fellows Lessons on Treating Cancer€¦ · Sales & Marketing Vice President, Integrated Special...

Mom-Doctor Versus Doctor-Mom

Focusing on Your Patient’s Needs

Apps for the Healthcare Professional

Volume 5 • Issue 2, 08.13

f e l l o w s

A Caregiver’s Perspective

Lessons on Treating Cancer

FREE, personal websites for cancer patients, survivors, and their caregivers.

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Interested in contributing to Oncology Fellows? If you’d like to submit an article for consideration in an upcoming issue, please e-mail Jeanne Linke at [email protected].

Table of Contents

2

Volume 5 • Issue 2, 08.13

Feature

Departments

f e l l o w s

Office Center at Princeton MeadowsBldg. 300 • Plainsboro, NJ 08536(609) 716-7777

Copyright © 2013 Intellisphere, LLC. All rights reserved.

www.OncLive.com

Editorial & ProductionSenior Vice President, Clinical and Scientific AffairsJeff D. Prescott, PharmD, RPh

Project DirectorDonna Bonura

Project Manager Jaclyn Pallotti-Latham

Associate Editor Jeanne Linke

Quality Assurance Editor David Allikas

Art DirectorRay Pelesko

Sales & MarketingVice President, Integrated Special Projects Group David Lepping

Vice President, Clinical Affairs and Business DevelopmentJoe Petroziello

Associate Publisher Erik Lohrmann

Director of Sales Mike Hennessy, Jr

National Accounts ManagersRobert GoldsmithAlbert TierneySteve Kocher

Digital Media AssociateKristin Lopez

Executive AssistantLynne Dettore

Digital MediaVice President, Digital Media Jung Kim

Web Editor, Social Strategy ManagerSilas Inman

Operations & FinanceGroup Director, Circulation and ProductionJohn Burke

Director of OperationsThomas J. Kanzler

ControllerJonathan Fisher, CPA

Assistant ControllerLeah Babitz, CPA

CorporateChairman/Chief Executive OfficerMike Hennessy

Chief Operating OfficerTighe Blazier

Chief Financial OfficerNeil Glasser, CPA/CFE

Vice President, Oncology Jack Lepping

Executive Vice President, Executive Director of EducationJudy V. Lum, MPA

Vice President, New Business DevelopmentJohn C. Maglione

Vice President, Executive Creative DirectorJeff Brown

Oncology Fellows • 08.13 | 1

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8

Oncology Opinions12 Focusing on Your Patient’s

Needs By Benjamin Powers, MD When cure isn’t an option, liberating the patient can be just as rewarding.

Online Oncologist14 Mobile Medicine

Apps for the healthcare professional.

By the Numbers15 Estimates of national

expenditures for cancer in 2010 (in billions of dollars) by cancer site

Conference Center16 2013 Oncology & Hematology

Meetings

Mom-Doctor Versus Doctor-MomBy Urszula Sobol, MDUrszula Sobol, MD, a practicing fellow and mother of 2, describes her ordinary day and the challenges that she faces while balancing her roles in each environment.

Lessons on Treating Cancer A Caregiver’s PerspectiveBy Krisstina Gowin, DOBased on previous experience as a cancer caregiver, practicing fellow Krisstina Gowin, DO, encourages oncologists to recognize patients’ needs and empower them to make their own decisions about cancer treatment and care, especially during end-of-life care scenarios.

Feature

2 | Oncology Fellows • 08.13 OncLive.com

OncLive.com Oncology Fellows • 08.13 | 3

ighting cancer is much like fighting a war. As Sun Tzu states in Art of War, under-standing yourself and the en-

emy will greatly increase the chance for victory. As a fellow in oncology, I have been uniquely primed for the war on cancer. I know the enemy well. However, when a loved one was diagnosed with end-stage cancer, I found I still had much to learn.

Acting as a primary caregiver, and taking a stance from the patient’s angle, taught me more about treating patients with cancer than all of my combined years of medical training.

