14 min listen
Ep. 221 Building a Musculoskeletal Interventional Oncology Service with Dr. Alan Sag
Ep. 221 Building a Musculoskeletal Interventional Oncology Service with Dr. Alan Sag
ratings:
Length:
55 minutes
Released:
Jul 1, 2022
Format:
Podcast episode
Description
Dr. Jacob Fleming talks with Dr. Alan Alper Sag about building a musculoskeletal (MSK) interventions practice at Duke University Medical Center, collaborating with other specialists, and future predictions for MSK IR.
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/o00BlF
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SHOW NOTES
In this episode, our host Dr. Jacob Fleming interviews Dr. Alan Sag about building a musculoskeletal (MSK) interventions practice at Duke University Medical Center, collaborating with other specialists, and future predictions for MSK IR.
Dr. Sag starts the episode by sharing his unique experience abroad. His first job was centered around helping to build an IR practice at a teaching hospital in Istanbul. This process helped him discover that the key to practice building was forming foundational cross-specialty relationships. These eventually led to more patient referrals and a higher level of care coordination.
When he transitioned to an academic position, Dr. Sag first saw an unmet need in bone cryoablation. He recognized that IR procedures could be powerful alternatives to opioid escalation. A key turning point for his department came when a local TV station covered one of his patient’s stories, and he saw a large increase in referrals. Dr. Sag emphasizes that it was important to ensure that the practice was set up with enough resources to accomodate a large volume of patients. Additionally, it was crucial to recognize when to say “no” to patients when a procedure was contraindicated for them. This patient-first approach also showed referring doctors that he was independently and objectively assessing patients, which helps with trust-building.
As we move onto discussing multidisciplinary care, Dr. Sag says that learning another specialty’s vocabulary can greatly enhance your communication and show your desire to collaborate. He encourages IRs to be flexible and learn which conditions are important to the referring doctors. When working with anesthesiology and PM&R, IRs can offer their services to enhance their pain palliation efforts. When working with oncologists, this pain palliation can allow cancer patients to continue participating in clinical trials.
Finally, we discuss the next frontiers of MSK interventions. Dr Sag is excited by the prospect of standardization of MSK training, internally cemented screws, and vertebral body stents.
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RESOURCES
Dr. Alan Sag Twitter:
https://twitter.com/AlanAlperMD?s=20&t=8RGQsroHPZ9Vyc-0lpkiVQ
Bone Cryoablation Media Coverage:
https://www.wral.com/komen-s-kohl-tries-tumor-freezing-therapy-in-ongoing-cancer-fight/18974441/
Duke Center for Brain & Spine Metastasis:
http://dukecancerinstitute.org/DCBSM
SpineJack System:
https://strykerivs.com/products/families/spinejack-system
Society of Interventional Oncology (SIO):
http://www.sio-central.org/
SIO’s “Language of Oncology” Course:
http://www.sio-central.org/p/cm/ld/fid=385
Visible Body Anatomy Atlas:
https://www.visiblebody.com/anatomy-and-physiology-apps/human-anatomy-atlas
e-Anatomy Atlas:
https://www.imaios.com/en/e-Anatomy
Ep. 199- Advanced Minimally Invasive Pain Interventions:
https://www.backtable.com/shows/vi/podcasts/199/advanced-minimally-invasive-pain-interventions
The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/o00BlF
---
CHECK OUT OUR SPONSOR
RADPAD® Radiation Protection
https://www.radpad.com/
---
SHOW NOTES
In this episode, our host Dr. Jacob Fleming interviews Dr. Alan Sag about building a musculoskeletal (MSK) interventions practice at Duke University Medical Center, collaborating with other specialists, and future predictions for MSK IR.
Dr. Sag starts the episode by sharing his unique experience abroad. His first job was centered around helping to build an IR practice at a teaching hospital in Istanbul. This process helped him discover that the key to practice building was forming foundational cross-specialty relationships. These eventually led to more patient referrals and a higher level of care coordination.
When he transitioned to an academic position, Dr. Sag first saw an unmet need in bone cryoablation. He recognized that IR procedures could be powerful alternatives to opioid escalation. A key turning point for his department came when a local TV station covered one of his patient’s stories, and he saw a large increase in referrals. Dr. Sag emphasizes that it was important to ensure that the practice was set up with enough resources to accomodate a large volume of patients. Additionally, it was crucial to recognize when to say “no” to patients when a procedure was contraindicated for them. This patient-first approach also showed referring doctors that he was independently and objectively assessing patients, which helps with trust-building.
As we move onto discussing multidisciplinary care, Dr. Sag says that learning another specialty’s vocabulary can greatly enhance your communication and show your desire to collaborate. He encourages IRs to be flexible and learn which conditions are important to the referring doctors. When working with anesthesiology and PM&R, IRs can offer their services to enhance their pain palliation efforts. When working with oncologists, this pain palliation can allow cancer patients to continue participating in clinical trials.
Finally, we discuss the next frontiers of MSK interventions. Dr Sag is excited by the prospect of standardization of MSK training, internally cemented screws, and vertebral body stents.
---
RESOURCES
Dr. Alan Sag Twitter:
https://twitter.com/AlanAlperMD?s=20&t=8RGQsroHPZ9Vyc-0lpkiVQ
Bone Cryoablation Media Coverage:
https://www.wral.com/komen-s-kohl-tries-tumor-freezing-therapy-in-ongoing-cancer-fight/18974441/
Duke Center for Brain & Spine Metastasis:
http://dukecancerinstitute.org/DCBSM
SpineJack System:
https://strykerivs.com/products/families/spinejack-system
Society of Interventional Oncology (SIO):
http://www.sio-central.org/
SIO’s “Language of Oncology” Course:
http://www.sio-central.org/p/cm/ld/fid=385
Visible Body Anatomy Atlas:
https://www.visiblebody.com/anatomy-and-physiology-apps/human-anatomy-atlas
e-Anatomy Atlas:
https://www.imaios.com/en/e-Anatomy
Ep. 199- Advanced Minimally Invasive Pain Interventions:
https://www.backtable.com/shows/vi/podcasts/199/advanced-minimally-invasive-pain-interventions
Released:
Jul 1, 2022
Format:
Podcast episode
Titles in the series (100)
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