Radiation OncologyProgram

Educational Symposia

Florida Radiological Society

Florida Radiology Business Management Association

August 6, 2016

The Ritz-Carlton, Amelia Island Amelia Island, Florida

The Light at the End of the Tunnel: Train or New Beginning?

ANNUAL MEETING OF THE2016

FRS

FRBMA

PresidentJeffrey A. Stone, MD, FACR

TreasurerDaryl Eber, MD

President-ElectB. Nicholas Hatton, MD

SecretarySteven DePrima, MD

President Ed Goodemote, PhD, RN

TreasurerAl Falco, MBA, FRBMA

President-Elect Jeff A. Younger, MHA, FRBMA, FACHE

Secretary Sharon Martineau, RCC

2015 – 2016 Officers:

2015 – 2016 Officers:

COUNCILORS: ALTERNATE COUNCILORS:

Daniel F. Broderick, MD, FACR • Joseph G. Cernigliaro, MD, FACR • Edem Chen, MD • Jesse A. Davila, MD •

Steven J. DePrima, MD • Daryl Eber, MD • B. Nicholas Hatton, MD • Michael E. Katz, MD • Barry M. McCook, MD, FACR •

Patricia J. Mergo, MD, FACR • Lawrence R. Muroff, MD, FACR • Martin Northrop, MD • Manuel S. Rose, MD, FACR •

Kurt Friedrich Scherer, MD • Jeffrey A. Stone, MD, FACR

Laura Bancroft, MD • Gregg A. Baran, MD, FACR • Andrew W. Bowman, MD • Elizabeth R. DePeri, MD •

Chintan Desai, MD • Nicholas C. Feranec, MD • Rajendra P. Kedar, MD • Ben Ludwig, MD • Ravi Richard

Ramnath, MD • Michael M. Raskin, MD, JD, MBA, FACR • William F. Sensakovic, PhD • Christopher F. Serago, PhD, FACR • Stephen Sevigny, MD • Daniel Singer, MD, FACR •

Mary E. Swain, MD, FACR • Paul Wasserman, DO • Gregory T. Frey, MD – Young Physician Alternate Councilor

FRS MISSION STATEMENT

FRS PAST PRESIDENTS

To serve and represent the interests of the Florida House of Radiology* by 1. Committing efforts and resources to advocate for cost effective, safe and accurate imaging and patient care, thereby improving the quality of patient care statewide. 2. Positively influencing the socio-economic factors affecting the practices of the House of Radiology in Florida via: a. Representation to government and commercial payors b. Educational efforts and communication with the FRS membership 3. Representing the Florida House of Radiology in coordinated efforts with other radiological and medical organizations at the local, state and national levels. 4. Actively participating in relevant Florida medical government affairs to: a. Monitor, influence and propose appropriate legislation b. Monitor and influence state medical regulatory affairs regarding medical imaging and radiation therapy* The “Florida House of Radiology” is made up by the constituent parts of the FRS including: Diagnostic radiologists, interventional radiologists, radiation oncologists, nuclear medicine physicians and medical physicists.

E. James Andrews, Jr., MD, FACRJ. Greg Arterburn, MD, FACRRalph C. Aye, MDRichard Bagby, MD, FACRLaura A. Bancroft, MD, FACRGregg A. Baran, MD, FACRJohn A. Beals, MDRichard M. Benator, MD, FACRHarold O. Brown, MDAndre S. Capi, MD, FACRRichard C. Cavanagh, MD, FACRJoseph G. Cernigliaro, MD, FACRPhilip S. Cook, MD, FACRJ. Jay Crittenden, MD, FACRLester W. Cunningham, MDJesse A. Davila, M.D.Robert C. DeArmas, MDLori A. Deitte, MD, FACRJ. Maxey Dell, MDJoshua C. Dickinson, MDRobert J. Entel, MD, FACRDavid H. Epstein, MD, FACROrion O. Feaster, MDJohn P. Ferell, MDDonald H. Gahagen, MDArthur D. Graham, MD, FACRA. Judson Graves, MDCharles M. Gray, MD

