Society of Surgical Oncology News - Fall 2016

SSO News 2016-4


IN THIS ISSUE

Register Now: 2016 Fellows Institute Set for November 14-16 in Houston SSO 2017 Call for Abstracts Closes September 26
New DCIS Consensus Guideline Could Curb Unnecessary Breast Surgery and Reduce Health System Costs SSO Joins Choosing Wisely® Initiative; Releases List Identifying Five Targeted, Evidence-based Recommendations
SOSAP 2.0: SSO's Surgical Oncology Self-Assessment Program Available Mobile Apps are in Development for SOSAP 2.0
SSO Co-sponsors International Congress on Peritoneal Surface Malignancies Complimentary Webinar Series on Neoadjuvant Therapy in Breast Cancer Available via SSO Website
Earn Credit through Genomic Markers in the Multidisciplinary Treatment of Cancer Educational Review Series SSO Membership Continues Record Breaking Trend
Take a Moment to Update Contact Information for Your Membership Renewal Outreach Task Force Formed to Explore Membership Opportunities
Recipients Selected for International Observerships SSO Announces Highly Anticipated 2016 Surgical Oncology Fellowships
SSO 2016 Breast Oncology Fellowship Match Interviews are Underway Call for Volunteers for SSO Committees and Workgroups
SSO Strategic Planning Retreat Update Help the SSO Foundation Fund Patient-Oriented Research
SSO Attends Cancer Moonshot Summit; Establishes Work Group for Engagement

Register Now! 2016 Fellows Institute Set for November 14-16 in Houston

SSO's sixth annual Fellows Institute, cosponsored by the Americas Hepato-Pancreato-Biliary Association (AHPBA) and the American Society of Breast Surgeons (ASBrS), will take place November 14-16, 2016, in Houston, Texas, at Methodist Institute for Technology, Innovation, and Education (MITIE). The Fellows Institute again includes three specialty-specific tracks in Breast Oncology, HPB and Surgical Oncology. The event consists of both didactic sessions and a hands-on laboratory component, along with evening social events. Learn more about the 2016 Fellows Institute and register before September 16!

SSO 2017 Call for Abstracts Closes September 26

Be sure to mark your calendar for March 15-18, 2017 to attend SSO 2017, the 70th Annual Cancer Symposium, at the Washington State Convention Center in Seattle. Find the latest information on SSO 2017 as it becomes available at SSO2017.org. Housing is currently open – book your room today! Registration will open in October.

The SSO 2017 Call for Abstracts deadline is Monday, September 26. The Scientific Program Committee encourages both SSO members and surgeons involved in cancer care to submit their work and make this the best Annual Cancer Symposium yet. For complete information on submitting your work, visit the Call for Abstracts page.

New DCIS Consensus Guideline Could Curb Unnecessary Breast Surgery and Reduce Health System Costs

Last month, the Society of Surgical Oncology (SSO), the American Society for Radiation Oncology (ASTRO) and the American Society of Clinical Oncology (ASCO) published a consensus guideline for physicians treating women who have ductal carcinoma in situ (DCIS) treated with breast-conserving surgery with whole breast irradiation. The new guideline has the potential to save many women from unnecessary surgeries while reducing costs to the health care system.

SSO, ASTRO and ASCO concluded:

  • The use of a two-millimeter margin as the standard for an adequate margin in DCIS treated with whole breast radiation therapy (WBRT) is associated with low rates of recurrence of cancer in the breast and has the potential to decrease re-excision rates, improve cosmetic outcome, and decrease health care costs.
  • Clinical judgment should be used in determining the need for further surgery in patients with negative margins less than two millimeters.
  • Margins more widely clear than two millimeters do not further reduce the rates of recurrence of cancer in the breast and their routine use is not supported by evidence.

"An important finding from the review of the published literature performed to provide evidence for this guideline is that margin widths greater than two millimeters (approximately 1/8th of an inch) do not reduce the risk of cancer recurring in the breast in women with DCIS who are treated with lumpectomy and whole breast radiation therapy," said Monica Morrow, MD, past SSO President and panel co-chair, Memorial Sloan Kettering Cancer Center, Breast Service, Department of Surgery.

