Interview with BC Cancer Agency's vice-president of Research
Dr. Connie Eaves, director of the BC Cancer Agency’s Terry Fox Laboratory formally stepped into the role of vice-president, Research, in February. We sat down with Connie to get her thoughts on her expanded role, and the future of research at the BC Cancer Agency.
You have had an exemplary career as a scientist - why at this time did you decide to take on this portfolio?
There was a sense from the organization that an internal candidate could help the evolution of research, with the support of the BC Cancer Agency leadership. There is a lot of confidence that the Agency has enormous resources and potential, which might be coalesced into something much better than what we have now if appropriately nurtured and stimulated. There was an unprecedented opportunity to stop and look around, see who we are, what bridges could be built to strengthen the pillars of research that had already been developed but not linked together. I feel if we do it right, we can bring research across the Agency to a whole new level.
How has the transition into the role of VP been for you?
It’s been interesting. Initially, I didn’t anticipate the concentration of time and effort that would be required. When I began meeting with senior leaders across the Agency, I found out about research activities that I wasn’t even aware of. But everywhere, I met enthusiasm – which is very encouraging – and reinforced my sense that we need to develop new structures that will bring people from different disciplines together to realize a broad-based research vision with strategic directions and priorities. When there’s not a big pot of money to spend, people are often more amenable to thinking about bigger objectives and coming up with new ways of obtaining them.
What are you enjoying most about the role of VP?
I like to help build teams that can achieve more than what the individuals thought they could do on their own. I can see people coalescing into that mode even when they don’t know how hard it will be. Often, in the process, this means learning a lot about how to deliver and embrace constructive criticism. If a group can get through such a process successfully, it develops bonds akin to those that tie families and communities together. The members become familiar with each others’ strengths and weaknesses; they learn how to complement each other and function as a real team. I think I’ve also enjoyed the realization of how powerful a provincial cancer control program under one umbrella can be – few places have this potential on the scale that exists here in B.C.
You have a long history at the BC Cancer Agency – how have you seen research change in this time?
When I started, a lot of the research was of the type we now refer to as ‘wet’ lab research – focused on understanding the workings of cells and tissues. The tools of genomics were not even available then, population-based medical research was in its infancy, there was no internet, and computers were not yet an integral part of biological research or even communication. Now, one talks instantly with colleagues around the globe and the dimensionality of research has changed to include many new areas. Science is a self-evolving enterprise – as more people bridge more areas, new ways of thinking about problems and their solutions emerge.
What are some of your key priorities for the coming year?
We need to establish a business plan for research at the BC Cancer Agency that includes identifying what the key goals are for each area of scientific activity, what resources we now have, what space and equipment and new resources we need, and start positioning ourselves to be ready for every opportunity that we can see coming or even stimulate. I’m hoping we can set up a broad-based research advisory group in the next couple of months that will have this role as a major task. This will help to develop the guidance that the BC Cancer Foundation is seeking and provide a new opportunity to create a joint approach to delineating the strategic research priorities of the Agency.
What excites you most about the possibilities of your portfolio?
We are at a very unique moment in the history of biomedical science and in the history of research development at the Agency. To help transition to the next level is very exciting. No one person can do this. Knowing that my own background is not all-encompassing means I will have to generate support and trust in others to achieve the success we all want in embarking on a cancer research program that has a more translational framework. This means eliciting enthusiasm and support for something that everyone feels is more powerful than what we have had before. I can’t ask for anything more exciting than that.
Advancing Strategic Direction #2
Establish the knowledge generation and application model within the provincial cancer control platform.
Accreditation Update
In the last issue, we focused on the first two key areas of Accreditation: Population Oncology and Worklife/Workforce balance. In this issue, we introduce Infection, Prevention and Control, and Culture of Safety.
Key Area: Culture of Safety
On-line system for reporting unusual occurrences and critical incidents
What may a surveyor ask you about our Culture of Safety?
A patient receives the wrong medication or treatment. What steps would you take to report that occurrence to the appropriate individuals in the organization?
Adverse events in hospitals affect 185,000 Canadians each year – with roughly about 40 percent of those being preventable. In 2008, the BC Cancer Agency implemented the BC Patient Safety Learning System (PSLS) – an electronic, web-based system for reporting patient safety events at the Vancouver and Vancouver Island Centres and the Centre for the Southern Interior. This month, PSLS will go live at the Abbotsford and Fraser Valley Centres.
