Miami Cancer Institute: Current Approaches to Oncology Rehabilitation and Cancer Care

Cancer is a public health problem of major proportions. Each year, more than 600,000 people in the United States die from cancer. There have been many advances in the practices of rehabilitation medicine, psychology, neurology and other clinical specialties that identify and treat patients with cancer. Fatigue and loss of physical performance are frequent problems of cancer patients. This symposium will provide practical, evidence-based rehabilitation strategies to accurately treat oncology patients of various types, including contraindications for treatment.

Topics include:

  • Innovations in Aesthetic Breast Reconstruction: A Hybrid Approach
  • Oncologic Spine Rehabilitation
  • Loss of Muscle in Cancer: Implications for Cancer Rehabilitation Clinicians
  • Female Sexual Health and Cancer Survivorship  
  • Forget About Etiquette: Talking with Patients About Pelvic Health Physical Therapy 
  • Rehabilitation Needs of the Head and Neck Radiotherapy Patient
  • Physical Therapy Evaluation and Treatment of the Head and Neck Cancer Patient
  • Current Approaches to Oncology Rehabilitation and Cancer Care

Target Audience

Neurologists, Neurosurgeons, Psychiatrists, Physiatrists, General Internists, Oncologists, Family Practice Physicians, Orthopedic Surgeons, Nurses, Occupational Therapists, Athletic Trainers and all other interested healthcare professionals. 

