EMERGENCIES IN THE CANCER PATIENT

Memorial Sloan Kettering Cancer CenterZuckerman Research CenterNew York, NY

JUNE 7-8, 2019

2019

Invited Course Faculty

David T. Huang, MD, MPH Associate Professor of Critical Care Medicine, Emergency Medicine, Clinical & Translational Science Director, Multidisciplinary Acute Care Research Organization, University of Pittsburgh Medical Center

MSK Course Faculty

Oncologic emergencies is becoming a rapidly evolving field in medicine over the last 10+ years. In addition to treating complications related to standard/traditional chemotherapies, the development of numerous new cancer treatment modalities present a whole new field of patient complaints that are just now starting to be seen in emergency rooms across the country. With very few dedicated cancer hospital emergency rooms, patients presenting with cancer emergencies are often inappropriately triaged, diagnosed, undertreated, or often simply referred back to their respective oncologists without resolution of their emergent issues.

We bring together specialists from across all areas of the cancer treatment spectrum in order to update and enhance the ability of emergency room providers and staff on how to prepare for the common and not-so-common emergency scenarios with which a cancer patient could present.

Target Audience

The target audience for this course includes physicians, nurse practitioners, physician assistants, and registered nurses involved in the treatment and management of patients with active malignancies/cancers who present with acute complaints in an emergent setting.

Educational Objectives

• Identify and recognize the most common presenting complaints of cancer patients in emergency rooms.

• Identify current and developing cancer therapeutics with respect to their side-effects and complications.

• Recognize the current limitations and challenges that remain in efficiently addressing cancer patient emergencies.

MSK Course Directors

George K. Wang, MD, PhDAssistant Attending PhysicianUrgent Care ServiceDepartment of MedicineAssistant Clinical Professor of Medicine, Weill Cornell Medical College

Jeffrey S. Groeger, MDChief, Urgent Care ServiceDepartment of MedicineProfessor of Medicine, Weill Cornell Medical College

Mark Bilsky, MDAttending Physician Department of NeurosurgeryVice Chairman for Clinical Affairs in NeurosurgeryProfessor of Neurological Surgery, Weill Cornell Medical College

Adrienne Boire, MD, PhDAssistant Attending Physician Department of Neurology Assistant Professor, Molecular Biology, Weill Cornell Medical College

Delia Calo, MDAssistant Attending Physician Gastroenterology Service Department of Medicine

Sanjay Chawla, MD, FCCP, FACP, FCCMAssociate Attending Physician Critical Care Medicine ServiceDepartment of Anesthesiology-Critical CareAssistant Professor of Clinical Anesthesiology, Weill Cornell Medical College

Carol Chen, MDAssociate Attending Physician Cardiology Service Department of Medicine Associate Professor of Clinical Medicine, Weill Cornell Medical College

Marc Cohen, MD, MPHAssociate Attending Physician Director of Endoscopic Skull Base SurgeryHead & Neck Surgery ServiceDepartment of Surgery

Timothy Donahue, MDAssociate Attending Physician Urology Service Department of Surgery

Sofia Fatalevich, MBA, PMPLead, Telemedicine Integrations

Jose Guillem, MDAttending Physician Colorectal Surgery Service Professor of Surgery,Weill Cornell Medical College

A. Ari Hakimi, MDAssistant Attending Physician Urology Service Department of Surgery

Peter Kingham, MDAssociate Attending Physician Hepatobiliary Surgery Service Director of Global Cancer Disparity Initiatives

Nancy Y. Lee, MDVice Chairman Department of Radiation Oncology

Robert P. Lee, MDAssistant Attending Physician Pulmonary Service Department of Medicine Pulmonary Director, Interventional Pulmonary Fellowship Assistant Professor of Clinical Medicine, Weill Cornell Medical College

Bob Li, MD, MPHAttending Medical OncologistThoracic Oncology ServiceDepartment of Medicine

Alina Markova, MDAssistant Attending Physician Dermatology ServiceDepartment of MedicineInstructor in Dermatology, Weill Cornell Medical College

Peter Mead, MDAssistant Attending PhysicianInfectious Disease ServiceDepartment of MedicineAssistant Professor of Clinical Medicine, Weill Cornell Medical College

Natalie Moryl, MDAssociate Attending Physician Supportive Care Service Department of Medicine Associate Professor of Medicine, Weill Cornell Medical College

Vinay Puttanniah, MDAssistant Professor Director of Regional Anesthesia and Perioperative Pain MedicineDepartment of Anesthesiology-Critical CareAssistant Professor in Clinical Anesthesiology, Weill Cornell Medical College

Bianca D. Santomasso, MD, PhDAssistant Attending Physician Department of Neurology

Michael Scordo, MDAssistant Attending Physician Adult Bone Marrow Transplant ServiceDepartment of Medicine

Gerald A. Soff, MDChief, Hematology Service Department of MedicineProfessor of Clinical Medicine, Weill Cornell Medical College

COURSE OVERVIEW

#MSKEmergenciesCME

7:30 am Registration and Breakfast

Department of Medicine Grand Rounds8:00 am Biomarkers of Infection & Sepsis

David T. Huang, MD, MPH

9:00 am Introductory Remarks George K. Wang, MD, PhD

9:10 am The Oncologic Emergency DepartmentJeffrey S. Groeger, MD

Neutropenia & Sepsis9:30 am Antibiotic Usage & Neutropenia

Peter Mead, MD

10:00 am Procalcitonin & SepsisDavid T. Huang, MD, MPH

10:30 am Updates in Cancer Patient ResuscitationSanjay Chawla, MD, FCCP, FACP, FCCM