Despite my medical knowledge and dedication, we ultimately lost our battle, but the war on cancer remains. I hope to take my lessons forward for the benefit of my patients

and their families. Having gained perspective from the patient’s point of view, I am now a different doctor.

It is of the utmost importance when fighting cancer that patients have an understanding of their disease and undergo self-reflection while still maintaining a positive mental attitude. We cannot always prevent death, but we may prepare our patients so they are equipped to face it without fear.

Perhaps the most profound lesson learned from my experience was the importance of instilling hope. It is a difficult challenge balanc-ing this essential element with the medical statistics or “realities” of cancer. We must be aware of the truth, but also understand that each case is different.

Fear can be destructive to a pa-tient’s healing process, and can be overwhelming to the patient’s family. In any survival situation, it is vital for a person to have hope. The bal-ance of educating the patient about their opponent, while simultane-ously laying the foundation for hope, is a delicate one. Even the masters seem to struggle from time to time. It is now clear to me that this is where the true art of oncology lies.

Every doctor will approach the challenge in a different way, and unfortunately this is an area of dis-cussion that is lacking in medical education. During our medical train-ing, we must take it upon ourselves to master some of the difficult psy-chosocial challenges as well as the educational ones.

By Krisstina Gowin, DO

A Caregiver’s Perspective

Lessons on Treating Cancer


“ Know the enemy and know yourself…you will never be in peril. When you are ignorant of the enemy but know yourself your chances of winning or losing are equal. If ignorant both of your enemy and of yourself…you are certain to be in peril.”

–Sun Tzu, Art of War


Healthcare is so much bigger than any particular disease. The average person does not interact with health-care providers enough to consider it a familiar part of life. The simple act of going to see a doctor can be somewhat unnerving and even the best healthcare systems are often frustrating in some way.

We must remember that the pa-tient has more to deal with than just treatment. Many long-term disabilities force patients to also learn a very complex healthcare pro-gram, and system inefficiencies add greatly to the stress of patients and their families. It is essential for all healthcare providers, including doc-tors, nurses, pharmacists, and social workers, to coordinate their efforts in empowering the patient. The health-care environment must facilitate ef-ficiency and communication.

Many aspects of healing are over-whelming to patients, and one that certainly tops the list is medication. With just about every prescribed medication having a laundry list of side effects, a patient can easily shy away from a medication, or take it

improperly, if he or she does not understand how it fits into the larger plan of healing.

As with training a person on any-thing new, a cycle which includes education, reinforcement, and addi- tional education will serve the patient well and lead to better symptom control, fewer hospital admissions, and better overall outcomes. For ex-ample, a high school math teacher is not evaluated on how well he or she knows math, but how well he or she is able to empower students to learn it. In comparison, our ultimate goal is to have the patient leave the facility with a full understanding of treatment techniques and engage in

the prescribed method. This is a very large task, evolving emotional coach-ing as well as education.

There are times when a disease progresses regardless of treatment, or evolves at an unanticipated rate. Patients can easily experience out-of-control type feelings and seek new ways to establish order in their lives. Feelings of helplessness often set in and this can manifest in small acts of defiance. Refusing to eat as sug-gested, or refusal to take medications, may be the only factor a patient feels he or she can still control. Although the patient may still truly want to do their best to heal, the need to have some control overtakes rational

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There is an art to the gentle empowerment of a patient, and a practitioner who masters this art

serves his or her patient well.


Cancer didn’t care that I had no insurance.

Cancer didn’t care that I had other plans.

But I didn’t care what cancer thought.

I AM SUSAN G. KOMEN.

A recent divorce had left Marian Sparks with no health insurance, so even the cost of a mammogram was beyond her means. Fortunately, in 2009, a nonprofi t center—locally funded by a grant from Susan G. Komen®—was there to help. The center was able to cover her diagnoses, biopsy and even Marian’s successful surgery.

