Dr. Charles Vogel of Sylvester at Deerfield Beach presented "The Multidisciplinary Oncology Team" at the 2011 WellBeingWell Conference in Miami.

1. The Multidisciplinary Oncology TeamCharles L. Vogel, MD, FACPProfessor of Clinical MedicineSylvester Comprehensive Cancer CenterMiller School of MedicineUniversity of Miamiand Director, Women’s Center at Sylvester at Deerfield Beach

2. The Multidisciplinary Oncology TeamClinical Decision Making Core OncologistsDiagnostic ImagingPathology Surgical X-ray Bone density Critical step establishing diagnosis Medical CAT Scans Ultrasound Radiation MRI scans Mammography Bone Scans Interventional Reconstructive SurgeryClinical Research Nurse Navigator

3. The Multidisciplinary Oncology TeamCritical Support Services Counseling Genetic Psychosocial Financial Psychosexual Family Social Services Nutritional Rehab and Physical Therapy Specialized Support Groups and Services Internal Gilda’s Club Wellness Community American Cancer Society Teleconferencing Capabilities

4. The Multidisciplinary Oncology Team “Integrative” Complimentary/Alternative (CAM) “Medical Wellness” “Mind, Body, Spirit” “Survivorship” TouchFitness/ExerciseHerbal and Nutritional Massage (various techniques) Strength Zumba Nutritional Support Manual Lymphatic Drainage Weight Qi Gong “Safe” Herbs and supplements Acupuncture/Acupressure Pilates Yoga Reflexology Tai Chi Water Complementary Therapies Art, Music, Pet therapies Meditation Biofeedback Hypnosis

5. The Multidisciplinary Oncology TeamAdvanced Cancer Pain Management Palliative Care Rehabilitation/ Physical Therapy Hospice Care (In and Out Patient)

6. Multidisciplinary Breast Cancer Clinic and ConferenceSylvester at Deerfield BeachThe Players and The Design Step 1 Case presentation by oncologist Surg OncRad OncMed Onc Eli Avisar, MD Laura Freedman, MD Mohammed Jahanzeb, MD Christine Takita, MD Reshma Mahtani, DO Charles Vogel, MD All have seen patient pre-conference Step 2 Breast Imaging Review Monica Yepes, MD Fernando Collada-Mesa, MD Metastatic Imaging Review Pamela Nottingham, MD

7. Multidisciplinary Breast Cancer ConferenceSylvester at Deerfield Beach Step 3 Videoconferencing Pathology Review: Carmen Gomez- Fernandez,MD MerceJorda,MD Step 4 Research Clinical Trials Review: Lori Kronish, RN African-American Women, Project CARE: Suzanne Lechner, PhD Cope, Adopt, Renew, Empower Step 5 Additional Input- Genetics-:Talia Donenberg, MS, CGC Psychosocial : Courtelis Center Reconstructive Surgery: ZubinPanthaki, MD Step 6 Therapeutic Plan and Options Established

8. Multidisciplinary Breast Cancer Conference Sylvester at Deerfield Beach Step 7 Post-Conference Recommendations: Oncologist/Nurse Navigator/Patient Therapeutic Supportive- Courtelis Ctr Subspecialty Consults Eugene Ahn, MD CAM Orlando Silva, MD Nutrition J. David Pitcher, MD Orthopedics Other MDs as needed Step 8 Coordination of Plan of Treatment- Nurse Navigator

9. The Past: Stepwise sequential consultations The Present: Coordinated multidisciplinary care Choose Your Team Carefully