11:00 am Q&A & Break

Pain Control & Management11:15 am Pain Crisis & Emergent Pain Management

Natalie Moryl, MD

11:45 am Interventional Pain Control OptionsVinay Puttanniah, MD

12:15 pm Q&A12:30 pm Lunch

Surgical Complications1:30 pm Hepatobiliary Emergencies

Peter Kingham, MD

2:00 pm Malignant Bowel ObstructionsJose Guillem, MD

2:30 pm Head/Neck Bleeding ComplicationsMarc Cohen, MD, MPH

3:00 pm Break

3:10 pm Urinary Diversion ComplicationsTimothy Donahue, MD

3:40 pm Emergent Cystoscopy / Urological Stenting /Massive HematuriaA. Ari Hakimi, MD

4:10 pm Q&A

Thrombosis & Hypercoagulation4:25 pm Thrombophilia & Anticoagulation

Gerald A. Soff, MD

4:55 pm Q&A5:00 pm Adjourn

7:30 am Breakfast

Radiation / Transplant / Experimental Therapeutics8:00 am Complications of Radiation Treatment

Nancy Y. Lee, MD

8:30 am BMT ComplicationsMichael Scordo, MD

9:00 am Targeted & Immunotherapy Side EffectsBob Li, MD, MPH

9:30 am CAR-T Treatment Side EffectsBianca D. Santomasso, MD, PhD

10:00 am Q&A & Break

Bronchoscopic / Endoscopic Emergencies10:15 am Emergent Pulmonary Interventions

Robert P. Lee, MD

10:45 am GI Bleeds & Emergent GI InterventionsDelia Calo, MD

11:15 am Q&A11:30 am Lunch

CNS Emergencies12:30 pm Spinal Cord Compression

Mark Bilsky, MD

1:00 pm Leptomeningeal DiseaseAdrienne Boire, MD, PhD

1:30 pm Q&A

Dermatologic Complications1:45 pm Dermatologic Side Effects of Cancer & Cancer Treatment

Alina Markova, MD

2:15 pm Q&A & Break

Cardiology Complications2:30 pm Cardiac Side Effects of Targeted Therapy

Carol Chen, MD

3:00 pm Q&A

Cancer Emergency Room Updates3:15 pm Teletriage/Telemedicine Updates

Sofia Fatalevich, MBA, PMP

3:45 pm Q&A4:00 pm Adjourn

COURSE SCHEDULE

FRIDAY, JUNE 7 SATURDAY, JUNE 8

Live Simulcast Available for MSK Regional EmployeesMSK CME is pleased to offer a live simulcast option for MSK employees who work outside of the New York City area, including Bergen, Westchester, Basking Ridge,

Monmouth, Rockville Centre, Commack and Hauppauge. Please visit mskcc.org/EmergenciesCourse for details or to register.

Early* General

Physicians (MDs, PhDs and DOs) $475 $525

Residents, Fellows, Advanced Practice Providers, Nurses and Other Healthcare Providers $225 $275

Industry Professionals** $850 $900

*Early registration expires April 5, 2019.**Industry professionals may attend MSK CME activities for their own education.Marketing, sales, and promotion of products and services is strictly prohibitedat MSK CME activities.

Course registration includes continental breakfast, lunch, and refreshment breaks. Please contact cme@mskcc.org at least one week prior to the course if you have any special dietary requests or require any specific accommodations.

• MSK CME offers a 30% discounted rate for MSK Alumni, MSK CancerAlliance and Cancer Care Partners. If you are a member of one of thesegroups, please contact cme@mskcc.org for more information.

• MSK employee registration is complimentary. However, you mustcomplete course registration in order to attend this course. Please notethat we are offering a live simulcast option for MSK employees who workoutside of the New York City area, including Bergen, Westchester, BaskingRidge, Monmouth, Rockville Centre, Commack and Hauppauge (selectioncan be made at registration).

ACCREDITATIONMemorial Sloan Kettering Cancer Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA CREDIT DESIGNATION STATEMENTMemorial Sloan Kettering Cancer Center designates this live activity for a maximum of 14.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC RECOGNITION STATEMENTSuccessful completion of this CME activity, which includes

participation in the evaluation component, enables the participant to earn up to 14.75 Medical Knowledge MOC points 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.

ANCC CNE STATEMENTMemorial Sloan Kettering Cancer Center - Nursing Professional Development/Continuing Education is accredited with distinction as a provider of continuing nursing education by the American Nurses

Credentialing Center’s Commission on Accreditation. Contact hours will be awarded to participants who attend the program in its entirety and complete a program evaluation. Partial credit not awarded.

REGISTRATION

FACULTY DISCLOSUREIt is the policy of MSK to make every effort to insure balance, independence, objectivity, and scientific rigor in all continuing medical education activities which it provides as an ACCME accredited provider. In accordance with ACCME guidelines and standards, all faculty participating in an activity provided by MSK are expected to disclose any significant financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services which are discussed by the faculty members in an educational presentation. As required by the ACCME, when an unlabeled use of a commercial product or an investigational use not yet approved for any purpose is discussed during an educational activity, MSK requires the speaker to disclose that the product is not labeled for the use under discussion or that the product is still investigational.

LOCATION & ACCOMMODATIONSZuckerman Research Center417 East 68th Street New York, NY 10065

MSK has negotiated special rates and amenities at select hotels in Manhattan. For information on hotels in the vicinity of MSK with discounted rates, please visit: mskcc.org/cme.

CONTACTMemorial Sloan Kettering Cancer CenterOffice of Continuing Medical Educationmskcc.org/cmecme@mskcc.org

Register online:mskcc.org/EmergenciesCourse

JUNE 7-8, 2019

ZUCKERMAN RESEARCH CENTERNEW YORK, NY