Help cure breast cancer and save women’s lives. Visit komen.org

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thought. Frustration from the family or medical staff is futile. We must avoid trying to make the patient do what is prescribed, and instead enable them to be a part of the decision-making process. There is an art to the gentle empowerment of a patient, and a practitioner who masters this art serves his or her patient well.

Caregivers and practitioners often have their own idea of how the pa-tient’s story will unfold. It should be recognized that the patient is the ulti-mate director of this. Each patient will have his or her own unique course,

and this is particularly apparent when an end-of-life situation is near-ing. The process of dying is as indi-vidual as we are from one another. Communication and recognition of non-verbal cues are essential during this time. It is important to identify agendas that may be caregiver driven and not reflective of a patient’s goals. End-of-life care requires guidance and skill in listening to the patient fully and allowing them to largely guide the transition.

In conclusion, a vast knowledge of both your opponent and oneself

is essential in the battle of cancer. As medical oncologists, we must be intelligent and stealthy in our at-tack while arming our patients with education and empowerment to heal. However, we must not lose sight of the fundamental element of survival, hope. We will be called upon to fight utilizing tools of our minds, but most importantly, our hearts. Inspiring the patient to live courageously or die gracefully is an undeniable aspect of our field. As future oncologists, we will be faced with many challenges in patient care, and tailoring our art will undoubtedly require a lifetime. To be victorious, we must work to know our enemy, as well as ourselves.

Dr Gowin is a practicing fellow at the Mayo Clinic in Arizona. She shares this article based on her personal experience as a caregiver as well as an oncology fellow, and has written this article in loving memory of Linda Lee Gowin.


Natio

nal C

ance

r Ins

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Your source for information on clinical trials atNCI’s Center for Cancer Research (CCR) is

now smartphone friendly. Visit our easy-to-navigatemobile Web site for information on the more than150 cancer clinical trials now enrolling at the NationalInstitutes of Health in Bethesda,MD.

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Caregivers and practitioners often have their own idea of how the patient’s story will unfold. It should be recognized that the patient is the ultimate director of this.

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Mom-Doctor Versus Doctor-Mom

A screeching sound comes from the swing as my kids are swinging, cars in the distance make their rumbling noises, children playing at the park

are squealing in delight. Eventually, a plane landing over our heads overpowers it all. It is an early evening on a nice summer day. A warm breeze is blowing, and the pleasant smell of lilacs lingers over us. However, my mind is somewhere else, unaware of my beautiful sur-roundings. It is back at the hospital with a con-sult patient who has a platelet count of 2000. I think to myself, Did I do everything right, will she be OK overnight? It quickly wanders to the patient with marantic endocarditis, extensive thromboembolic events, and now, new hemor-rhagic cerebrovascular accidents. He is unlikely to get through the night; I did not get a chance to say goodbye. A young patient with persistent fe-vers and lymphadenopathy comes to my mind; I hope it’s rheumatologic and not lymphoma…

My kid screaming “Higher, higher mommy,” brings me back to reality. As I push the swing harder, I become aware of the lovely environ-ment that surrounds me, the smell of lilacs in the air, and my kids with their playful faces as they swing higher and higher. Even the horren-dous screeching sound from the swing doesn’t bother me today. I start to appreciate the happy, peaceful moment. I try not to let my mind wan-der back to the dark hallways of the hospital.

Beginning fellowship with a 2-year-old son and a 1-month-old daughter was extremely anxiety provoking. My husband would joke with me, in hopes that a protective layer of sarcasm would make my insomnia disappear.

My husband would say, “You know, you will be just fine.”

Now, more than halfway through my fellow-ship experience, I know I am fine. However, I am still juggling tasks as I try to balance my life at home and life at work. Who will babysit tomor-row night when the nanny leaves but we have to work late; whose turn is it now: my mother, mother-in-law, sister? I’ve realized that raising my kids is a whole-family endeavor. Certainly, I could not make ends meet without them.