Countdown: two months until visit by Accreditation Canada Surveyors to BC Cancer Agency centres.
More than 680 staff completed our Accreditation survey. The response combined with your questions indicates that you are interested in learning more about the Accreditation process. We’ll be providing answers to the questions you asked us most often through the survey in our next issue. In the meantime, the Accreditation Steering Committee and your managers will be doing their best to answer your questions.
Congratulations to Rachelle Sankey, Systemic Therapy, Vancouver Island Centre, and Mayo Fung, Pharmacy, Vancouver Centre, winners of the gift certificates to Cactus Club Cafe.
Many of you wanted to know the correct answers to the questions (for survey results click here), and where to find more information (h:drive at H:\everyone\Accreditation 2009). Your manager will be receiving updates monthly on each of the six key areas, and reviewing the information with you:
• Population Oncology
• Worklife/Workforce
• Culture of Safety
• Infection Prevention and Control
• Communication
• Medication Management
In the next issue, we'll focus on medication management and communication.The BC PSLS replaces our existing unusual occurrence, critical incident and radiation therapy variance forms, and provides staff with a simple, efficient way to report these events and receive feedback. It also gives managers an effective tool to investigate events and access relevant information that can be used to improve patient safety.
Four standard electronic forms will be used across the Agency’s five regional centres to report on:
- a patient safety event
- a hazard
- a visitor event
- a threat to security/property
Forms can be accessed by simply typing PSLS in your web browser.
“In the past, staff would complete a paper form and that would be sent to the manager, who would then copy and forward it to the administrator and director of quality,” says Amin Maherali, a radiation therapist and a trainer on PSLS. “It was a slow and cumbersome process, and it was more difficult to see trends and similarities with the paper-based system.”
Mandeep Bains, a pharmacist with the Vancouver Centre, likes the paperless system. “I’m on the computer all the time, so it’s a lot more convenient for me to bring up the electronic form, rather than to have to go searching for it after a shift or on my break. And, I like the fact that once I submit the form on-line, I don’t have to worry about it getting to the right people for follow-up.”
“As an organization, we are committed to providing a culture of safety for our patients and staff, so they feel comfortable in reporting adverse events, and they know their feedback is valued,” says Arlyn Heywood, a nurse educator and a PSLS trainer.
“The type of information collected, and the way in which it is collected, takes it away from a blame and person focused investigation to a systems approach," says Arlyn. "The goal is to quickly identify a problem, or an emerging issue, and make improvements for the safety of patients and staff.”
Infection Prevention and Control
Hand washing critical to reducing spread of infection
What may a surveyor ask you about Infection Prevention and Control?
Proper hand hygiene is well-documented as the best way to prevent health care related infections. However, studies show that less than 40 percent of staff in Canadian health care facilities maintain proper hand hygiene.
Stop the Spread, a new campaign rolled out at the Vancouver Centre last month, will be implemented in the next few weeks in Fraser Valley (April), Abbotsford (May), Victoria (May), and Kelowna (June). It is meant to remind all staff of the importance of cleaning their hands.
While it’s not always possible to get to a sink to wash your hands with soap and water, wall-mounted microsan dispensers located in convenient areas at each of the centres are a great alternative for busy staff.
“Washing your hands is one of the easiest and cheapest ways to prevent the spread of infection between patients,” says Alison Chant, Infection Control. “Hand washing each time you move from patient to patient should become a habit for all staff.”
For Russell Tenborg, a respiratory therapist at the BC Cancer Agency’s Vancouver Centre, handwashing is a no brainer. “It’s such a simple thing, but it’s something everyone can do and it makes a big difference in the lives of our patients.”
“Everything I Needed to Learn, I Learned in Kindergarten, is a great book,” says Russell. “We learn how to wash our hands when we’re young, but as adults, we sometimes forget how important it is.”
Russell sees 20 to 30 patients daily in the course of a day, “If you can’t wash your hands with soap and water, the gel dispensers are there and you can give yourself a quick squirt and you’re on your way.”
“You need to be the change you want to see, so if you wash your hands frequently, you can influence others around you to do the same.”
