Accreditation/Credit Designation

Physicians’ Education Resource®, LLC, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Physicians’ Education Resource®, LLC, designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physicians’ Education Resource®, LLC, is approved by the California Board of Registered Nursing, Provider #16669, for 1.0 Contact Hours.

ACPE

Pharmacy Times Continuing Education™ is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This activity will be approved for 1.0 contact hours (0.1 CEUs) under the ACPE universal activity numbers: 0290-0000-20-007-H01-P

For Pharmacists, please click here to participate in this activity.

Acknowledgment of Commercial Support

This activity is supported by an educational grant from Bristol-Myers Squibb.

Oncology Consultations®: Addressing Survivorship and Prevention Along the Cancer Care Continuum

Release Date: December 23, 2019
Expiration Date: December 23, 2020
Media: Internet - based

Activity Overview

As cancer screenings and treatments continue to improve and patients continue to live even longer, the field of cancer survivorship — living beyond diagnosis and treatment — becomes increasingly pertinent to ensure continuity of care. Patients, along with their treatment team members, need to be able to: (1) identify and manage long-term and late effects of cancer and cancer treatments; and (2) improve modifiable health behaviors, such as smoking, diet, and exercise. Moreover, there needs to be a coordination of care among oncologists, pharmacists, nurses, and other healthcare professionals to ensure that the patient’s physical, psychological, and psychosocial needs are met. Clinicians need to be aware of evidence-based guidelines and tools, like survivorship plans and apps, that are available to support cancer survivors to optimize clinical outcomes, safeguard quality of life, and extend survival.

This Oncology Consultations®: Addressing Survivorship and Prevention Along the Cancer Care Continuum online educational activity includes a facilitated discussion between a medical oncology and nursing oncology expert assessing the role of survivorship care plans and preventative practices for cancer survivors. This case-based program will reveal key clinical challenges and best practices in empowering and counseling patients as well as engaging the multidisciplinary team in survivorship and prevention. The program faculty will discuss the physical, psychological, and psychosocial effects of cancer from diagnosis throughout the care continuum; highlight how healthcare providers can develop and implement survivorship and wellness care plans to help improve the health and quality of life of your patients living with cancer; and finally, explain the vital roles of the healthcare team and the importance of family caregivers in survivorship care.

Acknowledgement of Commercial Support

This activity is supported by an educational grant from Bristol-Myers Squibb.

Instructions for This Activity and Receiving Credit

  • You will need to log in to participate in the activity.
  • Each presentation may contain an interactive question(s). You may move forward through the presentation; however, you may not go back to change answers or review video/content until you finish the presentation.
  • At the end of the activity, “Educational Content/Videos” will be available for your reference.
  • In order to receive a CME/CE Certificate, you must complete the activity.
  • Complete the Posttest and pass with a score of 70% or higher, complete the Evaluation, and then click on “Request for Credit.” You may immediately download a CME/CE Certificate upon completion of these steps.

Target Audience

This educational activity is directed toward medical oncologists, radiation oncologists, surgical oncologists, oncology nurses, pharmacists, primary care clinicians, and other healthcare professionals who manage and treat patients with cancer. Fellows, nurse practitioners, and physician assistants interested in the survivorship and prevention issues for patients with cancer are invited to participate.

Learning Objectives

Upon successful completion of this educational activity, you should be better prepared to:

  • Discuss physical, psychological, and psychosocial effects of cancer from diagnosis throughout the care continuum
  • Develop and implement survivorship and wellness care plans to help improve health and quality of life of individual patients with cancer
  • Explain the vital roles of the healthcare team and family caregivers in survivorship care

Faculty, Staff, and Planners’ Disclosures

Faculty

Katherine Van Loon
Katherine Van Loon, MD, MPH
Associate Professor of Clinical Medicine
Division of Hematology/ Oncology
Department of Medicine
Medical Director
Gastrointestinal/Oncology Survivorship Clinic
Helen Diller Family Comprehensive Cancer Center
University of California San Francisco
San Francisco, CA

Disclosures: no relevant financial relationships with commercial interests.

Angela Laffan
Angela Laffan, MS, RN, NP
Assistant Director
GI Medical Oncology Survivorship Program
University of California San Francisco
San Francisco, CA

Disclosures: no relevant financial relationships with commercial interests.

The staff of Physicians' Education Resource®, LLC (PER®) have no relevant financial relationships with commercial interests to disclose.

Disclosure Policy and Resolution of Conflicts of Interest (COI)

As a sponsor accredited by the ACCME, it is the policy of PER® to ensure fair balance, independence, objectivity, and scientific rigor in all of its CME/CE activities. In compliance with ACCME guidelines, PER® requires everyone who is in a position to control the content of a CME/CE activity to disclose all relevant financial relationships with commercial interests. The ACCME defines “relevant financial relationships” as financial relationships in any amount occurring within the past 12 months that creates a COI.

Additionally, PER® is required by ACCME to resolve all COI. PER® has identified and resolved all COI prior to the start of this activity by using a multistep process.

Off-Label Disclosure and Disclaimer

This CME/CE activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME/CE activity is for continuing medical and nursing education purposes only and is not meant to substitute for the independent clinical judgment of a physician and nurse relative to diagnostic or treatment options for a specific patient’s medical condition.

The opinions expressed in the content are solely those of the individual faculty members and do not reflect those of PER® or the company that provided commercial support.

PER Pulse™ Recap

1 of 3

Oncology Consultations™: Addressing Survivorship and Prevention Along the Cancer Care Continuum is a continuing medical education (CME)-certified program. For this program, Katherine Van Loon, MD, MPH, and Angela Laffan, MS, RN, NP, provide expert guidance for oncology healthcare professionals on cancer survivorship and cancer prevention strategies for their patients with cancer.