Donald R. Hansard, MD, FACRW. Thomas Hawkins, MD, FACRElliott M. Hendricks, MDFrederick K. Herpel,MDRussell D. Hoover, MDFloyd K. Hurt, MDIvan Isaacs, MDJohn T. Johnson, MDJohn C. Jowett, MD, FACRDavid Kirsh, MD, FACRAlfred G. Levine, MDW. Fred Lindsey, MD, FACRThomas H. Lipscomb, MDJoseph H. Lucinian, MDRobert J. Mandel, MD, FACRMarvin V. McClow, MD, FACRH. B. McEuen, MDJohn J. McGuire, MDSteven G. Miles, MD, FACRArthur R. Miller, MD, FACRJohn N. Moore, MDKurt W. Mori, MD, FACRPaul A. Mori, Jr., MD, FACRRichard L. Morin, PhD, FACRLawrence R. Muroff, MD, FACRRobert H. Nickau, MD, FACRH. Martin Northup, MD, FACRRex Orr, MD, FACR

FRS GOLD MEDAL RECIPIENTS

FRS LEGACY LECTURE

FRS PAST PRESIDENTS (CONTINUED)

Frazier J. Payton, MDNelson T. Pearson, MDJohn A. Pines, MD James F. Pitman, MDPaul J. Popovich, MDAlan Porter, MD, FACRGerald Raap, MDMichael M. Raskin, MD, MPH, JD, MBA, FACRHugh G. Reaves, MDWade S. Rizk, MD, FACRSylvan H. Sarasohn, MD, FACRAlfred Schick, MDJoel A. Schneider, MD, FACR

James T. Shelden, MDDaniel Singer, MD, FACREdward V. Staab, MD, FACRJohn S. Stewart, MDMary E. Swain, MD, FACRMalcolm Van de Water, MD, FACRWilliam D. Walklett, MD, FACRWalter A. Weed, MDCharles D. Williams, MD, FACRRobert E. Williams, MD, FACRTim R. Williams, MDErnest Wollin, MD, FACR

2005: Florida Radiology: Past, Present and Future Charles D. Williams, M.D., FACR

2006: Challenges to Radiology in the 21st Century: Issues and Opportunities Lawrence R. Muroff, M.D., FACR

2007: Interventional Radiology: Past, Present and Future Barry T. Katzen, M.D., FACR, FSIR

2008: Radiation Oncology: Past, Present, and Future Alan H. Porter, M.D., FACR

2010: Impact of External Forces on Education, Certification and Maintenance of Certification Thomas H. Berquist, M.D., FACR

1990 Herbert D. Kerman, MD, FACR1991 Paul A. Mori, Jr., MD, FACR1992 Nathan P. Arenson, MD, FACR1992 Juri Kaude, MD, FACR1994 Andre S. Capi, MD, FACR1995 J. Jay Crittenden, MD, FACR1995 Marvin V. McClow, MD, FACR1995 Lawrence R. Muroff, MD, FACR1997 William Thomas Hawkins, MD, FACR1997 Manuel Viamonte, Jr., MD, FACR1998 J. Greg Arterburn, MD, FACR1999 Charles D. Williams, MD, FACR1999 Edward V. Staab, MD, FACR2000 Richard J. Bagby, MD, FACR2002 Richard L. Morin, PhD, FACR

2002 Martin L. Silbiger, MD, FACR2003 Robert E. Williams, MD, FACR2003 Michael M. Raskin, MD, FACR2004 H. Martin Northup, MD, FACR2005 Aubrey L. (Roy) Maloy, DPA, MBA2007 Steven G. Miles, MD, FACR2008 Robert M. Quencer, MD, FACR2009 Robert J. Entel, MD, FACR2010 Philip S. Cook, MD, FACR 2011 Alan H. Porter, MD, FACR 2011 Timothy R. Williams, MD, FACR2013 Richard M. Benator, MD, FACR2014 Joseph G. Cernigliaro, MD, FACR2014 Douglas Hornsby, MD2015 Lori A. Diette, MD

1994 – 1996 LaDonna Nichols1996 – 1997 Cheri Baur1997 – 1998 Joyce Billingsley1998 – 1999 Margie Weaver1999 – 2001 Pat Epting2001 – 2002 Ginger Cook2002 – 2004 Preston Allen

2004 – 2006 Jeff Younger2006 – 2008 Charles Allan2008 – 2010 Al Falco2010 – 2012 Davis Graham2012 – 2014 Troy Purcell2015 –2016 Ed Goodemote, PhD, RN