The panel established by SSO, ASTRO and ASCO to develop the consensus guideline relied on a review examining the relationship between margin width and cancer recurrence in the breast that included 30 studies involving 7,883 patients, as well as other studies relevant to this topic.

"With this guideline, it is our two-pronged goal to help physicians improve the quality of care they provide to women undergoing surgery for DCIS and ultimately improve outcomes for those patients. We hope the guideline also translates into peace of mind for women who will know that future surgeries may not be needed. ," said Mariana Chavez-MacGregor, MD, University of Texas MD Anderson Cancer Center and panel member representing ASCO.

View the complete Consensus Guideline on Margins for Breast-Conserving Surgery with Whole Breast Irradiation in Ductal Carcinoma In Situ in Annals of Surgical Oncology, Practical Radiation Oncology and Journal of Clinical Oncology.

SSO Joins Choosing Wisely® Initiative; Releases List Identifying Five Targeted, Evidence-based Recommendations

In an effort to encourage and promote conversations between patients and their physicians about what care is really necessary, the SSO has released a list of specific tests or procedures that are commonly ordered but not always necessary in surgical oncology. The list of recommendations is part of Choosing Wisely, an initiative of the ABIM Foundation and Consumer Reports.

The SSO Choosing Wisely list identifies five targeted, evidence-based recommendations:

  • Don't routinely use sentinel node biopsy in clinically node negative women ≥70 years of age with hormone receptor positive invasive breast cancer.
  • Don't routinely use breast MRI for breast cancer screening in average risk women.
  • Don't obtain routine blood work (e.g., CBC, liver function tests) other than a CEA level during surveillance for colorectal cancer.
  • Don't perform routine PET-CT in the initial staging of localized colon or rectal cancer or as part of routine surveillance for patients who have been curatively treated for colon or rectal cancer.
  • Don't routinely order imaging studies for staging purposes on patients newly diagnosed with localized primary cutaneous melanoma unless there is suspicion for metastatic disease based on history and physical exam.

The SSO Choosing Wisely list was developed after months of careful consideration and review by the SSO Quality Committee, led by Chair Sandra L. Wong, MD, MS, using the most current evidence about management and treatment options. Many SSO members actively participate in guideline development, and one aim of these guidelines is to minimize unnecessary testing.

Read the SSO press release for additional information. Download this pdf for a complete list of SSO recommendations and evidence supporting them.

SOSAP 2.0: SSO's Surgical Oncology Self-Assessment Program Available

AudienceSOSAP 2.0, developed under the leadership of SSO's President-Elect, Kelly McMasters, MD, PhD, includes 272 case-based or problem-based questions spanning six major topics in surgical oncology. Written by more than 60 SSO member experts, SOSAP 2.0 is designed to help surgical oncologists, general surgeons, and Fellows remain current in the very latest advances in surgical oncology, prepare for the American Board of Surgery's newly established Certification Exam in Complex General Surgical Oncology (CGSO), earn up to 60 AMA PRA Category 1 Credits™, and fulfill Maintenance of Certification (MOC) Part 2 self-assessment requirements.

SOSAP 2.0 may be purchased here.

Mobile Apps are in Development for SOSAP 2.0

Mobile apps are currently in development for SSO's Surgical Oncology Self-Assessment Program, SOSAP 2.0. The SSO Executive Council has approved funding to develop the apps for iPhone and iPad devices. Unlike the iPad app developed for the previous SOSAP that had limited capabilities, both of the new apps will incorporate all functions of the web-based program. Once complete, both apps will be available for free download to all SOSAP 2.0 purchasers.

SSO Co-sponsors International Congress on Peritoneal Surface Malignancies

Co-sponsored by the Society of Surgical Oncology, the 10th International Congress on Peritoneal Surface Malignancies will take place on November 17 -19th, 2016 in Washington, DC. SSO leadership worked in collaboration with PSOGI to plan Session XII: New Technologies to Optimize Management of Peritoneal Surface Malignancy, and Session XIII: The Future is Now, taking place on Saturday, November 19th. Save the date and register now!

