16th Annual Interdisciplinary Approach to Symptom Control, Palliative and Hospice Care Conference

8th Annual Intensive Physician Board Review Course in

Hospice and Palliative MedicineSeptember 4–6, 2012

Supportive Care, Hospice and Palliative Medicine

September 7–8, 2012

16th Annual Interdisciplinary Conference on

The following Review Course will be offered prior to the Conference

FEATURING: J. Andrew Billings, MDFormer Director of the Massachusetts General Hospital Palliative Care Service,

and Co-Director, Harvard Medical School Center for Palliative Care.

NEW: Webinar sessions for Physicians Board Review Course

The University of Texas MD Anderson Cancer CenterMain Building, Hickey Auditorium, Floor 111515 Holcombe Boulevard, Houston, Texas

GoalCaring for the cancer patient in the advanced stage of illness is particularly challenging to the healthcare team. It requires attending to the many dimensions of care including medical, psychosocial, ethical and spiritual needs. This is the sixteenth year of the conference. It continues to be important to provide educational updates in the field of palliative and hospice care – which includes pain, other symptom management and End-of-Life issues. We believe this conference will provide participants with practical information with which to better care for patients with advanced cancer and other illnesses and their families.

Educational ObjectivesAfter attending the conference, participants should be able to• identify moral and ethical dilemmas facing clinicians who

provide End-of-Life care (knowledge, competence);• practice state-of-the-art pain and symptom management for

patients with advanced disease (knowledge, competence, performance, patient outcomes);

• demonstrate effective communication with patients in the advanced stages of cancer or debilitating disease and provide quality End-of-Life care (knowledge, competence, performance);

• exhibit heightened awareness of the medical, legal and spiritual issues facing patients and families involved in the care of advanced disease (knowledge, competence).

Target AudienceThis program should be of interest to palliative care or hospice physicians, oncologists, internal medicine physicians, family practice physicians, psychiatrists, and/or anesthesiologists. Other professionals including: hospice, nursing, psychology, chaplaincy, ethics, and/or sociology.

Educational MethodsLectures • Workshop Sessions • Case Studies

EvaluationA course evaluation form will provide participants with the opportunity to comment on the value of the program content to their practice decisions, performance improvement activities, or possible impact on patient health status. Participants will also have the opportunity to comment on any perceived commercial bias in the presentations as well as to identify future educational topics.

Accreditation/Credit DesignationThe University of Texas MD Anderson Cancer Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Texas MD Anderson Cancer Center designates this live activity for a maximum of 15.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

EthicsThis course has been designated by The University of Texas MD Anderson Cancer Center for 15.25 AMA PRA Category 1 Credits™ in medical ethics and/or professional responsibility.

NursingThe University of Texas MD Anderson Cancer Center is an approved provider of continuing nursing education by the Texas Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Nursing Continuing Education Contact Hours will be awarded.

CME Certificates and Attendance Verification CertificatesCertificates awarding AMA PRA Category 1 Credits™ or certificates documenting attendance will be distributed to participants when an individual departs the conference. To obtain a CME certificate, physicians must submit a completed evaluation questionnaire and a CME Verification Form. Upon receipt, a record of attendance (certificate) will be provided on-site to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

16th Annual Interdisciplinary Conference on Supportive Care, Hospice and Palliative Medicine

Sriram Yennu, MD (Chair)Maureen Valenza (Program Coordinator)Eric Gagneaux (Logistics Manager)Inez Rodriguez (Administrative Support)

Conference Organizing CommitteeEduardo Bruera, MDDebra Castro, RNJames Cavelier, Jr., RN (Nurse Planner) Maxine De La Cruz, MDJeanette Ferrer, MDSandra Gomez, MDHolly Holmes, MDTricia Kinnard, RN

Ana Leech, MDLinh Nguyen, MDLindsey Pimentel, RNAkhila Reddy, MDEden Mae Rodriguez, PharmDJoseph Roosth, MDNatalie Schuren, RNKay Swint, RNSteven Thorney, MDiv

16th Annual Interdisciplinary Conference on Supportive Care, Hospice and Palliative Medicine

