Quality of Life for the Cancer Patient:

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1 Quality of Life for the Cacer Patiet: Pai Maagemet, Palliatio ad Ed of Life Care A CME Coferece desigated for AMA PRA Category 1 Credit Sposored by The Departmet of Radiatio Medicie ad The Office of Cotiuig Medical Educatio 7:30 am - 3:00 pm Hofstra North Shore-LIJ School of Medicie, Hempstead Turpike, Hempstead, NY Course Directors Beatrice Bloom, MD Assistat Professor of Radiatio Medicie, Hofstra North Shore-LIJ School of Medicie James T. D Olimpio, MD, FACP Director, Supportive/Palliative Care for Hematology/Ocology, Pai ad Symptom Maagemet Program Associate Attedig Physicia, Moter Cacer Ceter/North Shore Uiversity Hospital Associate Professor of Medicie, Hofstra North Shore-LIJ School of Medicie

2 Statemet of Need: O a atioal ad local level, there is strog evidece that pai ad symptom maagemet ad ed of life care for the cacer patiet is misappropriated toward ieffective ad costly therapies. These therapies detract from a patiet's quality of life ad ca add to the overall sufferig that patiets experiece, especially i the hospice ad pre-hospice settig. This coferece will address ad idetify the best practices approach to ed of life care ad pai maagemet. Objectives: All North Shore-LIJ Health System CME activities are desiged to improve patiet care. At the coclusio of this coferece, the participat should be able to: DESCRIBE ad discuss the compoets of pai ad symptom sydromes experieced by cacer patiets so that pai assessmet will be optimized. FORMULATE treatmet paradigms, icludig holistic maagemet i order to maximize pai cotrol ad supportive care for the cacer patiet. IDENTIFY strategies for the early icorporatio ito ocologic practice of palliative, hospice ad supportive care ito your practice to achieve optimum care for patiets. DISCUSS ad establish realistic treatmet ad ed of life goals with our patiets i order to optimize treatmet strategies ad relieve uecessary burdes o patiets, health care providers ad the health care system. Target Audiece: Ocologists, Radiatio Ocologists, Iterists, Surgical Ocologists, Neurologists, Neurosurgeos, Aesthesiologists, Hematologists, Pai Maagemet ad Palliative Care Physicias, Geriatricias, NPs, PAs ad all allied health professioals iterested i ed of life care. Accreditatio: North Shore-LIJ Health System is accredited by the Accreditatio Coucil for Cotiuig Medical Educatio to provide Cotiuig Medical Educatio for Physicias. Credit Desigatio: The North Shore LIJ Health System desigates this educatioal activity for a maximum of 6 AMA PRA Category 1 Credits TM. Physicias should oly claim credit commesurate with the extet of their participatio i the activity. Nursig Credit: The America Nurses Credetialig Ceter (ANCC) will accept 1.0 AMA PRA Category 1 credit TM as equal to 1.0 ANCC cotact hours. Nurses should iquire with their specialty orgaizatios ad professioal istitutios as to their acceptace of AMA PRA Category 1 Credits TM. Verificatio of Attedace will be provided to all professioals. Disclosure Policy: North Shore-LIJ Health System adheres to the ACCME s New Stadards for Commercial Support. Ay idividuals i a positio to cotrol the cotet of a CME activity, icludig faculty, plaers ad maagers, are required to disclose all fiacial relatioships with commercial iterests. All idetified potetial coflicts of iterest are thoroughly vetted by North Shore-LIJ for fair balace ad scietific objectivity ad to esure appropriateess of patiet care recommedatios. Where: Hofstra North Shore-LIJ School of Medicie, Hempstead Tpk., Hempstead, NY Directios to the Hofstra North Shore-LIJ School of Medicie: Meadowbrook Parkway to exit M4 Hempstead Turpike. Proceed west o Hempstead Turpike to the third traffic light; tur right oto North Campus (just before the secod pedestria bridge that crosses Hempstead Turpike). Make a right ito the David S. Mack Hall (Uiversity Club) parkig lot ad proceed through to the secod parkig lot to the Hofstra North Shore-LIJ School of Medicie. Registratio Fee: $35 for North Shore-LIJ employees; $50 for all others. Residets/Fellows/Medical Studets admitted free of charge, but must pre-register. Registratio fee icludes breakfast, break, luch, course materials ad CME certificate. Cacellatio Policy: To receive a refud, all cacellatios must be cofirmed i writig to the Office of Cotiuig Medical Educatio by March 13, No refuds will be made after this date, or for o-shows. Coferece Iformatio: Coferece coordiated by North Shore-LIJ Health System s Office of Cotiuig Medical Educatio. Phoe (516) (3CME); Fax (516) Americas with Disabilities Act: This coferece is i compliace with provisios of the Americas With Disabilities Act (ADA) ad is accessible for idividuals with special eeds. If you would like to atted this coferece ad require ay special eeds or accommodatios, please cotact the Office of Cotiuig Medical Educatio at North Shore-LIJ Health System at (516) (3CME)

