The Fifth Bi-Annual Johns Hopkins Breast Cancer Conference: Controversies in Management ? a Multidisciplinary Perspective March 26 - 27, 2010 The Hyatt Regency Baltimore Inner Harbor Hotel 300 Light Street Baltimore, Maryland Jointly provided by: The Sidney Kimmel Comprehensive Cancer Center Johns Hopkins Avon Foundation Breast Center The Institute for Johns Hopkins Nursing Description The incidence of breast cancer in the United States exceeds 250,000 women for the year 2009. This number continues to grow as baby boomers enter midlife, increasing the population denominator. Also, 41,000 women died of this disease in 2009. Despite there being specific standards of care and treatment correlated with specific diagnostic stages of the disease, in actual practice, there continues to be controversy as to the most appropriate management of some breast cancer patients. This can be due in part to the comorbidities the patient may have that accompany her disease, the age of the patient, compliance of the patient with the recommended treatment plan or other factors. Based on feedback from the last bi-annual breast cancer conference held, controversy in the selection of the treatment plan and delivery of care may also be dependent on the knowledge and experience of the treating physician(s). The goal of this conference is to discuss the management of controversial issues that affect all disciplines including surgical, medical, radiation, pathology, breast imaging, plastic surgery, and genetics. Presentations will engage the audience in active participation through pre and post opinion electronic-generated surveys and speakers will provide a pros and cons discussion regarding each topic discussed. The outcome should be a better understanding of the management of patients in the presence of unusual clinical presentations. Some outcomes will be the reduction in the use of healthcare resources that result in over-utilization of tests/scans, improvements in quality of care and more effective management of patients. Who Should Attend This activity is intended for radiologists, pathologists, surgeons, medical and radiation oncologists, nurses, nurse practitioners, physician assistants and other professionals involved in prevention, screening, diagnosis and management of breast cancer. We will employ key-pad technology throughout the meeting to ensure an interactive experience for the attendee. Objectives After attending this activity, the participant will demonstrate the ability to: - Recognize the clinical issues of controversy related to the diagnosis and treatment of breast cancer patients. - Identify ways to incorporate learned knowledge from the conference to apply in your own practice setting - Discuss the rationale for the differences of opinion regarding the management of breast cancer. Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. Credit Designation Statement The Johns Hopkins University School of Medicine designates this educational activity for a maximum of 12.25 AMA PRA Category 1 Credits?. Physicians should only claim credit commensurate with the extent of their participation in the activity. Nursing Credit AANC: The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center?s Commission on Accreditation. This program is pending approval of The Institute for Johns Hopkins Nursing. AANP: The Institute for Johns Hopkins Nursing is approved as a provider of nurse practitioner continuing education by the American Academy of Nurse Practitioners: AANP Provider Number 061216. This program is pending approval of The Institute for Johns Hopkins Nursing Other Credit American Academy of Physician Assistants (AAPA) AAPA accepts AMA Category 1 CME credit for the PRA from organizations accredited by ACCME. Contact Hours for Non-Physicians The Johns Hopkins University has approved this activity for 12.25 contact hours for non-physicians. Policy on Speaker and Provider Disclosure It is the policy of The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials. General Information Registration Friday, March 26 ? 