Find more information about this event, as well as other industry events here.

Complimentary Webinar Series on Neoadjuvant Therapy in Breast Cancer Available via SSO Website

Access SSO's acclaimed, complimentary archived three-part webinar series on Neoadjuvant Therapy Issues in Breast Cancer. Lead faculty and author for this webinar series, SSO Past President Monica Morrow, MD, is joined by faculty representing a variety of specialties including surgery, oncology, pathology and radiology.

Webinar topics include:

  • Fundamentals of Neoadjuvant Therapy;
  • Controversies in Local Therapy in the Patient Receiving NAC; and
  • Unresolved Issues in Neoadjuvant Therapy.

Each 60-minute webinar consists of case-based presentations and a question and answer session. Each webinar offers CME credit and self-assessment credit that may be applied toward Part 2 of the American Board of Surgery (ABS) MOC program. Access more here on the webinar series.

Earn Credit through Genomic Markers in the Multidisciplinary Treatment of Cancer Educational Review Series

Earn AMA PRA Category 1 Credit™ and self-assessment credit that may be applied toward Part 2 of the ABS MOC Program by reading the latest Annals of Surgical Oncology Educational Review Series, "Genomic Markers in the Multidisciplinary Treatment of Cancer" and completing a self-assessment exam. Exams may be completed online and are available via your iPad, iPhone or Android device. This activity will expire on October 5, 2016; after that it will be available online for reference, but will no longer offer credit. Click here to access the review series today.

SSO Membership Continues Record Breaking Trend

SSO membership has reached another record high with an impressive 3,013 total members. The Active member category continues to make up the majority of membership at 60.44%. Active International members account for 13.74% with Emeritus (11.38%) and Candidates (9.49%) close behind. The new Resident and Medical Student category is quickly growing at 4.28%.

AudienceRetaining members remains a key focus of SSO. Great efforts have been made to contact the individuals that have not renewed membership. With drop notices just around the corner, SSO has retained 89% of our members to date with an aggressive initiative to reach out to those yet to renew.

Audience

The Society is also evaluating better methods of communication with members to ensure they are properly informed about their membership status and SSO's programs. In addition, the Society is continuously receiving applications for membership. The Resident and Medical Student category is still the fastest growing segment of membership to date. This category was introduced in 2016 and already makes up 39.4% new members joining in 2016.

SSO will have a membership booth at the American College of Surgeons Clinical Congress, October 16-20, 2016, in Washington, DC. In addition, SSO will have a table to recruit new members at the fall international meetings of Sociedad Mexicana de Oncologia (SMeO) on September 1-4, in Cancun, Mexico, as well as the European Society of Surgical Oncology (ESSO) on September 14-16, in Krakow, Poland.

Take a Moment to Update Contact Information for Your Membership Renewal

The 2017 membership dues renewal notices will go out in October prior to the launch of registration for SSO 2017 in Seattle, Washington (March 15-18). Please forward the name of your assistant or office manager and their contact information, so they may receive a copy of your dues notice. Here is the link to the membership email.

Outreach Task Force Formed to Explore Membership Opportunities

Under the leadership of SSO President Daniel Coit, MD, a task force has been formed to explore all components of membership including member benefits and offerings, and opportunities for recruitment and retention.

The Task Force is chaired by Armando Giuliano, MD, with representatives from the Membership Committee, International, Community Practice Surgeons Sub-Committee, and the Training Programs. A kickoff meeting of the Outreach Task Force took place on July 11 at SSO Headquarters. A report on the findings from the task force will be presented to the Executive Council at SSO 2017 set for March 15.

