advances in radiation oncology and cancer imaging symposium

35
MENTORSHIP PANEL Charles R. Thomas, Jr., MD Oregon Health & Science University Portland, OR

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Page 1: Advances in Radiation Oncology and Cancer Imaging Symposium

MENTORSHIP PANEL

Charles R. Thomas, Jr., MD

Oregon Health & Science University

Portland, OR

Page 2: Advances in Radiation Oncology and Cancer Imaging Symposium

Disclosures

None

Page 3: Advances in Radiation Oncology and Cancer Imaging Symposium

Objectives• To summarize mentorship tools for a

small to mid-size academic radiation oncology program.

• To summarize mentor responsibilities.• To provide framework for department

chairs to mentor under-represented minority medical students in order to address the pipeline shortage in radiation oncology.

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5

“Unpacking” Mentoring

Career Functions

• Coaching/Feedback• Sponsorship• Exposure/Visibility• Challenge

Psychosocial Functions

• Role Modeling• Counseling/Listening• Acceptance/Confirm

ation• Friendship

Kathy Kram, Mentoring at Work, 1988Niki Steckler, PhD

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Page 7: Advances in Radiation Oncology and Cancer Imaging Symposium

Faisal A. Siddiqui, PhDRadiation Oncology, Oregon Health & Science

UniversityPortland, OR

2008 RSNA Research Medical Student GrantProstate Cancer Screening and Staging by Dynamic-

Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI)Pharmacokinetics

Kristen O'Donnell, BS

Radiation Oncology, Oregon Health & Science University

Portland, OR2008 RSNA Research Medical Student Grant

Assessment of Post-Prostatectomy Clinical Target Variation and Critical Structure Dosing During

Intensity Modulated Radiation Therapy

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JR. FACULTY/RESIDENT CAREER CHALLENGES THAT CHAIR MUST

PROACTIVELY ENGAGE

• SERVICE EFFORT IMBALANCE• DIFFUSION AND CONFUSION• PROVIDE DUAL MENTORSHIP

STRATEGIES– i.e. Intramural + Extramural mentors– i.e. Clinical + Non-clinical mentors– i.e. Sr. faculty + Another Jr/mid-career

mentor

Page 13: Advances in Radiation Oncology and Cancer Imaging Symposium

JR. FACULTY/RESIDENT CAREER CHALLENGES THAT CHAIR MUST

PROACTIVELY ENGAGE

• EXPLOITATION BY OTHER FACULTY• LACK OF DISCIPLINE & PRESERANCE

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Page 15: Advances in Radiation Oncology and Cancer Imaging Symposium

Research + Teaching + Service

“The Triple Threat” →→→→→ “The Triple Threat”

Faculty Member Department

The Changing Three-Legged Stool in Academic Medicine

15Niki Steckler, PhD

Page 16: Advances in Radiation Oncology and Cancer Imaging Symposium

APPRECIATION OF GENERATIONAL CULTURE

DIFFERENCES BY THE MENTEE AND THE MENTOR

• GENERATION X (born 1963-1981)– WORK HARD IF BALANCE IN LIFE IS ALLOWED– EXPECT MULTIPLE FACULTY SEARCHES– ‘PAYING DUES’ DOES NOT EQUAL

LONGEVITY AT A JOB– SELF-SACRIFICE TO BE ENDURED

OCCASSIONALLY– QUESTION AUTHORITY & TRADITIONAL

MODELS

Page 17: Advances in Radiation Oncology and Cancer Imaging Symposium

APPRECIATION OF GENERATIONAL CULTURE

DIFFERENCES BY THE MENTEE AND THE MENTOR

• BABY BOOMERS (born 1945-1962)– WORK HARD OUT OF LOYALTY, SOMETIMES

GUILT– EXPECT LONGER TERM COMMITMENT FROM

INSTITUTION– ‘PAYING DUES’ SHOULD BREED LOYALTY

FROM THE HEIRARCHY– SELF-SACRIFICE IS A VALUED VIRTUE– AUTHORITY (CHRONOLOGICAL AGE) IS

RESPECTED

Page 18: Advances in Radiation Oncology and Cancer Imaging Symposium

DOCUMENT TEACHING ACTIVITIES REGULARLY

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Sample Portfolio Statement

Summary of Educational Activity and Effectiveness (2002-03)

