Miami Cancer Institute Breast Cancer Rehabilitation

This course reviews case studies that highlight key areas related to breast cancer rehabilitation, including, breast cancer-related lymphedema, aromatase inhibitor-induced musculoskeletal symptoms (AIMSS), and upper quadrant pain, and provides ways to improve the rehabilitation of breast cancer patients as it relates to these conditions.  

This course was created in collaboration with the Miami Cancer Institute Rehabilitation program to address patient morbidity following breast cancer surgery and the benefits of early intervention and involving rehabilitation physicians and physical therapists in the care management team. 

Commercial Supporter

Baptist Health gratefully acknowledges the commercial support provided by Varian for the Women’s Cancers Online Curriculum.

Target Audience

All physicians, physician assistants/physician associates, advanced practice registered nurses, nurses, occupational therapists, physical therapists, pharmacists, and pharmacy technicians. 

Learning Objectives

  • Identify early instances of lymphedema in breast cancer rehabilitation patients.
  • Assess appropriate supportive treatments for breast cancer patients with aromatase inhibitor-induced musculoskeletal symptoms (AIMSS) and upper quadrant pain.
Additional information
Bibliography: 
  • Khanna, A. (2021).  “Chapter 14:  Role of Interventional Pain Management in Breast Cancer.” Breast Cancer and Gynecologic Cancer Rehabilitation by Adrian Cristian.  Elsevier.  pp 141-148.
  • Gärtner, R., Jensen, M. B., Nielsen, J., Ewertz, M., Kroman, N., & Kehlet, H. (2009). Prevalence of and factors associated with persistent pain following breast cancer surgery. JAMA, 302(18), 1985–1992. 
  • Bundred, N. J., Barrett, E., Todd, C., Morris, J., Watterson, D., Purushotham, A., Riches, K., Evans, A., Skene, A., Keeley, V., & Investigators of BEA/PLACE studies (2023). Prevention of lymphoedema after axillary clearance by external compression sleeves PLACE randomised trial results. Effects of high BMI. Cancer medicine, 12(5), 5506–5516.
  • Bundred, N., Foden, P., Todd, C., Morris, J., Watterson, D., Purushotham, A., Bramley, M., Riches, K., Hodgkiss, T., Evans, A., Skene, A., Keeley, V., & Investigators of BEA/PLACE studies (2020). Increases in arm volume predict lymphoedema and quality of life deficits after axillary surgery: a prospective cohort study. British journal of cancer, 123(1), 17–25.
  • Ridner, S. H., Dietrich, M. S., Boyages, J., Koelmeyer, L., Elder, E., Hughes, T. M., French, J., Ngui, N., Hsu, J., Abramson, V. G., Moore, A., & Shah, C. (2022). A Comparison of Bioimpedance Spectroscopy or Tape Measure Triggered Compression Intervention in Chronic Breast Cancer Lymphedema Prevention. Lymphatic research and biology, 20(6), 618–628.
  • Rafn, B. S., Christensen, J., Larsen, A., & Bloomquist, K. (2022). Prospective Surveillance for Breast Cancer-Related Arm Lymphedema: A Systematic Review and Meta-Analysis. Journal of clinical oncology: official journal of the American Society of Clinical Oncology, 40(9), 1009–1026. 
  • Donahue, P. M. C., MacKenzie, A., Filipovic, A., & Koelmeyer, L. (2023). Advances in the prevention and treatment of breast cancer-related lymphedema. Breast cancer research and treatment, 200(1), 1–14. 
     
Course Summary
Available credit: 
  • 1.75 ABIM MOC II
  • 1.75 AMA PRA Category 1 Credit™
  • 1.75 General certificate of attendance
  • 1.75 Nurse Practitioners
  • 1.50 Florida Board of Nursing
  • 1.70 Florida Board of Occupational Therapy
  • 1.75 Florida Board of Pharmacy
  • 2.00 Florida Board of Physical Therapy Practice
Course opens: 
09/01/2023
Course expires: 
08/31/2025

Adrian Cristian, M.D., MHCM, FAAPMR
Chief of Cancer Rehabilitation
Miami Cancer Institute
Miami, Florida

Romer B. Orada, D.O., FAAPMR
Cancer Physiatrist
Physical Medicine and Rehabilitation 
Miami Cancer Institute
Miami, Florida

Mary Crosswell, P.T., DPT, CLT
Clinical Rehabilitation Supervisor
South Miami Hospital
South Miami, Florida 

Romer B. Orada, D.O., FAAPMR, and Mary Crosswell, P.T., DPT, CLT, faculty of this educational activity, have no relevant financial relationships with ineligible companies* to disclose, and have indicated that their presentations or discussions will not include off-label or unapproved product usage.

Adrian Cristian, M.D., MHCM, FAAPMR, conference director, has no relevant financial relationships with ineligible companies* to disclose. 

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships with ineligible companies* to disclose.  

*Ineligible companies ― Companies whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Internal Medicine Maintenance of Certification

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.75 Medical Knowledge MOC point in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Available Credit

  • 1.75 ABIM MOC II
  • 1.75 AMA PRA Category 1 Credit™
  • 1.75 General certificate of attendance
  • 1.75 Nurse Practitioners
  • 1.50 Florida Board of Nursing
  • 1.70 Florida Board of Occupational Therapy
  • 1.75 Florida Board of Pharmacy
  • 2.00 Florida Board of Physical Therapy Practice
Please login or register for a Baptist Health CME account to take this course.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

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