September 7–8, 2012

Friday, September 7, 20127:15 am On-Site Registration / Continental Breakfast7:45 Welcome Sriram Yennu, MD8:00 Palliative Care and Heart Failure:

The Forgotten Majority Deborah Meyers, MD

9:00 Introduction of Featured Speaker Eduardo Bruera, MD9:15 Featured Speaker                Clinical Delivery of Palliative Care: Changing Standards J. Andrew Billings, MD10:15 Morning Break

10:30 WORKSHOPS:1. Interventional Pain Techniques for the

Management of Refractory Cancer Pain in Advanced Cancer Patients

Larry Driver, MD2. Finding the Right Words: The use of Allow

Natural Death (AND) and Do Not Resusci-tate (DNR) in Pediatric Palliative Care

Barbara Jones, PhD &

Talk to Me: Parent Perspectives of Family-Provider Communication at End-of-Life

Donna Zhukovsky, MD3. Sub Q Medications:

Review of Alternative Routes Linh Nguyen, MD; Eden Mae Rodriguez, PharmD4. Ethnic Variations in End-of Life

Treatment Preference: Research and Practice Implications

Isabel Torres, DrPH

11:30 WORKSHOPS:1. Lessons Learned: Removing Ventilatory

Support From Hospice Patients at Home Kenneth Unger, MD2. Cultural Differences in Delivering

Palliative Care: The Example Italy Deborah Bolognesi, MA; Guido Biasco, MD

& Partnering with Rwanda to Cultivate

the Peace-Building Opportunities of Hospice & Palliative Care

David Slack, MD; Angela Lee, RN; Grace Mukankuranga, RN

3. Malignant Bowel Obstruction Marieberta Vidal, MD

& Venting Gastrostomy for Supportive

Management of Bowel Obstruction in Advanced Recurrent Ovarian Malignancy

Timothy DeEulis, MD4. Palliative Treatment of Malignant

Central Airway Involvement: The Sooner, the Better

Roberto Casal, MD

12:30 pm Lunch (provided)

1:15 PLENARY SESSION The Family Meeting in End-of-Life Care J. Andrew Billings, MD

2:15 WORKSHOPS:1. Keeping it G-Rated: Talking with Children

about a Parent’s Expected Death Martha Aschenbrenner, MSW

2. Motivational Interviewing and the Trans-theoretical Model of Behavioral Change as Resources for Palliative Care Providers

Warren Holleman, PhD3. Antimicrobial Stewardship:

Why and How in a Cancer Hospital and the Advanced Cancer Patient

Kenneth Rolston, MD; Frank Tverdek, MD; Roy Chemaly, MD

4. GI Interventions in Palliative Care Alexander Dekovich, MD5. Medication Transitioning from Hospital

to Hospice Maxine De La Cruz, MD; T. Hanh Trinh, MD

3:30 Afternoon Break

3:45 RAPID FIRE SESSIONS:1. Understanding Healthcare Professional

Views of Family Presence During Pediatric Resuscitation: Implications for Family- Centered Care

Barbara Jones, PhD2. Symptom Profiles in Children with Advanced

Cancer Attending an Outpatient Oncology Clinic: Child and Family Caregiver Ratings

Donna Zhukovsky, MD3. Do Printed Symptom Reports Influence Clinical

Management? A Longitudinal Controlled Trial of Patient-Reported Outcomes (PROs) in Patients Receiving Chemotherapy

Belinda Luk, MPH4. Patient-Physician Communication About

Code Status Preferences: A Randomized Controlled Trial

Wadih Rhondali, MD5. The Effects of Light Therapy on RI Xerostomia Shelly Patel, DDS 6. Discussion of Presentations Donna Zhukovsky, MD

5:30 pm Adjourn

Saturday, September 8, 20127:30 am On-Site Registration / Continental Breakfast

8:00 WORKSHOPS: 1. Association Between Body Image Dissatis-

faction and Weight Loss Among Advanced Cancer Patients and their Caregivers

Wadih Rhondali, MD2. Opioid Rotation in an Outpatient Palliative

Care Center and Case Scenarios of Morphine, Oxycodone and Hydromorphine

Akhila Reddy, MD; Eden Mae Rodriguez, PharmD3. Quality Improvement (QI) in Palliative Care Linh Nguyen, MD4. Having Difficult Conversations in the