Category of Type of Type of # Dir Evidence of Activity Learner Activity Hrs/Yr Effectiveness Clinical Renal fellows Renal Clinic 80 No Teaching Residents GM Ward 240 Yes

Medical students PCM 120 Yes

Lectures Renal fellows Didactics 6 NoResidents Noon Conf 3 NoMedical students Renal MSII 12 Yes

Physicians CME Lectures 8 Yes

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The Real-Time Teaching Portfolio

06-26-04 Teaching Portfolio Academic Year, 2003-2004

Activity Learners Type of Activity Title Date Hrs Evid Effect Subtotal

Clinical Fell/res Renal Clinic All Year 132 NoTeaching Res/MS GM Wards 8/29-9/8 84 Yes

Fell/res/MS Consult Service 6/30-7/15 92 Yes10/1-10/15 92 Yes12/1-12/15 92 Yes

2/2-2/16 92 Yes4/1-4/15 92 Yes 676

Lectures Renal FellowsDidactics Chronic kidney disease 7/16/03 1 NoDiabetic nephropathy 11/4/2003 1 NoThe aging kidney 3/30/04 1 NoGlom HD I 5/18/04 1.5 NoGlom HD II 5/25/04 1.5 No

Res/MS Didactics Hyperkalemia 7/17/03 1 NoChronic kidney disease 8/20/03 1 No

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CHANGE OF CAREER FOCUS

MAY BE WARRANTED

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Page 23: Advances in Radiation Oncology and Cancer Imaging Symposium

SOME TEMPLATES FOR CHAIRS TO INCREASE UNDER-REPRESENTED

MINORITY POPULATIONS INTO

OUR SPECIALTY

Page 24: Advances in Radiation Oncology and Cancer Imaging Symposium

Mentoring Across Difference

• Gender• Race• Ethnicity• Age• National origin

• Education• Expertise• Sexual

orientation • Social class

24Niki Steckler, PhD

Page 25: Advances in Radiation Oncology and Cancer Imaging Symposium

Mentoring Across Difference

• Awareness and curiosity• Discussibility of differences• Putting yourself in the other

person’s shoes

25Niki Steckler, PhD

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Na Tosha Gatson, PhD.

The Ohio State University College of Medicine; Columbus, Ohio

Monday, August 27th, 200712:15 – 1:15 p.m.

KPV 4th floor conf room 4153

Department of Radiation MedicinePresents:

“ Sex, Pregnancy, & A Great Pair of Genes: Critical Mediators In the Development & Progression of CNS Autoimmune Injury”

- Public Welcome -

For additional information, call 503-494-1998 www.ohsu.edu/radonc

V I S I T I N G F A C U L T Y P R E S E N T A T I O N

Education : 08/00-Present The Ohio State University College of Medicine; Columbus, Ohio. Degrees in progress: MD/PhD (Medical Scientist/Integrated Biomedical Scientist Programs)Research: Immunomodulatory factors that provide protection during initiation and progressive phases of multiple sclerosis.

Research:"Genetic Basis for Immunosupression During Pregnancy and Autoimmune Disease"& "Distinct Role for Phosphoinositol-3 Kinase * (PI3K *) in the Development and Progression of Experimental Autoimmune Encephalomyelitis (EAE)"

Awards: 2006-07 Minority Access to Res. Careers [MARC] Travel Award NIH/NRSA Integrative Immunobiol. Predoct. Trainee FellowshipOhio State Univ. Graduate Poster 1st Place Edward Hayes Research Forum 2nd PlaceAutumn Immunol. Conf. John Wallace Travel Award2002 NIH/NHLBI Res. Fellowship2001 Dept. of Surgery Medical Res. Development Fund

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Ato WrightPenn State College

of Medicine, Hershey, PA

Medical Scientist Training ProgramM.D., PhD Candidate

Monday February 25th, 200812:00 – 1:00 p.m.