2001 LaDonna Nichols2002 Ginger Cook2003 Charles May2004 Preston Allen2005 Jeff Younger2006 Pat Epting2007 Al Falco

2008 Charles Allan2009 Tracy Sanders2010 Davis Graham2012 Joyce Billingsley2013 Troy Purcell2015 Ed Goodemote, PhD, RN

2011 LaDonna Nichols2012 Al Falco2013 Jeff A. Younger, MHA, FRBMA, FACHE2015 Steven G. Miles, MD, FACR

2011: Irwin L. Entel, M.D., FACR Legacy Lecture: Who We Are; Where We Are Going Steven G. Miles, M.D., FACR

2012: Irwin L. Entel, M.D., FACR Legacy Lecture: Radiation Dose in Medical Imaging – “What We Got Here is a Failure to Communicate” Richard L. Morin, Ph.D., FACR

2013: Irwin L. Entel, M.D., FACR Legacy Lecture: Spine Imaging: A Look Back, a Look to the Future, and Ways to Make Image Interpretation Meaningful to the Spine Surgeon Robert M. Quencer, M.D., FACR

2014: Irwin L. Entel, M.D., FACR Legacy Lecture: The Radiologist as Doctor Patricia L. Abbitt, M.D.

2015 Charles D. Williams, M.D., FACR Legacy Lecture: Nuclear Medicine: Where We Came From and What We Should Aspire to Become Walter E. Drane, M.D., FACR

FRS LEGACY LECTURE (CONTINUED)

FRBMA PAST PRESIDENTS

FRBMA ABOVE AND BEYOND AWARD RECIPIENTS

FRBMA LADONNA NICHOLS LIFETIME ACHIEVEMENT AWARD RECIPIENTS

Florida Radiological Society Florida Business Management Association &

Educational Symposia Gratefully Acknowledge the following:

Siemens HealthcareVidius Solutions

Advocate Radiology Billing

Mag Mutual Insurance CompanyMBX-Medical Billing Experts, LLC

Access RadiologistsAlpha ll, LLC

APS Medical BillingBayer Healthcare

Boehringer-Ingelheim PharmaceuticalsData Media Associates, Inc.Ellis, Ged & Bodden, P.A.Florida PIP Law Firm, P.A.

Fujifilm Medical Systems, USAHealthpac Computer Systems, Inc.

HologicInfinx, Inc.

Integrated Radiology PartnersMBMS, LLC

McKesson Business Performance ServicesMerge, An IBM CompanyMSN Healthcare Solutions

MyCare Finance National Radiology Solutions (NRAD)

Nuance Communications, Inc.Philips

Preferred Radiology Alliance, PLLCRadsource

Ramsoft, Inc.SCA Collections, Inc.Sheridan Healthcare

SpreemoZotec Partners

GOLD LEVEL EXHIBITORS

BRONZE LEVEL EXHIBITOR

EVENT CORPORATE SUPPORT EXHIBITORS

EXHIBITORS

2016 Annual Meeting of the FRS & FRBMA: Radiation OncologyThe Ritz-Carlton, Amelia Island

Amelia Island, Florida

August 6, 2016

Dear Course Participant,

Thank you for your participation in this course. You should have received an email to the Course Evaluation. Completion of this evaluation is an accreditation requirement. If you did not receive the email please see the registration desk or go to:

https://www.surveymonkey.com/r/FRSRO16

The feedback you provide as a course participant will help us evaluate the effectiveness of this program and will assist us in developing future activities.

Thank you!Educational Symposia

In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, Educational Symposia requires that all Planning Committee, academic faculty members, and peer reviewer(s) involved in the development of CME content disclose financial relationships which have relevance to the CME content of the activity. An individual has a relevant financial relationship if he or she (or his or her spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in this CME activity, and over which the individual has content control.

The Planning Committee, academic faculty members, and peer reviewer(s) for this symposium were required to complete a Full Disclosure Form, and their disclosures, if any, are listed below. If relationships were identified, those Planning Committee and/or faculty members, and/or peer reviewer(s) attested that such relationship(s) would not cause them to be commercially biased. In addition, each has signed a Resolution of Conflict of Interest form agreeing that, when developing or presenting content discussing healthcare products or services with those manufacturers or providers with whom he or she (or his or her spouse/partner) has a relevant financial relationship, they will: (1) use the “best available evidence” in the specialty or therapeutic area as support for any statements he or she makes about those products or services; (2) not make patient care or practice recommendations based on his or her “clinical experience” only, although he or she may indicate that a particular product or service is utilized in his or her practice; and (3) not express a personal or professional preference for those products or services.