Palliative and Hospice Settings Suresh Reddy, MD; Meagan Davis, LMSW

9:00 WORKSHOPS:1. Supportive and Palliative Oncology Literature:

Quantity, Scope, Design, Challenges and Opportunities

David Hui, MD2. The Effects of a Comprehensive Hospital

Bereavement Care Program on Grieving Patients and Families

Marci Pounders, BCC & Effective Family Conference Communication Luke Coulson, LMSW

3. Management of Difficult Behaviors Associated with Borderline Personality Disorder at the End-of-Life

Rachel Havyer, MD; Molly Feely, MD 4. One Step Closer to Heaven: Envisioning

the Afterlife in the Artworks of Palliative Care Patients

Marcia Brennan, PhD

10:00 Morning Break

10:15 PLENARY SESSION Prognosis of Cancer Pain Eduardo Bruera, MD

11:15 WORKSHOPS:1. Self-Care for Busy Professionals Warren Holleman, PhD2. Nuts and Bolts of the Functioning of a

Supportive Care Outpatient Clinic and Palliative Medicine Program

Rony Dev, DO; Lindsey Pimentel, RN3. Management of Delirium in Geriatric

Patients Maxine De La Cruz, MD4. Compassionate Care in Parkinson’s

Disease Anita Madan, MD

12:15pm Lunch (provided)

1:00 WORKSHOPS:1. Pediatric Palliative Care from the

Perspective of Bereaved Parents Rhonda Robert, MD2. What Do We Do Now? Child Life Helping

Families Cope with Grief/Building a Legacy

Sheila Brown, BA; Thuy Trinh, MS; Nicole Gandolfo, MA

3. Dexamethasone: Symptom Distress Sriram Yennu, MD4. Emergency Room: Role of Palliative Care Ahmed Elsayem, MD5. Challenging Cases in Pain Management:

A Focus on Methadone and Fentanyl Akhila Reddy, MD; Eden Mae Rodriguez, PharmD

2:00 RAPID FIRE:1. Association of Child & Proxy Reports of

Symptoms Experienced by English and Spanish Speaking Children Treated in a Pediatric Oncology Clinic

Donna Zhukovsky, MD2. Self-reported Constipation in Patient

with Advanced Cancer Wadih Rhondali, MD3. The Impact of Postoperative Complica-

tions on Outcomes for Patients with Cancer Treated with Palliative Surgery

Thomas Aloia, MD; Amanda Cooper, MD4. Pediatric Palliative Care Primer for

Non-Pediatric Providers Regina Okhuysen-Cawley, MD;

Shih-Ning Liaw, MD5. Medical Oncologist Perception of

Palliative Care Programs and the Impact of Name Change to Supportive Care on Communication with Patients: A Qualitative Study

Wadih Rhondali, MD6. Discussion of Presentations David Hui, MD

3:45 pm Conference Adjourns

8th Annual Intensive Physician Board Review Course in Hospice and Palliative MedicineSeptember 4–6, 2012

GoalCaring for the cancer patient in the advanced stages of disease is particularly challenging to the healthcare team. It requires attend-ing to the many dimensions of care including medical, psychosocial, ethical, and spiritual needs. In the eighth year, the Intensive Board Review Course in Hospice and Palliative Medicine continues to offer participants educational updates and literature review to help them successfully take the certification examination.

Educational ObjectivesAfter attending the conference, participants should be able to• identify and interpret the moral and ethical dilemmas

encountered at the End-of-Life (knowledge, competence);• provide optimal End-of-Life care to include state-of-the-art pain

and symptom management for patients with advanced disease (knowledge, competence, performance, patient outcomes);

• apply effective communication techniques with patients in the advanced stages of cancer or debilitating disease and provide End-of-Life care (knowledge, competence, performance);

• effectively discuss the medical, legal, and spiritual issues facing patients with advanced disease (knowledge, competence).

Target AudienceThis program will be of interest to hospice and palliative care physicians, medical oncologists, family practice physicians, anesthesiologists, psychiatrists, fellows, advance practice nurses, and other health care professionals involved in hospice and palliative care.

