Elections 2022: What are your thoughts on the candidates?
President nominees: Phillip M. Devlin, MD, FASTRO Dana Farber Brigham and Women’s Cancer Center Harvard Medical School, Boston​Howard Sandler, MD, MS, FASTRO Cedars-Sinai Medical Center Los Angeles​Secretary or treasurer nominees: Michael Kuettel, MD, PhD, MBA, FASTRO Roswell Park Cancer Institute Buffalo, New York​Amar Rewari, MD, MBA Luminis Health Annapolis, Maryland​Education council vice chair: Lisa Kachnic, MD, FASTRO Columbia University Irving Medical Center...​ Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 9, 2022 Category: Universities & Medical Training Authors: AIIMS DOC Tags: Radiation Oncology Source Type: forums

Re: Diagnosing prostate cancer in asymptomatic patients - From New York skid row to all over the world except UK
(Source: BMJ Comments)
Source: BMJ Comments - June 8, 2022 Category: General Medicine Source Type: forums

Private Equity in Healthcare
Since it’s been discussed here before, here’s an informative article discussing private equity in healthcare. Betting on ‘Golden Age’ of colonoscopies, private equity invests in gastro docs An aging population in need of regular cancer screenings has driven private equity companies, seeking profits, to invest in many gastroenterology practices and set up aggressive billing practices. www.modernhealthcare.com (Source: Student Doctor Network)
Source: Student Doctor Network - June 2, 2022 Category: Universities & Medical Training Authors: KeratinPearls Tags: Pathology Source Type: forums

ASCO 2022 abstracts
are out. Here are some interesting radonc picks: https://meetings.asco.org/abstracts-presentations/206928 SBRT & surgery for oligometastastic breast cancer does not seem to work. https://meetings.asco.org/abstracts-presentations/207129 Perhaps new s.o.c. for mucositis prevention in H&N cancer https://meetings.asco.org/abstracts-presentations/211847 PSMA-PET-CT changing management in almost half of the patients receiving salvage RT for biochemical... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 27, 2022 Category: Universities & Medical Training Authors: Palex80 Tags: Radiation Oncology Source Type: forums

Bone met reirradiation
Seeing a guy with a rib met from prostate cancer that got 30/10 two years ago who has had progression at the edge of the field. Wondering if people are continuing with standard palliative stuff here or would think so about sbrt, 30/5, etc. (Source: Student Doctor Network)
Source: Student Doctor Network - May 26, 2022 Category: Universities & Medical Training Authors: Ray D. Ayshun Tags: Radiation Oncology Source Type: forums

PSA bounce after SBRT for bone metastasis
Interesting case. Patient with metastatic prostate cancer (several bone mets after prostatectomy and adjuvant RT). He started ADT over 3 years ago and got up-front 6 cycles of Docetaxel. PSA dropped to around 1.5 ng/ml, remained stable for almost 2 years and rose this winter to 2.5 ng/ml. Whole-body MRI showed a viable lesion in the spine, the rest of the lesions seemed stable. We had done yearly wbMRI, so it was rather easy to pick up. I SBRTed the lesion and measured the PSA immediately... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 24, 2022 Category: Universities & Medical Training Authors: Palex80 Tags: Radiation Oncology Source Type: forums

Just finished freshman year, tips?
Genuine post as I’m not a first generation college student, but my mom was and doesn’t know much about this process. So.. just finished freshman year with a 4.0 gpa completed 36 credits. URM(black). Double majoring (don’t want to be identifiable so leaving the majors out) Fairly well respected undergrad Activities freshman: Computational research summer before college (200ish hours) Cancer center volunteer - 60 hours Hospice volunteer - 60 hrs now, 110 by end of summer Intern at a... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 19, 2022 Category: Universities & Medical Training Authors: SilverSnow Tags: Pre-Medical (MD) Source Type: forums