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Student Research Poster Show Having a competent contracting workforce is vital in keeping pace with an increase in workload and complex contracting actions. Government Accountability Office (GAO) and Congressional Research Service (CRS) reports highlight the contracting workforce shortfalls in education and experience; however, lack of education and experience are not the only contributing factors that foster an environment where fraud, waste and abuse are prevalent. The more complex the contracting actions, the more competent, agile, and innovative the contracting workforce must become. This creates stress on organizations to structure their workforce to meet these demands. Organizational climate is an important part in retaining a competent contracting workforce. The purpose of this research is to assess the organizational climate of the Army contracting workforce in terms of thirteen commonly accepted dimensions within organizational climate. Responses to a previously developed web-based survey completed by the Army contracting workforce may identify trends that negatively impact the Armyﾒs goal in recruiting and retaining talent within the contracting workforce. Analysis of the trends may assist senior Army leaders in developing and/or implementing strategies to address recruitment and retention challenges within the Armyﾒs contracting workforce. McKeithen, MAJ, USA

Background Conditional survival (CS) provides better estimates of the survival probability at each follow-up time, and its usefulness has been proven in several solid malignancies. Objective To assess the changes in 5-yr CS rates after radical nephroureterectomy (RNU) for upper tract urothelial carcinoma (UTUC) and to determine how well-established prognostic factors evolve over time. Design, setting, and participants We analysed data from 3544 patients treated with RNU at 15 international academic centres between 1989 and 2012. Intervention RNU. Outcomes measurements and statistical analysis Conditional intravesical recurrence-free (IVRFS), cancer-specific survival (CSS), and overall survival (OS) estimates were calculated using the Kaplan-Meier method. A multivariable Cox regression model was used to calculate proportional hazard ratios for the prediction of mortality. Results and limitations The 5-yr bladder cancer recurrence-free survival, CSS, and OS rates were 54.9%, 72.2%, and 62.6%, respectively. Given a 1-, 2-, 3-, and 4-yr survivorship, the 5-yr conditional OS rates improved to 65.2%, 69.3%, 71.5%, and 73.0%, respectively. The 5-yr CS improvement was primarily noted among surviving patients with advanced-stage disease. The impact of pathologic parameters on CS estimates decreased over time for both CSS and OS, whereas the impact of age and gender increased with survivorship. No survival benefit was noted regarding the adjuvant chemotherapy status. Findings were confirmed upon multivariable analyses. Tumour location, the presence of carcinoma in situ, and the type of bladder cuff excision were continuously predictive for IVRFS whatever the survivorship. A limitation is the retrospective design. Conclusions CS analysis demonstrates that the patient risk profile evolves during the post-RNU follow-up. The probability of survival markedly increases over time in patients having high-stage disease. The impact of prognostic pathologic features decreases over time and can disappear for long-term CS. Patient summary In this study, we found that the risk of intravesical recurrence, cancer-specific survival, and overall mortality evolves over the follow-up after surgery. Taking into account the survivorship provides better estimates of the survival probability at each follow-up time.