Ann Hulstyn, a nurse in the Vancouver Centre’s ACU, sees upwards of 20 patients in clinic. “Education is so important, which is why I support this campaign. We wouldn’t accept someone in a restaurant making a sandwich, taking the cash at the register, and then going back to make another sandwich without washing their hands, so why would it be acceptable for a healthcare worker to go from patient to patient without washing their hands?”
“It’s so easy to find a sink or a wall-mounted dispenser. Dispensers are all around the building. I really like the new foam product, it’s lighter and easer to work with.”
For more information about the campaign, please contact Infection Control at your centre:
Alison Chant, VC and FVC, local 2384, achant@bccancer.bc.ca
Laurel Nicholson, AC, local 645334, lanichol@bccancer.bc.ca
Nicki Gill, CSI, cell 250-215-0714, nicki.gill@interiorhealth.ca
Eleanor Raynor, VIC, erayner@bccancer.bc.ca or via Anne Burgess, aburgess@bccancer.bc.ca
Advancing Strategic Direction #1
Sustain and advance the BC Cancer Agency's system of cancer control.
BC Cancer Agency hosts CAPO Conference in Vancouver
The theme of this year’s Canadian Association of Psychosocial Oncology (CAPO) conference, to be held in Vancouver, is Survivorship: Transitions and Transformations.
In recent years, cancer survivorship has gathered greater attention from both researchers and patients.
“Cancer care is not just about diagnosis and medical treatment,” says Gina MacKenzie, CAPO Conference Co-Chair, and Professional Practice Leader, Patient Family Counselling. “From the day you are diagnosed, and sometimes even before, it affects every aspect of your life. So it is important that we take a whole-person approach and address the full range of human needs for our patients and their families.”
Participants will have four streams – research, clinical practice, rehabilitation, and pediatric oncology – and a variety of topics to choose from.
“It is so rewarding to see the conference finally come together,” says Maureen Parkinson, CAPO Conference Co-Chair, Vocational Rehabilitation Counselor, Patient and Family Counselling. “We have received a record number of abstract submissions, and a phenomenal amount of interest nationally. By virtue of it being held in Vancouver, we are also seeing an increased regional presence.”
In addition to the conference, there will be a public forum on Wednesday April 1 at 7 p.m. This year’s speaker is Dr. Julia Rowland, Director, Office of Cancer Survivorship, National Cancer Institute, Maryland, USA. “Julia is going to speak about leading edge practice in the U.S. Her breadth and depth of knowledge on survivorship research and care is, I would say, unmatched. We are extremely pleased to have her address the public forum, and as a keynote speaker for the conference,” says Maureen.
Along with Dr. Rowland, four other world leaders on psychosocial oncology and cancer – Dr. David Kissane, Dr. Kerry Courneya, Dr. Burke Johnson, and Dr. Joanna Breyer – will deliver presentations during the four-day conference. For program details, please visit
www.capo.ca “Our program at the BC Cancer Agency is among the earliest to address the psychological and emotional needs of cancer patients,” adds Maureen. “So this conference is an opportunity for us to showcase our work and share our knowledge with our colleagues.” The agency’s clinicians and researchers will contribute a total of 15 presentations and three posters during the CAPO conference, which will begin on April 1st, at Marriot Vancouver Pinnacle.
For more information, please contact the conference co-chairs: Gina MacKenzie,
gmackenzie@bccancer.bc.ca, or Maureen Parkinson,
mparkinson@bccancer.bc.ca Advancing Strategic Direction #3
Support regional centres, regions, and communities with the implementation of provincial cancer programs and the integration of knowledge.
New clinical trial for Oral Oncology
The BC Cancer Agency’s Program in Oral Oncology/Dentistry has recently launched a study to evaluate a new diagnostic test for oral cancer. If clinically validated, this new test may help in the early detection of oral cancer.
Developed by Perceptronix Medical Inc., the test assesses quantitative DNA changes in oral epithelial cells through a computerized imaging process. Cancer is associated with changes in the DNA profile of cells; therefore, analyzing DNA content from a cell sample provides an opportunity to detect pre-cancerous and cancerous changes.
“Currently, the only way to assess a visually suspicious oral lesion is through a biopsy, which we know is rather invasive. This new test, on the other hand, is much less invasive,” explains Dr. Allan Hovan, the principle investigator of the study. “Dentists will simply brush the surface of the oral lesion to collect representative cells, and send them off to the lab for analysis. This process takes seconds only. Although the brush sample does not replace the biopsy as a diagnostic test, it gives the dentist a much better idea as to whether or not a biopsy is required.”
