The Accelerators Podcast

The Accelerators
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The Accelerators Podcast

Oncology News and Views from Photon Media. For more info, please visit photonmedia.org.

  1. ١٠ يونيو

    “What Workforce Challenges Exist”: APRT Revisited With Marsha and Join

    Send us a text Welcome to Season 4!  The Accelerators (Dr. Matt Spraker and Cameron Tharp, MPH, RT(T)) kick it off with a sequel to our prior podcast on the Advanced Practice Radiation Therapist (APRT) role.  We host friends-of-the-show Drs. Join Luh and Marsha Haley, Radiation Oncologists who bring important past experiences and unique expertise to the discussion.  We kick off by examining some articles from the Spring 2025 issue of ASRT's Radiation Therapist: Caldwell and Lee, Defining Advanced Practice Radiation Therapy at MDACCBurch et al., Advanced Practice Role in IGSRT for Nonmelanoma Skin Cancer TreatmentBeckert, Implementation of an APRT in Online Adaptive Radiation TherapyWe then explore "scope creep", a phrase used to describe mid-level healthcare provider encroachment on traditional physician roles. One example is the UPenn study comparing the interpretations of Radiology Assistants with physician residents. Don't miss the excellent YouTube review of this study by Physicians for Patient Protection. Join shares his experience with another example, California Assembly Bill (AB) 890. Later, Join shares some discussion about the APRT among ASRT and CARROS members at the ACR 2025 meeting. This leads to an open discussion of what APRTs should do -- versus could do -- in a radiation oncology clinic. As evidenced by Table 1 in Caldwell and Lee, the tasks are wide ranging, may replicate existing roles of US radiation therapists, and might make more sense in international markets than in the United States. We close by reviewing Marsha's letter to the IJROBP editor in response to an APRT role scoping review.  Here are some other things we discussed in the episode. Physicians for Patient Protection WebsiteAMA successfully fights scope of practice expansions (2024)Patients at Risk Audio and Video PodcastCouncil of Affiliated Regional Radiation Oncology Societies (CARROS)Beckert et al., Impact of APRT for on-table adaptive radiotherapyShah et al., Radiation Oncology Workforce Analysis ReviewBook recommendation: Lower Ed by Tressie McMillan CottomPatients at Risk Video - Deficiencies in NP Education

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  2. ١٩ فبراير

    The 2025 ACRO (Vice)Presidential Debate

    Send us a text The Accelerators (Drs. Matt Spraker and Simul Parikh) host the 2025 ACRO candidates for Vice President/President-Elect in the first ever radiation oncology election debate!  Well, it's more like a friendly discussion, but Simul asked them their opinions on 4 great topics.  What differentiates ACRO from other radiation oncology societies? Can you explain ACRO's position on physician supervision of radiation oncology services over the years? Why link accreditation to payment in ROCR?Should proton therapy be included in ROCR, and what is your position on the PPS exemption program? The Accelerators Podcast is a Photon Media production. For more from Matt, visit his website. For more from Simul, visit his blog, Radiation Medicine: Dollars and Sense.

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  3. ١١ فبراير

    “Look, This Treatment Works”: Bobby and Mudit on LDRT and Benign Indications

    Send us a text Accelerators co-host Dr. Matt Spraker is joined by radiation oncologists Drs. Bobby Koneru and Mudit Chowdhary for an update on low dose radiotherapy for osteoarthritis!  Dr. Koneru is a radiation oncologist in Freeport, IL and prolific social media educator on benign indications. Dr. Chowdhary is a radiation oncologist at Northside Hospital in Atlanta, Georgia, and a friend of TAP (see his prior episodes). We start by discussing their ASTRO 2024 panel on benign indications for radiotherapy; it sounds like there was a lot of knowledge sharing among those getting started with these treatments. Bobby and Mudit share how they built a referral network for their successful practices. We close by discussing some practical tips and recommended educational resources.  Here are some other things we discussed in the show, or links that may be helpful in building your benign radiotherapy practice:  Matt's LDRT & Benign Resource ListRadiotherapy Academy for Benign Diseases (RT-ABC)Makarova et al., RCT showing LDRT reduces disability risk in OAEnglish Translation of the DEGRO-AG “Radiotherapy of Benign Diseases”TAP reviews LDRT with Dr. Austin Dove Alvarez et al., Radiotherapy for Benign Conditions Contouring AtlasLDRT for arthritis PRIMR videoThe Accelerators Podcast is a Photon Media production.