Educational MethodsLectures • Case Studies • Meet the Professor Sessions

EvaluationA course evaluation form will provide participants with the opportunity to comment on the value of the program content to their practice decisions, performance improvement activities, or possible impact on patient health status. Participants will also have the opportunity to comment on any perceived commercial bias in the presentations as well as to identify future educational topics.

Accreditation/Credit DesignationThe University of Texas MD Anderson Cancer Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Texas MD Anderson Cancer Center designates this live activity for a maximum of 27.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

EthicsThis course has been designated by The University of Texas MD Anderson Cancer Center for 27.00 AMA PRA Category 1 Credits™ in medical ethics and/or professional responsibility.

CME Certificates and Attendance Verification CertificatesCertificates awarding AMA PRA Category 1 Credits™ or certificates documenting attendance will be distributed to participants when an individual departs the conference. To obtain a CME certificate, physicians must submit a completed evaluation questionnaire and a CME Verification Form. Upon receipt, a record of attendance (certificate) will be provided on-site to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

Tuesday, September 4, 2012

7:15 am On-Site Registration / Continental Breakfast

8:00 Introduction and General Overview of Course: How to Take the Exam

Sriram Yennu, MD

8:15 Pediatric Palliative Care Donna Zhukovsky, MD

9:45 Break

10:00 Palliative Care in the Last Week of Life: Signs and Symptoms in the Last 24 Hours/

Hydration/Oral Secretions/Communicating about Impending Death/Management of the Death Rattle/Delirium

Eduardo Bruera, MD

11:00 Dyspnea/Cough David Hui, MD

11:45 Lunch: Meet the Professor Session Case Presentation/Discussion Donna Zhukovsky, MD

12:45 pm Chemotherapy, Targeted Therapy and Radiation: Principles and Common Adverse Effects

David Hui, MD

1:45 Pain: Assessment and Principles Eduardo Bruera, MD

3:00 Break

3:15 Geriatric Palliative Care Marvin Delgado-Guay, MD

4:15 Grief & Bereavement Rony Dev, DO

5:15 pm Adjourn

Wednesday, September 5, 2012

7:30 am Continental Breakfast

8:00 Opioid Titration and Rotation Suresh Reddy, MD

9:00 Delirium, Palliative Sedation, and Opioid Induced Neurotoxicity

Eduardo Bruera, MD

10:00 Break

10:15 Fatigue and Sleep Disturbance Sriram Yennu, MD

11:15 Adjuvant Intervention and Integrative Approaches in Pain Management

Suresh Reddy, MD

12:15 pm Lunch: Meet the Professor Q & A - Live and Webinar

Eduardo Bruera, MD

1:30 Cachexia/ Nausea/Vomiting/Bowel Obstruction/Constipation

Eduardo Bruera, MD

2:30 Interdisciplinary Team Work Dynamics – Conflict Resolution

Suresh Reddy, MD

3:00 Break 3:15 Prognostication David Hui, MD

4:30 Palliative Care Emergencies Maxine De La Cruz, MD

5:30 pm Adjourn

Thursday, September 6, 2012

7:30 am Continental Breakfast

8:00 Psychosocial and Spiritual Issues Marvin Delgado-Guay, MD

9:00 Management of Anxiety/Depression at the End-of-Life

Marvin Delgado-Guay, MD

9:45 Break

9:55 Common Pharmacological Interactions in Palliative Care

Holly Holmes, MD

10:30 Disease Specific Palliative Care I Neurological, AIDS Maxine De La Cruz, MD

11:30 Lunch: Meet the Professor Q & A Live and Webinar

Suresh Reddy, MD

12:45 pm Medicare Hospice Benefit Linda Tavel, MD

1:45 Disease Specific Palliative Care II Cardiac, Pulmonary, and Renal Sandra Gomez, MD

2:45 Wound Care/Pressure Ulcers/ Pruritis/Xerstomia

Linh Nguyen, MD

3:15 Break

3:30 Ethical and Legal Decision Making Larry Driver, MD

4:30 Conclusion and Course Overview Sriram Yennu, MD

4:45 pm Adjourn

Board Review Organizing Committee

Sriram Yennu, MD (Chair)Maureen Valenza (Program Coordinator)Eric Gagneaux (Logistics Manager)

