1 and are co-directors of the Transforming and Integrating Medical and Surgical Expertise: Patient-Centered Specialty Care Education Center of Excellence at the Louis Stokes Cleveland VAMC (LSCVAMC) in Ohio. is a clinical psychologist; is an oncology social worker; is a clinical nurse specialist; is a registered nurse; is a program analyst; and Ms. Smith is a survivorship nurse practitioner; all at LSCVAMC. is the chief of the pain psychology service at Eglin Air Force Base in Florida. is a research assistant professor and Ms. Smith is on the clinical faculty at the Frances Payne Bolton School of Nursing, Case Western Reserve University (CWRU) in Cleveland, Ohio. Dr. Arfons is a medical oncologist and the director of hematology/oncology at LSCVAMC and assistant professor at the CWRU School of Medicine. Dr. Cmolik is also a cardiothoracic surgeon and chief of surgery at LSCVAMC.
Screening all patients for distress addressed practical, psychosocial, physical, and spiritual needs does not seem to be burdensome for patients or providers at an outpatient cancer center.