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Tag Archives: Harvard Medical School

Breast Cancer Screening Series: Dr. Daniel Kopans

Daniel Kopansby Daniel B. Kopans, M.D., F.A.C.R., F.S.B.I, Professor of Radiology Harvard Medical School, Founder – Breast Imaging Division – Massachusetts General Hospital

“ALTERNATIVE FACTS” AND BREAST CANCER SCREENING

 

“Alternative Facts” (AF) recently appeared as an outrageous concept in the “political arena”. What most do not realize is that “alternative” facts have been promulgated for decades by those seeking to reduce access to breast cancer screening.  This has led to the pseudo “debate” about screening that has persisted for decades due to the “alternative facts” that have been manufactured to keep the “debate” going.  Each time an “alternative fact” has been generated to cast doubt on screening, it has been refuted by science ([i]).  Unfortunately, as each (true) fact has been established, new “alternative facts” have been manufactured.  The article in the Annals of Internal Medicine cited by Nicholas Bakalar in the New York Times is an example of misinformation that got past poor peer review at a major journal and was published despite its lack of scientific rigor.  The study from Norway ([ii]), cited by Mr. Bakalar ([iii]), claiming massive “overdiagnosis” due to mammography had no data on who actually had mammograms and no data on which cancers were detected by mammography.  How can a test (mammography) be faulted when the “investigators” had no information on who actually had the test?  In an earlier, scientifically more rigorous study from Denmark, Njor, et al looked at actual individual patient data and they found that there was little if any “overdiagnosis” due to screening ([iv])  and, another study found, contrary to the conclusions of the paper reviewed by Bakalar, that screening had in fact resulted in a marked decline in deaths from breast cancer in Denmark ([v]).

 

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Cased Based Seminars from GO! – Palliative Care and Argentina

 

GlobalOncologyCancer Knowledge network is pleased to announce our collaboration with the Global Oncology Initiative (GO!) at Harvard’s Medical School, School of Public Health and affiliated hospitals. We hope this synergistic partnership will grow the diversity and breadth of information and experiences shared. Furthermore, we also hope to facilitate networking and connect medical students, residents and physicians with common goals in global oncology to achieve to their endeavors.  We hope you take advantage of the interesting expert interviews, articles on global oncology experiences and discussion videos put forth in collaboration with GO!.

 

 


 

 

If you had a life-threatening illness, what would be important for you and your family?

How about if you were the doctor?

Margarita Jorge is a social worker from Argentina who has worked extensively in her home country with transplant and palliative care patients. Dr. Rachelle Bernacki, M.D., M.S. is the Director of Quality Initiatives for Psychosocial Oncology and Palliative Care and an attending in adult palliative care at Dana Farber Cancer Institute. They led an interactive session for Students for Global Oncology offering insights into patient and physician perspectives in life-threatening illness, and how they differ between the U.S. and Argentina.



 

Intro and video courtesy of:  Global Oncology Initiative Go!

 

Case Based Seminars from GO! – Treating Cancer in Rural Rwanda

 

GlobalOncologyCancer Knowledge network is pleased to announce our collaboration with the Global Oncology Initiative (GO!) at Harvard’s Medical School, School of Public Health and affiliated hospitals. We hope this synergistic partnership will grow the diversity and breadth of information and experiences shared. Furthermore, we also hope to facilitate networking and connect medical students, residents and physicians with common goals in global oncology to achieve to their endeavors.  We hope you take advantage of the interesting expert interviews, articles on global oncology experiences and discussion videos put forth in collaboration with GO!.

 

 


 

 

Intro: Dave Shulman (Harvard Medical School ’13) were joined by Lori Buswell ANP-BC, OCN and Marcia Brown, M.D. to discuss their experiences working at the PIH/ Rwandan Ministry of Health Hospital in Butaro, Rwanda. The case focused on delivery of chemotherapy, followed by Q&A time. All three presenters are really great resources if you’re interested in doing any sort of global health work abroad!



 

Intro and video courtesy of:  Global Oncology Initiative Go!

 

Palliative Care Education for Healthcare Students and Professionals in Western Australia

GlobalOncologyCancer Knowledge Network is pleased to announce our collaboration with the Global Oncology Initiative (GO!) at Harvard’s Medical School, School of Public Health and affiliated hospitals. We hope this synergistic partnership will grow the diversity and breadth of information and experiences shared. Furthermore, we also hope to facilitate networking and connect medical students, residents and physicians with common goals in global oncology to achieve their endeavors.  We hope you take advantage of the interesting expert interviews, articles on global oncology experiences and discussion videos put forth in collaboration with GO!.


 

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Compassion in Action: Comprehensive, Community-Based Palliative Care in Neno, Malawi

GlobalOncologyCancer Knowledge Network is pleased to announce our collaboration with the Global Oncology Initiative (GO!) at Harvard’s Medical School, School of Public Health and affiliated hospitals. We hope this synergistic partnership will grow the diversity and breadth of information and experiences shared. Furthermore, we also hope to facilitate networking and connect medical students, residents and physicians with common goals in global oncology to achieve their endeavors.  We hope you take advantage of the interesting expert interviews, articles on global oncology experiences and discussion videos put forth in collaboration with GO!.

 

 


 

 

 

Student Experiences from GO! – Compassion in Action: Comprehensive, Community-Based Palliative Care in Neno, Malawi

 

by Shekinah Elmore, Harvard Medical School 2014

 

Neno, Malawi is a somewhere I’d never heard of when making plans to work on a palliative care project during the summer between my first and second years of medical school. I felt myself a rather savvy global health practitioner, having worked in Rwanda and Mozambique, largely with community health workers in very rural settings. But, Malawi hadn’t registered as clearly in my geography of the region. And, as for Neno, well I couldn’t even pretend to have heard its name before.

What I wanted most as a medical student was to find a palliative care and cancer care project in East Africa that I could work on throughout my time as a student, and perhaps even beyond. Though I’d never worked in Palliative Care, it seemed to me the culmination of everything that I loved about medicine: compassion in action. Palliative care practitioners moved adeptly with the patient and family, traveling with them and offering solutions, come what may….continue reading