David Chang, MD, FACS Professor of Surgery Program Director, Plastic Surgery Microsurgery Fellowship Program University of Chicago Medicine

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1 September 19 20, 2015 The University of Chicago Biological Science Learning Center 924 E. 57th Street Chicago, Illinois Conference Chairs & Director: Julie Park, MD, FACS Assistant Program Director, Plastic & Reconstructive Surgery Residency Program University of Chicago Medicine Nora Jaskowiak, MD, FACS Associate, Section of General Surgery Surgical Director, Breast Center Clerkship Director, Surgery University of Chicago Medicine David Chang, MD, FACS Program Director, Plastic Surgery Microsurgery Fellowship Program University of Chicago Medicine Ming-Huei Cheng, MD, MBA, FACS Associate Plastic & Reconstructive Surgery Chang Gung Memorial Hospital, China Jaume Masia, MD, PhD Chief of Plastic Surgery Director, Microsurgery & Breast Reconstructive Unit Hospital de la Santa Creu i Sant Pau Register online at:

2 Conference Description The Chicago Breast & Lymphedema Symposium will identify, discuss and demonstrate complex breast reconstruction and lymphedema therapies within the framework of creating and maintaining multidisciplinary relationships. The standard of care for breast cancer and for lymphedema spans multiple disciplines, including surgical oncology, plastic surgery, medical and radiation oncology, breast radiology, as well as rehabilitation. Outcomes are optimized for patients when multidisciplinary care is well coordinated. Symposium faculty will illustrate concrete examples of successful patient care through coordinated intervention, by breaking down individual procedures and analyzing steps in patient care. Faculty will also discuss technique and challenges encountered in various surgical procedures. Following the symposium program, registrants will be able to differentiate when to use various breast reconstruction and lymphedema procedures as well as how to facilitate new relationship across disciplines to promote improved patient outcome. Learning Objectives After participating in this conference, participants will be able to: Analyze the indications, trends, patient decision making factors, and outcomes for prophylactic and contralateral prophylactic mastectomies; Identify candidates for nipple sparing mastectomies; Define guidelines on surgery techniques employed in nipple sparing mastectomies; Refine techniques for alloplastic and autologous breast reconstruction for nipple sparing mastectomies; Identify the current options for lymphedema treatment and analyze the pros and cons of various treatment options; Determine the expected outcomes from treatment of lymphedema based on analyzed case studies and examples. Target Audience The target audience includes physicians, residents and fellows as well as nurses, physical therapists, occupational therapists and mid-level providers in the specialties of Plastic & Reconstructive Surgery, General Surgery, Breast Surgery, Medical Oncology, Radiation Oncology, and Lymphedema.

3 Location and Accommodations The conference will be held at The University of Chicago Biological Science and Learning Center (BSLC), located at 924 E. 57th Street, on University of Chicago s beautiful campus. The BSLC can be reached by public transportation and there are numerous public parking facilities in the area. The University of Chicago has established preferred relationships with hotels in the Chicagoland area to offer discounted sleeping room rates, complimentary amenities. All affiliated hotels can be found on our website at If calling the hotel directly to book your reservations, please request The University of Chicago rate to receive the discounted rate. All rates are subject to state and city taxes. All reservations must be secured via a valid major credit card. To help plan your stay in Chicago visit: choosechicago.com The University of Chicago reserves the right to cancel or postpone this conference due to unforeseen circumstances. In the unlikely event this activity must be canceled or postponed, the registration fee will be refunded; however, The University of Chicago is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies. Accreditation and Credit Designation The University of Chicago Pritzker School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Chicago Pritzker School of Medicine designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Friday 6.50 AMA PRA Category 1 Credits Saturday 7.75 AMA PRA Category 1 Credits Sunday 5.25 AMA PRA Category 1 Credits Nurses and other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of Certificates of Participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by the ACCME, please consult your professional licensing board. The University of Chicago Medical Center is a licensed continuing education provider with the Illinois Department of Financial and Professional Regulation for Physical Therapy, license # and Occupational Therapy, license # All participants will be provided with a certificate of attendance. This course is approved for 6.5 continuing education hours for licensed therapists (PT, PTA, or OT, COTA) in Illinois for Saturday attendance and 5.5 continuing education hours for Sunday. The University of Chicago Medical Center has not applied to any other state for therapist CE credit. Participants will need to do this individually through their jurisdiction outside of Illinois. Educational Grants/Commercial Support A complete listing of commercial support received will be provided in the conference materials. Faculty Disclosure It is the policy of The University of Chicago to ensure balance, independence, objectivity, and scientific rigor in all its individually sponsored or jointly sponsored educational activities. Individuals who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Mechanisms to ensure that presentations are free from commercial bias are in place. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Full disclosure of this information will be published in the activity materials.

