Arizona Center for Integrative Medicine

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

10 CME/CPE/CE PHYSICIANS DIETIANS NURSES

This course covers the fundamentals of nutrition in cancer treatment and prevention. It provides clinicians with a review of the current literature and a scientific basis for the integration of nutrition in the prevention and supportive treatment of cancer.

Subject areas include:

• Current dietary guidelines for cancer prevention
• Nutrition & breast cancer
• Nutrition & colorectal cancer
• Nutrition & prostate cancer
• Nutrition during cancer treatment

Needs Assessment

Cancer is the leading cause of death in the U.S. for people under the age of 85, with nearly 570,000 men and women projected to die from cancer in 2010. While there are numerous factors that contribute to the development of cancer, research shows that one-third of cancers can be prevented through proper nutrition and is vitally important during treatment and for reducing the risk of recurrence.

Even with the level of research showing the importance of nutrition and lifestyle in cancer prevention, many clinicians do not feel adequately trained to effectively counsel patients, particularly those who may be at increased risk. And beyond prevention, an integrative treatment approach, which includes nutrition, can increase survival and improve outcomes.

Research/Literature Review	Astin, J. 1998. Why patients use alternative medicine: results of a national study. JAMA 279: 1548-1553.
	Dossus L, Kaaks R. Nutrition, metabolic factors and cancer risk. Best Pract Res Clin Endocrinol Metab. 2008 Aug;22(4):551-71
	Eisenberg, D. 1993. Unconventional medicine in the United States: prevalence, costs and patterns of use. JAMA
	Eisenberg, D. 1998. Trends in alternative medicine use in the United States. JAMA 280(18): 1569-1575.
	Irwin ML, Mayne ST. Impact of nutrition and exercise on cancer survival. Cancer J. 2008 Nov-Dec;14(6):435-41
	Toles M, Demark-Wahnefried W. Nutrition and the cancer survivor: evidence to guide oncology nursing practice Semin Oncol Nurs. 2008 Aug;24(3):171-9.
	Vineis P, Riboli E. The EPIC (European Prospective Investigation into Cancer and Nutrition) study: an update. Recent Results Cancer Res. 2009;181:63-70
Expert Opinion Faculty Perceptions	Integrative Medicine: Bringing Medicine Back to its Roots, Snyderman, R & Weil, A. (opinion paper about the state of the current health care system and why changes are needed in healthcare education as part of the redesign of the system)
	Willett W. Nutrition and cancer: the search continues. Nutr Cancer. 2008;60(5):557-9.
	Mao JJ, Palmer SC, Straton JB, et al. Cancer survivors with unmet needs were more likely to use complementary and alternative medicine. J Cancer Surviv. 2008 Jun;2(2):116-24.
Previous Educational Activities	Continuous online feedback from our other online offerings re: structure of courses, session topics and delivery methods Feedback from previous online course Nutrition and Cardiovascular Health when asked to suggest future CEU activities. Continuous online feedback from our other online offerings re: structure of courses, session topics and delivery methods. Feedback from previous online course Nutrition and Cardiovascular Health when asked to suggest future CEU activities.

Overall goal

The goal of this activity is to: provide a review of the current relevant literature about cancer and nutrition; provide practitioners with an understanding of the central role of nutrition in health and healing; provide a scientific basis for the integration of nutrition and medicine in order to apply information from the literature to interactive clinical scenarios.

Objectives

Nutrition & Cancer students will:

• Define integrative oncology and the role of nutrition in integrative care of the oncology patient.
• Evaluate risks and benefits of nutritional recommendations for cancer prevention, treatment, complications of treatment, and survival through an analysis of the existing scientific and clinical evidence.
• Apply nutritional information to clinical scenarios, advising virtual patients about eating for optimum health, and using dietary change as a therapeutic option.
• Review current literature regarding the relationship of specific food, diets, and bioactive food compounds and cancer risk modification.
• Employ provided resources to keep up with literature involving health-related nutritional recommendations.

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.

Target Audience

Physicians, nurse practitioners, physician assistants, nurses, and dietitians with an interest in oncology, as well as other health practitioners who have interest in integrative medicine.

Enrollment

You can register and start immediately. 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.

Nutrition & 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.

Tieraona Low Dog, MD, Clinical Associate Professor of Medicine; Director of the Fellowship, Arizona Center for Integrative Medicine
Donald Abrams, MD, Director of Clinical Programs, Osher Center for Integrative Medicine, University of California, San Francisco; Chief of Hematology and Oncology at San Francisco General Hospital
Randy Horwitz, MD, PhD, Clinical Assistant Professor of Medicine; Medical Director, Arizona Center for Integrative Medicine
Mary Marian, MS, RD, Clinical Nutrition Research Specialist; Lecturer, Nutritional Sciences; Program Coordinator, Senior Specialist, Curriculum Development, Arizona Center for Integrative Medicine
Cyndi Thomson, PhD, RD, Associate Professor, Nutrition Science, Medicine, and Public Health, The University of Arizona
Kathryn K. Hamilton, MA, RD, CSO, CDN, Oncology Dietitian, Carol G Simon Cancer Center, Morristown Memorial Hospital
Patricia Thompson, PhD, Associate Professor, Cell Biology and Anatomy; Assistant Professor of Public Health
Dawn Lemanne, MD, MPH, Associate Professor, Memorial Sloan-Kettering Cancer Center