Drs. Hovan and Samson Ng (co-investigator of the study) hope to evaluate the effectiveness of this technology by enrolling patients who are scheduled for an oral biopsy. Perceptronix and the oral biopsy service at UBC will independently analyze the collected cell and tissue samples. Dr. Hovan and Dr. Ng will then compare the analyses from the two labs.
Many advances have been made in recent years against various forms of cancer. However, the mortality rate of oral cancer remains high. Studies have shown that, when detected early, the five-year survival rate of oral cancer patients is approximately 80 percent but, unfortunately only a minority of oral cancers are detected early.
“It is clear that early detection is the key. By putting clinical and technological emphasis on early detection we could significantly reduce the high mortality rate associated with oral cancer. The ease of application of this new method means that it could become part of the routine evaluation of any patient with a suspicious oral lesion,” adds Allan. “So we are eager to see the results.”
The Vancouver and Fraser Valley Centres will recruit 100 patients for this study. For more information, please contact Allan at ahovan@bccancer.bc.ca.
Advancing Strategic Direction #2
Establish the knowledge generation and application model within the provincial cancer control platform.
Agency Professional Education Day to be held during Prince George summit
Once every four years, the Canadian Association of Provincial Cancer Agencies (CAPCA) supports a national summit to address critical cancer control issues. The BC Cancer Agency is teaming up with host, Northern Health, in presenting the 7th National Summit on Community Cancer Control, June 11 to 13, 2009 in Prince George, B.C.
“We decided to postpone our own annual cancer conference this year, in order to support the national summit,” says Dr. Susan O’Reilly, vice-president, Cancer Care, BC Cancer Agency. "The meeting theme is Innovative & Workable Solutions for Rural & Remote Cancer Control Issues, and it is particularly relevant in B.C. since we are fully engaged in implementing the Northern Cancer Control Strategy, and in planning the opening of the new BC Cancer Agency Centre for the North in Prince George in 2012.”
“However, we also realized that our specialty groups, which usually hold their annual learning events at our conference, still require the opportunity to meet, so we have planned a BC Cancer Agency Professional Education Day to launch the three-day Summit on Thursday, June 11.”
Opening day will feature six discipline-specific sessions in support of the Summit theme. “Our Nursing, Nutrition, Oral Oncology, Pain and Symptom Management/Palliative Care and Psychosocial Oncology specialty groups will host valuable learning sessions that will be of interest not only to our provincial colleagues, but to all delegates attending the summit from across the country,” adds Dr. O’Reilly.
Dr. Ronald Chapman and his team at Northern Health have assembled an outstanding agenda for June 12 and 13 featuring six sub-themes with concurrent sessions presented by more than 70 dynamic presenters. Four marquee speakers include: Stephen Lewis, internationally respected humanitarian; Dr. Richard Heinzl, founder of Doctors Without Borders; Dr. Tony Fields, vice president, Alberta Cancer Board; and, Dr. Simon Sutcliffe, past president of the BC Cancer Agency.
Delegates will be able to visit the poster display, drop-in to the Internet lounge, enjoy special northern entertainment and hospitality, and qualify to win some terrific summit prizes.
Register before April 17 for early bird savings and to be entered in a draw to win a B.C. Travel Getaway! On-line registration is live at:
www.cancersummit.ca, where you will find all Summit details.
Advancing Strategic Direction #1
Sustain and advance the BC Cancer Agency's system of cancer control.
Olwen Demidoff: career marked by laser-beam focus
When Olwen Demidoff joined the BC Cancer Agency in March of 1972 fresh from Manchester, England, it was as holiday relief for six months in the Vancouver Centre’s radiation therapy department. Six-months led to two years, and two years morphed into a stellar 37 year career, which ends this April.
“In those days they only hired nurses who were trained to deliver radiation therapy,” says Olwen. “I was the first full-time, non-RN hired as a radiation therapist in 1974.”
Even though she didn’t have the typical credentials, she quickly earned the respect of staff working as a Manager of Radiation Therapy in Vancouver before moving to the Fraser Valley in 1997 to take on the role of Process Leader for Radiation Therapy.
