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Oncology
Oncology
Foreword Oncology
James A. Van Rhee, MS, PA-C, DFAAPA Consulting Editor
This issue of Physician Assistant Clinics is of special interest to me. For years I worked in oncology before moving full time into academics. During those years, I developed a number of special relationships with the patients and their families, learned to deal with issues related to death and dying, and developed a sense of the whole patient not just a disease. This issue in Oncology covers many medical topics, but also discusses transplantation, symptom management specific to the oncology patient, and ethics in oncology. A recent report by the American Society of Clinical Oncologists1 predicts a significant shortage of oncology providers by 2020. While 54% of oncologists already work with physician assistants and nurse practitioners, more are needed. One option the study proposed was the increased use of physician assistants and nurse practitioners. In 2010, Ross and colleagues2 studied the role of physician assistants in oncology and noted that many assumed high-level responsibilities that are a positive asset to the health care team in the care of oncology patients. Fellow Yale School of Medicine colleague, Alexandria Garino, MS, PA-C, Assistant Professor at the Yale Physician Associate Program, is the guest editor for this issue, and she has selected a wide variety of topics and excellent authors from some of the leading oncology centers in the country. In this issue, we have articles for the oncology physician assistant and physician assistants in primary care. For the oncology physician assistant, Cambareri, Nobre, and Tuttle provide an in-depth discussion of new pharmaceutical agents used in oncology with a focus on targeted therapy such as monoclonal antibodies and immunomodulatory agents. For those of you interested in improving access to care, the article by Hylton and Scardino discusses the development of the MD/PA team on a lymphoma service. Stoddard, Plair, and Jee discuss the management of graft-versus-host diseases, and Prazak and Gahres provide a review of recent advances in ovarian cancer. There is also a fine selection of articles for those working in primary care that see oncology patients, which I would imagine is just about everyone. Kunstel describes
Physician Assist Clin 1 (2016) xiii–xiv http://dx.doi.org/10.1016/j.cpha.2016.04.003 physicianassistant.theclinics.com 2405-7991/16/$ – see front matter Ó 2016 Published by Elsevier Inc.
xiv
Foreword
the presentation, evaluation, and treatment of some common oncologic emergencies. Nagus and Moller provide a review of the management of various symptoms seen in the oncology patient. Garland and Parker provide a review of human papillomavirus– associated oropharyngeal carcinoma, and Moini provides an excellent review of nutrition in the cancer patient. Of special interest to me is the article by Kurtz, who discusses the ethical considerations in oncology. I think you will find this article interesting and thought provoking. I hope you enjoy the third issue of Physician Assistant Clinics. Our next issue will provide you with a review of the latest in Pediatrics. James A. Van Rhee, MS, PA-C, DFAAPA Yale University Yale Physician Associate Program 100 Church Street South, Suite A250 New Haven, CT 06519, USA E-mail address: [email protected] REFERENCES
1. Erikson C, Salsberg E, Forte G, et al. Future supply and demand for oncologists: challenges to assuring access to oncology services. J Oncol Pract 2007;3(2): 79–86. 2. Ross AC, Polansky MN, Parker PA, et al. Understanding the role of physician assistants in oncology. J Oncol Pract 2010;6(1):26–30.
Foreword Oncology
James A. Van Rhee, MS, PA-C, DFAAPA Consulting Editor
This issue of Physician Assistant Clinics is of special interest to me. For years I worked in oncology before moving full time into academics. During those years, I developed a number of special relationships with the patients and their families, learned to deal with issues related to death and dying, and developed a sense of the whole patient not just a disease. This issue in Oncology covers many medical topics, but also discusses transplantation, symptom management specific to the oncology patient, and ethics in oncology. A recent report by the American Society of Clinical Oncologists1 predicts a significant shortage of oncology providers by 2020. While 54% of oncologists already work with physician assistants and nurse practitioners, more are needed. One option the study proposed was the increased use of physician assistants and nurse practitioners. In 2010, Ross and colleagues2 studied the role of physician assistants in oncology and noted that many assumed high-level responsibilities that are a positive asset to the health care team in the care of oncology patients. Fellow Yale School of Medicine colleague, Alexandria Garino, MS, PA-C, Assistant Professor at the Yale Physician Associate Program, is the guest editor for this issue, and she has selected a wide variety of topics and excellent authors from some of the leading oncology centers in the country. In this issue, we have articles for the oncology physician assistant and physician assistants in primary care. For the oncology physician assistant, Cambareri, Nobre, and Tuttle provide an in-depth discussion of new pharmaceutical agents used in oncology with a focus on targeted therapy such as monoclonal antibodies and immunomodulatory agents. For those of you interested in improving access to care, the article by Hylton and Scardino discusses the development of the MD/PA team on a lymphoma service. Stoddard, Plair, and Jee discuss the management of graft-versus-host diseases, and Prazak and Gahres provide a review of recent advances in ovarian cancer. There is also a fine selection of articles for those working in primary care that see oncology patients, which I would imagine is just about everyone. Kunstel describes
Physician Assist Clin 1 (2016) xiii–xiv http://dx.doi.org/10.1016/j.cpha.2016.04.003 physicianassistant.theclinics.com 2405-7991/16/$ – see front matter Ó 2016 Published by Elsevier Inc.
xiv
Foreword
the presentation, evaluation, and treatment of some common oncologic emergencies. Nagus and Moller provide a review of the management of various symptoms seen in the oncology patient. Garland and Parker provide a review of human papillomavirus– associated oropharyngeal carcinoma, and Moini provides an excellent review of nutrition in the cancer patient. Of special interest to me is the article by Kurtz, who discusses the ethical considerations in oncology. I think you will find this article interesting and thought provoking. I hope you enjoy the third issue of Physician Assistant Clinics. Our next issue will provide you with a review of the latest in Pediatrics. James A. Van Rhee, MS, PA-C, DFAAPA Yale University Yale Physician Associate Program 100 Church Street South, Suite A250 New Haven, CT 06519, USA E-mail address: [email protected] REFERENCES
1. Erikson C, Salsberg E, Forte G, et al. Future supply and demand for oncologists: challenges to assuring access to oncology services. J Oncol Pract 2007;3(2): 79–86. 2. Ross AC, Polansky MN, Parker PA, et al. Understanding the role of physician assistants in oncology. J Oncol Pract 2010;6(1):26–30.