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  4. ١٨ يناير

    “I Care About You as a Fellow Human”: In Conversation With Dr. Stacy Wentworth

    Send us a text The Accelerators (Drs. Matt Spraker and Simul Parikh) host Dr. Stacy Wentworth, Radiation Oncologist, Author, and Podcaster! We discuss her career and how she developed her voice as a physician content creator. Do not miss her Less Radical narrative podcast about the life of Bernie Fisher, it is a masterpiece! In this episode, we cover our experiences with our evolving careers. As a radiation oncologists solidify their clinical and technical expertise, how can they expand their ability to help the world? We discuss developing a voice outside the mainstream communication channels of medicine and academics, and going a different way. As radiation oncologists, it's in our DNA. Editors note: Don't miss Simul's Substack post related to this show, "How to Publish Outside of the Academic 'Priesthood'". Here are some other things mentioned during the show: Subscribe to Stacy's Substack, Cancer CultureStacy's most popular article, Why Your Doctor is Leaving YouWhy Mars is Boring and Cancer is Not, by Stacy WentworthHealthcare A to Z with Eric BrickerZotero organizational softwareEric Topol's Ground Truths Will Dowd's monthly Lunar DispatchHow to start writing on Substack An Inconvenient Truth, by GraypeaceA biography of Juan Del Regato (ROI Institute)The NSABPShibamoto and Takano, Non-surgical management of operable breast cancer reviewHess et al., Phase 1 trial of low-dose radiotherapy for COVID-19The Accelerators Podcast is a Photon Media production.

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  5. “Only Eat a Quarter of the Cookie”: On Cannabis With Donald Abrams

    ٢٦‏/١١‏/٢٠٢٤

    “Only Eat a Quarter of the Cookie”: On Cannabis With Donald Abrams

    Send us a text The Accelerators (Drs. Matt Spraker and Simul Parikh) host Dr. Donald Abrams, MD, Medical and Integrative Oncologist at the UCSF Oscher Center for Integrative Health. Donald offers a comprehensive review of a very poorly understood topic! We review the history of cannabis regulation in the US and globally, different delivery forms, and Donald's observations throughout his oncology practice. We additionally discuss indications for use in cancer care; is smoking cannabis safer than taking sugary edibles? Of course, we discuss cannabis misinformation. Right now Donald offers the best discussion of this topic that we have seen. We close the episode with a dicussion of CBD, the future, and a bit on studies of psychedelic therapies and melatonin. Don't miss the ASCO Cannabis and Cannabinoids guideline.  Here are some other things we discussed during the show: The Marijuana Tax Act and AMA oppositionThe Controlled Substences ActFederal Marijuana Compassionate Use ProgramBraun et al., JCO, National Survey of Medical Oncologists PerceptionsNASEM report on The Health Effects of CannabisTashkin, Annals ATS, Effects of marijana smoking on the lungNabiximolsWaissengren et al, TAMO, Effect of cannabis on oxaliplatin-induced peripheral neuropathyOverview of cannabis for peripheral neuropathy (Cleveland Clinic)Munson et al, JNCI, Antineoplastic Activity of CannabinoidsGuzmán et al., Br J Cancer, Pilot study of CBD for recurrent GBMTwelves et al., Br J Cancer, Phase 1b study of CBD for recurrent GBMBook Rec: The First Cell, Azra RazaPiper et al, Cancers, Regarding cannabinoids and immunotherapyThe Accelerators Podcast is a Photon Media production.