3 Quality of Life for the Cacer Patiet: Pai Maagemet, Palliatio ad Ed of Life Care 7:30 am 3:00 pm Hofstra North Shore-LIJ School of Medicie Hempstead Turpike, Hempstead, NY Program Ageda 7:30 am Registratio ad Cotietal Breakfast 8:00 Welcome ad Opeig Remarks Lawrece G. Smith, MD Morig Sessio: Moderator: Beatrice Bloom, MD 8:05 Evaluatio ad Maagemet of Cacer Iduced Pai ad Symptom Sydromes James T. D Olimpio, MD 8:40 The Role of Radiatio Medicie i Symptom Maagemet ad Supportive Care Beatrice Bloom, MD 9:15 Itervetioal Approach to Pai Maagemet Alo Mogiler, MD 10:00 BREAK 10:15 The Pharmacology of Pai Maagemet i the Cacer Patiet Joh DiCapua, MD 10:50 New Palliative Care Legislatio i New York Daa Lustbader, MD 11:25 Itegratio of Palliative Care Ito Cacer Care Charles F. vo Gute, MD 12:15 pm Questios ad Aswers ad Morig Summatio 12:20 LUNCH Afteroo Sessio: Moderator: Louis Potters, MD 1:00 Total Pai: Attedig to Holistic Approaches to Cacer Pai Maagemet Richard Paye, MD 1:45 Chemotherapy at the Ed-of-Life: Determiig Who Drives Decisio-Makig ad How to Improve Patiet-Physicia Commuicatio Alexi A. Wright, MD 2:30 Roud Table Discussio: Breakig the Cultural Barriers of Palliative Care i a Age of Urealistic Patiet ad Physicia Expectatios Alexi A. Wright, MD; Richard Paye, MD; Charles F. vo Gute, MD 3:00 ADJOURNMENT

4 Quality of Life for the Cacer Patiet: Pai Maagemet, Palliatio ad Ed of Life Care Registratio Fee: $35 for all North Shore-LIJ employees; $50 for all others; Residets/Fellows/Medical Studets will be admitted free of charge, but must pre-register. Registratio Form (Please Prit Clearly) 3 Ways to Register : A cofirmatio letter will be set O-Lie: FAX: Mail: This form to: (516) with Credit Card Iformatio (VISA or Mastercard ONLY) This form with a check made payable to Quality of Life for the Cacer Patiet or completed Credit Card Iformatio below: Quality of Life for the Cacer Patiet North Shore-LIJ Health System Office of Cotiuig Medical Educatio 175 Commuity Drive Great Neck, NY Name: Credetials: (MD, DO, PhD, RN, NP, PA Address: Tow: State: Zip: Phoe (Days): Cell: Hospital Affiliatio: Specialty: Please Idicate: Physicia Residet/Fellow Physicia Assistat Nurse Practitioer Registered Nurse Other Please Specify Registratio Fee: $35 for North Shore-LIJ employees; $50 for all others. Residets/Fellows/Medical Studets admitted free of charge, but must pre-register. Charge $. to my VISA Mastercard Credit Card Number Security Code Exp PLEASE LIST ALL 16 DIGITS FROM YOUR CREDIT CARD AND 3 DIGIT SECURITY CODE Authorizig Sigature Date Cacellatio Policy: All cacellatios must be cofirmed i writig to the Office of Cotiuig Medical Educatio by March 13, No refuds after this date, or for o shows.