4 Conference Faculty Conference Chairs & Director Julie Park, MD, FACS Assistant Program Director, Plastic & Reconstructive Surgery Residency Program University of Chicago Medicine Nora Jaskowiak, MD, FACS Associate, Section of General Surgery Surgical Director, Breast Center Clerkship Director, Surgery University of Chicago Medicine David Chang, MD, FACS Program Director, Plastic Surgery Microsurgery Fellowship Program University of Chicago Medicine The University of Chicago Faculty Elizabeth Campione, PT, DPT, CLT-LANA Program Coordinator, Oncology, Therapy Services Steven Chmura, MD, PhD Associate Professor of Medicine Director, Radiation & Cellular Oncology Residency Program Section of Radiation & Cellular Oncology Suzanne Conzen, MD Professor of Medicine Section of Hematology & Oncology Yasmin Hasan, MD Assistant Professor of Medicine Section of Radiation & Cellular Oncology Ming-Huei Cheng, MD, MBA, FACS Associate Plastic & Reconstructive Surgery Chang Gung Memorial Hospital, China Jaume Masia, MD, PhD Chief of Plastic Surgery Director, Microsurgery & Breast Reconstructive Unit Hospital de la Santa Creu i Sant Pau, Barcelona, Spain Rita Nanda, MD Assistant Professor of Medicine Associate Director, Breast Medical Oncology Section of Hematology & Oncology David Song, MD, MBA, FACS Cynthia Chow Chief of Plastic Surgery Vice-Chairman, Department of Surgery Associate Dean, Continuing Medical Education Section of Plastic & Reconstructive Surgery Melody Swartz, MD, PhD William B. Odgen Professor The Institute for Molecular Engineering

5 Guest Faculty Jane M. Armer, PhD, RN, FAAN Professor, Sinclair School of Nursing Director, American Lymphedema Framework Project Director, Nursing Research, Ellis Fischel Cancer Center Co-Director, Health Communication Research Center University of Missouri Corinne Becker, MD Associate Department of Plastic Surgery Universite Pierre et Marie Curie, Paris, France Corradino Campisi, MD, PhD, FACS Department of Surgery, Operative Unit of Lymphatic Surgery IRCCS University Hospital, Genoa, Italy Wei Chen, MD, FACS Assistant Director of Surgical Training, UIHC Center for Procedural Skills & Simulation University of Iowa Hospital & Clinics Amy Colwell, MD, FACS Assistant Professor of Plastic Surgery Harvard Medical School Quality Director, Division of Plastic Surgery Massachusetts General Hospital Joseph Disa, MD, FACS Plastic & Reconstructive Surgery Memorial Sloan-Kettering Hospital Joseph Feldman, MD, CLT-LANA Senior Clinician Educator Physical Medicine & Rehabilitation NorthShore University HealthSystem Arin Greene, MD, MMSc Associate Plastic & Reconstructive Surgery Laboratory Director Harvard Medical School Suhail Kanchwala, MD, FACS Associate Chief of Plastic Surgery Director, Surgical Lymphedema Program University of Pennsylvania Suzanne Klimberg, MD, FACS Muriel Balsam Kohn Chair, Breast Surgical Oncology Director, Diseases of the Breast Fellowship Director, Winthrop P. Rockefeller Cancer Institute Breast Cancer Program University of Arkansas for Medical Sciences Isao Koshima, MD Chief of Plastic & Reconstructive Surgery The University of Tokyo, Tokyo, Japan Maurice Nahabedian, MD, FACS Chief, Division of Reconstructive Microsurgery Vice Chairman of Academic Affairs, Department of Plastic Surgery Georgetown University Peter Neligan, MB, FRCS(I), FRCSC, FACS Associate Chair & Section Head, Division of Plastic Surgery University of Washington Alexander Nguyen, MD, FACS Assistant The University of Texas MD Anderson Cancer Center Ketan Patel, MD, FACS Assistant Professor of Clinical Surgery Keck School of Medicine University of Southern California Michel Saint-Cyr, MD, FACS Vice Chair, Mayo Plastic Surgery Council Division Practice Chair Mayo Clinic Anne Saarikko, MD, PhD Department of Plastic & General Surgery Turku University Hospital, Helsinki University Hospital, Helsinki, Finland Joseph Serletti, MD, FACS Henry Royster-William Maul Measey Chief, Division of Plastic Surgery, University of Pennsylvania Chief, Division of Plastic Surgery, Penn Presbyterian Medical Center Vice Chair for Finance for the Department of Surgery, University of Pennsylvania Roman Skoracki, MD, FACS Division Chief, Reconstructive Oncological Plastic Surgery The Ohio State University Mark Smith, MD, FACS Associate Chief of Plastic Surgery, Mount Sinai-Beth Israel Medical Center Director of Plastic Surgery, Continuum Cancer Centers of New York Director, Friedman Center for Lymphedema Research & Treatment Icahn School of Medicine, Mount Sinai-Beth Israel Medical Center