While no financial relationship with a commercial interest whose products or services will be considered in this activity, the following would like to provide affiliation information:

Andrew Weil, MD, Clinical Professor of Medicine; Professor of Public Health; Lovell-Jones Professor of Integrative Rheumatology (endowed chair); Director and Founder, Arizona Center for Integrative Medicine

Weil Foundation (www.weilfoundation.org): Founder and Chairman of the Board

Miraval Resort: Director of Integrative Health

University of New Mexico School of Medicine:
Clinical Associate Professor, Dept. of Internal Medicine, Volunteer Faculty

Council on Complementary and Alternative Medicine: Chairman,
Dubai Healthcare City, United Arab Emirates
Weil Lifestyle LLC: Member

Licensees:
IdeaSphere Inc./Weil Nutritional Supplements
Weil Juvenon
Key Baby/Weil Baby
Lucini Italia Organics, endorsed by Dr. Andrew Weil (olive oils)
Origins Natural Resources (one of the Estee Lauder Companies/ Dr. Andrew Weil for Origins)
Vasyli/Orthaheel/ Dr. Andrew Weil Integrative Footwear
Vita Foods/Weil by Vita Foods
Vital Choice Seafood/Weil for Vital Choice
Weil by Dansk (Lenox Corp.)/Healthy Kitchen Collection
Website (www.drweil.com): Editorial Director
Consultant:
California Walnut Commission
Fungi Perfecti
Ongoing Writing/Broadcasting Commitments:
Oxford University Press, editor, Weil Integrative Library
Prevention Magazine, monthly column "Ask Dr. Weil"
Author of the following books:
Spontaneous Happiness
Why Our Health Matters: A Vision of Medicine that Can Tranform Our Future, issued in paperback with new content added as You Can't Afford to Get Sick
Healthy Aging: A Lifelong Guide to Your Physical and Spiritual Well-Being
The Healthy Kitchen: Recipes for a Better Body, Life, and Spirit (with Rosie Daley)
Eating Well for Optimum Health: The Essential Guide to Food, Diet, and Nutrition
8 Weeks to Optimum Health
Spontaneous Healing: How to Discover and Enhance Your Body's Natural Ability to Maintain and Heal Itself
Natural Health, Natural Medicine: The Complete Guide to Wellness and Self-Care for Optimum Health
Health and Healing: The Philosophy of Integrative Medicine and Optimum Health
From Chocolate to Morphine: Everything You Need to Know About Mind-Altering Drugs (with Winifred Rosen)
The Marriage of Sun and Moon: Dispatches from the Frontiers of Consciousness
The Natural Mind: A Revolutionary Approach to the Drug Problem
Advisory Boards and Committees:
American Botanical Council
American Herbal Pharmacopaeia
American Medical College of Homeopathy
British College of Integrated Medicine/Integrative Health Trust
The Center for Contemplative Mind in Society
Earth Save Foundation
Foundation for Integrative AIDS Research
Herb Research Foundation
Holistic Health Research Foundation of Canada
Institute for Integrative Medicine
Integrative Cancer Therapies
Integrative Medicine Alliance
Integrative Psychiatry (journal, editorial board)
Journal of Science of Healing Outcomes (editorial board)
David and Lura M. Lovell Foundation
National Wellness Coalition
New York Botanical Gardens 2010 Exhibit on Medicinal Plants
The Organic Center
Prevent Cancer Foundation
Scripps Center for Integrative Medicine
Simonton Cancer Center
Steps for Living
Yellow Courtyard
True Food Kitchen restaurants/Good Food LLC, Member

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
Cyndi Thomson, PhD, RD, Associate Professor, Nutrition Science, Medicine, and Public Health, The University of Arizona
NURSE REVIEWER Rebecca Shultz, MSN, FNP-BC Aurora Health Care, Wisconsin
Amy Rae Som, MSEd, Asst Specialist Interactive Learning, Fellowship in Integrative Medicine, Arizona Center for Integrative Medicine

CME Office

The University of Arizona College of Medicine at the Arizona Health Sciences Center
Continuing Medical Education Office Reviewers - 2012-2013

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

Sammy Campbell, MD, Medical Director

Neither Dr. Campbell nor Dr. Harris have financial relationships with commercial interests whose products or services are discussed in this activity.

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 activity for a maximum of 10.0 AMA PRA Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Original Release date: April 29, 2005
Re-approved 4/12/13 for a 2 year period
Expiration date: 4/29/15
Maximum credit hours: 10.0

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 January 23, 2014.

Approval for contact hours through the AHNA is based on an assessment of the educational merit of this program and does not constitute endorsement of the use of any specific modality in the care of clients.

DIETITIANS

This program has been approved by the Commission on Dietetic Registration for 10 CPEUs.

Release date: April 25, 2013 (for a period of 2 years)
Expiration Date: April 29, 2015

Course delivery

This course is delivered online and participant will participate in learning online. 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.