As my daughter, Alexandra, began to speak, she referred to her nanny as “Mommy.” I was devastated. I wondered if she thought I was an occasional visitor at home who comes to play with her at night but then leaves in the morning before she’s awake. My son, Adam, would try to make me feel better by saying, “Mommy, she’s just saying this because she misses you.” When Alexandra does wake up early enough, before I depart for work, she does not leave my side. My heart melts as I watch her enormous tears trickle down her cheeks in an attempt to stop



By Urszula Sobol, MD

As my daughter began to speak, she referred to her nanny as “Mommy.” I was devastated.

me from leaving. Adam attempts to reason with her by saying, “Mommy has to go help the sick at the hospital, and daddy has to go to work to make money for our toys.” Alexandra stands for a minute and thinks about what he’s said, and then bursts out crying, as she tries to have her way-her real mommy at home with her.

After the swinging and sliding at the park we finally head home. Both Alexandra and Adam want to watch a cartoon during dinner. I am too tired to argue, and too tired to teach, for the mil-lionth time, the proper table etiquette. I place the iPad on the table, and we eat dinner and enjoy good-old-silly Tom and Jerry. Bath time goes fair-ly smoothly, and as always, is filled with fun and splashing for my children but frustration for me.

Finally, bedtime…As I sit on the beanbag chair in the middle of the room, I doze off before Alexandra and Adam do, and my bedtime story turns into work-related random words, thoughts, and conversations.

Adam wakes me up. “Mom, that’s not how the story goes, tell us the right one,” he says. When they’re finally asleep I feel exhausted. I’m glad to see my husband has cleaned up after dinner. I can get ready for bed…But wait, what about my reading list, my manuscript revision, and look-ing up my patients for clinic tomorrow? As I lay in bed, I decide I’m too tired. These things just have to wait until the morning.

During work on the following day, I am angry with myself for not looking up my patients be-fore clinic. I am so far behind. I thought I prom-

ised myself I would always be prepared… After clinic I have a research meeting. Should I cancel it? I did not make the necessary changes to the manuscript… No, I’m a professional. I will not cancel last minute… The meeting turns out to be quite fruitful. I will submit this project as an abstract at ASH prior to full publication. Great… add “prepare a poster presentation” to my long to-do list.

In the midst of my day, I receive 3 new con-sults. Since I don’t have a resident with me this week I will have to see each of them by myself. So much for going home early today… I’m glad kids are rather forgiving. These consults are not as straightforward as I’d wished. With my at-tending we take our time, work on their needs one by one, investigate the peripheral smear, arrange for plasmapharesis, and contemplate whether we’re dealing with TTP or aHUS. Have to add these to my reading list.

Finally, after a full day, I’m excited to head home. When I arrive home, 2 happy smiling faces come running to me. They are not angry that I’m late, but simply excited to see me. I hold Alexandra and Adam close, kiss them dearly, and wish to never be away again. My worries, to-do list, and stress instantly disap-pear from my mind. I feel liberated. I am filled with love and happiness. This is how I feel every evening when I realize what is most important in my life. I love my profession, I enjoy building my career, and continuously feel challenged by my field, but above all, I am a mother. The un-conditional love from my children goes beyond any achievement at work.

After the same park, dinner, bath, and bed routine, I feel exhausted but gather up enough energy to edit the manuscript late through the night. Given the time on my clock, I am too em-barrassed to e-mail it out to my attending. I’ll e-mail it tomorrow morning.

In bed I think to myself, Is this what work-life balance is supposed to be like? If so, it is very tiring... Transiently, my long-ignored reading list comes to mind but I’m too tired to dwell on it and quickly doze off into deep sleep. When I wake up the following morning, I feel accom-plished. I sneak out quietly, to not wake up Al-exandra and Adam.

Dr Sobol is a practicing fellow at Loyola University Medical Center.