Learning Objectives

  • Recognize current aesthetic breast reconstruction procedures.
  • Explain clinical pearls for aesthetic refinements in implant breast reconstruction.
  • Classify all areas of the ptotic and large breast.
  • Review cancer rehabilitation in the continuum of care.
  • Discuss the need for rehabilitation in patients with metastases to the spine.
  • Outline the MCI Cancer Rehabilitation Model.
  • Explain the effect cancer treatments and malnourishment have in the development of sarcopenia.
  • Implement early screening and assessment of sarcopenia and incorporate nutritional and rehabilitative interventions.
  • Identify the domains of female sexual dysfunction.
  • Be aware of screening tools for female sexual health.
  • Recognize the treatment options for female sexual dysfunction.
  • Identify common pelvic floor dysfunctions affecting the bowel, bladder, posture and sexual health, which may be indications for pelvic floor rehabilitation for men and women.
  • Recognize the benefits of pelvic floor rehabilitation for improving patient quality of life and decreasing pain.
  • Introduce various interventions used within pelvic floor therapy beyond basic Kegel exercises.
  • Explain how to refer to a pelvic rehabilitation specialist.
  • Learn common morbidities associated with head and neck cancers and related treatment.
  • Learn interventions associated with reducing head and neck cancer morbidity.
  • Recognize that the head and neck cancer (HNC) patients may develop numerous treatment side effects that can lead to significant permanent functional impairments.
  • Utilize physical therapy (PT) to treat and manage cervical dysfunction, cancer-related fatigue (CRF), lymphedema and shoulder dysfunction.
  • Understand the role of the cardio-oncology and assess the risk for cardiac complications during cancer treatment.
  • Identifying cancer patients that would benefit from traditional cardiac rehab.
  • Understand the role of cardiac rehab in improving cardiac risk in cancer patients.
Additional information
Bibliography: 
  • Afonso, A., Oskar, S., Tan, K. S., Disa, J. J., Mehrara, B. J., Ceyhan, J., & Dayan, J. H. (2017). Is enhanced recovery the new standard of care in microsurgical breast reconstruction?. Plastic and reconstructive surgery, 139(5), 1053.
  • Temple-Oberle, C., Shea-Budgell, M. A., Tan, M., Semple, J. L., Schrag, C., Barreto, M., ... & Society, E. R. A. S. (2017). Consensus review of optimal perioperative care in breast reconstruction: enhanced recovery after surgery (ERAS) society recommendations. Plastic and reconstructive surgery, 139(5), 1056e.
  • Rohan, E. A., Miller, N., Bonner, F., Fultz-Butts, K., Pratt-Chapman, M. L., Alfano, C. M., ... & Tai, E. (2018). 
  • Comprehensive cancer control: promoting survivor health and wellness. Cancer causes & control, 29(12), 1277-1285.
  • Cheville, A., Smith, S., Barksdale, T., & Asher, A. (2021). Cancer rehabilitation. Braddom's Physical Medicine and Rehabilitation, 568-593.
  • Murat, K. A. R. A., Kaymak, B., Frontera, W. R., Ata, A. M., Ricci, V., Timur, E. K. I. Z., ... & Özçakar, L. (2021). Diagnosing sarcopenia: functional perspectives and a new algorithm from ISarcoPRM. Journal of Rehabilitation Medicine, 53(6).
  • Romanick, M., Thompson, L. V., & Brown-Borg, H. M. (2013). Murine models of atrophy, cachexia, and sarcopenia in skeletal muscle. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Disease, 1832(9), 1410-1420.
  • Simone 2nd, C. B. (2021). Annals of Palliative Medicine is now published monthly. Annals of palliative medicine, 10(1), 1-2.
  • Parish, S. J., Simon, J. A., Davis, S. R., Giraldi, A., Goldstein, I., Goldstein, S. W., ... & Vignozzi, L. (2021). International Society for the Study of Women's Sexual Health Clinical Practice Guideline for the use of systemic testosterone for hypoactive sexual desire disorder in women. Journal of Women's Health, 30(4), 474-491.
  • Hodges, P. W., Stafford, R. E., Hall, L., Neumann, P., Morrison, S., Frawley, H., ... & Cameron, A. P. (2020, May). Reconsideration of pelvic floor muscle training to prevent and treat incontinence after radical prostatectomy. In Urologic Oncology: Seminars and Original Investigations (Vol. 38, No. 5, pp. 354-371). Elsevier.
  • The Role of the Pelvic Floor in Respiration: A Multidisciplinary Literature Review. Emerich Gordon, Kate, Journal of Voice, Volume 34, Issue 2, 243-249.
  • Kamstra, J. I., van Leeuwen, M., Roodenburg, J. L., & Dijkstra, P.U. (2017). Exercise therapy for trismus secondary to head and neck cancer: a systematic review. Head & neck, 39(11), 2352-2362.
  • Messing, B. P., Ward, E. C., Lazarus, C. L., Kim, M., Zhou, X., Silinonte, J., ... & Califano, J. (2017). Prophylactic swallow therapy for patients with head and neck cancer undergoing chemoradiotherapy: a randomized trial. Dysphagia, 32(4), 487-500.
  • Verla, T., Vedantam, A., North, R. Y., Xu, D. S., Raber, M. R., Fuentes, A., ... & Ropper, A. E. (2021). Surgical Management of Post-Radiation, Dropped Head Spinal Deformity in Head and Neck Cancer Patients. World Neurosurgery.
  • Bowles, D. R., Canseco, J. A., Alexander, T. D., Schroeder, G. D., Hecht, A. C., & Vaccaro, A. R. (2020). The prevalence and management of stingers in college and professional collision athletes. Current reviews in musculoskeletal medicine, 13(6), 651-662.
  • Greenlee, H., Iribarren, C., Rana, J. S., Cheng, R., Nguyen-Huynh, M., Rillamas-Sun, E., ... & Kwan, M. L. (2022). Risk of Cardiovascular Disease in Women With and Without Breast Cancer: The Pathways Heart Study. Journal of Clinical Oncology, 40(15), 1647-1658.
  • Gilchrist, S. C., Barac, A., Ades, P. A., Alfano, C. M., Franklin, B. A., Jones, L. W., ... & American Heart Association Exercise, Cardiac Rehabilitation, and Secondary Prevention Committee of the Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; and Council on Peripheral Vascular Disease. (2019). Cardio-oncology rehabilitation to manage cardiovascular outcomes in cancer patients and survivors: a scientific statement from the American Heart Association. Circulation, 139(21), e997-e1012.

