Pre Conference Workshop Cancer Risk Assessment And Gene1c Counseling Wednesday November 18 Chairs: A Oluwatosin (Nigeria), K Blazer (USA), F Olopade (USA) This Pre-­‐Conference Workshop will focus on fundamental concepts, case-­‐based learning and pracGcal tools for clinicians who want to integrate geneGcs into their clinical pracGces. Provision of comprehensive cancer risk assessment and geneGc counseling is a feature of high quality cancer management and saves lives. The target audience includes nurses, geneGc counselors and doctors (oncologists, gastroenterologists, gynecologists, primary care physicians and surgeons) from community and academic pracGces. Submit a Case In order to tailor this workshop to your experiences, barriers and pracGce needs, we encourage you to submit a challenging or interesGng case from your pracGce related to the use of geneGc counseling and tesGng for cancer risk assessment. You can also submit cases who did not get tesGng but are challenging for you. We will select as many cases as possible from these submissions to be presented and discussed during the workshop. If you would like to submit a case, please complete the aOached form and submit it with supporGng documents (anonymized pedigree, test results, etc) email to Kristyna Hulland at [email protected]. Deadline for case submission is Saturday, November 14, 2015. Program Session 1 Fez 1: 9 – 10:30 AM A Oluwatosin (Nigeria) Welcome, IntroducGon K Blazer (USA) Cancer genomics 101: IntroducGon to clinical cancer genomics and idenGficaGon of at-­‐ risk paGents D Huo (USA) Epidemiology of inherited breast cancer Session 2 Fez 1: 11 AM – 1 PM F Olopade (USA) Familial breast and ovarian cancer syndromes: Results from the African conGnent and other countries in the diaspora P Adejumo (Nigeria) Establishing a cancer risk and prevenGon clinic in Nigeria: Lessons from the field K Blazer ( USA) Overview of the hereditary colon cancer syndromes Join the growing field of Cancer Risk and GeneGc Counseling. Bring cases with family histories to review as part of this workshop. Email Kristyna Hulland ([email protected]) with quesGons about the workshop or case submission. Pre-Conference Workshop: Cancer Risk Assessment and Genetic Counseling November 18, 2015 Location: Fez 1 Time: 9:00 – 13:00 Case Presentation from Your Practice Your Name: ____________________________________________________ (Please include your name on all documents) Your Practice Discipline (MD, RN, etc):_______________________________ Your Practice Institution:__________________________________________ Date _____________ Use this form to describe one or more challenging or interesting case from your clinical experiences to present during the AORTIC pre-conference workshop. Please respond directly on this form under each numbered prompt below. Questions on the form will move to accommodate the amount of space needed for each response. Email the completed from along with scanned copy of the family history pedigree and an *anonymized copy of relevant patient or family genetic test results (if testing was done) to: Kristyna Hulland [email protected] NO LATER THAN Saturday, November 14, 2015. *All personal patient identifying information MUST be blocked or removed from all documents 1. Case synopsis (pertinent details of the case and the presenting problems): Updated 10-28-15 Page 1 of 2 2. Draw the family history (pedigree) as a separate document. It can be hand drawn or electronic format. If hand drawn make sure pedigree is neat with clearly written ages and notations. Be sure to include icons and a legend. DO NOT include any patient identifiers (no names or other identifying information). Convert the document to a jpg, tiff, pdf, or ppt file to send with this completed from by email (see previous page). 3. If genetic testing was performed, please include an copy of the genetic test results. Remove all patient identifiers before converting the document into a jpg, tiff, pdf, or ppt file to send along with this completed form by email see previous page). 4. If testing was not performed, please explain the reason here: 5. If there were any challenging psychological, ethical, legal, insurance or familial issues to discuss related to the case describe briefly: 6. List TWO or more main reasons you are presenting this case: Tha nk you for submitting your case! Updated 10-28-15 Page 2 of 2