Feature



With CancerCare, the difference comes from: • Professional oncology social workers• Free counseling • Education and practical help• Up-to-date information • CancerCare for Kids®

For needs that go beyond medical care, refer your patients and their loved ones to CancerCare.

CancerCare’s free services help people cope with the emotional and practical concerns arising from a cancer diagnosis and are integral to the standard of care for all cancer patients, as recommended by the Institute of Medicine.

makes all the difference

®

1-800-813-HOPE (4673)

www.cancercare.org

Help and Hope

41960ALT_Queen_v1 1 5/13/08 10:03:26 AM

I enjoy building my career, and continuously feel challenged by

my field, but above all, I am a mother. The unconditional love from my children goes beyond

any achievement at work.

With CancerCare, the difference comes from: • Professional oncology social workers• Free counseling • Education and practical help• Up-to-date information • CancerCare for Kids®

For needs that go beyond medical care, refer your patients and their loved ones to CancerCare.

CancerCare’s free services help people cope with the emotional and practical concerns arising from a cancer diagnosis and are integral to the standard of care for all cancer patients, as recommended by the Institute of Medicine.

makes all the difference

®

1-800-813-HOPE (4673)

www.cancercare.org

Help and Hope

41960ALT_Queen_v1 1 5/13/08 10:03:26 AM

Although the ever-expanding list of targeted drugs, the complexity of molecular pathways and genetic composition of cancer, and the seemingly relentless stack of evidence-based

trials are daunting, the toughest yet most important lesson to me so far is to realize when doing everything is not warranted, necessary, desired, or feasible. It is important to understand when the odds have won, to know when to stop fighting the cancer, to know when to shift hope toward something different. This realization can liberate you, the practitioner, but much more importantly, can be liberating to your patient and their family as well.

I carry around the quote “We cannot do everything, and there is a sense of liberation in realizing that,” by Archbishop Oscar Romero, in my bag, and resort to these words when I feel like I have to do more for the patient but can’t. These words carry much meaning in the life of an oncology fellow.

The diagnosis of cancer rocks a person’s livelihood. The independence, control, and balance one may have had in life before a cancer diagnosis quickly gets maligned. Giving control back to a patient is sometimes the most necessary and most beautiful thing you can do for someone. By advising a patient not to come in for lab testing, a transfusion, a doctor’s visit, or chemotherapy, you are freeing them both physically and mentally. Now don’t get me wrong here. If cure is truly an option, the patient just has to bear down and deal with it for a while. But in other situations, when the cancer has spread out of control, oftentimes that mimics the patient’s life too. Consumed by healthcare-related appointments, there is no time for fun, relaxation, travel, or family.

I learned this important lesson while caring for one of my young female metastatic sarcoma patients. To reduce the tumor burden in her lungs, I was going to treat her with intense inpatient chemotherapy. Physically, this would take my patient away from her 4 children for a longer period of time, and would exhaust her. I was going to make her pain free with ever-increasing doses of opioids, but mentally, this was too sedating and did not make sense.

Instead, I realized that helping her maintain balance in her life was by far the most important thing I could do to help her. This was achieved only when I was able to

ONCOLOgY OPiNiONs

realize that less was more, and think of my patient as a loving mother, caring wife, and wonderful friend, rather than as a patient with cancer.

This patient has been able to spend true quality time with her friends and family. She is liberated by doing less, and in the meantime, she has liberated my thought process as well.

The relationships formed in an oncology clinic are unlike anything. It is the best of times and the worst of times. There are hugs of joy and hugs of sorrow, tears of happiness and tears of utter disappointment. Because these bonds form quickly, the desire to do everything for a patient is strong. Over time, as you understand more about your patient, you realize what is truly important for that person, and it often doesn’t necessarily mean ridding him or her of the cancer. We cannot do everything, and that can be a blessing for all parties. It just takes a while to understand that.

Dr Powers is a practicing fellow at the University of Kansas.



