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Cancer Survivorship 1 Course


     Introductory video transcript:
        English | Español

Course Overview

The "Cancer Survivorship 1" course series defines cancer survivorship and introduces models of multidisciplinary survivorship care. The lectures in this course discuss complications from late effects of treatment; appropriate screening for tumor recurrence, second tumors, and co-morbid conditions; management strategies for cancer-related fatigue; common fertility issues; psychosocial side effects of cancer treatment and resources for optimistic coping; appropriate follow-up treatment; and guidelines and recommendations for the assessment and management of long-term complications of breast cancer, such as lymphedema.
     Course Overview: Español

Lectures

Alma Rodriguez, M.D.
Models for Multidisciplinary Cancer Survivorship Care   Top of Page
 
Presenter: Alma Rodriguez, M.D., F.A.C.P.
Vice President, Medical Affairs
Professor, Department of Lymphoma/Myeloma
 

Summary: The number of patients surviving cancer for 5 years or longer has continuously increased because of innovations in cancer diagnosis and therapeutics. Dr. Alma Rodriguez, Vice President for Medical Affairs at The University of Texas MD Anderson Cancer Center, has spearheaded the development of an integrated program for the health of cancer survivors, The Cancer Survivorship Program. Dr. Rodriguez's lecture, "Models for Multidisciplinary Cancer Survivorship Care," defines cancer survivorship and introduces models of multidisciplinary survivorship care. Dr. Rodriguez begins with a historical perspective and provides insight into the common characteristics and unique needs of cancer survivors that vary by disease site and treatment. Dr. Rodriguez describes the long-term components and consequences of cancer care, and she defines the phases of survivorship and presents the medical and psychosocial aspects of each stage. Dr. Rodriguez discusses principles of the delivery of multidisciplinary care and introduces practice models that include standardization of practice tools, health team partnerships, and multidisciplinary planning clinics. Dr. Rodriguez's presentation emphasizes the need for an integrated approach to cancer survivor care that includes surveillance and screening, risk reduction and cancer prevention, management of late effects and side effects, and quality of life. She concludes her presentation by discussing MD Anderson's experience in establishing its Survivorship Program, establishing its pilot survivorship clinics, and developing cancer survivorship resources for health care professionals and patients.
     Summary and Learning Objectives: Español

 

Lewis Foxhall, M.D.
Cancer Survivorship Management for Primary Care Physicians   Top of Page
 
Presenter: Lewis E. Foxhall, M.D.
Vice President, Health Policy
Professor, Department of Clinical Cancer Prevention
 

Summary: Dr. Lewis Foxhall, Vice President of Health Policy at The University of Texas MD Anderson Cancer Center, presents the lecture, "Cancer Survivorship Management for Primary Care Physicians." As the number of cancer survivors in the United States approaches 12 million, Dr. Foxhall emphasizes the importance of optimizing the benefits of cancer treatment while also maximizing the patient’s quality of life and duration of their survivorship. Recognizing that a diagnosis of cancer may shift medical attention away from important health issues not related to cancer, cancer survivors are also significantly less likely to receive prevention and appropriate screening for tumor recurrence, second tumors, and co-morbid conditions. Cancer survivors are also less likely to be afforded effective management of late and long-term effects of cancer treatment upon returning to the primary care setting. Thus, it is important for primary care physicians to be familiar with current management recommendations for cancer survivors. Dr. Foxhall discusses the particular health risks that threaten cancer survivors and provides recommendations for medical management of survivors who comprise a diverse population of patients with various health needs. In his lecture, Dr. Foxhall discusses long-term and late effects of cancer treatment. Dr. Foxhall also reviews common symptoms of cancer recurrence and guidelines for management of breast, colorectal and prostate cancer survivors.
     Summary and Learning Objectives: Español

 

Carmen P. Escalante, M.D., FACP
Cancer-related Fatigue   Top of Page
 
Presenter: Carmelita P. Escalante, M.D., F.A.C.P.
Chair and Professor,
Department of General Internal Medicine, Ambulatory Treatment and Emergency Care
 