7:15-8:00 a.m. Location Hyatt Regency Baltimore Inner Harbor Hotel 300 Light Street Baltimore, Maryland 21202 Phone (888) 421-1442 or (410) 528-1234 Fees REGISTRATION CUT- OFF DATE: March 21, 2010 Methods of Payment: Payment by check or credit card must accompany the registration form prior to the activity. On-site payments by credit card only. Foreign payments must be by credit card or with a U.S. Dollar World Money Order. The registration fee includes instructional materials, continental breakfast, refreshment breaks and lunch. Physicians $ 350 Residents*/Fellows*/Nurses/Nurse Practioners/ Physician Assistants/Allied Health Professionals $ 250 For three or more registrations from same multidisciplinary team?: Physicians $ 300 Residents*/Fellows*/Nurses/Nurse Practioners/ Physician Assistants/Allied Health Professionals $ 200 For five or more registrations from same multidisciplinary team?: Physicians $ 250 Residents*/Fellows*/Nurses/Nurse Practioners/ Physician Assistants/Allied Health Professionals $ 150 *with verification of status You will receive a confirmation by e-mail if you have provided your e-mail address. Otherwise confirmation will be sent by mail. If you have not received it by March 21, 2010, call (410) 502-9634 to confirm that you are registered. Certificates of attendance will be mailed by May 3, 2010. The Johns Hopkins University reserves the right to cancel or postpone any activity due to unforeseen circumstances. In this event, the University will refund the registration fee but is not responsible for travel expenses. Additionally, we reserve the right to change the venue to a comparable venue. Under such circumstances registrants will be notified as soon as possible Late Fee and Refund Policy A $50 late fee applies to registrations received after 5:00 p.m. EST on March 21, 2010. A handling fee of $50 will be deducted for cancellation. Refund requests must be received by fax or mail by March 21, 2010. No refunds will be made thereafter. Transfer of registration to another Johns Hopkins conference in lieu of cancellation is not possible. Hotel and Travel Information Hyatt Regency Baltimore (888) 421-1442 300 Light Street (410) 528-1234 Baltimore, Maryland 21202 FAX: (410) 605-2870 Web Site: www.hyattplace.com HOTEL RESERVATION CUT-OFF DATE: FEBRUARY 25, 2010 The Hyatt Regency Baltimore, centrally located on the Inner Harbor and an industry leader since its opening, holds the longest four-diamond award status in the state with beautiful guestrooms, Bistro 300 and a commitment to excellent service. Call the hotel directly and specify that you are attending the Johns Hopkins Breast Cancer Activity to receive the special group rate of $209, single or double, plus tax. On-site parking is available at an additional charge. Check-in time is 4:00 p.m. Check out time is 12:00 noon. Call United Airlines at (800) 521-4041 for discounted rates and refer to Meeting ID Number 549TJ. Mileage Plus? miles are available. Activity Evaluation An activity evaluation form will be available to attendees to evaluate each session and each speaker?s presentation, as well as to identify future educational needs. Outcomes Survey An outcomes survey will be sent to all physician attendees within three months post activity to assist us in determining what impact this activity had on the attendee?s practice. Emergency Calls During the days of this activity only, March 26-27, 2010 direct emergency calls to (410) 528-1234 and ask that a message be sent to the Johns Hopkins registration desk. Messages will be posted for participants. Americans with Disabilities Act The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing fully comply with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs. To Register or for Further Information Register Online www.HopkinsCME.edu Register by Phone (credit card only) (410) 502-9635 Register by Fax (866) 510-7088 Confirmation/Certificates (410) 502-9635 General Information (410) 955-2959 E-mail the Office of CME cmenet@jhmi.edu For general information, the direct link for this CME activity web page is: http://www.hopkinscme.edu/CourseDetail.aspx/80020811 Acknowledgement Applications for commercial support from health care related industries are pending. A complete list of contributors will be provided in the syllabus. Discounted Registration Fees for Multiple Registrations from the Same Multidisciplinary Team To encourage attendance of multidisciplinary teams, we are pleased to offer the following discounts on registration: ? $50 discount per registrant for three or more members