Eduardo Bruera, MDShalini Dalal, MDEgidio Del Fabbro, MDRony Dev, DOMarvin Delgado-Guay, MDMaxine De La Cruz, MDDavid Hui, MDAkhila Reddy, MDSuresh Reddy, MDPaul Walker, MDDonna Zhukovsky, MD

Sriram Yennu, MD (Chair)Martha Aschenbrenner, MSWThomas Aloia, MDMarcia Brennan, PhDSheila Brown, BAEduardo Bruera, MDRegina Okhuysen-Cawley, MDRoy Chemaly, MDAmanda Cooper, MDLuke Coulson, LMSW

Guido Biasco, MDUniversity of BolognaBologna, Italy

J. Andrew Billings, MDMassachusetts General HospitalCambridge, Massachusetts

Deborah Bolognesi, MAAcademy of Sciences of Palliative MedicineBologna, Italy

Roberto Casal, MDBaylor College of MedicineHouston, Texas

Meagan Davis, LMSWSolari Hospice CareSpring, Texas

Timothy DeEulis, MDSt. Mary’s Medical CenterHuntington, West Virginia

Molly Feely, MDMayo ClinicRochester, Minnesota

Rachel Havyer, MDMayo ClinicRochester, Minnesota

MD Anderson Faculty

Guest Faculty

Maxine De La Cruz, MDAlexander Dekovich, MD Rony Dev, DOLarry Driver, MDAhmed Elsayem, MDNicole Gandolfo, MA Warren Holleman, PhDDavid Hui, MDLindsey Pimentel, RNAkhila Reddy, MD

Barbara Jones, PhDThe University of Texas – AustinAustin, Texas

Angela Lee, RNHospice Without BordersUniversity Place, Washington

Grace Mukankuranga, RNRwanda Palliative Care Center (RHPCC)Rwanda, Africa

Shih-Ning Liaw, MDThe University of Texas Medical SchoolHouston, Texas

Belinda Luk, MPHOregon Health & Science UniversityPortland, Oregon

Anita Madan, MDThe University of Texas Health Science CenterHouston, Texas

Deborah Meyers, MDThe University of Texas Health Science CenterHouston, Texas

Linh Nguyen, MDThe University of Texas Health Science CenterHouston, Texas

Shelly Patel, DDSThe University of Texas Health Science Center School of DentistryHouston, Texas

Marci Pounders, BCCBaylor Cancer HospitalHouston, Texas

David Slack, MDHospice Without BordersOlympia, Washington

Isabel Torres, DrPHUniversity of HoustonHouston, Texas

T. Hanh Trinh, MDHouston HospiceHouston, Texas

Kenneth Unger, MDVITAS Innovative Hospice CareHouston, Texas

CONFERENCE SPEAKERS

Suresh Reddy, MDWadih Rhondali, MDEden Mae Rodriguez, PharmDRhonda Robert, MDKenneth Rolston, MDThuy Trinh, MSFrank Tverdek, MDMarieberta Vidal, MDDonna Zhukovsky, MD

Sriram Yennu, MD (Chair) Eduardo Bruera, MDMaxine De La Cruz, MDMarvin Delgado-Guay, MDRony Dev, DOLarry Driver, MDHolly Holmes, MDDavid Hui, MDSuresh Reddy, MDDonna Zhukovsky, MD

Sandra Gomez, MDSMC Palliative Care Services, P.A.The Woodlands, Texas

Linh Nguyen, MDUT Health Science CenterHouston, Texas

Linda Tavel, MDOdyssey Healthcare of HoustonHouston, Texas

Guest FacultyMD Anderson Faculty

BOARD REVIEW SPEAKERS

Registration Information8th Annual Intensive Physician Board Review Course – September 4-6, 2012• On-site registration and check-in opens at 7:15 am on Tuesday, September 4, 2012,

in the Hickey Auditorium Foyer on Floor 11 of the R. Lee Clark Clinic, MD Anderson, 1515 Holcombe Boulevard, Houston, Texas.

• The opening session will begin at 8:00 am on Tuesday, September 4, 2012, in Hickey Auditorium and Anderson Conference Hall, and will adjourn at 4:45 pm on Thursday, September 6, 2012.

