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. 2017 Dec;6(4):503-511.
doi: 10.1089/jayao.2017.0051. Epub 2017 Aug 4.

Sink or Collaborate: How the Immersive Model Has Helped Address Typical Adolescent and Young Adult Barriers at a Single Institution and Kept the Adolescent and Young Adult Program Afloat

Damon R Reed  1   2   3 , Benjamin Oshrine  4 , Christie Pratt  1   2 , Olivia Fridgen  1 , Cathy Elstner  1   2 , Leila Wilson  1   2 , Hatem Soliman  5 , Marie C Lee  5 , Howard L McLeod  3 , Bijal Shah  6 , Kristine A Donovan  7 , Smitha Pabbathi  8 , Mary Turney  9 , Odion Binitie  1   2 , Christine Healy  9 , Michael Nieder  10 , Peter H Shaw  4 , Andrew Galligan  11 , G Douglas Letson  2 , Marilyn Stern  12   13 , Gwendolyn P Quinn  1   13 , Simon Davies  14
Affiliations

Sink or Collaborate: How the Immersive Model Has Helped Address Typical Adolescent and Young Adult Barriers at a Single Institution and Kept the Adolescent and Young Adult Program Afloat

Damon R Reed et al. J Adolesc Young Adult Oncol. 2017 Dec.
No abstract available

Keywords: AYA oncology; AYA program; model; multidisciplinary collaboration; psychosocial.

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Conflict of interest statement

No competing financial interests exist.

Figures

<b>FIG. 1.</b>
FIG. 1.
AYA Program Organizational Chart: The AYA program incorporates many disciplines and areas of expertise together across traditional cancer center departments. AYA, adolescent and young adult.
<b>FIG. 2.</b>
FIG. 2.
Barrier 1: Turf War or Differences between Pediatric and Medical Oncology. (A) Approximate numbers of patients, staff, and clinical trial enrollments at MCC and an average pediatric oncology program. (B) Selected outcomes for all pediatric cancers and selected, advanced-stage, high-volume cancer diagnoses seem in the older population. MCC, Moffitt Cancer Center. Source: Surveillance, Epidemiology, and End Results (SEER) program (www.seer.cancer.gov). SEER*Stat Database: Incidence—SEER 18 Regs Research Data+Hurricane Katrina Impacted Louisiana Cases, Nov 2015 Sub (1973–2013 varying), National Cancer Institute, DCCPS, Surveillance Research Program, Surveillance Systems Branch, released April 2016, based on the November 2015 submission. Stage at Presentation: Distant
<b>FIG. 3.</b>
FIG. 3.
Barriers 2 and 3: Needed Resources and Communication. (A) Sources of philanthropic funds for MCC AYA program. Additional details about goals of gifts and projects supported in Table 1. (B) MCC Swim Across America AYA Lounge. (C) Patient responses on preferred method of contact. Despite a majority indicating email as the preferred method, (D) opened rates of email remain suboptimal and consistent across serial emails announcing educational or social events.
<b>FIG. 4.</b>
FIG. 4.
Barrier 4: AYA Value. (A) An effort to bring AYA-specific aspects of care to community physician groups is our AYA magnet, which also includes referral information. (B) MCC's ongoing banking efforts have over 1000 tumor samples in AYA patients aged 18–39 and more available normal tissue samples. (C) Attendance ranges at recent events.
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