Faculty members have been advised that if their lectures will include discussion of off label or investigational use of any product, they must disclose this to the audience.

Speaker Name Name of Commercial Interest Nature of Relevant Relationship

Beatriz E. Amendola, M.D. Varian Speaker Fee

Steven E. Schild, M.D. UpToDate Editor /author fee

2016 Annual Meeting of the FRS & FRBMA: Radiation OncologyThe Ritz-Carlton, Amelia Island

Amelia Island, Florida

August 6, 2016

FULL DISCLOSURE POLICY AFFECTING CME ACTIVITIES

2016 Annual Meeting of the FRS & FRBMA: Radiation OncologyThe Ritz-Carlton, Amelia Island

Amelia Island, Florida

August 6, 2016

PROGRAM

SATURDAY, AUGUST 6, 2016 Physician Credit 7:00 – 8:00 AM Registration and Breakfast in Exhibit Hall Diagnostic Radiology General Session: FRS/FRBMA 8:00 – 8:15 FRS and FRBMA Presidential Address Jeffrey A. Stone, M.D., FACR Ed Goodemote, Ph.D., RN (not accredited for AMA PRA Category 1 Credit(s)TM) 8:15 – 8:30 Legislative Update 1.5 Alison Dudley 8:30 – 9:00 ACR Update Timothy L. Swan, M.D., FACR, FSIR 9:00 – 9:45 The Steven G. Miles Keynote Socioeconomic Address: Darwin Meets Roentgen: Don’t Count on an Invisible Hand-Out Richard Duszak, M.D., FACR, FRBMA 9:45 – 10:30 Break in Exhibit Hall 10:30 – 11:00 Esophageal Cancer 1.5 Christopher Hallemeier, M.D. 11:00 – 11:30 Modern Radiation for the Management of Hodgkin Lymphoma Bradford S. Hoppe, M.D., MPH 11:30 – 12:00 PM Stereotactic Radiotherapy Beatriz E. Amendola, M.D., FACR, FASTRO, FACRO 12:00 – 1:00 Lunch with Exhibitors

SATURDAY, AUGUST 6, 2016 (continued) Physician Credit

1:00 – 1:30 Evidence for Proton Therapy in Pediatric Brain Tumors 2.25 Danny Indelicato, M.D. 1:30 – 2:00 Choline PET for Prostate Cancer Sean S. Park, M.D., M.S., Ph.D. 2:00 – 2:30 Locally Advanced Lung Cancer Steven E. Schild, M.D. 2:30 – 3:00 Symptom Control in Radiation Therapy James Leenstra, M.D. 3:00 – 3:15 Question and Answer Session Faculty 3:15 End of Program 3:30 – 5:00 Resident Question and Answer Breakout Session (not accredited for AMA PRA Category 1 Credit(s)TM) 5:30 – 7:15 Gold Medal Reception and Cocktail Party

2016 Annual Meeting of the FRS & FRBMA: Radiation OncologyThe Ritz-Carlton, Amelia Island

Amelia Island, Florida

August 6, 2016

PROGRAM

PROGRAM DIRECTOR: Laura A. Vallow, M.D.

Beatriz E. Amendola, M.D., FACR, FASTRO, FACROMedical Director Innovative Cancer InstituteClinical Associate Professor Florida International University Herbert Wertheim College of Medicine Voluntary Professor of Radiation Oncology University of Miami Miller School of MedicineMiami, FL

Alison DudleyLobbyistFlorida Radiological SocietyTallahassee, FL

Richard Duszak, M.D., FACR, FRBMAProfessor and Vice Chair for Health Policy and PracticeDepartment of Radiology and Imaging SciencesEmory University School of MedicineAtlanta, GAChief Medical Officer and Senior Research FellowHarvey L. Neiman Health Policy InstituteReston, VA

Ed Goodemote, Ph.D., RNPresident, FRBMAChief Executive OfficerRadiology and Imaging Specialists, PALakeland, FL

