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Rebecca Bechhold, MD

Rebecca Bechhold, MD

Medical Oncologist, Cincinnati, Ohio

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With some analyses warning of an impending oncologist shortage, are we truly approaching a point of critical need? Are practice extenders such as advanced practitioners the best solution to fill that gap or are there other options?

Continuing to hold institutions to specific outcomes may never result in spending control. We need to educate individual physicians on cost-effectiveness in treatment planning.

You may have missed the report concluding that patients had lower readmission and mortality rates if they were under the care of female hospitalists vs their male counterparts. I know excellent physicians in both camps and some sorry ones as well.

Oncologists deliver news—good and bad—on a daily basis. It is, for me, the most challenging and rewarding part of my job.

Are we failing to be as efficient as we could be in delivering care to cancer patients, particularly in follow-up after treatment?

Likely, most doctors would say they are good listeners. It is an essential skill when studying and practicing medicine. But under stress of limited time or a patient not responding to treatment—maybe our ability suffers a bit. Perhaps we are listening but also talking and not checking for understanding.

Patients continue to say they want more information, so they can make informed decisions. But repeatedly, studies tell us that the patient and the family are not hearing us, not understanding us, or both.

I hope to see many of the exciting agents presented this year become available and affordable for my patients. But when the miracle isn’t happening we have an obligation to talk it out and be candidly compassionate. We need to know when to put the pedal to the metal and when to hit the brake.

Effective communication between doctors and their team is key to giving the best care to patients, and can provide stress relief in a chaotic day.

No matter where you practice medicine, if your duties include patient care then you are going to interact with other oncologists. In some cases you may question the quality of their care. Help your peers to become better physicians by respecting them first, then relaying your concerns to them. Here are some examples of how not to do it, paired with kinder, gentler alternatives.

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