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About the Course

Academic year: 2015
Course dates: July 8-11, 2015
Location: Università Cattolica del Sacro Cuore - Centro Studi Achille e Linda Lorenzon - Viale G. Oberdan 5, 31100 Treviso, Italy. (website of the university)
Contact: oncologia.geriatrica@gmail.com
For further information, please click here.


Purposes

The advanced course in Geriatric Oncology aims to train professionals in the management of elderly cancer patients, providing specific skills in assessment, care pathways and therapeutic choices about the elderly patients with cancer. The aims are to develop the general principles of both geriatric and oncology medicine that are useful to treat elderly cancer patient. The oncological sessions will be focused on the principles of cancer treatment in the elderly, the geriatric ones will be focused on the assessment of the elderly patient, with particular emphasis about polypharmacy, multimorbidity and frailty. In a scenario where the "Target and Tailored Therapy" is the gold standard, the collaboration with international experts in the field of geriatrics and oncology allows students to take part of a training program designed to provide the basis of the assessment and the multi-dimensional approach that should be applied to elderly cancer patients. Thanks to the intervention of internationally recognized teachers as the leading experts in the geriatric oncology, students will be part of an international network.

At the end of this course participants will be able to perform a Comprehensive Geriatric Assessment, to deal with the therapeutic strategy of the main solid tumors and lymphomas in the elderly, to evaluate risk factors for chemotherapy toxicity and to set up clinical trials in this age group.

The course aims are:
1. To provide basic information related to cancer medicine to the geriatricians and to the application of geriatric principles to the clinical oncologists
2. To train young medical oncologists and geriatricians to work together. These individuals will become the bridge between the oncological and geriatric teams in their own institutions

Course documents: students will be provided with booklet, copies of the main articles related to the presentations and slides presented at the course.

Course Director: S. Monfardini  (I)
Course Coordinator: G. Colloca (I)
Clinical Oncology Faculty: M. Aapro (CH), R. Audisio (UK), L. Balducci (USA), E. Brain (F), P. Soubeyran (F), H. Wildiers (B), S. Monfardini (I).
Geriatric Faculty: R. Bernabei (I), E Topinkova (CZ), L. Beghé, C. Sieber
Local Faculty: C. Barone, L. Biganzoli (I), G. Colloca (I), U. Basso (I), A. Luciani (I), M. Spina, M. Calabrò, A. Corsonello, A. Cherubini, E. Marzetti (I), A. Brunello (I), S. Leo (I), C. Falci.

Certificate

At the end of the course, in accordance with art. 6 of Law no. 341/1990, students will receive a certificate as provided by art. 2, paragraph 5, of Title I of the academic regulations of the University. In accordance with the program of Continuing Medical Education, the students in a university course is exempted from acquiring the CME credits for the current year (or 50 CME credits).The Catholic University of the Sacred Heart reserves the right to not activate or cancel the course if it does not reach the coverage of expenses.

The course is addressed at:

  • Medical Oncologists completing their training since less than 5 years and Medical Oncology Fellows
  • Other Clinical Oncologists: Surgical oncologists and Radiotherapists completing their training since less than 5 years and Radiotherapy fellows
  • Geriatricians completing their training since less than 5 years and Geriatric Fellows

Admission

A minimum of 20, maximum 30 candidates will be allowed to participate with the necessary requirements.

The application, accompanied by a resumé must be completed online by the due date specified in the website of University Master Level II Catholic University of the Sacred Heart. There will be a selection based on the curriculum evaluation.

A good knowledge of English language is mandatory

The attendance is mandatory (at least 80% of the class lessons). SIOG & The Catholic University of the Sacred Heart reserves the right do not activate or cancel the course if do not reach the coverage of expenses.

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Download

PDF icon2015_siog_treviso_programme.pdf (pdf, 227Kb)

Programme

Wednesday July 8

13:30 – 14:00 - Registration, Student self-introduction and course aims - S. Monfardini, L. Balducci

Common part
14:00 – 14:30 - Personalized medicine: tumor and patient profile - E. Brain
14:30 – 15:00 - Cancer in the older person: what is different? - L. Balducci
15:00 – 15:30 - Aging Research, Clinical Trials and Beyond Clinical Trials for older patients with cancer - H. Wildiers

Coffee Break

16:00 – 16:30 - The organization of the multidisciplinary team and the treatment plan - S. Monfardini
16:30 – 17:00 - The management of cancer in the older person - G. Colloca

Thursday July 9

Geriatrics for Clinical Oncologists
09:00 – 09:30 - Biology of age - R. Bernabei
09:30 – 10:00 - Assessment of physiologic age - S. Fusco

Coffee Break

10:30 – 11:00 - Comprehensive Geriatric Assessment - G. Colloca
11:00 – 11:30 - The screening tests - P. Soubeyran
11:30 – 12:30 - Delirium, Dementia, Depression - R. Liperoti