Christopher Hallemeier, M.D.Assistant Professor in Radiation OncologyMayo ClinicRochester, MN

Bradford S. Hoppe, M.D., MPHAssociate ProfessorDepartment of Radiation OncologyUniversity of FloridaJacksonville, FL

Danny Indelicato, M.D.Associate ProfessorWilliam and Joan Mendenhall Chair of Pediatric RadiotherapyDepartment of Radiation OncologyUniversity of FloridaJacksonville, FL

James Leenstra, M.D.Assistant Professor ofRadiation OncologyMayo Clinic Radiation Therapy CenterNorthfield, MN

Sean S. Park, M.D., M.S., Ph.D.Assistant ProfessorDepartment of Radiation OncologyMayo ClinicRochester, MN

Steven E. Schild, M.D.Professor of Radiation OncologyMayo ClinicScottsdale, AZ

Jeffrey A. Stone, M.D., FACRInterventional Neuroradiology/Pain MedicineAssociate ProfessorMayo Clinic FloridaJacksonville, FL

Timothy L. Swan, M.D., FACR, FSIRACR Council Vice SpeakerCardiovascular and Interventional RadiologistMarshfield ClinicMarshfield, WI

2016 Annual Meeting of the FRS & FRBMA: Radiation OncologyThe Ritz-Carlton, Amelia Island

Amelia Island, Florida

August 6, 2016

FACULTY

EDUCATIONAL OBJECTIVES

ACCREDITATION

This symposium is structured as a practical teaching course for radiation oncologists in academic and community practice.

Attendees should, at the completion of this course, be able to:

• Understand radiotherapy toxicities and symptom control.

• Understand the role of proton radiation therapy in the treatment of pediatric brain tumors.

• Understand the role of radiation therapy in the treatment of lung cancer.

• Understand the role of radiation therapy for central nervous system tumors.

• Understand the role of prostate choline PET in radiation therapy of prostate cancer.

• Understand the role of radiation therapy in the treatment of esophageal cancer.

No special educational preparation is required for this CME activity.

Physicians: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of Educational Symposia and the Florida Radiological Society. Educational Symposia is accredited by the ACCME to provide continuing medical education for physicians.

Educational Symposia designates this live activity for a maximum of 5.25 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

2016 Annual Meeting of the FRS & FRBMA: Radiation OncologyThe Ritz-Carlton, Amelia Island

Amelia Island, Florida

August 6, 2016

TARGET AUDIENCE

2016 Annual Meeting of the FRS & FRBMA: Radiation Oncology The Light at the End of the Tunnel: Train or New Beginning?

The Ritz-Carlton, Amelia Island Amelia Island, Florida

August 5 – 7, 2016

CME APPLICATION DEGREE: [ ] M.D. [ ] D.O. [ ] OTHER __________ A. Educational Symposia designates this live activity for a maximum of 5.25 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. B. In order to obtain a Certificate of Attendance or to obtain AMA PRA Category 1 Credit(s)TM

for your attendance, please complete this form and return it to the meeting registration desk immediately following the last lecture you attend. You must write in the number of credits you are claiming. C. CME Certificates of Attendance will be MAILED TO YOU. You should receive your Certificate of Attendance within thirty days after the conclusion of this meeting. Please print clearly. 1. NAME 2. SPECIALTY___________ (FIRST) (MIDDLE) (LAST) 3. DAYTIME PHONE NUMBER 4. BIRTHDATE___________ 5. MEDICAL SCHOOL_____________________________________ ____________ Physicians Only (Graduate - Year and Name) (Degree) 6. EMAIL: If you have had a change of address and/or phone number since you registered for this conference or if your address and/or phone number will change in the near future, please indicate the new information below: Address: Phone #: Effective date of address &/or phone number change: I CERTIFY THAT I HAVE ATTENDED THE ABOVE-REFERENCED COURSE AND THAT

I AM CLAIMING ______ AMA PRA Category 1 Credit(s)TM (Maximum number of credits is 5.25)

SIGNATURE:

*Please note that faculty members may not claim credit for the portion of the program in which they are speaking.

2016 Annual Meeting of the FRS & FRBMA: Radiation OncologyThe Ritz-Carlton, Amelia Island

Amelia Island, Florida

August 6, 2016