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Arizona Center for Integrative Medicine

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Breast Cancer: An Integrative Approach

$300 Physicians
$200 Healthcare Providers
$200 Public
$100 Students

10 CME/CE

PHYSICIANS
NURSES

One out of every eight women in the US will be diagnosed with breast cancer during their lifetime, a number that has been increasing steadily over the past decade. The prevalence of breast cancer in men is also on the rise. Given the number of people diagnosed with this serious disease, practitioners must to be equipped with up-to-date, comprehensive information about prevention, treatment, and survivorship.

Breast cancer treatment is complex and demanding. It is understandable that busy providers might overlook what, in the past, were considered non-essential lifestyle factors while focusing on critical treatments. New research, however, highlights the fact that elements such as effective stress management, exercise, sleep, and healthy diet may improve outcomes and improve quality of life during both treatment and survivorship.

Practitioners trained in an integrative medicine model have the potential to improve outcomes, encourage optimism and resilience, and teach innovative, effective approaches to self-care in their patients. Information in this course will help practitioners better serve women, and men, with breast cancer in all stages of treatment.

Objectives

Breast Cancer Prevention

Participants will be able to:

  • List key risk factors for breast cancer and identify modifiable risk factors.
  • Define strategies to help patients address modifiable risk factors.
  • Discuss counseling women on the role of nutrition in breast cancer prevention.
  • Recognize distinct roles insulin resistance and environmental toxins play in a woman?s risk for breast cancer.
  • Discuss counseling women at high risk for breast cancer around key issues like genetic screening, intensive surveillance, and preventive treatments.
  • Analyze the current screening guidelines and reflect on the controversy around breast cancer screening.
  • Apply preventative, evidence-based integrative approaches in women at risk for breast cancer using case-based learning.

Breast Cancer Treatment

Participants will be able to:

  • Discuss surgical options for breast cancer, treatment and reconstructive surgery.
  • Assess methods used to optimize surgical outcomes, improve patient experience, and reduce risk of complications.
  • Describe various drug therapies and types of radiation therapy for breast cancer treatment, their associated adverse effects, and approaches to prevent or minimize these effects.
  • Recognize the Traditional Chinese Medicine interpretation of the causes and treatment approaches to breast cancer, especially the use of acupuncture for addressing some of the adverse effects of conventional treatment.
  • Evaluate commonly used mind-body medicine approaches used to prepare and support women during breast cancer treatment, and the medical evidence for mind-body medicine in mitigating adverse side effects of conventional treatment.
  • Apply evidence-based integrative medicine strategies to breast cancer using case-based learning that addresses a variety of diagnostic and treatment scenarios.

Breast Cancer Survivorship

Participants will be able to:

  • Discuss guidelines for monitoring breast cancer patients post-treatment, and key strategies for preventing recurrence.
  • Demonstrate approaches to prevent or reduce symptoms of physical weakness, functional impairment, lymphedema, and nerve damage caused by surgery and radiation therapy for breast cancer.
  • Identify the impact of long term beast cancer drug therapy on the endocrine system and discuss evidence-based integrative approaches to manage hot flashes, osteoporosis, and sexual function.
  • Assess evidence-based integrative medicine approaches to mental health after breast cancer treatment, including depression, anxiety, insomnia, and fatigue.
  • Apply evidence-based integrative medicine strategies in case-based learning format to address the complex needs of breast cancer survivors.

Completion Requirements

Complete all the course work, course evaluation, and the final test with a score of 70% or better. Upon successful completion you will be able to print your certificate of completion.

Curriculum

Prevention
Treatment
Monitoring and Preventing Recurrence
Physical Rehabilitation in BC Survivors
Endocrine Considerations
Mental Health After Treatment
Evaluation
Exam

Target Audience

Physicians, nurse practitioners, physician assistants, and nurses.

Enrollment

You will have a maximum of 90 days access to the material from the start date. If you register for the course and pay with a credit card you will have immediate access to the course. Once your registration is complete, logout and log back in and your course will be listed on the campus page. If you cannot remember your account information, click the Forgot Password link on the login page and it will be emailed to you.

Breast Cancer Disclosure & Education Credit Info

Disclosures

Faculty & Authors

The following faculty have disclosed that they have no financial interest, arrangement, or affiliation that would constitute a conflict of interest concerning this CME/CE activity. They have stated that their presentations do not include discussion of commercial products or devices or unlabeled/investigational drug use.