“As a director, Olwen recognized that it is a team of many people who treat and care for patients – from Agency staff to volunteers to community caregivers – and she valued them all for the part they played in a patient’s care,” says Anne Burgess, director of Regional Operations and a friend for more than 30 years. “I admire her commitment to her staff and the Agency. It has never wavered in more than 35 years and through many, many changes.”
Olwen says she is proud of her role in mentoring new staff and seeing them grow, and supporting the implementation of new technology in radiation therapy over the years. “When I first arrived in Vancouver, the centre was using only Cobalt machines and all the calculations were done by hand. In my previous position I had worked with linear accelerators, so I could see the huge improvements that could be gained in Vancouver.”
One of her proudest accomplishments was the opening of the Abbotsford Centre in August 2008. “It was very satisfying to see a new centre, integrated within a new hospital, open for the first time in the province,” says Olwen. “It was a different model than with previous centres, so we were diving into new territory, but we collaborated well with the hospital to ensure that the needs of our patients were met.”
“Olwen was an essential member of the Abbotsford Core Team,” says Mary Flaherty, director of Clinical Operations, Systemic Therapy, for the Abbotsford and Fraser Valley Centres.
“Her extensive knowledge of construction and design – she is remarkable at reading plans and visualizing the finished product – combined with her knowledge of clinical programs were invaluable to the team as we made decisions about procurement of equipment and supplies; building design; and work processes.”
“Olwen also has a great sense of humour and a few chuckles at the end of a long day helped to keep us on track, despite the challenges of such a large project,” says Mary.
However, a number of personal projects suffered while Olwen logged in long hours towards the countdown of the Abbotsford Centre, which she’s relishing getting a start on when she retires. “We moved into a new home last year, and there are still boxes to unpack, and the garden needs tending to,” says Olwen. And, of course, you’ll find this avid golfer on the links in between house projects.
imPROVE: streamlining HR processes for employee hires
Hiring a new employee sounds relatively easy enough: find the person with the right blend of skills, make the job offer, and negotiate a start date. But, there’s a lot of work that happens behind the scenes by Human Resources with the support of IM/IT, Protection Services and Finance to make a new employee’s transition into an organization as seamless as possible.
In an effort to make the hiring process more efficient and satisfying for Agency managers and new hires, PHSA’s corporate HR services, as part of imPROVE, is evaluating all the steps in the hiring process.
As a first step, in February HR reviewed the decision-making tools used by HR associates to compile the hiring package sent to a new employee. Previously, there were instances where the new hire’s benefit package was incomplete or contained the wrong forms, or their payroll and benefits profiles were not set-up when the new hire arrived for their first day of work. As an outcome of the recent imPROVE event, HR associates now use a two-page checklist to make it easier and more straightforward to put together the right package for new hires.
Managers who didn’t hire frequently and weren’t familiar with all the forms, were inadvertently leaving out necessary information, necessitating follow-up by HR staff. With changes to the HR hiring e-form, managers can no longer submit incomplete forms, thereby ensuring that packages are mailed to new employees promptly.
Additionally, it was taking an average of 32 days for new hires to complete the forms and to get them back to HR, delaying the processing of benefit enrollments. HR conducted a survey of new hires to determine what barriers they encountered.
As a result, HR revised forms to make them easier to understand, and included an employee checklist on what they need to return immediately to start benefit coverage.
Lorna Roe, director, Operations, Systemic Therapy for the BC Cancer Agency's Vancouver Centre, provided feedback to HR from a user perspective. “The process was challenging from the manager’s, HR, and new employee perspective,” says Lorna. “Hopefully, the changes implemented due to the imPROVE event will decrease the turn-around time to hire a new employee, and employees will feel positive about the hiring process and joining the organization.”
Next, the HR imPROVE team will look at what a manager needs in order to get a new employee ready for their first day of work. For instance, on day one does the employee have an e-mail account, network access, and a security/ID badge? The focus will be on the POD and ensuring that the hiring manager has the necessary tools in a centralized location.
“It’s about making sure an employee has all the tools they need to do their job from the get go,” says Lorna, “So they’re not wasting time with administrative tasks that can and should be done before they get here.”
Advancing Strategic Direction #4
Ensure we have the resources to achieve maximal organizational effectiveness.
Step up to the bigger, better Weekend to End Breast Cancer!