This first of 3 PER Pulse™ Recaps summarizing the online activity focuses on understanding what cancer survivorship means for the patient and for oncology healthcare providers. Below are some highlights from the activity featuring Angela Laffan, MS, RN, NP:

  • A cancer survivor is a person from the time of cancer diagnosis through the balance of his or her life.
  • Survivorship is the time on the cancer care continuum that begins after the completion of cancer treatment.
  • As oncology healthcare providers, cancer survivorship is a valuable time that can be used to empower patients to make meaningful lifestyle changes to prevent cancer recurrence, secondary cancers, and other lifestyle-related illnesses.
  • Exercise guidelines for cancer survivors recommends 150 minutes of physical activity per week.1
  • In a population-based cohort study, survivors of most site-specific cancers had increased long-term risk for cardiovascular diseases compared with the general population,2 indicating the need for cardiovascular risk prevention in patients with cancer.

“A lot of patients say that the time after they finish their cancer treatment is actually the most difficult time for them as they try to navigate their way back into normal life.”
— Angela Laffan, MS, RN, NP

References

  1. Campbell KL, Winters-Stone KM, Wiskemann J, et al. Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable. Med Sci Sports Exerc. 2019;51(11):2375-2390. doi: 10.1249/MSS.0000000000002116.
  2. Strongman H, Gadd S, Matthews A, et al. Medium and long-term risks of specific cardiovascular diseases in survivors of 20 adult cancers: a population-based cohort study using multiple linked UK electronic health records databases. Lancet. 2019;394(10203):1041-1054. doi: 10.1016/S0140-6736(19)31674-5.

2 of 3

Oncology Consultations™: Addressing Survivorship and Prevention Along the Cancer Care Continuum is a continuing medical education (CME)-certified program. For this program, Katherine Van Loon, MD, MPH, and Angela Laffan, MS, RN, NP, provide expert guidance for oncology healthcare professionals on cancer survivorship and cancer prevention strategies for their patients with cancer.

This second of 3 PER Pulse™ Recaps summarizing the online activity focuses on developing a survivorship care plan with members of the multidisciplinary team for your patients with cancer. Below are some highlights from the activity featuring Angela Laffan, MS, RN, NP:

  • Only 1 in 4 oncologists acknowledged that they spoke to their patients about lifestyle expectations;1 and patients may feel that the lack of conversation on the topic means that it must not be important.
  • The American Institute of Cancer Research recommends that patients with cancer maintain a healthy weight, eat a good diet, avoid sugary and fatty foods, limit alcohol consumption, exercise regularly, stop smoking, and avoid sun exposure.2,3
  • A patient’s cancer survivorship team includes many specialists beyond the oncologist, such as a nurse practitioner and/or registered nurse, a pharmacist, a primary care physician, a psycho-oncologist, a genetic counselor, a dietician, an exercise counselor, a reproductive endocrinologist, a urologist and/or gynecologist, and a social worker.
  • Pharmacists can help educate cancer survivors on nutritional supplements and drug interactions during the course of their survivorship care plan.

“It is really important that as healthcare professionals we speak tactfully, respectfully, and truthfully to patients about our expectations for them and recommendations for lifestyle.”
— Angela Laffan, MS, RN, NP

References

  1. Stump TK, Robinson JK, Yanez B, et al. Physicians’ perspectives on medication adherence and health promotion among cancer survivors. Cancer. 2019:125(23):4319-4328. doi.org/10.1002/cncr.32410.
  2. American Institute for Cancer Research. https://www.aicr.org/reduce-your-cancer-risk/recommendations-for-cancer-prevention/index.html. Accessed on December 18, 2019.
  3. American Institute for Cancer Research. https://www.aicr.org/reduce-your-cancer-risk/smoking-and-other-lifestyle-factors/smoking-sun-vaccines.html. Accessed on December 18, 2019.

3 of 3

Oncology Consultations™: Addressing Survivorship and Prevention Along the Cancer Care Continuum is a continuing medical education (CME)-certified program. For this program, Katherine Van Loon, MD, MPH, and Angela Laffan, MS, RN, NP, provide expert guidance for oncology healthcare professionals on cancer survivorship and cancer prevention strategies for their patients with cancer.

This third of 3 PER Pulse™ Recaps summarizing the online activity focuses on specific recommendations for fertility preservation and smoking cessation strategies that oncologists can offer their patients. Below are some highlights from the activity featuring Angela Laffan, MS, RN, NP:

  • The ASCO Fertility Preservation guidelines recommend options, such as embryo, oocyte, or sperm cryopreservation, be offered to patients prior to cancer treatment initiation.1
  • Pharmacists can help counsel patients experiencing premature menopausal due to cancer therapies on integrative therapies to alleviate symptoms.
  • The NCCN Guidelines for Smoking Cessation recommend a combination of pharmacologic therapy (with nicotine replacement therapy or varenicline) and behavior therapy to aid patients with cancer to quit smoking.2

“Tobacco cessation is one of the most impactful lifestyle changes that patients with cancer can make.”
— Angela Laffan, MS, RN, NP

References

  1. Oktay K, Harvey BE, Partridge AH, et al. Fertility preservation in patients with cancer: ASCO clinical practice guideline update. J Clin Oncol. 2018:36(19):1994-2001. doi: 10.1200/JCO.2018.78.1914.
  2. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) Smoking Cessation version 2.2019. www.nccn.org/professionals/physician_gls/pdf/smoking.pdf. Accessed on December 18, 2019.

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