Chapter 14: Grant-Funded Projects in the Office of Health Policy: Cancer Survivor Management
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Description
In this segment, Dr. Foxhall talks about a grant that the Office is now preparing for Cancer Survivor Management –a training program that will be instituted in clinical around the state. Dr. Foxhall explains that his “love in life is education,” and that such projects are very significant for him. He explains the elements of the training program: identify survivors; create care plans to maximize the effectiveness of aftercare following MD Anderson guidelines; follow up with providers to help them adhere to best practices; monitor patients receiving services. He discusses a tele-mentoring system that will be used to provide support for health care personnel. He talks about collaborating on the Cancer Survivorship Manual that will be published this summer.
Identifier
FoxhallLE_03_20140311_C14
Publication Date
3-11-2014
City
Houston, Texas
Interview Session
Topics Covered
The University of Texas MD Anderson Cancer Center - An Institutional Unit; Overview; MD Anderson History; MD Anderson Impact; MD Anderson and the Texas Legislature; Education; Information for Patients and the Public; Institutional Mission and Values; Beyond the Institution; Character, Values, Beliefs, Talents; Professional Values, Ethics, Purpose
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.
Disciplines
History of Science, Technology, and Medicine | Oncology | Oral History
Transcript
Tacey Ann Rosolowski, PhD:
What about some of the other projects? What’s sort of next on your list of things that you’d like to talk about?
Lewis Foxhall, MD:
Well, keeping these things going does take a lot of time and effort, so we’re concentrating on that. We’re working on a grant for a new project for cancer survivor management, so we’re going to be applying for funds to increase cancer survivor services and primary care residency training program clinics. So we’re focusing on family medicine, and there are several clinics around the state that are interested in working with us to see what we can do together to help increase the services that are provided for people who’ve been treated and completed their treatment for cancer. So that’ll be an interesting, if they fund us.
Tacey Ann Rosolowski, PhD:
(laughs) Now, as you’re working on this, are you just working on the mechanisms of getting money, and then someone else will develop the curriculum, or is MD Anderson kind of [unclear]?
Lewis Foxhall, MD:
Yeah, we’ll do the whole thing.
Tacey Ann Rosolowski, PhD:
You’ll do the whole thing.
Lewis Foxhall, MD:
Yeah, that’ll be our project.
Tacey Ann Rosolowski, PhD:
So what is that going to look like? I mean, what is the educational product that you’re going to be providing?
Lewis Foxhall, MD:
So this is targeting services, so my real joy in life is doing education, so I’m having to approach it within that framework. But the goal is to increase services for cancer survivors. There have been a number of studies that show survivors don’t receive all the recommended care that they should, and they tend to fall through the cracks and don’t always get the proper follow-up or preventive services that have been shown to be helpful for them. So what we’re going to do is go into these practices, and we know many cancer survivors are in primary care practices, they continue to see their primary care doctor, although they may not be known as cancer survivors or followed specifically for that, so we’ll identify them, develop care plans, work with their treating oncologist, whether that’s us or someone else, to find out exactly what treatments they had and what potential complications they might be facing down the road, and then use guidelines that have been developed through MD Anderson to provide care for surveillance and prevention and dealing with psychosocial issues and complications of treatment. So we’ll do this through their faculty and, more importantly, through their trainees, so they have clinics that they operate as part of their education, so we’ll help them learn the best approaches to follow-up for cancers patients. So we have an online education program we developed through our previous super grant which will put them through, and we will provide additional education opportunities for them, depending on what other areas they feel are important. And then we’ll track and monitor how the patients do over time as far as whether they’re getting the services we think they ought to be getting to see how it’s working. So we’re going to provide additionally some support through a telementoring program. This is an Internet-based web conferencing approach that’s been shown to be helpful for [unclear] experts here in the Cancer Center what the practice is, do case presentations, brief educational interventions as we go along to help be sure they’re comfortable and have everything they need to take care of the patients.
Tacey Ann Rosolowski, PhD:
Now, you said your great love is education. You hadn’t said that before. (laughs)
Lewis Foxhall, MD:
Oh, no?
Tacey Ann Rosolowski, PhD:
No. So tell me about that. How did that start and what’s that about?
Lewis Foxhall, MD:
Well, I’ve always enjoyed education. So I’ve been involved in providing or supporting our education program for community physicians through our Faculty Speakers Bureau, coordinating that, getting our faculty members out and doing presentations myself. I enjoy doing education programs and have done those pretty regularly over the years. I’ve been involved most recently with our Cancer Survivorship Program in coordinating the educational offerings that we have in that area, so that involved getting that super grant and putting together, with Dr. Kinderwoods [phonetic] and others in Dr. Butler’s [phonetic] area, the education materials. Then we did the program I mentioned on access to care. That was another education program for a different audience. And we’re putting together a textbook on cancer survivorship management, working with Dr. Rodriguez and [unclear] that’s off at the publisher’s right now.
Tacey Ann Rosolowski, PhD:
Wow, that’s exciting.
Lewis Foxhall, MD:
So I’m looking forward to getting that done. So those sorts of things are fun. I mean, it’s an enjoyable sort of thing.
Tacey Ann Rosolowski, PhD:
When will the cancer survivorship manual come out?
Lewis Foxhall, MD:
Sometime this summer, they say. We’ll see.
Tacey Ann Rosolowski, PhD:
Wow, that’s exciting.
Lewis Foxhall, MD:
Yeah. So we’re looking forward to getting that out [unclear].
Recommended Citation
Foxhall, Lewis E. MD and Rosolowski, Tacey A. PhD, "Chapter 14: Grant-Funded Projects in the Office of Health Policy: Cancer Survivor Management" (2014). Interview Chapters. 863.
https://openworks.mdanderson.org/mchv_interviewchapters/863
Conditions Governing Access
Open
