! ORL via Alexandros G.Sfakianakis on Inoreader: The Value of Mentorship

! ORL via Alexandros G.Sfakianakis on Inoreader

The Value of Mentorship Aug 29th 2015, 06:02, by Simon, L. M. The recent Young Physicians needs assessment survey identified mentorship as the single greatest need for this demographic, which includes physicians under 40 years of age or in their first 8 years of practice after completion of training. Much has been written in textbooks and other journals about mentorship, and as young physicians are certainly not alone in this need, mentorship has become a key focus of future Academy endeavors. Serving as Chair of the Young Physicians Section over the past year has afforded me the opportunity to interact with a variety of dynamic and engaging leaders in our Academy, and herein I provide a synopsis of what these experiences have taught me as well as provide some of the most important pearls that I have picked up along the way.

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! ORL via Alexandros G.Sfakianakis on Inoreader: Description of the types and content of phase 1 clinical trial consent conversations in practice

! ORL via Alexandros G.Sfakianakis on Inoreader

Description of the types and content of phase 1 clinical trial consent conversations in practice Aug 29th 2015, 06:55, by Wall, L., Farmer, Z. L., Webb, M. W., Dixon, M. D., Nooka, A., Pentz, R. D. Background or aims: All agree that informed consent is a process, but past research has focused content analyses on post-consent or on one conversation in the consent series. Our aim was to identify and describe the content of different types of consent conversations. Methods: We conducted a secondary analysis of 38 adult oncology phase 1 consent conversations, which were audio-recorded, transcribed, coded, and qualitatively analyzed for type and content. Results: Four types of consent conversations were identified: (1) priming, (2) patient-centered options, (3) trial centered, and (4) decision made. The analysis provided a robust description of the content discussed in each type of conversation. Two themes, supportive care and prognosis, were rarely mentioned. Four themes clustered in the patient-centered (type 2) conversations: affirmation of honesty, comfort, progression, and offer of supportive care. Conclusion: We identified and described four types of consent conversations. Our novel findings include (1) four different types of conversations with one (priming) not mentioned before and (2) a change of focus from describing the content of one phase 1 consent conversation to describing the content of different types. These in-depth descriptions provide the foundation for future research to determine whether the four types of conversations occur in sequence, thus describing the structure of the consent process and providing the basis for coaching interventions to alert physicians to the appropriate content for each type of conversation. A switch from a focus on one conversation to the types of conversations in the process may better align the consent conversations with the iterative process of shared decision making.

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