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Behind the Knife - Clinical Challenges in Breast Surgery: Surgical Management of Metastatic Breast Cancer


ONLINEAAPA CMEABSAMAANCCMOCPodcastsBehind the Knife
Behind the Knife - Clinical Challenges in Breast Surgery: Surgical Management of Metastatic Breast Cancer Banner

  • Overview
  • Faculty
  • Content and Tests
Add to Calendar Behind the Knife - Clinical Challenges in Breast Surgery: Surgical Management of Metastatic Breast Cancer 12/14/2022 9:00:00 AM 12/14/2025 12:00:00 AM America/New_York For More Details: https://vcu.cloud-cme.com/course/courseoverview?P=0&EID=28009 false MM/DD/YYYY


Date & Location
Wednesday, December 14, 2022, 9:00 AM - Sunday, December 14, 2025, 12:00 AM, , VA

Target Audience
Specialties - Nurse Practitioner, Nursing, Physician Assistant, Physicians, Surgery
Professions - Nurse, Nurse Practitioner, Physician, Physician Assistant, Surgeon

Overview

De novo metastatic breast cancer represents 6% of all new breast cancer diagnoses. This figure has not changed at all over the past 20 years; however, systemic therapy options have evolved dramatically during this time and have significantly increased life expectancy for these patients. While surgical management of the primary tumor in the setting of metastatic disease has typically been reserved for palliative indications, surgeons are now being asked to consider resecting the primary tumor to potentially increase overall survival. In this episode, we will use a case study to examine the data that should inform our conversations and decisions when we encounter patients with metastatic breast cancer who are interested in having their primary tumor resected.

Hosts:
Alexa Glencer, MD
Rita Mukhtar, MD
Michael Alvarado, MD

Links:

  • Khan, S.A., S. Schuetz, and O. Hosseini (2022). Primary-Site Local Therapy for Patients with De Novo Metastatic Breast Cancer: An Educational Review. Ann Surg Oncol; 29: 5811-5820. https://link.springer.com/article/10.1245/s10434-022-11900-x
  • Khan, S.A. et al (2022). Early Local Therapy for the Primary Site in De Novo Stage IV Breast Cancer: Results of a Randomized Clinical Trial (E2108). J Clin Oncol; 40(9): 978-987. https://ascopubs.org/doi/10.1200/JCO.21.02006?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
  • Badwe, R. et al (2015). Locoregional treatment versus no treatment of the primary tumor in metastatic breast cancer: an open-label randomized controlled trial. Lancet Oncol; 16: 1380-1388. https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(15)00135-7/fulltext
  • Fitzal, F. et al (2019). Impact of Breast Surgery in Primary Metastasized Breast Cancer: Outcomes of the Prospective Randomized Phase III ABCSG-28 POSYTIVE Trial. Ann Surg; 269(6): 1163-1169. https://journals.lww.com/annalsofsurgery/Abstract/2019/06000/Impact_of_Breast_Surgery_in_Primary_Metastasized.24.aspx
  • Soran, A. et al (2018). Randomized Trial Comparing Resection of Primary Tumor with No Surgery in Stage IV Breast Cancer at Presentation: Protocol MF07-01. Ann Surg Oncol; 25: 3141-3149. https://link.springer.com/article/10.1245/s10434-018-6494-6


Objectives
Upon completion of this activity, you will be able to:

  1. Identify the data that should inform our conversations and decisions when we encounter patients with metastatic breast cancer.

Registration

There is no registration fee to participate in this activity.  Login and click "Content and Tests" above to view content.

In order to receive continuing education credit, learners must listen to the podcast, pass the post-test (3 questions, 66% required score, unlimited attempts), and complete an evaluation form.

Please contact us if you have any questions or problems with the system.


Accreditation

In support of improving patient care, VCU Health Continuing Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

VCU Health Continuing Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to
earn credit toward the CME and Self-Assessment requirements of the American Board of Surgery’s Continuous Certification
program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose
of granting ABS credit.

It is the responsibility of the participant to provide the correct information [ABS ID Number and DOB (in MMDD format)] in order to receive MOC credit for participating in a CE activity. 

VCU Health Continuing Education designates this activity for a maximum of 1.00 ANCC contact hour. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

VCU Health Continuing Education has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until 9/15/2025. PAs should only claim credit commensurate with the extent of their participation.


Accommodation
All participants have the right to participate in this continuing education activity without discrimination due to age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex (sexual orientation, gender identity or expression and pregnancy), protected veteran status, marital status, genetic information, or any other protected characteristics under applicable federal, state, or local law.  If you need accommodations to participate in this activity, please contact us at [email protected] for more information. 

Complaint Policy and Resolution Process
All complaints must be made in writing to [email protected].  

All complaints will be logged into the complaint log. The Director, Continuing Education will attempt to resolve the complaint within the first contact, when possible, and will respond to the client and customer's concerns within 5 business days of the initial complaint. At the time of the first contact, Director, Continuing Education will inform the complainant if more time will be needed to research the complaint.

If the complaint is still unresolved after communication with the Director, Continuing Education, or if the initial complaint is not addressed in a timely manner, the complainant may contact the President & CEO, UHS-PEP. The President & CEO will then contact the complainant and endeavor to resolve the complaint within 10 business days after being contacted. 

The complaint log will be regularly reviewed to identify areas of operations and service that may require improvement. The Director, Continuing Education will research reoccurring complaint matters and recommend process and procedure changes, when appropriate. These changes will be noted on the Complaint Resolution Log, and any necessary policy and/or procedure updates will be made within 15 business days thereafter.

Disclaimers
Minimum and maximum numbers for attendance at this event have been established, and we reserve the right to substitute speakers/topics, adjust credit hours, or cancel if necessary.

By attending this event you grant VCU Health Continuing Education the right at the event to record, film, photograph, or capture your likeness in any media and to distribute, broadcast, use, or otherwise disseminate, in perpetuity, such media without any further approval from or any payment to you.  


Credits
AMA PRA Category 1 Creditsâ„¢ (1.00 hours), Non-Physician Attendance (1.00 hours), ANCC - American Nurses Credentialing Center (1.00 hours), AAPA Category 1 CME credit (1.00 hours), ABS CC (1.00 hours)



Mitigation of Relevant Financial Relationships


VCU Health Continuing Education adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Faculty Member Information
Role in activity
Name of Ineligible Company(s) / Nature of Relationship(s)
Michael Alvarado, MD
Professor of Surgery Division of Surgical Oncology Director, Breast Surgery Oncology Fellowship
UCSF San Francisco Medical Center
Faculty
Nothing to disclose
Alexa Glencer, MD
Resident
General Surgery
UCSF San Francisco Medical Center
Faculty
Nothing to disclose
Rita Mukhtar, MD
Faculty
Nothing to disclose

Behind the Knife - Clinical Challenges in Breast Surgery: Surgical Management of Metastatic Breast Cancer
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