Related Topics

Miami Cancer Institute Online Series (Multiple Modules)
This online educational series features Miami Cancer Institute (MCI) physician experts and national subject matter experts who have presented at our recent symposiums. Topics highlight the latest advances in cancer imaging, chemotherapy, surgical interventions, radiotherapy and proton therapy. Visit us often, as this catalog will be updated frequently.
Course Summary
Available credit: 
  • 3.25 AMA PRA Category 1 Credit™
  • 3.25 Florida Board of Athletic Training
  • 3.25 General certificate of attendance
  • 3.00 Nurse Practitioners
  • 3.00 Florida Board of Nursing
  • 3.00 Florida Board of Occupational Therapy
Course opens: 
02/01/2023
Course expires: 
01/31/2026
Cost:
$9.95

Adrian Cristian, M.D., MHCM, FAAPMR 
Chief, Oncology Rehabilitation
Miami Cancer Institute
Baptist Health South Florida

Dessislava D. Dakova, MSPT, CLT
Physical Therapist
South Miami Hospital
Baptist Health South Florida 

Louise Gleason, P.T., PRPC
Pelvic Health and Continence Testing/Pelvic Rehabilitation
South Miami Hospital
Baptist Health South Florida 

Christopher S. Gomez, M.D.
Director of Female and Reconstructive Urology
Director of Female Sexual Health
Miami Cancer Institute
Baptist Health South Florida  

Socrates Kakoulides, M.D.
Cardiologist
Medical Director MCVI Diagnostic Center
Miami Cancer Institute                                             
Baptist Health South Florida

Noah Kalman, M.D., MBA
Radiation Oncologist
Miami Cancer Institute
Baptist Health South Florida 

Miguel A. Medina III, M.D.
Chief of Plastic and Reconstructive Surgery and Director of Microsurgery
Department of Plastic and Reconstructive Surgery
Miami Cancer Institute
Baptist Health South Florida

Romer B. Orada, D.O., FAAPMR
Cancer Physiatrist
Physical Medicine and Rehabilitation
Patient Support Center
Miami Cancer Institute 
Assistant Professor
Florida International University, Herbert Wertheim College of Medicine
Miami, Florida

Elizabeth Matalon, MBA, M.S., P.T.
Administrative Director, Rehabilitation Services
Baptist, Homestead, and West Kendall Baptist Hospitals
Baptist Health South Florida
Miami, Florida

The following faculty members for this educational activity have no relevant financial relationships with ineligible companies* to disclose and have indicated that the presentations or discussions will not include off-label or unapproved product usage.

  • Dessislava Dakova, P.T.
  • Louise Gleason, M.D. 
  • Christopher Gomez, M.D.
  • Socrates Kakoulides, M.D.
  • Miguel Medina, M.D.
  • Romer Orada, M.D. 
  • Elizabeth Matalon, M.S., P.T. – conference director

Adrian Cristian, M.D., conference director and faculty for this educational event, is a published author with Springer Medical Publishers, and has indicated that the presentation or discussion will not include off-label or unapproved product usage.
Noah Kalman, M.D., faculty for this educational event, is an advisory board participant for Naveris, and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

All of the relevant financial relationships listed for these individuals have been mitigated.

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

*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 3.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 

Available Credit

  • 3.25 AMA PRA Category 1 Credit™
  • 3.25 Florida Board of Athletic Training
  • 3.25 General certificate of attendance
  • 3.00 Nurse Practitioners
  • 3.00 Florida Board of Nursing
  • 3.00 Florida Board of Occupational Therapy

Price

Cost:
$9.95
Please login or register for a Baptist Health CME account to take this course.

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