The Outreach Task Force Members include Chair Armando Giuliano, MD; Vice Chair Douglas Tyler, MD; Mark Bloomston, MD; Tina Hieken, MD; Chandra Are, MBBS; Timothy Pawlik, MD, MPH; Isabel Rubio, MD; Christopher Pezzi, MD; Robin Ciocca, DO; Joseph Guenther, MD; Jennifer Tseng, MD

Recipients Selected for International Observerships

As part of their ongoing collaboration with SSO, the Brazilian Society of Surgical Oncology (BSSO) and the European Society of Surgical Oncology (ESSO), have invited SSO members to apply for an observership in their respective countries. A number of excellent and competitive applications were reviewed by the International Committee and vetted by the Executive Committee. We are pleased to announce that Pablo Serrano, MD, MSc, MPH, Assistant Professor at McMaster University has been selected as the recipient of the BSSO observership and Sean Dineen, MD, Assistant Professor at The University of Kentucky Markey Cancer Center has been selected as the recipient of the ESSO observership.

SSO Announces Highly Anticipated 2016 Surgical Oncology Fellowships

A record-breaking 185 people applied for the 2016 Surgical Oncology Fellowships, an 85% increase over the number of applicants last year. A total of 56 fellows were selected in June and matched together with surgical oncology programs. See a full list of matched fellows and their programs here.

SSO 2016 Breast Oncology Fellowship Match Interviews are Underway

SSO received 89 applicants for this cycle of the 2016 Breast Oncology Fellowship Match. Applications were accepted through July 13 and interviews began in August and will continue through the beginning of October. Please visit the SSO website for more information on the Breast Oncology Fellowship Match program.

Call for Volunteers for SSO Committees and Workgroups

Each fall, the SSO Executive Council invites all active members to volunteer to serve on a variety of Committees and Workgroups and contribute to the future growth and success of the Society. SSO Committees and Workgroups perform important work in many areas of the Society. As you plan for 2017, we ask that you volunteer your time and expertise to advancing the Society and the profession of surgical oncology. Make sure SSO has your current email address to ensure you don't miss member emails, and be on the lookout for a Call for Volunteers this fall.

SSO Strategic Planning Retreat Update

The SSO Executive and Finance Committees met this summer and reviewed the status of the implementation of the 2015-2017 Strategic Plan and the Society's overall financial health. The committees made progress and will work to help develop the 2017 Operating Budget that will support the implementation of 2017 Strategic Plan initiatives.

Help the SSO Foundation Fund Patient-Oriented Research

The SSO Foundation works with donors and funding organizations to promote patient-oriented research conducted by SSO member surgical oncologists in clinical and translational science. Donations to the Foundation support the mission of the SSO – to improve multidisciplinary patient care by advancing the science, education and practice of cancer surgery worldwide – and the critical work carried out by its members. Please consider a donation to The SSO Foundation today.

SSO Attends Cancer Moonshot Summit; Establishes Work Group for Engagement

Wayne A. I. Frederick, MD, MBA, President of Howard University, a surgical oncologist and an SSO member, welcomed attendees at the opening of the Cancer Moonshot Summit in June.

The Cancer Moonshot Summit held June 28 at Howard University in Washington, DC, brought together hundreds of leaders from across the health, academic, private and philanthropic sectors, as well as survivors and patient advocates, to discuss the challenges facing cancer research and treatment, the barriers that are preventing accelerated progress against cancer, and new opportunities for advancing the field.

SSO Executive Director M. Eileen Widmer, CAE, CFRM, represented the SSO at the Cancer Moonshot Summit which was spearheaded by Vice President Joe Biden and Jill Biden, PhD. The overarching objective of the Moonshot is to achieve the work of 10 years in a five-year timeframe.

At the summit, working groups were assembled from among participants and tasked to identify the challenges and solutions on topics ranging from improved sharing and harvesting of patient data to increasing the participation of patients in cancer clinical studies. These ideas, submitted along with proposals submitted via online submission, are to be evaluated by the Task Force as part of the ongoing prioritization of activities to achieve the objective.

For its part, SSO has established an internal work group comprised of President Daniel Coit, MD; President-Elect Kelly McMasters, MD, PhD; Quality Committee Chair Sandra Wong, MD, MS; and Disparities Committee Chair Ronda Henry-Tillman, MD, to consider opportunities for surgical oncology's engagement in the initiative to improve patient outcomes in cancer treatment.