KPV 4th floor conf room 4153

Department of Radiation MedicinePresents:

"Regulation of Early Wave of Germ Cell Apoptosis & Spermatogenesis by Deubiquitnating Enzyme Cyld"

- Public Welcome -For additional information, call 503-346-0299 www.ohsu.edu/radonc

V I S I T I N G F A C U L T Y P R E S E N T A T I O N

Education: 08/02- Present: Pennsylvania State College of Medicine, Hershey, PA M.D. /PhD. Candidate, Medical Scientist Training Program9/07-6/08, Predoctoral Fellow, MD Anderson Cancer Center05/98-05/02 Pennsylvania State University, University Park, PA B.S BiologyLeadership Experience:08/03-07/04 Student National Medical Association Chapter President Academic Awards & Honors: 11/07 NFκB Keystone Symposia Minority Scholarship08/05- Present Ruth L. Kirschstein Research Fellowship (F31)03/05 Minority Trainee Research Forum Acres of Diamond Award for National Abstract Completion and Distinction in Oral and Poster Session08/02-05/03 Pennsylvania State University Bunton-Walter Graduate Scholarship Award08/01-05/02 National Science Foundation (NSF) Research Grant08/98-05/02 Pennsylvania State University Bunton-Waller Undergraduate Scholarship Award08/00-05/02 United Negro College Fund (UNCF)-Merck Undergraduate Scholar05/98-07/98 Howard Hughes Undergraduate ScholarPublications:Wright, A., O. Szot J., Fedoroff N., Optimization and Characterization of Printing Conditions for cDNA Microarray Printing Conditions. CIC-SROP Journal. 8/01/2000Jin W, Reiley W.R., Lee A.J., Wright A. Wu X. Zhang M. and Sun S. C. (2007) Deubiquitinating Enzyme CYLD Regulates the Peripheral Development and Naive Phenotype Maintenance of B Cells. J. Biol. Chem. 282:15884-15896.Reiley W. R., Jin W., Lee J., Wright A., Wu X., Tewalt E.F., Leonard T.O., Norbury C.C., Fitpatrick L., Zhang M., and Sun S-C., (2007) Deubiquitinating Enzyme CYLD Regulates the Ubiquitin-Dependant Kinase Tak1 and Prevents Abnormal T-Cell Response. J. Exp. Med. 204 1475-1485.Wright A., Reiley W.R., Chang M., Jin W., Lee A.J., Zhang M., and Sun S-C, (2007) Regulation of Early Wave of Germ Cell Apoptosis and Spermatogenesis by Deubiquitinating Enzyme CYLD. Developmental Cell. 13(3):705-16

Page 30: Advances in Radiation Oncology and Cancer Imaging Symposium

Peer Mentoring Best Practices

• Collaborative Mentoring Groups– Academic Development Plans– Academic Writing Skills– Communication and Negotiation Skills

• Mentoring Skills Workshops– Communication and Coaching Skills

– Addressing Mentoring Dilemmas

30Niki Steckler, PhD

Page 31: Advances in Radiation Oncology and Cancer Imaging Symposium

Best Practices for Mentors

• Communicate explicitly what works for you and why• Encourage mentee to develop a

repertoire of role models• Provide emotional and practical

support to mentee in difficult moments

31Niki Steckler, PhD

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Best Practices for Mentees

• Build your own personal “coaching staff”

• Cultivate awareness of what you have to give back in a mentoring relationship

• Be a mentor to others

32Niki Steckler, PhD

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“Ecologists tell us that a tree planted in a clearing

of an old forest will grow more successfully than one planted in an open field. The reason, it seems, is that the roots of the forest tree are able to follow the intricate pathways created by former trees and thus imbed themselves more deeply. Indeed, over time, the roots of many trees actually graft themselves to one another, creating an interdependent mat of life hidden beneath the earth. This literally enables stronger trees to share resources with the weaker so that the whole forest becomes healthier. Similarly, human beings thrive best when we grow in the presence of those who have gone before.

Parks Daloz (2000)

34

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