Focusing on Your Patient’s NeedsBy Benjamin Powers, MD

AS JOHN THEURER CANCER CENTER’S NATIONAL RANKING GROWS, OUR GOAL REMAINS THE SAME – PROVIDE THE BEST CARE IN THE COUNTRY. RIGHT HERE, IN NEW JERSEY.

• The only ranked New Jersey cancer center in U.S. News & World Report • The most nationally acclaimed cancer doctors in New Jersey• The largest facility dedicated to innovative, personalized care• The greatest access to breakthrough technologies

Cancer is Hard Enough. Every Patient Deserves Extraordinary Care. We are Committed to Delivering It.

Learn more at jtcancercenter.org

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Chemotherapy AdvisorPRICE: FreePLATFORMS: iPhone, iPad, iPod Touch, AndroidDeveloped by chemo-therapyadvisor.com, the Chemotherapy Advisor app has been developed as a tool for professionals who deal with chemotherapeutic agents regularly. The app features a selection of recent articles related to medical oncology, a wide variety of dosing calculators, treatment guides, and information about drugs. Specifically, the Treatment Regimens folder includes dosing and management information for different types of malignancies. Drug-specific informa-tion such as side effect profiles, indications, and contraindications can be found within this app.http://bit.ly/11FgUoZ

rex Cancer CarePRICE: FreePLATFORMS: iPhone, iPad, iPod Touch, AndroidRex Healthcare has de-veloped the Rex Cancer Care mobile app as a tool for patients to help them interact with their cancer care team. The Rex Cancer Care app includes a tool to track appointments, and fea-tures to help patients communicate directly with members of their care team, manage medications, and con-nect directly with other patients for immediate support. This mobile app also includes a virtual wig shop, where users can select a personal portrait, or take a new photo, and overlay ima- ges of various wig styles to their photograph. http://bit.ly/12FMkyU

Journal ClubPRICE: $2.99PLATFORMS: iPhone, iPad, iPod Touch, AndroidThe Journal Club mobile app has been designed by Peripheral Brain, LLC, as a tool that compiles all of the top articles in internal medicine and clinical trials into a single location. Designed for the busy medical profes-sional, all of the article summaries found at Journal Club are written by physicians, and are peer reviewed. In addi-tion to briefly discussing the major points about updates in medicine, these article summaries include outcomes of trials, criticisms, informa-tion on funding, and links to PubMed and full-text clinical trials information. http://bit.ly/13CcvSl

Tumorpedia litePRICE: FreePLATFORMS: iPhone, iPad, iPod Touch, AndroidA comprehensive source for bone tumor informa-tion, Tumorpedia Lite is designed for physicians, surgeons, radiologists, pathologists, primary care providers, podia-trists, residents, interns, medical students, and patients. This app, de-veloped by Digital Image Flow, features descrip-tions and illustrations about different types of benign and malignant musculoskeletal tumors. Additionally, Tumorpedia Lite provides treatment options, outcomes infor-mation, and prognosis information for each tumor.http://bit.ly/13CgkqE

Medlab TutorPRICE: FreePLATFORMS: iPhone, iPad, iPod Touch, AndroidMedlab Tutor, by Georgia Health Sciences University, is designed specifically for medical students and others interested in learning how to record and interpret lab reports. This app provides information on complete blood counts, basic metabolic panels, and arterial blood gases. Features of Medlab Tutor include an introduction to interpreting medical lab results, illustrations noting the basic parts of lab reports and shorthand figures, videos explaining general steps for interpreting labs, and exercises that present lab results and associated conditions. Users can also decipher whether a lab value is normal, low/high, or critical by using this app.http://bit.ly/ejXqlP


ONLINEONCOLOGIST®

By the NumbersNational cancer care expenditures have been steadily increasing in the United States. According to the latest Cancer Trends Progress Report – 2011/2012 Update, cancer care accounted for an estimated $124.6 billion in medical care expenditures in the United States in 2010. In the near future, cancer costs are expected to increase at a faster rate than overall medical expenditures. As the population ages, the absolute number of people treated for cancer will increase more quickly than the overall population, and cancer prevalence will increase relative to other disease categories. Costs are also likely to increase as new, more advanced, and more expensive treatments are adopted as standards of care. National expenditures remain largest for female patients with breast cancer, followed by colorectal, lymphoma, lung, and prostate cancers.1-3