from one multidisciplinary team ? $100 discount per registrant for five or more members from one multidisciplinary team To receive these special registration discounts, registration must be received by mail before March 21, 2010. Each attendee must complete a registration form, and all forms should be included in the same envelope. Payments for all must be on one check or credit card. We cannot accept phone, fax or internet registrations for these special fees. Program Friday, March 26, 2010 Morning 7:15 - 8:00 Registration/Continental Breakfast 8:00 - 8:10 Introduction and Welcome 8:10 - 8:20 Case Presentation Wendie Berg, MD, PhD, FACR 8:20 - 8:40 Controversies using MRI for Screening Wendie Berg, MD, PhD, FACR 8:40 - 8:50 Conclusion/Survey Wendie Berg, MD, PhD, FACR 8:50 - 9:00 Case Presentation Sarah Mezban, MBChB Susan Harvey, MD 9:00 - 9:10 PRO) MRI for all BC Dx Sarah Mezban, MBChB 9:10 - 9:20 CON) MRI for all BC Dx Susan Harvey, MD 9:20 - 9:30 Conclusion/Survey Sarah Mezban, MBChB Susan Harvey, MD 9:30 - 9:40 Case Presentation Mehran Habibi, MD Robert Miller, MD 9:40 - 9:50 PRO) PET for Staging Mehran Habibi, MD 9:50 - 10:00 CON) PET for Staging Robert Miller, MD 10:00 - 10:15 Conclusion/Survey Mehran Habibi, MD Robert Miller, MD 10:15 - 10:40 Break 10:40 - 10:50 Case Presentation Kala Visvanathan, MBBS 10:50 - 11:10 Host Factors and Breast Cancer Kala Visvanathan, MBBS 11:10 - 11:20 Conclusion/Survey Kala Visvanathan, MBBS 11:20 - 11:30 Case Presentation Deborah Armstrong, MD Lisa Jacobs, MD 11:30 - 11:40 PRO) BRCA Positivity and the Mastectomy Deborah Armstrong, MD 11:40 - 11:50 CON) BRCA Positivity and the Mastectomy Lisa Jacobs, MD 11:50 - 12:00 Conclusion/Survey Deborah Armstrong, MD Lisa Jacobs, MD 12:00 - 1:30 Luncheon Presentation PRO) Surgery in the Setting of Mets Disease Mehran Habibi, MD CON) Surgery in the Setting of Mets Disease Ben Park, MD, PhD Afternoon 1:30 - 1:40 Case Presentation Antonio Wolff, MD 1:40 - 2:00 Tumor Molecular Profiling (Oncotype/other) Antonio Wolff, MD 2:00 - 2:10 Conclusion/Survey Antonio Wolff, MD 2:10 - 2:20 Case Presentation Tatiana Prowell, MD Hind Nassar, MD 2:20 - 2:30 PRO) Neo Adjuvant Chemo Tatiana Prowell, MD 2:30 - 2:40 CON) Neo Adjuvant Chemo Hind Nassar, MD 2:40 - 2:50 Conclusion/Survey Tatiana Prowell, MD Hind Nassar, MD 2:50 - 3:00 Case Presentation Fariba Asrari, MD Julie Lange, MD 3:00 - 3:10 PRO) Micro Mets in SLN ax vs no ax Dissection Fariba Asrari, MD 3:10 - 3:20 CON) Micro Mets in SLN ax vs no ax Dissection Julie Lange, MD 3:20 - 3:30 Conclusion/Survey Fariba Asrari, MD Julie Lange, MD 3:30 - 3:50 Break 3:50 - 4:00 Case Presentation Richard Zellars, MD Lisa Jacobs, MD 4:00 - 4:10 PRO) Post Mastectomy Radiation Richard Zellars, MD 4:10 - 4:20 CON) Post Mastectomy Radiation Lisa Jacobs, MD 4:20 - 4:30 Conclusion/Survey Richard Zellars, MD Lisa Jacobs, MD 4:30 - 4:40 Case Presentation Gedge Rosson, MD 4:40 - 5:00 Delayed vs Immediate Reconstruction Gedge Rosson, MD 5:00 - 5:10 Conclusion/Survey Gedge Rosson, MD Saturday, March 27, 2010 Saturday Morning Session 7:15 - 8:00 Continental Breakfast 8:00 - 8:10 Opening Comments 8:10 - 8:20 Optimizing Endocrine Therapy Deborah Armstrong, MD 8:20 - 8:40 Case Presentation Deborah Armstrong, MD 8:40 - 8:50 Conclusion/Survey Deborah Armstrong, MD 8:50 - 9:00 CYP2D6 and Tamoxifen Therapy/Anti-Depressants/other Vered Stearns, MD 9:00 - 9:10 Case Presentation Vered Stearns, MD 9:10 - 9:20 Conclusion/Survey Vered Stearns, MD 9:20 - 9:30 Optimizing Management of HER 2+ Metastatic Disease. Sequencing Herceptin and Tykerb Brain METS Emerging Disease Leisha Emens, MD, PhD 9:30 - 9:50 Case Presentation Leisha Emens, MD, PhD 9:50 - 10:00 Conclusion/Survey Leisha Emens, MD, PhD 10:00 - 10:20 Break 10:20 - 10:30 Treatment of Triple Neg Breast Cancer Leisha Emens, MD, PhD 10:30 - 10:50 Case Presentation Leisha Emens, MD, PhD 10:50 - 11:00 Conclusion/Survey Leisha Emens, MD, PhD 11:00 - 11:10 Survivorship Care Management Antonio Wolff, MD Kimberly Peairs, MD 11:10 - 11:20 Opinion from Oncology Specialist Antonio Wolff, MD 11:20 - 11:30 Opinion from Internal Medicine Specialist Kimberly Peairs, MD 11:30 - 11:40 Conclusion/Survey Antonio Wolff, MD Kimberly Peairs, MD 11:40 - 12:00 Conclusion and Closing Remarks Adjourn ? Please complete and return the Evaluation and