Ask, Escucha, Acknowledge, and Decide

The coinvestigator is right to voice their opinion.1Yom SS Thomas H To trial or not — Is that the question?.Int J Radiat Oncol Biol Phys. 2023; 116: 12-13Abstract Full Text PDF Scopus (2) Google Scholar Good multidisciplinary teams should acknowledge dissenting views and discuss both anticipated unforeseen pitfalls in patient care. However, coinvestigator's concerns preclude gentleman from inclusion. We would first address trepidation about informed consent. use a qualified medical interpreter, preferably of same nationality as patient, center ensure no treatment discussions are unclear. Additionally, we must understand patients’ culture experiences can influence individual reactions life-threatening illness. Therefore, universally seek understanding other cultures better comprehend responses. Regarding participation, American Society for Radiation Oncology has emphasized need improve diversity trials.2ASTRO. ASTRO continues push diversify clinical trials bridge disparities. Available at: https://www.astro.org/News-and-Publications/What-is-Happening-in-Washington/2022/PDUFA-Clinical-Trial-Diversity-Ltr. Accessed December 1, 2022.Google With an ever-diversifying population United States, our do adequately reflect national population. apply results broadly, continue enrollment, only racially but socioeconomically geographically. Doing so 0.1% oncology patients who represented trials.3Zaorsky NG Zhang Y Walter V Tchelebi LT Chinchilli VM Gusani NJ. Clinical accrual at initial course therapy cancer its impact on survival.J Natl Compr Canc Netw. 2019; 17: 1309-1316Crossref PubMed (25) Moreover, data Zaorsky et al suggest have improved overall survival.3Zaorsky It moral responsibility deliver equitable For this connect them with social workers help housing, health care, insurance application, transportation, mental and/or addiction services. In Pittsburgh, Birmingham Free Clinic, which enables homeless uninsured receive care free charge. Stable housing regular appointments quell compliance concerns.