Estimates of national expenditures for cancer in 2010 (in billions of dollars) by cancer site1-3

To view the full report, please go to http://1.usa.gov/14Bttmk.

references 1. National Cancer Institute, NIH, DHHS. Cancer

trends progress report – 2011/2012 update. Bethesda, MD. http://progressreport.cancer.gov. Published August 2012. Accessed June 14, 2013.

2. National expenditures for cancer care. National Cancer Institute website. http://costprojections.cancer.gov/expenditures.html. Accessed June 14, 2013.

3. Mariotto AB, Yabroff KR, Shao Y, et al. Projections of the cost of cancer care in the United States: 2010-2020. J Natl Cancer Inst. 2011;103(2):117-128.

Female Breast

Colorectal

Lymphoma

Lung

Prostate

Leukemia

Ovary

Brain

Bladder

Kidney

Head and Neck

Uterus

Melanoma

Pancreas

Stomach

Cervix

Esophagus

All Cancer Sites

16.50

14.14

12.14

12.12

11.85

5.44

5.12

4.47

3.98

3.80

3.64

2.62

2.36

2.27

1.82

1.55

1.33

19.42

0 5 10 15 20

Expenditures (billions)25

Cost estimates expressed in 2010 dollars using Centers for Medicare and Medicaid Services (CMS) cost adjuster and adjusted for out-of-pocket expenditures, including co-payments and deductibles. Estimates for the population younger than 65 years were developed using ratios of cost in the younger than 65 years and older than 65 years populations from studies conducted in managed care populations.

Conference Center

2013 Oncology & Hematology Meetings

August 16-1711th International Congress on Targeted Therapies in Cancer®

Washington, DChttp://bit.ly/XTPH2G

September 20-21NCCN 8th Annual Congress: hematologic Malignancies™New York, NYhttp://bit.ly/mFBhJ4

September 27-October 117th ECCO – 38th ESMO – 32nd ESTrO European Cancer Congress 2013Amsterdam, Netherlandshttp://bit.ly/117CZNh

November 7-9large Urology Group Practice Association Annual MeetingChicago, ILhttp://bit.ly/13yQ1l0

November 98th Annual New York lung Cancer Symposium®

New York, NYhttp://bit.ly/13V4dWf


December 7-102013 ASh Annual Meeting and ExpositionNew Orleans, LAhttp://bit.ly/1VuesS

December 10-142013 San Antonio Breast Cancer SymposiumSan Antonio, TXhttp://bit.ly/KCbm1

We welcome submissions to Oncology Fellows, a publication that speaks directly to the issues that matter most to hematology/oncology fellows at all stages of training. Oncology Fellows aims to provide timely and practical information that is geared toward fellows from a professional and lifestyle standpoint—from opportunities that await them after the conclusion of their fellowship training, to information on what their colleagues and peers are doing and thinking right now.

Oncology Fellows features articles written by practicing physicians, clinical instructors, researchers, and current fellows who share their knowledge, advice, and insights on a range of issues.

We invite current fellows and oncology professionals to submit articles on a variety of topics, including, but not limited to:

• lifestyle and general interest articles pertaining to fellows at all stages of training.

• A Word From Your Fellows: articles written by current fellows describing their thoughts and opinions on various topics.

• Transitions: articles written by oncology professionals that provide career-related insight and advice to fellows on life post-training.

• A Day in the life: articles describing a typical workday for a fellow or an oncology professional post-training.

The list above is not comprehensive, and suggestions for future topics are welcome. Please note that we have the ability to edit and proofread submitted articles, and all manuscripts will be sent to the author for final approval prior to publication.