Credit Report Forms. The Johns Hopkins University School of Medicine and The Institute for Johns Hopkins Nursing take responsibility for the content, quality and scientific integrity of this CME activity. This schedule is subject to change. Speakers Activity Director Theodore Tsangaris, MD Associate Professor of Surgery Chief of Breast Surgery Division of Surgical Oncology Director, Johns Hopkins Avon Foundation Oncology Breast Center Activity Co-Director Lillie Shockney, RN, BS, MAS Administrative Director University Distinguished Service Assistant Professor of Breast Cancer Johns Hopkins Faculty Deborah Armstrong, MD Associate Professor of Gynecology and Obstetrics and of Oncology Fariba Asrari, MD Clinical Associate Senior Radiation Oncologist Wendie Berg, MD, PhD, FACR Assistant Professor of Radiology and Radiological Science Breast Imaging Consulting Radiologist Leisha Emens, MD, PhD Associate Professor of Oncology Mehran Habibi, MD Assistant Professor of Surgery and Oncology Susan Harvey, MD Clinical Associate Radiology and Radiological Science Director of Breast Imaging Lisa Jacobs, MD Assistant Professor of Surgery Julie Lange, MD Associate Professor of Surgery, Oncology and Dermatology Sarah Mezban, MBChB Instructor in Radiology and Radiological Science Robert Miller, MD Clinical Associate Oncology Breast Center Hind Nassar, MD Assistant Professor of Pathology Ben Park, MD, PhD Associate Professor of Oncology Kimberly Peairs, MD Assistant Professor of Medicine Tanya (Tatiana) Prowell, MD Instructor in Oncology Gedge Rosson, MD Assistant Professor of Surgery Vered Stearns, MD Associate Professor of Oncology Kala Visvanathan, MBBS Associate Professor of Epidemiology and Oncology Antonio Wolff, MD Associate Professor of Oncology Richard Zellars, MD Assistant Professor of Radiation Oncology and Molecular Radiation Services Registration Form Course Number 80020811 The Fifth Bi-Annual Johns Hopkins Breast Cancer Conference: Controversies in Management ? a Multidisciplinary Perspective March 26-27, 2010 To Register: Online: www.HopkinsCME.edu By fax: (866) 510 -7088 By phone (credit card only): (410) 502-9635 Or mail this form to The Johns Hopkins University, Office of Continuing Medical Education, P.O. Box 64128, Baltimore, Maryland 21264-4128. Include check payable to HOPKINS/80020811, or include credit card information below. PAYMENT MUST ACCOMPANY FORM TO CONFIRM YOUR REGISTRATION. Please type or print clearly: last name first name middle initial primary degree (for name badge) primary specialty preferred mailing address city state ZIP + 4 code country daytime telephone fax number e-mail / / / / / / / / / / / / / / / / / / / / / / / / / You will receive confirmation notice by e-mail if you provide your e-mail address. M Check here if you wish to receive e-mail and/or fax notices about upcoming CME activities. What do you hope to learn by attending this activity? Please notify us if you have any special needs. Registration Fees: M Physicians $350 M Residents*/Fellows*/Nurses/Nurse Practitioners/Physician Assistants/ Allied Health Professionals $250 For three or more registrations from same multidisciplinary team?: M Physicians $300 M Residents*/Fellows*/Nurses/Nurse Practitioners/Physician Assistants/ Allied Health Professionals $200 For five or more registrations from same multidisciplinary team?: M Physicians $250 M Residents*/Fellows*/Nurses/Nurse Practitioners/Physician Assistants/ Allied Health Professionals $150 * with verification of status ? See shaded box to the left for stipulations regarding these discounted registration fees. For registrations received after 5:00 p.m. EST on March 21, 2010, include a $50 late fee. On-site registrations are payable only by credit card. Total amount enclosed $ Payment Type: JHU Faculty/Staff Only: Complete registration form and return with appropriate form below to OCME, Turner 20. h Internal Order Number: The ION Data Request Form, can be found online at http://www.hopkinscme.edu/pdfs/IonRequest.pdf. h Tuition Remission: To apply for TR, go to http://benefits.jhu.edu/EduBenefits/tuitionRemission.cfm. This is a non-credit professional development activity. h Check (See instructions on top of form.) h Credit Card: M VISA M MASTERCARD M DISCOVER M AMEX Card # - - - Exp. Date Name on Card Signature and Date