5 Course Directors Beatrice Bloom, MD, Assistat Professor of Radiatio Medicie, Hofstra North Shore-LIJ School of Medicie James T. D Olimpio, MD, FACP, Director, Supportive/Palliative Care for Hematology/Ocology, Pai ad Symptom Maagemet Program, Associate Attedig Physicia, Moter Cacer Ceter/North Shore Uiversity, Hospital, Associate Professor of Medicie, Hofstra North Shore-LIJ School of Medicie North Shore-LIJ Faculty Joh DiCapua, MD, Chairma, Departmet of Aesthesiology, North Shore-LIJ Health System Vice Presidet, North Shore-LIJ Health System, Service i Aesthesiology Associate Professor of Aesthesiology, Hofstra North Shore-LIJ School of Medicie Daa Lustbader, MD, FCCM, FCCP, FAAHP, Chief, Palliative Medicie, Director, Palliative Medicie Fellowship, North Shore-LIJ Health System, Assistat Medical Director, New York Orga Door Network, Assistat Professor of Medicie, Hofstra North Shore-LIJ School of Medicie Alo Mogiler, MD, PhD, Director, Fuctioal ad Restorative Neurosurgery, Neurosurgery Residecy Director, North Shore-LIJ Health System, Harvey Cushig Istitutes of Neurosciece, Assistat Professor of Neurosurgery, Hofstra North Shore-LIJ School of Medicie Louis Potters, MD, FACR, Chairma, Departmet of Radiatio Medicie, North Shore-LIJ Health System, Professor of Radiatio Medicie, Hofstra North Shore-LIJ School of Medicie Lawrece G. Smith, MD, FACP Foudig Dea, Hofstra North Shore-LIJ School of Medicie, Executive Vice Presidet ad Chief Medical Officer, North Shore-LIJ Health System Guest Faculty Charles F. vo Gute, MD, PhD, FACP, Provost ad Vice Presidet, Istitute for Palliative Medicie Sa Diego Hospice, Medical Director, Doris A. Howell Service, Uiversity of Califoria at Sa Diego Editor-i-Chief, Joural of Palliative Medicie Dr. vo Gute is the Provost ad Vice Presidet, Istitute for Palliative Medicie at Sa Diego Hospice, a teachig affiliate of the UCSD School of Medicie. He is the Medical Director of the Doris A. Howell Services at UCSD a palliative medicie cosultatio service amed for a pediatric hematologist/ocologist ad former Chair, Family & Commuity Medicie at UCSD. I additio, Dr. vo Gute is Editor i Chief of the Joural of Palliative Medicie. He chairs the test committee for Hospice ad Palliative Medicie of the America Board of Medical Specialties. He co-edited a ew iteratioal Textbook of Palliative Medicie published by Hodder Arold. He has bee particularly iterested i the itegratio of hospice ad palliative care ito academic medicie. He has published ad spoke widely o the subjects of hospice, palliative medicie ad pai ad symptom cotrol. He has research iterests i symptom cotrol ad palliative care educatio. Richard Paye, MD, Esther Colliflower Director, Duke Istitute o Care at the Ed of Life, Professor of Medicie ad Diviity, Duke Diviity School, Duke Uiversity Dr. Richard Paye is Professor of Medicie ad Diviity at Duke Diviity School, Duke Uiversity ad the Esther Colliflower Director of the Duke Istitute o Care at the Ed of Life. Dr. Paye is a iteratioally kow expert i the areas of pai relief, care for those ear death, ocology ad eurology. The Duke Istitute o Care at the Ed of Life seeks to icrease kowledge ad rediscover old wisdoms cocerig the ed of life through iterdiscipliary scholarship, teachig ad outreach, emphasizig the spiritual dimesio of care. As a uique teachig ad research program located i a diviity school, the Duke ICEOL is particularly focused o the problem of prevetig ad addressig the moral ad theological dimesios of pai ad sufferig. Prior to his appoitmet at Duke, Dr. Paye was Chief, Pai ad Symptom Maagemet Sectio, Dept. of Neurology at M.D. Aderso Cacer Ceter i Housto, Texas from From , Dr. Paye led the Pai ad Palliative Care Service at Memorial Sloa-Ketterig Cacer Ceter i New York City where he held the Ae Burett Tady Chair i Neurology. Alexi A. Wright, MD, Medical Gyecologic Ocology Program, Daa-Farber Cacer Istitute Dr. Alexi Wright graduated from Staford Uiversity. She received her medical degree from the Uiversity of Pesylvaia ad completed a residecy i iteral medicie at the Brigham ad Wome s Hospital i Bosto. She subsequetly completed a fellowship i medical ocology at the Daa-Farber Cacer Istitute before joiig the faculty of the Medical Gyecologic Ocology Program. Throughout this period, she has received several awards for her compassioate cliical care from the Brigham ad Wome s Hospital ad atioal patiet orgaizatios, icludig the Welless Commuity s outstadig caregiver award. Her research is curretly supported through grat fudig, icludig the Natioal Palliative Care Research Ceter, NCI-sposored traiig grat for the Program i Cacer Outcomes Research ad a Youg Ivestigator Award from the America Society of Cliical Ocology ad the Susa G. Kome Foudatio for the Cure. She has also writte more tha a doze articles for medical audieces ad the lay press for the New Eglad Joural, Slate ad the New York Times. Coferece Coordiated by North Shore-LIJ Health System s Office of Cotiuig Medical Educatio Mary B. Strog, MA, Director, Cotiuig Medical Educatio Rick Hostik, Assistat Director, Cotiuig Medical Educatio, Coferece Coordiator J Madura, North Shore-LIJ Creative Svcs,

6 Office of Cotiuig Medical Educatio North Shore-LIJ Health System 175 Commuity Drive Great Neck, NY CME CONFERENCE Quality of Life for the Cacer Patiet: Pai Maagemet, Palliatio ad Ed of Life Care 7:30 am - 3:00 pm DATED MATERIAL