hematology oncology

							                                Hematology/Oncology Educational Conference
                                      (A Regularly Scheduled Conference)
                                   4th Thursday, Monthly, 8:00 – 9:00 AM
                          Location: MOB Suite 407, Executive Conference Room #2)
                                     Coordinator: Jennifer Willert, MD

Need(s): Developed as a subspecialty group with clinical responsibilities to Hematology/Oncology patients
who expressed larger interest to explore diversity, and medical interest where the protocols were more complex.
Subspecialty education is needed to support Board recertification, hospital privileges and state re-licensure.

Objective(s): Update group and subspecialties on current state of the art/ gold standard therapy for childhood
Hematology. Update group and subspecialties on current state of the art/ gold standard therapy for childhood
Oncology. Update group and subspecialties on current state of the art/ gold standard therapy for childhood Bone
Marrow Transplant.

Education Design: Didactic and panel discussion and formal handout provided. Computer Presentation Unit
and digital imaging also utilized.

Target Audience: Oncology group and consultants. 10-20 estimate, 80% physicians.

Financial: none; Expenses?     ; Income from other Sources?
Industry Support: None.
Food Services: Department funded

Physician Coordinator: Jennifer Willert, MD; CV/Disclosure: On File/See below
Conference Registration Vita LaFond, X5811; Fax: (858) 966-8053

Compliance with AB 1195: Providers of Category 1 Credit are responsible for compliance with California AB
1195 (See AB 1195 Law, RCHSD Policy & Explanation Enclosures). Coordinators of CME activities seeking
certification or re-certification agree to inform speaker(s) for their activities to make every effort to identify
culturally or linguistically impacted topics and the best available solutions.

Disclosure Policy: The faculty at Rady Children’s Hospital-San Diego provides program support and is
primarily responsible for regularly scheduled conferences (RSCs) certified by Rady Children's Hospital-San
Diego Continuing Medical Education Committee.

The following staff may alternate responsibility for providing the CME COMMITTEE review at this activity.
Disclosure provided by this Document is included for review at the activity registration area by attendees.

                                        CME COMMITTEE MEMBERS

 Speaker/Planner                                     Disclosure                            See Notes Below
 Lynne Bird, MD                                           4                                       4
 Arit Edwin-Enyenihi, MD                                  4                                       4
 Sheila Friedlander, MD                  Connetics, Novartis, Schering-Plough                     3
 David Haller, PharmD                                     4                                       4
 Alexa Kratze                                             4                                       4
 Henry Krous, MD                                          4                                       4
 Charlotte McClamma                                       4                                       4
CME Certification Document for 500764c2-711f-4d5c-a6bf-4e05dd0b3d00.doc RSC   Updated: 2/8/2009 11:30 PM - 1 -
 Speaker/Planner                                       Disclosure                          See Notes Below
 Allen Schwartz, MD                                        4                                      4
 Anthony Scoma, DDS
 Rayburn Skoglund, MD                          Consultant: Cyberonics                               3
 Nancy Wight, MD                               Ferring Pharmaceuticals                              3
 Jennifer Willert, MD                       Educational Grant – Enzen 2002                          3

                                            CME STAFF MEMBERS

 Planner                                              Disclosure                           See Notes Below
 Jenny Boyd, CMP                                           4                                      4
 Donna Salas                                               4                                      4
 Rayburn Skoglund, MD                            Consultant: Cyberonics                           3
 Vickie P. Willis                                          4                                      4


                        HEMATOLOGY ONCOLOGY DISCLOSURE DOCUMENT

The Department of Hematology Oncology provides program support and is primarily responsible for regularly
scheduled conferences (RSCs) certified by Rady Children's Hospital-San Diego Continuing Medical Education
Committee.

The following staff may alternate responsibility for providing the Hematology/Oncology Educational
Conference review at this activity. Disclosure provided by this Document is included for review at the activity
registration by attendees (may access at www.rchsd.org/cme, click on Regularly Scheduled Conferences,
Certification Document.)

