Breast Cancer: An Integrative Approach (2017-2019)

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 breast cancer diagnoses, practitioners must 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. Continuing 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 patients 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 the roles insulin resistance and environmental toxins play in a woman's risk for breast cancer.
  • Recognize those women at high risk for breast cancer and appropriately refer those patients for genetic screening, intensive surveillance, and preventive treatments.
  • Apply preventive, 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 classes of drug therapies and 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 breast 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 Breast Cancer
Evaluation
Exam

Target Audience

This online enduring material educational program is designed for physicians, advanced nurse practitioners, and physician assistants and other health care providers who have an interest in breast cancer treatment.

Educational Purpose

The educational purpose of Breast Cancer: An Integrative Approach is to provide practitioners with an overview of integrative prevention strategies and cancer care modalities and treatments that are beneficial for patients in active treatment and survivorship.

Enrollment

You will have a maximum of 30 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.


CMEsolutions

Disclosure & Education Credit Info

Faculty and Disclosures

  • All participants have signed a statement indicating they will present information fairly and without bias.

Instructors

Hilary McClafferty, MD, FAAP Co-Director of the Fellowship and Director of the Pediatric Integrative Medicine in Residency program at the Arizona Center for Integrative Medicine, University of Arizona, Tucson, Arizona
Dawn Lemanne, MD, MPH, Founder, Oregon Integrative Oncology, Ashland, OR
Steven Gurgevich, PhD, Clinical Asst Professor of Medicine and Director, The Mind-Body Clinic, Tucson, Arizona
Bridget Bongaard, MD, Medical Director, Islands Hospice, Kahului, HI
Pio Guerrero, MD, Attending Physician, Colorado Rehabilitation Specialists, Colorado Springs, CO
Adi Benito-Herrero, MD, Owner and Director, Princeton Integral Endocrinology, Princeton, NJ
Ayemoethu Ma, MD, Director of Breast Surgery, Mt. Sinai - St. Luke's, New York, NY
James Holleman, MD, Surgeon, St. Luke's Surgical Associates, Columbus, NC
Sharon Taylor, MD, Retired, Durham, NC
Maggi Coplin, MD, Oncologist, Oncology Locums, Chesterfield, MO
Diljeet Singh, MD, DrPH, Gynecologic Onocolgy, Mid-Atlantic Permanente Group, McLean, VA
Melanie Fiorella, MD, Associate Clinical Professor, UC San Diego Health, San Diego, CA
Jeffrey Baker, MD, Owner, The Healing Sanctuary, Idaho Falls, ID
Shilpa Saxena, MD, Founder/President, SevaMed Institute, Inc,Lutz, FL
Rena Zimmerman, MD, Radiation Oncologist, Midwest Radiation Oncology Consultants, McHenry, IL
Cheryl Beighle, MD, Partner, Pediatrician, Everett Clinic, Everett WA
Joanne Perron, MD, FACOG, Lecturer, UC Berkeley, Berkeley, CA
Santosh Rao, MD, Medical Director of Integrative Medicine, Banner MD Anderson Cancer Center, Gilbert, AZ
Kathleen Sanders, FNP, Nurse Practitioner, Columbia University Medical Center, New York, NY
Jingduan Yang, MD, Founder/Medical Director, Tao Institute of Mind & Body Medicine, Marlton, NJ
Leila Ali-Akbarian, MD, MPH, Assistant Professor, University of Arizona, Tucson, AZ
Kathryn Hamilton, MA, RDN, CSO, CDN, FAND, Outpatient Oncology Dietitian, Morristown Medical Center, Morristown, NJ
Jaimie Perkunas, DPT, E-RYT, Owner, Yoga Is Therapy, Tucson, AZ
Robbins, Justine, MEd, LMT, CLT, NCTMB, Lymphedema Therapist, Banner University of Arizona Cancer Center North, Tucson, AZ

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. Book author: Breast Cancer, Reduce Your Risk with Foods You Love.

Reviewers

Hilary McClafferty, MD, FAAP Co-Director of the Fellowship and Director of the Pediatric Integrative Medicine in Residency program at the Arizona Center for Integrative Medicine, University of Arizona, Tucson, Arizona
Dawn Lemanne, MD, MPH, Founder, Oregon Integrative Oncology, Ashland, OR

Planner Disclosures

No member of CMEsolutions or Arizona Center for Integrative Medicine has any relevant financial relationships to disclose.

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.

Hilary McClafferty, MD, FAAP Co-Director of the Fellowship and Director of the Pediatric Integrative Medicine in Residency program at the Arizona Center for Integrative Medicine, University of Arizona, Tucson, Arizona
Dawn Lemanne, MD, MPH, Founder, Oregon Integrative Oncology, Ashland, OR
Priscilla Abercrombie, NP, Owner, Women's Health and Healing, Healdsburg, CA
Molly Burke, MFA, BA, CMT, Director of Online Education, Fellowship in Integrative Medicine, Arizona Center for Integrative Medicine

Off-label Use

Breast Cancer: An Integrative Approach may contain discussion of unlabeled and/or investigational uses of agents not approved by the FDA. Please consult the prescribing information for each product.

Commercial Support

There is no commercial support for this activity.

Credit Detail

CMEsolutions

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of CMEsolutions and the Arizona Center for Integrative Medicine. The CMEsolutions is accredited by the ACCME to provide continuing medical education for physicians. For more information regarding contact hours, please call Shirlene DeHart 520-544-2938.

PHYSICIANS

The CMEsolutions designates this enduring material activity for a maximum of 10 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The CMEsolutions is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Current Approval Period March 13, 2017 - March 13, 2019.

NURSES
This continuing nursing education activity was approved for 10 contact hours by the Western Multi-State Division, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. A

Arizona, California, Colorado, Idaho, and Utah Nurses Associations are members of the Western Multi-State Division.

Current Approval Period March 30, 2017 - March 30, 2019.
Approval # 48-17

Policy on Privacy and Confidentiality Statement

CMEsolutions, the accredited provider, is required by the American Medical Association (AMA) and the ACCME (and occasionally by other accrediting organizations) to collect user information that will allow CMEsolutions to issue a CME/CE certificate. CMEsolutions is required to keep this information on file for up to 6 years. The information is stored in a secure database and used only to verify individual participation in a CME/CE activity and to reissue a certificate if a user's original certificate is lost or misplaced.

CMEsolutions is permitted to use copyrighted materials within this on-line enduring material.

CMEsolutions may be contacted at info@cmesolutions.org.

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

Course Delivery

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

Participation Requirements

  1. Read all CE Information and disclosures
  2. Complete all modules in the course
  3. Complete the course evaluation
  4. Pass the online knowledge exam with a score of 70%

Certificate: When all of the above requirements are met (during the agreed upon timeline), a link for the completion certificate is available to download and print anytime from "My Account." If a specific credit type was selected at registration, your certificate will indicate earned credits.

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 and not actual patients.

Copyright

All rights reserved - Arizona Board of Regents.