Summary: Dr. Carmen Escalante, Professor and Chair of General Internal Medicine, Ambulatory Treatment, and Emergency Care at The University of Texas MD Anderson Cancer Center, presents the lecture, "Cancer-related Fatigue." Cancer-related fatigue is one of the most common symptoms experienced by cancer patients and cancer survivors. Dr. Escalante's lecture provides a multidisciplinary perspective on cancer-related fatigue and focuses on the prevalence, characteristics, hypothesized pathophysiology, and common causes of this condition. Patient assessment and customized strategies for management, including non-pharmacologic and pharmacologic interventions, are presented.
     Summary and Learning Objectives: Español

 

Leslie Schover, Ph.D.
Fertility: Understanding the Options after Cancer Treatment   Top of Page
 
Presenter: Leslie R. Schover, Ph.D.
Professor
Department of Behavioral Science
 

Summary: Dr. Leslie Schover, Professor of Behavioral Science at The University of Texas MD Anderson Cancer Center, presents the lecture, "Fertility: Understanding the Options for Cancer Survivors." Dr. Schover presents evidence that despite the fact that many young cancer survivors (both men and women) want to become parents after cancer treatment, few remember having discussions about fertility with their health care practitioners before starting their cancer treatments. In this lecture, Dr. Schover describes the risks and major causes of male and female infertility that are related to cancer treatment. Dr. Schover also emphasizes the brief window of time that options for fertility preservation are available for patients before undergoing cancer treatment. She discusses options for preserving reproductive tissue and addresses possible therapy modifications to preserve fertility. Dr. Schover presents the medical and psychosocial aspects of cancer during pregnancy and concludes her lecture by discussing pathways and resources for onco-fertility and post-cancer parenting.
     Summary and Learning Objectives: Español

 

Mary K. Hughes, M.S., RN, CNS, CT
Coping with the Fear of Recurrence   Top of Page
 
Presenter: Mary K. Hughes, MS, RN, CNS
Advanced Practice Nurse
Department of Psychiatry
 

Summary: Mary K. Hughes, advanced practice nurse and renowned oncology lecturer about life issues of cancer patients, presents the lecture, "Coping with Fear of Recurrence." Drawing on her vast experience as clinical nurse specialist in the Department of Psychiatry at The University of Texas MD Anderson Cancer Center, Ms. Hughes defines fear and its physical manifestations, and she discusses typical triggers and times when fear of recurrence is likely to develop in cancer survivors. She describes the unique anticipatory fear that cancer survivors experience when changing treatment modalities, at the end of acute treatment, when experiencing new symptoms, when undergoing follow-up examinations, and on the anniversary of their diagnosis. She compares signs and symptoms of anxiety versus clinical depression and addresses psychosocial side-effects of cancer treatment. Ms. Hughes provides strategies, activities, and resources for optimistic coping. Furthermore, she emphasizes the importance of patients obtaining appropriate follow-up treatment. Her lecture concludes with discussion of support teams, support systems, and referral to specialized health care professionals.
     Summary and Learning Objectives: Español

 

P. K. Morrow, M.D.
Breast Cancer Survivorship   Top of Page
 
Presenter: P. K. Morrow, M.D.
Assistant Professor
Department of Breast Medical Oncology
 

Summary: Summary: Breast cancer is the most commonly diagnosed cancer in women, yet a decrease in the overall rate of breast cancer deaths has led to more women living longer after being diagnosed with breast cancer. Consequently, primary care providers will be asked to assume expanded roles in the care of breast cancer survivors. In her lecture, "Breast Cancer Survivorship," Dr. P. K. Morrow, Assistant Professor of Breast Medical Oncology and Associate Medical Director for Breast Cancer Survivorship at The University of Texas MD Anderson Cancer Center, discusses recommendations and guidelines for the assessment and management of long-term complications from breast cancer and its treatments. Dr. Morrow describes breast cancer surveillance, monitoring for second primary cancers, and screening schedule recommendations. In discussing the late effects of breast cancer, Dr. Morrow introduces assessment and treatment for bone, cardiovascular, and sexual health. Patients who have a history of breast cancer frequently exhibit symptoms of anxiety, depression, and fear of recurrence. Dr. Morrow addresses the assessment and management of psychosocial issues. Dr. Morrow also presents special recommendations for decreasing the incidence of lymphedema and managing its symptoms.
     Summary and Learning Objectives: Español

 

 

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