  Speaker                                           Disclosure                           See Notes Below
  Hyunah Ahn, MD                                        4                                       0
  Eric Anderson, MD                                     4                                       0
  Patrick Chang, MD                                     4                                       1
  Amy Geddis, MD                           Research support from Amgen                          3
  Richard Kadota, MD                       Research and honoraria varies                        1
  Jenny Kim, MD                                         4                                       0
  Faith Kung, MD                                        4                                       0
  Amy Lovejoy, MD                                       4                                       0
  Catherine Madigan, MD                                 4                                       3
  William Roberts, MD                                   4                                       3
  Deborah Schiff, MD                                    4                                       0
  Jennifer Willert, MD                      Educational Grant – Enzen                           3

NOTE:
  1.       I will discuss off-label uses and agree to provide disclosure.
  2.       I will discuss medical devices for indications not FDA approved.
  3.       I will not be discussing off- label issues or unapproved devices.
  4.       No relevant financial relations exist.

Coordinators agree to identify Disclosure for activities:
1. Coordinators of Regularly Scheduled Activities are required to attach a Disclosure statement to the
CME Certification Document for 500764c2-711f-4d5c-a6bf-4e05dd0b3d00.doc RSC   Updated: 2/8/2009 11:30 PM - 2 -
   registration clipboard and enclose Disclosure information in all syllabus or handout material.
       a. Provide Industry Disclosure information on all speakers to attendees.
       b. Provide Course Planners’ Industry Disclosures.
       c. CME Committee Disclosure Declaration Document (see Attachment or contact CME office x
          4072 or cme@rchsd.org)
2. Provide oral disclosure from the podium for all speakers even if the speaker has identified negative
   disclosure and encourage speakers to provide written disclosure on their first presentation slide.
3. Obtain and forward to CME, Disclosure documentation from all faculty speakers including the course
   planners/coordinators.
4. Provide Written Attestation of Disclosure policy on the Attestation form provided by the CME department.

Course coordinators are asked to have this statement available at each conference along with disclosure
statements for attendees. The course coordinator is responsible for providing a dated sign-in sheet for each
conference identifying topic title and principal speaker. The sign-in sheet is be copied and filed in the
coordinator’s office with the original forwarded to the CME department, MC 5021, after each program.

All course brochures, syllabus and other documents mentioning CME credit must include the following
accreditation statement:

   Accreditation: Rady Children's Hospital-San Diego is accredited by the Accreditation Council for
   Continuing Medical Education to sponsor continuing medical education for physicians.
   CME Credit: Rady Children’s Hospital-San Diego designates this educational activity for a maximum of
   1.0 AMA PRA Category 1 Credit(s) TM. Physicians should only claim credit commensurate with the extent of
   their participation in the activity.

Additional Accreditation Statements that may be included:

   Psychologists Accreditation Statement: Mandatory Continuing Medical Education for Psychologists
   (MCEP)--MCEP now recognizes continuing educational credit for courses accredited by APA, CME-CMA-
   ACCME and ABPP. Psychologists attending our conference will receive CME accreditation through Rady
   Children's Hospital-San Diego.

   American Academy of Physician Assistants: AAPA accepts Category 1 credit toward the AMA
   Physician’s Recognition Award from organizations accredited by the ACCME. The AAPA has complete
   reciprocity with the ACCME.

   CA Nursing: The California Board of Registered Nursing recognizes the use of Category 1 Continuing
   Medical Education credit toward credit for contact hours. Report “CMA Category 1 Credit” ACCME
   Provider.

   CA Pharmacists Continuing Education: CE coursework must pertain to the practice of pharmacy…
   Pharmacists may use courses which have been approved for continuing education by the Medical Board of
   California… towards their California continuing education requirement. (Section 1732.2(b) of the California
   Code of Regulations.) This activity was designated for AMA PRA Category 1 Credit(s).TM

                                            CME Committee Review:
Initial Certification: February 4, 2004 presented by Jennifer Willert, MD; Re-certification due: February 2006,
deferred to April, Re-certified April 2006. (Certification Document text/chart updated on June 19, 2007.)
Re-certification Due: April 2008

CME Certification Document for 500764c2-711f-4d5c-a6bf-4e05dd0b3d00.doc RSC   Updated: 2/8/2009 11:30 PM - 3 -