Physician Shadowing Application

- OCTOBER 28, 2022
Lawson Cancer Center Features On-Site, Dedicated Oncology Pharmacy
Patients who are treated either as an inpatient or in the outpatient clinic setting at the Lawson Cancer Center at Pikeville Medical Center can rest assured knowing their complex chemotherapy medications are prepared in an exclusive on-site oncology pharmacy. Having an oncology pharmacy within the facility dedicated solely to mixing and preparing chemotherapy for all
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- OCTOBER 25, 2022
The Importance of Cancer Screenings
Screening for cancer can save lives. Cancer screenings are conducted in attempts to find cancer at early stages, oftentimes before symptoms are prevalent. It is important to speak to a primary care physician about which tests are needed and at what age. Primary care doctors can also discuss risk factors, such as family history and
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- OCTOBER 21, 2022
Clinical Trials and a Team Approach
The Lawson Cancer Center at Pikeville Medical Center has various multidisciplinary teams to evaluate and treat its patients. All Lawson Cancer Center staff—from nurses and patient navigators to specialty physicians—work together with each patient to develop an individualized treatment plan. “At PMC, we have many subspecialists in oncology,” said PMC Hematologist/Oncologist Dr. Dinali. “Our medical
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- OCTOBER 14, 2022
Lawson Cancer Center Offers Comprehensive Cancer Care
Patients who are facing a cancer diagnosis can find advanced, comprehensive and compassionate care at the Lawson Cancer Center (LCC) at Pikeville Medical Center. Due to high rates of many types of cancer in the Appalachian region, it is vital that patients have access to quality cancer care close to home, and by specialists they
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First Name:
Middle Name:
Last Name:
Are you 16 or older?	Yes No
Date of Birth:
Home #:
Cell #:
Email Address:
Present Address:
SSN:
Timeframe of shadowing request:
Emergency Contact:
Name:
Phone #:
I represent and warrant that I am not now nor have I ever been (i) listed by an agency or entity as excluded, debarred, suspended, or otherwise ineligible to participate in any federal, state, or private health care benefit program; (ii) listed as an excluded party by the U.S. Department of Health and Human Services or General Services Administration; (ii) been charged with, convicted of, pled guilty to, or entered a plea of non contendere (or any similar plea) with respect to any healthcare related offense; or (iv) been sanctioned for any form of healthcare fraud or abuse. I will notify Pikeville Medical Center immediately upon the commencement of any proceeding against me in which the outcome may be any of the above-described events. I further agree to execute any documentation necessary to comply with PMC’s vaccination policy, including any authorizations to release my protected health information or otherwise apply for an appropriate exemption. I agree that before I can be accepted as a physician shadow I must comply with PMC’s vaccination policy and failure to comply may lead to me not being accepted as a physician shadow or being dismissed as a physician shadow. I hereby attest that all of the foregoing information is true and correct. I authorize Pikeville Medical Center to obtain such background and personal reports as are deemed necessary to verify that the information I have supplied is true and accurate. A copy of this authorization is valid as the original.
Participant Signature:
Date:
If younger than 18 years of age, please have a Parent/Legal Guardian read and sign the following: I hereby attest that I am the Parent/Legal Guardian of the Applicant and that all of the foregoing information is true and correct. I authorize Pikeville Medical Center to obtain such background and personal reports regarding the Applicant as are deemed necessary to verify that the information I have supplied is true and accurate. A copy of this authorization is valid as the original.
Parent/Legal Guardian Signature:
Date:

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Lawson Cancer Center Features On-Site, Dedicated Oncology Pharmacy

The Importance of Cancer Screenings

Clinical Trials and a Team Approach

Lawson Cancer Center Offers Comprehensive Cancer Care

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