Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

New MOC pathway developed by ABIM, ASCO

Alternative to focus on oncology expertise

Key clinical point: The American Board of Internal Medicine and the American Society of Clinical Oncology are collaborating on a new pathway that will offer oncologists some additional flexibility in how they maintain board certification.

Major finding: Starting in 2020, oncologists can either continue to pursue the current maintenance of certification process through the ABIM or take a shorter, oncology-focus assessment developed collaboratively by ABIM and ASCO every 2 years.

Study details: The new 2-year option developed by the two groups will replace ABIM’s planned 2-year Knowledge Check-In in Medical Oncology that was scheduled to begin in 2020. ASCO membership is not required to follow the 2-year assessment pathway.

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This Week's Must Reads

Perioperative radiation therapy underused in elderly patients with soft tissue sarcomas, Venigalla S et al. Intl J Rad Oncology*Biology*Physics; September (102) 2018: 155-165. https://doi.org/10.1016/j.ijrobp.2018.05.019

Age, R0 resection, and adjuvant radiotherapy boost outcomes in myxofibrosarcoma, Boughzala-Bennadji R et al. Intl J Rad Oncology*Biology*Physics; October (102) 2018: 399-406. https://doi.org/10.1016/j.ijrobp.2018.05.055

Tumor size, invasion beyond subcutaneous fat predict adverse outcomes in undifferentiated pleomorphic sarcoma, Winchester D et al. J Am Acad Dermatol. Available online 19 May 2018 https://doi.org/10.1016/j.jaad.2018.05.022

High recurrence rate after pancreaticoduodenectomy for primary retroperitoneal sarcoma, Tseng W et al. European Journal of Surgical Oncology 2018 (44): June; 810-815.

Nivolumab, pembrolizumab successfully used in Kaposi sarcoma, Galanina et al. Cancer Immunol Res. 2018 Sept 7. doi: 10.1158/2326-6066.CIR-18-0121.

Must Reads in Practice Management

Feds move to streamline oversight of gene therapy, Collins FS and Gottlieb S. N Engl J Med. doi: 10.1056/NEJMp1810628

Better access means better survival for rural cancer patients, Unger JM et al. JAMA Network Open. 2018;1(4):e181235. doi: 10.1001/jamanetworkopen.2018.1235

Financial disclosures in oncology studies often incomplete, Wayant C et al. JAMA Oncol. 2018 Aug 30. doi: 10.1001/jamaoncol.2018.3738

Medicare ACO savings still possible without imposing penalties, McWilliams JM et al. N Engl J Med. doi: 10.1056/NEJMsa1803388

Burnout linked to lower quality patient care, Panagioti M et al. JAMA Intern Med. 2018 Sept 4. doi: 10.1001/jamainternmed.2018.3713.