Hilary McClafferty, MD, FAAP, Assistant Director of the Fellowship
Steven Gurgevich, PhD, Clinical Assistant Professor of Medicine
Bridget Bongaard, MD, Medical Director of the Integrative Medicine Center of Excellence at CMC-NorthEast
Pio Guerrero, MD, Physical Medicine and Rehabilitation, Penrose-St. Francis Hospital
Adi Benito, MD, Clinical Endocrinologist, Princeton, NJ
James Holleman, MD, Chief Medical Officer, Chief of Anesthesia St. Luke's Hospital, Columbus, NC
Sharon Taylor, MD, Integrative Medical Oncologist, Duke University School of Medicine, NC
Maggi Coplin, MD, Medical Oncologist, St. Louis Cancer & Breast Institute, MO
Diljeet Singh, MD, DrPH, Program Director of Gynecologic Oncology, Program Director of Cancer Prevention and Integrative Medicine at the Banner MD Anderson Cancer Center, Gilbert, AZ
Dawn Lemanne, MD, PH, Medical Oncologist, Memorial Sloan-Kettering Cancer Institute's Integrative Medicine Service, NY
Melanie Fiorella, MD, Assistant Clinical Professor, Program Director of Integrative Medicine in Residency, Committee Member of Nutrition Curriculum Committee at UCSD, CA
Jeffrey Baker, MD, private practice, ID
Shilpa Saxena, MD, Family Practitioner at SevaMed Institute
Rena Zimmerman, MD, Medical Director of Radiation Oncology, Olympic Medical Center, Sequim, WA
Cheryl Beighle, MD, Medical Director, Integrative Medicine Department in Providence Regional Cancer Partnership, Everett WA
Jo Perron, MD, FACOG
Santosh Rao, MD
Kathleen Sanders, FNP, Program Director of Mind-Body Medicine, CT
Jingduan Yang, MD, Founder/Medical Director Tao Institute of Mind & Body Medicine, Mt Laurel, Bryn Mawr

The following faculty have disclosure information to share. Their presentations and participation with this activity were reviewed by other faculty and planners and determined to be free from bias. Their presentations are confined to information supported by peer-reviewed scientific reports.

Robert Pendergrast, MD, Associate Professor at Georgia Health Sciences University - has disclosed that he is the owner of Penstokes Press, Publishing. The company published a book on breast cancer prevention.
Justine Robbins, MEd, LMT, CLT, NCTMB, Certified Lymphedema Therapist and Licensed Massage Therapist - received an honorarium from AzCIM
Jamie Perkunas, DPT, Private Practice - received a consulting fee from AzCIM

Planning Committee

The following planning members have disclosed that they have no financial interest, arrangement, or affiliation that would constitute a conflict of interest concerning this CME activity.

Tieraona Low Dog, MD, Clinical Associate Professor of Medicine; Director of the Fellowship, Arizona Center for Integrative Medicine
Molly Burke, MFA, BA, CMT, Project Manager, Fellowship in Integrative Medicine, Arizona Center for Integrative Medicine
Amy Rae Som, MSEd, Asst Specialist Interactive Learning, Fellowship in Integrative Medicine, Arizona Center for Integrative Medicine
Kathleen Sanders, FNP, Program Director of Mind-Body Medicine at Stamford Hospital, CT
Dawn Lemanne, MD, PH, Medical Oncologist, Memorial Sloan-Kettering Cancer Institute's Integrative Medicine Service, NY
Santosh Rao, MD
Sharon Taylor, MD, Integrative Medical Oncologist, Duke University School of Medicine, NC

CONTINUING MEDICAL EDUCATION REVIEWER DISCLOSURE

The following University of Arizona College of Medicine CME Office Reviewer has no relationships with commercial interests that would constitute a conflict of interest with the proposed activity.

John M. Harris Jr., MD, MBA
Executive Director

Office of Continuing Medical Education

University of Arizona College of Medicine
Office of Continuing Medical Education
520-626-7832
uofacme@email.arizona.edu

Commercial Support

No commercial support was provided for the development of this course.

Credit Detail

The University of Arizona College of Medicine at the Arizona Health Sciences Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

PHYSICIANS

The University of Arizona College of Medicine at the Arizona Health Sciences Center designates this Enduring Material for a maximum of 10 AMA PRA Category 1 Credit(s)?. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Original Release date: August 3, 2012
Current Approval Period 8/3/12 to 8/2/14
Date of Most Recent Review: August 3, 2012

NURSES

This continuing nursing education activity was approved by the American Holistic Nurses Association's Education Approver Committee, an accredited approver by the American Nurses Credentialing Center's COA.

Approved through 10/03/2014
approval code #944

Course delivery

All courses are online, web-based format. Teaching strategies include interactive case scenarios, case studies, and quizzes. There may be some video included. This course is estimated to take 10 hours to complete.

Disclaimer

This course does not constitute medical advice. Healthcare providers should exercise their own independent medical judgment.
All case studies and patient scenarios in this course are used for illustrative purposes. All depictions of persons (other than faculty) are models not actual patients.

Privacy and Confidentiality Statement

AzCIM will not release names, email addresses, or personal identifying information to third parties.

Copyright

All rights reserved - Arizona Board of Regents.

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