The Physician Board Review Course registration fee includes materials, continental breakfasts, lunches, and breaks; however, it DOES NOT include registration to the 16th Annual Conference.

Webinar Sessions• Live Webinar Sessions of Board Review Course

• Post Webinar Sessions. Recorded Workshop Sessions and Slides Available by Monday, September 17, 2012.

(No CME Granted for Webinar Sessions. Recording of Webinar Sessions Not Possible.)

16th Annual Interdisciplinary Conference on Supportive Care, Hospice and Palliative Medicine – September 7-8, 2012• On-site registration and check-in opens at 7:15 am on Friday, September 7, 2012, in the

Hickey Auditorium Foyer on Floor 11 of the R. Lee Clark Clinic, MD Anderson, 1515 Holcombe Boulevard, Houston, Texas.

• The opening session of the conference will begin at 7:45 am on Friday, September 7, 2012, in Hickey Auditorium, and the conference will adjourn at 3:45 pm on Saturday, September 8, 2012.

The Conference registration fee includes the tuition, materials, continental breakfasts, lunches, and breaks; however, it DOES NOT include registration to the Physician Board Review Course.

The Deadline for Advance Registration is August 17, 2012There are three ways to register:• Mail to Department of CME/Conference Management, Unit 1381, The University of Texas

MD Anderson Cancer Center, PO Box 301439, Houston, TX 77230-1439• Fax to 713-794-1724• On-line at www.mdanderson.org/conferences

We accept the following forms of payment:• Check (payable to The University of Texas MD Anderson Cancer Center through

U.S. banks only)• Money order• Credit cards (MasterCard, VISA, and American Express)• Cash (on-site registration only)

A receipt and confirmation letter will be sent to you within ten working days of receipt of your registration.

Refund/Cancellation PolicyThe registration fee, minus a $50 administration-handling fee, is refundable if a written request is received on or before August 17, 2012. No refunds will be granted after that date. The request for a registration refund must include the tax identification number of the company or institution if registration was paid by a company or institution check. For additional information, contact CME/Conference Management at 713-792-2223 or toll free at 866-849-5866 or via e-mail: [email protected].

The Department of CME/Conference Management reserves the right to cancel activities prior to the scheduled date, if low enrollment or other circumstances make it necessary. Each registrant will be notified by mail, e-mail, or at the phone or fax numbers given on the registration form.

In case of activity cancellation, the liability of the Department of CME/Conference Management is limited to the registration fee. CME/Conference Management will refund the full registration fee. The Department of CME/Conference Management reserves the right to limit the number of participants in a program and is not responsible for any expenses incurred by an individual whose registration is not confirmed and for whom space is not available.

Special AssistanceContact the Department of CME/Conference Management at 713-792-2223 or toll free at 866-849-5866 if you have any special dietary or ADA accommodation needs.

AccommodationsThe conference is providing a block of rooms at the Houston Marriott at the Texas Medical Center Hotel, 6580 Fannin Street, Houston, Texas 77030. Hotel Phone 713-796-0080.

When making hotel reservations be sure to use the Group Rate code of PLVPLVA to obtain the $139 room rate for single/double occupancy. Please add 17% Texas State and local taxes.

You may also visit www.hotels.com for other hotels within the Texas Medical Center area of Houston, Texas.

Air Travel – United AirlinesThe University of Texas MD Anderson Cancer Center has a program with United Airlines for discounted air travel. For discounts, call your travel professional or United’s Meeting Works toll free at 800-468-7022. Outside of the United States, please call your local United Airlines Reservation Office. The offer code is Z Code: ZM6M and Agreement Code: 488954.

Lower fares may be available on the internet or through your travel agency.

Ground Transportation (prices are subject to change)

• Houston is served by two airports, George Bush Intercontinental (IAH) and William P. Hobby (HOU).

• Taxicabs are available at an estimated cost of $30-60, to or from both airports.

• Super Shuttle operates a shuttle bus from both airports at an estimated cost of $24-$27 one-way and $48-$54 round-trip. For more information, call 713-523-8888 or toll-free at 800-258-3826 or on-line at www.supershuttle.com.

