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Chartrounds A Solution for Remote Peer Review and Education

Chartrounds is a virtual meeting website that aims to improve the quality of radiation oncology globally through remote peer review and education. It provides a platform for physicians to discuss and review cases, treatment plans, contouring, and technical delivery of radiation treatments. Membership is free and sessions cover various disease sites and topics. Physician feedback has resulted in specific changes in clinical management and technical delivery of radiation. Chartrounds has expanded to include dedicated international sites in India, Africa, Latin America, and China.

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Chartrounds A Solution for Remote Peer Review and Education

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  1. Chartrounds A Solution for Remote Peer Review and Education To Improve the Quality of Radiation Medicine Globally Patricia Hardenbergh, MD And Surbhi Grover, MD

  2. 2010: Purpose: Improve the quality of Radiation Oncology in the US

  3. Chartrounds.com • Virtual Meeting Websiteto review cases • 2010 - Breast Cancer, • 2012 -10 other disease sites • 2013 - Medical Physicis • 2017 – International Effort begins with India • Membership is free • Expert Faculty - host on a volunteer basis

  4. What do they discuss? • Formal case presentations • Review of images of diagnosis • Treatment management intent • Radiation treatment plans • Contouring • RT dose, chemo, surgery • Machines, technology • Expert host recent oral presentation on any topic • Recent journal publications

  5. Physician Feedback after Chartrounds Sessions Scale of 1-5 (negative-positive) n= 3996 67% response rate

  6. Result: Specific RT changes: • Clinical Management : …………………40% • ( Use of induction chemo, or hormone manipulation, review pathology, margin status, management of toxicities) • Technical Delivery of RT : …...................33% • Dose: 10% (lymphoma) • Fields: 13% ( H&N) • Target or Normal Tissue Constraints: 10% • (GYN) • Selection of Patients for RT………………10% • (Breast) • No change: ……………………………….....17%

  7. Chartrounds Global Initiative • Chartrounds sites for 4 global regions (to start):- Chartrounds India- Chartrounds Africa- Chartrounds Latin America- Chartrounds China • Chartrounds India was the first dedicated international site to launch in June 2017.

  8. Ony Balagun Surbhi Grover 9 sessions to date 1 /month Attendance low Afr.chartrounds.com

  9. Acknowledgments Chartrounds US Andy Ball Brigitta Gehl Beth Nestlerode Chartrounds Africa Onyinye Balogun Surbhi GroverAORTIC Chartrounds India Tyler Robins Umesh Mahantshetty Surbhi Grover Vijay Anand Reddy Kausik Bhattacharya Akila Viswanathan Indranil Mallick Supriya Sastri (Chopra) Onita Bhattasali AROI Chartrounds Latin America Alessandra AmadeoBeatriz Amendola Chartrounds China Spring Kong SANTRO

  10. Chartrounds.com Patriciah@chartounds.com

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