Nicholas Zaorsky, MD MS Profile picture
Apr 8, 2022 14 tweets 9 min read Read on X
How to run a meeting at an academic medical center

🧵
Originally, this presentation was for our oncology trainees, and we figured we would share it on #AcademicTwitter #MedTwitter to maximize the impact of your meetings.

Thanks to @DrSpratticus @LeilaTchelebi @EricLehrer @TimShowalter1 @RonaldChenMD @nytimes @HarvardBiz et al
1. Do you really need a meeting?

Consider an email if:
you're just sharing info
there is no discussion or decision
you've already had a similar meeting
2. Decide how much time you will need.

It is difficult and costly to get multiple MDs/DOs, PhDs, experts, admins, etc all together at once

hbr.org/2016/01/estima…
3. Before the meeting, send an agenda and minutes from last meeting.

Make your meetings friendly for those who may be calling in from their phone or Zoom app: send link, password, etc.
4. Start on time.
5. Designate someone to record the minutes.
6. Assume no one read the agenda you sent, and encourage everyone to participate.
7. During the meeting, use an agenda to keep guests on task and on time.

Consider the "Ds":
FYI / for declaration
For discussion
For decision
Future direction
8. During the meeting, steer the conversation.

The host can lead the discussion, minimize interruptions, pause the group, encourage constituents to speak.
9. Do not deviate from the purpose.

A frequent set of meetings that may deviate from their goals are the SRC, IRB, and DSMB.
Each of these meetings has a unique purpose for clinical trials.
10. If you speak up and identify a problem, propose a solution.

This works for other discussions with senior leaders too. A leader may not understand the problem and possible solutions until you tell them.
11. At the conclusion of the meeting, the host should summarize core points and make an action list.

"What will we do by when?"

If your action list includes things like sending emails, send them before you leave the meeting.

nytimes.com/guides/busines…
12. End on time.
13. Reiterate the information you discussed with minutes.
14. After the meeting, avoid a big decision as it may affect the whole group.

Decisions we make for the medical center may have unintended consequences on constituents.
15. If you have a recurring meeting, consider stopping it.

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More from @NicholasZaorsky

Mar 20, 2023
Academic medicine, summarized in a few publications

Thread 🧵

#AcademicTwitter #MedTwitter
Understanding academic medical centers: Simone's maxims

pubmed.ncbi.nlm.nih.gov/10499593/
@AACR
Final page and references
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Talk from @DigiaimoRon on billing and coding in #radonc at #ACRO2023.
Cumulative payments in the field are down 30% from 2007 to 2023. Image
#radonc CPT codes are under 77xxx, historically under radiology.

Coding rules from CMS change.
Eg, CT sim and 3D plan historically could not be billed on same day. Image
Modifiers are added to CPT codes.
Commonly misunderstood part of billing: consultation and CT sim can be done on same day, but need to use a modifier.

Remember to also list ICD 10, list laterality.
"CPTs asks if you want to get paid. ICD 10 tells if you will get paid." ImageImageImage
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Jan 28, 2023
What are the arguments for and against the combination of conventionally fractionated radiotherapy (2 Gy / fx; ~10-45 fractions) with concurrent immunotherapy (ipi, nivo, etc)?

A thread. 🧵
Proponents of combination therapy will reference:
1, numerous studies of RT + ICI, all seemingly safe
2, ICI is the best option if cisplatin ineligible
3, RT is immunostimulatory, should boost effect of ICI, RT + ICI is synergistic
Counterargument to #1:
Yes, there are data on toxicity, but almost all studies use SBRT/SRS, ie, > ~5 Gy per fraction x 1-5 fractions (not 2 Gy). There are limited mature studies on efficacy.

Meta-analysis from @PennStHershey MD PhD student Mike Sha:

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Dec 3, 2022
Radiotherapy for renal cell carcinoma: current status and future directions

#RadOnc #kcsm #KidneyCancer @ASTRO_org @ESTRO_RT @ARRO_org @RadoncUh

Thread🧵
For reference, kidney cancer staging is here.

Currently, role of #radonc is for smaller cancers (eg, T1a/b, some T2) and metastatic disease.

Read 28 tweets
Oct 23, 2022
How to write a research abstract for presentation at a meeting

Presented at #ASTRO22 @ASTRO_org
@pipcosper #radonc

Tweetorial 🧵
This thread will review the key components of each abstract section and provide examples of some of the highest scored abstracts at #ASTRO22

Since our Twitter audience is diverse, I will also highlight key features in recent @NEJM NordICC abstract:
nejm.org/doi/full/10.10…
Abstracts are usually structured into 4 parts
Read 18 tweets
Sep 23, 2022
What is the ideal management of biochemically (PSA) recurrent prostate cancer after prostatectomy?

Here are case scenarios that place treatment strategies in perspective.

This will be a thread of subthreads. 🧵

#PCSM #RadOnc Image
Image
Image
This thread is a continuation of this work:

@NatRevUrol
rdcu.be/csM2z
pubmed.ncbi.nlm.nih.gov/34363040/
x.com/nicholaszaorsk…
The ideal management plan for many men is controversial. For 10+ years, @NCCN guidelines have provided the same options:

observation
radiation therapy +/- androgen deprivation therapy
(but not ADT alone) Image
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Read 28 tweets

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