The University of Texas MD Anderson Cancer Center has implemented a process whereby everyone who is in a position to control the content of an educational activity must disclose all relevant financial relationships with any commercial interest that could potentially affect the information presented. MD Anderson also requires that all faculty disclose any unlabeled use or investigational use (not yet approved for any purpose) of pharmaceutical and medical device products. Specific disclosure will be made to the participants prior to the educational activity.

Agendas are subject to change because we are always striving to improve the quality of your educational experience. MD Anderson may substitute faculty with comparable expertise on rare occasions neces-sitated by illness, scheduling conflicts, and so forth.

Photographing, audio taping and videotaping are prohibited.

Please let us know what specific topics, issues or questions you wish to see addressed or emphasized in this activity. Call or e-mail CME/Conference Management. All responses will be forwarded to the Program Chairs for consideration.

CONFERENCE REGISTRATION0594 16th Annual Interdisciplinary Conference on Supportive Care, Hospice and Palliative Medicine – September 7–8, 2012

0593 8th Annual Intensive Physician Board Review Course in Hospice and Palliative Medicine – September 4–6, 2012

0593 8th Annual Intensive Physician Board Review Course September 4–6, 2012 Physician/Scientist(MD, PhD, includes Resident, Fellow, etc.)1 Postmarked by 8/17/2012 .............. $899

You must register separately if you wish to attend the Palliative Care Conference. Board Review Course registration DOES NOT include the Conference.

0594 16th Annual Interdisciplinary Conference on Supportive Care,Hospice and Palliative Medicine September 7–8, 2012Physician/Scientist (MD, PhD)1 Postmarked by 8/17/2012 ..............$3501 Postmarked after 8/17/2012 ..........$400

Healthcare Professional (Nurse, Hospice, Clergy, Ethicist, Social Worker, PT, PA, etc.)1 Postmarked by 8/17/2012 ..............$2501 Postmarked after 8/17/2012 ..........$300

Student/Trainee (Fellow, Resident)1 Postmarked by 8/17/2012 ..............$1001 Postmarked after 8/17/2012 ..........$150

MD Anderson - Physician/Scientist (MD, PhD)1 Postmarked by 8/17/2012 ..............$2001 Postmarked after 8/17/2012 ..........$250

MD Anderson - Healthcare Professional(Nurse, Hospice, Clergy, Ethicist, Social Worker, PT, PA, etc.)1 Postmarked by 8/17/2012 ..............$1501 Postmarked after 8/17/2012 ..........$200

Last Name First MI Highest Degree

Department (include box no.) Specialty

Institution Physician oYes oNo

Street City State/Foreign Country/Zip or Mail Code

Daytime Phone (with area code) Cell Phone (with area code) Fax (with area code)

E-mail Address Emergency Contact Phone (with area code)

Charge the following: oVISA oMasterCard oAmerican Express

Credit Card Number or MD Anderson Interdepartmental Transfer (IDT) No. Expiration Date

Credit Card Holder Name (First/Last) Credit Card Holder Billing Address & ZIP Code

Authorized Signature REQUIRED for credit card or IDT MD Anderson Employee ID No. (REQUIRED)

IDT Approver Name (First/Last) please print IDT Approver E-mail

THIS IS NOT A SELF-M

AILER - ADDRESS TO:

Palliative Care Conference & Board Review

Department of CM

E/Conference Managem

ent – Unit 1381The University of Texas M

D Anderson Cancer Center, PO Box 301439, Houston, TX 77230-1439or fax to 713-794-1724

Make check or m

oney order payable to: The University of Texas MD Anderson Cancer Center

Board Review Attendees - Special Conference Rate (Special Conference Rate applies only to attendees registered for the 8th Annual Intensive Board Review Course)Physician/Scientist (MD, PhD, includes Resident, Fellow, etc.)1 Postmarked by 8/17/2012 ..............$150

RE

GIS

TR

AT

ION

FE

ES

0607 Webinar SessionsLive Presentation - Board Review Course. ................... $649(Broadcast simultaneously with the live activity. NO conference materials will be provided for this webinar session.)

Post Board Review Course .......... $349(Recorded sessions and slide presentations will be available by Monday, September 17, 2012.

- No CME Granted for Webinar Sessions- Recording of Webinar Sessions Not Possible