Download DeKalb Medical Breast Conference Thursday, December 10, 2015 7

DeKalb Medical
Breast Conference
Thursday, December 10, 2015
7:00 am- 8:00 am
_______Auditorium
Case 1
Patient Name/Initials:
Age/Sex
MR#
Presented by: Dr. LastName
Site:
Laterality:
Diagnosis:
Tumor Markers:
Clinical AJCC Stage: cT_ cN_ cM_ Stage Gp:
Pathological AJCC Stage: pT_ pN_ pM_ Stage Gp:
Comments:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
YES NO N/A
Topics Discussed
AJCC Stage, including prognostic indicators
NCCN or Other National Treatment Guidelines
Clinical Trials Available
Other (Genetic Counseling, Navigation, Psychosocial Needs, Palliative Care, etc…)
Case 2
Patient Name/Initials:
Age/Sex
MR#
Presented by:
Site:
Laterality:
Diagnosis:
Tumor Markers:
Clinical AJCC Stage: cT_ cN_ cM_ Stage Gp:
Pathological AJCC Stage: pT_ pN_ pM_ Stage Gp:
Comments:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
YES NO N/A
Topics Discussed
AJCC Stage, including prognostic indicators
NCCN or Other National Treatment Guidelines
Clinical Trials Available
Other (Genetic Counseling, Navigation, Psychosocial Needs, Palliative Care, etc…)
SEE REVERSE SIDE FOR ADDITIONAL CASES
Case 3
Patient Name/Initials:
Age/Sex
MR#
Presented by:
Site:
Laterality:
Diagnosis:
Tumor Markers:
Clinical AJCC Stage: cT_ cN_ cM_ Stage Gp:
Pathological AJCC Stage: pT_ pN_ pM_ Stage Gp:
Comments:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
YES NO N/A
Topics Discussed
AJCC Stage, including prognostic indicators
NCCN or Other National Treatment Guidelines
Clinical Trials Available
Other (Genetic Counseling, Navigation, Psychosocial Needs, Palliative Care, etc…)
Case 4
Patient Name/Initials:
Age/Sex
MR#
Presented by:
Site:
Laterality:
Diagnosis:
Tumor Markers:
Clinical AJCC Stage: cT_ cN_ cM_ Stage Gp:
Pathological AJCC Stage: pT_ pN_ pM_ Stage Gp:
Comments:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
mm/dd/yyyy @ DM:
YES NO N/A
Topics Discussed
AJCC Stage, including prognostic indicators
NCCN or Other National Treatment Guidelines
Clinical Trials Available
Other (Genetic Counseling, Navigation, Psychosocial Needs, Palliative Care, etc…)
Moderator: FirstName LastName, MD
Cancer Conference Coordinator:
Primary: FirstName LastName, CTR, W/P (404)501-5054; FAX (404)501-1153, Email: [email protected]
Case Submission: Cases should be submitted to FirstName LastName at [email protected].
CME: DeKalb Regional Health System is accredited by the Medical Association of Georgia to provide continuing medical education
for physicians. DeKalb Regional Health System designates this live activity for a maximum of 1 AMA PRA Category 1 CreditTM.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Intended Audience: Medical and surgical oncologists, diagnostic radiologists, pathologists, radiation oncologists and other cancer
team members involved in breast cancer diagnosis and care.
Learner Objectives: After taking part in this activity participants should be able to:
• Practice a multidisciplinary, coordinated team approach to planning, providing and evaluating the care of patients with breast
cancer.
• Discuss current and emerging breast cancer research and methods for increasing enrollment in clinical trials.
• Accurately and completely stage breast cancer patients using American Joint Committee on Cancer (AJCC) staging system
• Develop breast cancer treatment plans based on stage, prognostic indicators, and NCCN and other appropriate guidelines and
evidence supported cancer care recommendations.
Disclosures:
• FirstName LastName, MD, Planner: Speakers Bureau, Myriad Genetics, Inc.
• FirstName LastName, MD, Moderator: Nothing to disclose related to the content of this session.
• FirstName LastName, RHIA, CTR, Manager, Cancer Data Svs, Planner: Nothing to disclose related to the content of this session.
• FirstName LastName, CTR, Cancer Conference Coordinator (Primary) Planner: Nothing to disclose related to the content of this
session.
. FirstName LastName, Planner: Nothing to disclose related to the content of this session.
• FirstName LastName, MBA, CME, Planner: Nothing to disclose related to the content of this session.