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  6. ٢٢‏/١٠‏/٢٠٢٤

    “Adding to My Wellness”: Radiotherapy for Breast Cancer Around the Globe

    Send us a text The Accelerators Podcast co-host Dr. Simul Parikh is heading back around the globe, this time to discuss breast cancer! He hosts Drs. Anna Kirby (Royal Marsden Hospital & Institute of Cancer Research), Sushil Beriwal (Allegheny Health Network, Varian Medical Systems), and Revathy Krishnamurthy (Tata Memorial Centre), Radiation/Clinical Oncologists from the UK, US, and India. The group kicks off it's discussion by comparing and contrasting breast cancer screening processes in their respective countries.  Then they run cases, examining varied cases of breast cancer and techniques: early stage, locally advanced, triple negative, PMRT, VMAT and SIB, and the oligometastatic state. Here are other things that were discussed in the show: The PRIMETIME Trial (UK)SOUND Trial Findings and Discussion, American Society of Breast SurgeonsOmission of Sentinal Lymph Node Biopsy, American College of Surgeons]Hypo-G Breast Abstract, ESTRO 2024FAST-Forward Boost Trial (UK, PI Anna Kirby)The Accelerators Podcast is a production of Photon Media, a division of the Cold Light Legacy Company. If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

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  7. “Taking Care of Our Patients”: Advanced Practice Radiation Therapy With Cam and Shaun

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    “Taking Care of Our Patients”: Advanced Practice Radiation Therapy With Cam and Shaun

    Send us a text Cameron Tharp, MPH, RTT joins The Accelerators (Drs. Matt Spraker and Simul Parikh), and we host radiation therapist Shaun Caldwell, EdD, RTT to discuss the Advanced Practice Radiation Therapist (APRT) role.  Here are some things we discussed during the show: Mohan et al. on record and verify systems (1984)American Society of Radiologic Technologists (ASRT)American Registry of Radiologic Technologists (ARRT)Health Education England Advanced Clinical Practice DefinitionHere are some peer reviewed publications on the APRT role: Lawlor and Leech. Scoping review of established APRT rolesSkubish et al. Exploring possibilities for the APRT in the USThe Accelerators Podcast is a production of Photon Media, a division of the Cold Light Legacy Company. If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

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  8. ٢٥‏/٠٩‏/٢٠٢٤

    No Cap, AI Contouring is Straight Fire in Radiation Therapy

    Send us a text The Accelerators (Drs. Matt Spraker and Simul Parikh) host Christine Gnaster, MS, DABR, FAAPM, Vice President of Product of Radformation and medical physicist Chelsea Page-Robertson for a #MedEd discussion of AutoContour, ClearCheck, and the use of AI in Radiation Oncology.  Christine kicks us off with an approachable overview of how tools like AutoContour actually work. We discuss how Radformation have trained hundreds of models to help you contour in clinic. She also shares how they are approaching current challenges in the field of automated contouring.  We then discuss ClearCheck, how it is linked to AutoContour, and why it is so much more than a checklist for dosimetry review. Chelsea shares how her and Matt have implemented AutoContour and ClearCheck in their practice.  We close with a discussion of the "psychology" of implementing AI tools in the Radiation Oncology clinic. Should we trust the computer to draw clinical target volumes? Are we planning to green boxes? Are these tools going to us worse clinicians?  Plus, all the (live) music that makes us happy. Here are some other things we discussed during the show: See a list of AutoContour's included modelsRadformation Acquires Limbus AITAP Re-irradiation EpisodeAAPM TG 132Dean et al., CB-CHOP plan review strategyChen et al., Physician vs. AI Chat Bot for cancerPhysics World, "Automation in the radiotherapy workflow"Batumalai et al., Survey of RO professionals perceptions of automationEditor's Note: While our love for their products is genuine, The Accelerators were compensated for this episode and Radformation participated in planning the content. The discussions in this episode are the opinions of the participants and are not clinical advice. Please see our website for complete information on our past and current sponsors. The Accelerators Podcast is a Photon Media production.

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Oncology News and Views from Photon Media. For more info, please visit photonmedia.org.

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