Make this your year to walk in the BC Cancer Foundation’s Weekend to End Breast Cancer on August 15th and 16th.
One of B.C.’s most successful breast cancer fundraisers, the event has raised more than $15 million over the last five years for BC Cancer Agency breast cancer research and programs across the province.
And this year’s Weekend is bigger and better than ever. Here’s why:
You can now pledge the funds you raise to ovarian, cervical or uterine cancers, as well as to breast cancer. Research suggests that there are links between breast and the other female cancers. You can help raise awareness and support for research into these underfunded gynecological cancers.
You can walk either 30 kms on the Saturday or the full two-day 60 kms, so even if you can’t dedicate your entire weekend, you can still make a difference.
“The Weekend has been so successful, we want to provide the opportunity for more of you to participate and make an even bigger impact and affect more lives,” says Nick Locke, the Foundation’s senior vice-president of Development, who is walking for the sixth time this year.
Sign up today and join your colleagues on one of the four Agency teams at www.endcancer.ca or by calling 604.684.WALK (9255).
Coming soon to your mailbox … The latest edition of the BC Cancer Foundation’s donor magazine Progress will be hitting Agency brochure stands and your mailboxes later this month. Watch for articles that highlight the amazing work you and your colleagues do at the BC Cancer Agency. Look for stories on the Agency’s Genome Sciences Centre; the first in a series on cancer prevention by Dr. David McLean and exciting news about the new Breast Health Service at the Agency’s Fraser Valley Centre. You can also read Progress online at www.bccancerfoundation.com. Contact the BC Cancer Foundation:Provincial Office:
604.877.6040
infobccf@bccancer.bc.ca
Abbotsford:
Liz Harris
604.851.4736
lharris3@bccancer.bc.ca
Fraser Valley:
Kate Ludlam
604.930.4083
kludlam@bccancer.bc.ca
Southern Interior:
Cynthia Waldek-Peters
250.712.3910
cwaldekpeters@bccancer.bc.ca
Vancouver Island:
Laura Walsh
250.519.5554
lwalsh@bccancer.bc.ca
Vancouver:
Sharon Kennedy
604.877.6040
skennedy@bccancer.bc.ca
Advancing Strategic Direction #4
Ensure we have the resources to achieve maximal organizational effectiveness.
Newsmakers
Johanna Schuetz, a graduate student with the Genome Sciences Centre, received the 2009 Lionel E. McLeod Health Research Scholarship. Johanna's research is on the genetics of susceptibility to non-Hodgkin lymphoma. The scholarship, funded by the Alberta Heritage Foundation for Medical Research, is given to outstanding students from universities in B.C. and Alberta who demonstrate promise in human health research. The award provides $21,500 to support the recipient's studies.
Dr. Mario de Lemos, a pharmacist with the Systemic Therapy Program, was the recipient of the Canadian Society of Hospital Pharmacists 2008/2009 Award for Safe Medication Practices Award, presented in Toronto this February for the BC Cancer Agency pharmacy project Improving Risk Management with the Development of a Best Evidence-Based Provincial Chemotherapy Preparation and Stability Chart in British Columbia. Introduced in 2006, the chart provides the standard of practice for chemotherapy preparation for all the regional centres, as well as a fully referenced resource for the community cancer centres. To date, the chart has been adopted by nearly 90 percent of all centres involved in delivering chemotherapy in B.C.
The Agency-wide project was the collaborative result of work by many pharmacy staff across the regional centres, including: Vancouver Centre – Linda Hamata, Dennis Jang, James Conklin, Barbara Hsia, Lynne Nakashima; Fraser Valley Centre – Robert Bingham; Vancouver Island Centre – Sanna Pellatt, Stephanie Soon, Tanya Leduc, Susan Walisser; and Centre for the Southern Interior – Laurel Kovacic, Kimberly Kuik, Tracey Murrell.
Another BC Cancer Agency pharmacy project was also recognized at the conference. Dr. Suzanne Taylor (at the time of the project, pharmacist, Systemic Therapy Program) was the recipient of the Award for Specialty in Pharmacy Practice, for the project Verification of Imatinib Cost-Effectiveness in Advanced Gastrointestinal Stromal Tumor in British Columbia. Collaborators of the project include Dr. Meg Knowling, Systemic Therapy, Dr. Stuart Peacock, Cancer Control Research, and Christina Chu, Population Oncology.