Call for Papers

If you are interested in contributing an article to Oncology Fellows, or would like more information, please e-mail Jeanne Linke at [email protected].

Online CMEActivities

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For more information on all our activities:

10th Annual School of Breast Oncology® Online24.25 AMA PRA Category 1 Credits™The modular, interactive, online CME activity will review the most important aspects of breast cancer biology, diagnostics, prevention, and treatment. An increasing number of oncologists are focusing their clinical practices on the treatment of breast cancer, creating a need for specialized education. The 10th Annual School of Breast Oncology®, which has been held annually since 2003, was developed to advance patient care by providing a curriculum-based program focused exclusively on breast cancer clinical management.

29th Annual Miami Breast Cancer Conference® Online3.75 AMA PRA Category 1 Credits™Highlights from last year’s conference in a modular CME activity. The optimal care of patients with breast cancer is rapidly changing as a result of advances in all aspects of patient care, including prevention, screening, and detection, as well as in the primary treatment modalities of surgery, radiation therapy, endocrine therapy, cytotoxic chemotherapy, and novel biologic therapies.

Community Practice Connections: 11th Annual International Congress™ on the Future of Breast Cancer®3.0 AMA PRA Category 1 Credits™Drs. O’Shaughnessy, Rugo, and O'Regan discuss breast cancer and strategies for managing patients with ER+ MBC, HER2+ MBC, and TNBC. The congress is a series of short, interactive video interviews of the leading breast cancer experts who address a variety of questions commonly faced in the community oncology practice setting. The interviews for this activity focus on targeted approaches in the treatment of breast, prostate, and non-small cell lung cancer.

Cancer Summaries and Commentaries: Advances in the Treatment of Metastatic Breast Cancer1.5 AMA PRA Category 1 Credits™Drs. O’Shaughnessy and Rugo update physicians on the data that has been recently presented at 2012 San Antonio Breast CancerSymposium so that they can assess and prepare to apply these findings to their clinical practice to improve patient care.

Highlights from the 10th Annual Controversies in Breast Cancer: Adjuvant and Neoadjuvant Therapy1.0 AMA PRA Category 1 Credit ™This iNewsletter features highlights from the recent “10th Annual Controversies in Breast Cancer: Adjuvant and NeoadjuvantTherapy,” a day-long symposium featuring a diverse panel of internationally recognized breast cancer experts who presented and led in-depth discussions on the increasing number of breast cancer subtypes that challenge oncologists.

Rapid Reviews in Oncology®: Breast Cancer Highlights from San Antonio*Drs. O’Shaughnessy, Rugo, and Blackwell discuss highlights from San Antonio in an archive of the live satellite broadcast allows physicians who were unable to attend last December to view the program in its entirety, while serving as a reminder to those physicians who did attend of clinical data and practice implications that were shared.

*Educational Resource. This Meeting-in-a-Box is not approved for AMA PRA Category 1 Credit™.

Recent Progress in Metastatic Breast Cancer: Focus on Cytoxic Therapy1.0 AMA PRA Category 1 Credit ™Mohammad Jahanzeb, MD provides an analyses of novel treatments and emerging therapies for the management of metastatic breast cancer (MBC). This educational activity also includes an interview with Denise A. Yardley, MD focusing on practical considerations related to chemotherapeutic options for the treatment of MBC.

These activities are supported by educational grants from Celgene Corporation, Eisai Inc, Ferring, Genentech,Genomic Health, Lilly USA, LLC, Novartis Pharmaceuticals Corporation.

These online activities reflect challenges commonly faced in the community oncology practice setting. Our presentations, video interviews, and case studies are delivered by leading experts who can help provide useful educational tools that oncologists can apply to their day-to-day practices.

CME_one-pager_BreastCancer_8'8'13.pdf 1 8/8/13 4:43 PM

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Transcript of fellows Lessons on Treating Cancer€¦ · Sales & Marketing Vice President, Integrated Special...