Lunch

14:00 – 14:30 - Sarcopenia and Aging - E. Marzetti / C. Sieber
14:30 – 15:00 - The other geriatric syndromes (osteoporosis, malnutrition, incontinence, etc.) - E. Topinkova
15:00 – 15:30 - Polypharmacy - S. Fusco
15:30 – 16:00 - Prediction and possible reduction of toxicity of chemotherapy in older patient - A. Brunello

Coffee Break

16:30 – 17:00 - Results of studies in the geriatric field possibly applicable to older cancer patients - E. Topinkova
17:00 – 17:30 - Performance measures - E. Marzetti

Clinical Oncology for Geriatricians
09:00 – 09:30 - General principles of cancer treatment - R. Audisio
09:30 – 10:00 - Staging and therapeutic planning - L. Balducci

Coffee Break

10:30 – 11:00 - General principles of Surgical Oncology -  R. Audisio
11:00 – 11:30 - When to propose a patient to the radiotherapist - S. Monfardini
11:30 – 12:30 - Multidisciplinarity in Clinical Oncology (Pathology, Radiodiagnostic, Surgery, Radiotherapy, Medical Oncology) -  R. Audisio, S. Monfardini

Lunch

14:00 – 14:30 - Principles of Chemotherapy (the drugs category classifications, general aspects of toxicity ad of therapeutic activity) - M. Aapro
14:30 – 15:00 - General principles of endocrine therapy (drugs activity in hormonosensitive neoplasia and their toxicity) - E. Brain
15:00 – 15:30 - Specific molecular targeted therapy - H. Wildiers
15:30 – 16:00 - Adjuvant Therapy - H. Wildiers

Coffee Break

16:30 – 17:00 - Neoadjuvant Therapy - E. Brain
17:00 – 17:30 - How to assess the response to the medical treatment - P.Soubeyran

Friday July 10

Common part
08:30 – 09:00 - Supportive and palliative care in the elderly with cancer - M. Aapro
09:00 – 10:30 - Case selection and presentation on Primary and Advanced Breast Cancer - A. Brunello, C. Falci
Comments: L. Biganzoli, R. Audisio, E. Brain, R. Bernabei

Coffee Break

10:45 – 12:15 - Cases selection and presentation on locally advanced and metastatic prostate cancer - U. Basso
Comments: L. Balducci, S. Monfardini, M. Calabrò
12:15 - 13:00 - Cases selection and presentation on multiple myeloma - M. Spina
Comments: P. Soubeyran, S. Monfardini, M. Calabrò

Lunch 

14:00 – 15:15 - Cases selection and presentation on advanced non-small cell lung cancer and small cell lung cancer - A. Astone
Comments: H. Wildiers, E. Brain, A. Corsonello

Coffee Break

15:30 – 17:00 - Cases selection and presentation onfavorableand unfavorable Non-Hodgkin’s Lymphoma - M. Spina
Comments: P. Soubeyran, M. Monfardini, L. Beghè
17:00 – 17:30 - Plan for the transfer of experience in the participants institutions - L. Balducci, S. Monfardini, R. Bernabei

Saturday July 11

Common part
09:00 – 10:15 - Cases selection and presentation on advanced colon cancer - A. Luciani
Comments:  A. Luciani, H. Wildiers, E. Topinkova
10:15 – 11:15 - Cases selection and presentation on chronic lymphocytic leukemia - M. Spina
Comments: P. Soubeyran, L. Balducci, M. Calabrò

Coffee Break

11:30 – 12:00 - Evaluation of the participants - G. Colloca
12:00 – 12:30 - Conclusion - S. Monfardini, L. Balducci, R. Bernabei

The course consists in a common part addressed to both Clinical Oncologists and Geriatricians and two other successive parts for Clinical Oncologists on one side and on the other side for Geriatricians.

Case presentation and discussion are in common.

The local faculty will take care of the case selection and their presentations, subdivision of the participants in 4-5 small groups, and to follow their internal analysis of the case, before presentation of the conclusions in the general discussion.

The teachers will be continuously present during the course and remain available as individual mentors, if requested, during the course and thereafter to determine whether there has been development of multidisciplinary treatment teams in each participant's institution within one year and vitality of these teams at five year.

The activities planned by the learning plan and the lessons will be held at the Study Centre Achille and Linda Lorenzon - Catholic University of the Sacred Heart, Treviso (Venice), Italy.

The issues covered will include:

  • Correlations between aging and cancer
  • Breast cancer, Lung cancer, urological neoplasia and gastrointestinal cancer in the elderly, NHD
  • The Comprehensive Geriatric Assessment
  • Surgical oncology in the elderly
  • General principles of endocrine therapy and chemotherapy in elderly patients
  • Multimorbidity
  • Geriatric syndromes
  • Sarcopenia, cachesia, frailty
  • Delirium, dementia, depression
  • Polipharmacotherapy and Adverse Drugs Reaction
  • Supportive therapy (anemia, nausea, infections) in elderly cancer patients
  • Pain treatment
  • Clinical trials in the elderly

To obtain the final certification, students are required to attend at least 80% of the teaching and training and the successful completion of all course tests.