6 Agenda-at-a-Glance Saturday, September 19, :00 AM 5:00 PM Exhibits open throughout the day Combined Track Breast Track Lymphedema Track 7:00 AM Registration / Breakfast / Exhibits 7:00 AM 7:30 AM 8:00 AM Welcome & Introduction: Breast & Lymphedema 8:00 AM Panel I: What We Know About The Lymphatic System & Lymphedema Breast Cancer & Lymphedema: Introduction, Incidence 8:10 AM 8:30 AM 9:00 AM Understanding Lymphatic Biology & Physiology 8:25 AM Prevention Strategies: Axillary Reverse Mapping 8:45 AM Prevention Strategies: Presurgical Evaluations & Therapies 9:05 AM Q&A 9:25 AM 9:40 AM Refreshment Break 10:00 AM 10:30 AM Panel II: Breast Reconstruction & Treatment of Lymphedema Overview of Autologous Breast Reconstruction 9:55 AM Overview of Microsurgical Treatment of Lymphedema 10:10 AM Combined Breast Reconstruction & Lymph Node Transfer: How Does It Work? 10:30 AM 11:00 AM Case Discussions 10:50 AM 11:30 AM Lunch

7 Break Out Sessions 12:30 PM 1:00 PM 1:30 PM 2:00 PM Panel I: Neoadjuvant Chemotherapy Medical Oncologist Perspective 12:30 PM Surgical Oncologist Perspective 12:50 PM Q&A 1:10 PM Panel II: Radiation Therapy State of the Art in Radiation Therapy 1:25 PM Future Horizons in Radiation Therapy 1:45 PM Premastectomy Sentinel Lymph Node 2:05 PM Discussion 2:25 PM Panel I: Evaluation & Nonsurgical Treatment of Lymphedema Patients Updates on the American Lymphedema Framework Project Systematic Reviews 12:30 PM CDT of Lymphedema Patients: What s New? 12:45 PM Intermittent Compression Pump: Does it work? 1:00 PM Postsurgical Evaluation of Lymphedema Patients 1:10 PM Discussion/Q&A 1:25 PM Panel II: Surgical Treatment of Lymphedema Preoperative Evaluation of Lymphedema 1:40 PM The Role of Liposuction for Treatment of Lymphedema 1:55 PM Management of H&N Lymphedema 2:10 PM Discussion/Q&A 2:25 PM 2:35 PM Refreshment Break 3:00 PM 3:30 PM Panel III: Oncoplasty Single Stage: Breast Surgeon as Oncoplastic Surgeon 3:00 PM Staged Team Approach 3:20 PM Discussion 3:40 PM Panel III: Lymphovenous Bypass Lymphaticovenular Bypass: Superficial System 3:00 PM Octopus Approach to LV Bypass 3:20 PM Deep Lymphatic System Bypass 3:40 PM Discussion/Q&A 4:00 PM 4:00 PM Break 4:00 PM 4:30 PM Between a rock and a hard place: Difficult cases Taking over care in midstream & Disasters of the Masters. 4:15 PM Case Presentations 4:15 PM 5:00 PM Program Dismissed

8 Agenda-at-a-Glance Sunday, September 20, :00 AM 3:00 PM Exhibits open throughout the day Combined Track Breast Track Lymphedema Track Break Out Sessions 7:00 AM Registration / Breakfast / Exhibits 7:00 AM 7:30 AM 8:00 AM 8:30 AM 9:00 AM 9:30 AM 10:00 AM Panel I: Making the Jump: Strategies to successfully start Nipple Sparing Mastectomies, direct to implant reconstruction, and using shaped implants Surgeon s Perspective 9:00 AM Reconstruction following Surgery 9:20 AM Making the Jump from Smooth Round to Shaped Implants 9:40 AM Tips & Pearls to Optimize Shaped Implant Reconstruction 9:55 AM Discussion 10:15 AM Panel I: Lymph Node Transfer: How & Why I Do It This Way Groin Lymph Node Transfer 8:00 AM Submental & Groin Lymph Node Transfer 8:15 AM Supraclavicular Lymph Node Transfer 8:30 AM Thoracodorsal Lymph Node Transfer 8:45 AM Discussion/Q&A 9:00 AM Panel II: Complications of Lymph Node Transfer: What They Are and How to Avoid Them Groin Lymph Node Transfer 9:30 AM Submental Lymph Node Transfer 9:40 AM Supraclavicular Lymph Node Transfer 9:50 AM Discussion/Q&A 10:00 AM 10:30 AM Refreshment Break

9 11:00 AM 11:30 AM Panel II: The Skinny on Fat: Advances in Fat Grafting Biology & Techniques 10:50 AM Cancer Considerations 11:20 AM Discussion 11:40 AM Panel III: New Approaches Barcelona Cocktail 10:45 AM Chicago Combined Approach 11:05 AM Omentum Flap 11:25 AM Discussion/Q&A 11:45 AM 12:00 PM Lunch 1:00 PM Panel III: The North Pole: Overcoming the Challenges of Reconstructing the Superior Pole 1:30 PM Using Acellular Dermal Matrix & Fat Grafting 1:00 PM Using Shaped Implants 1:20 PM Using a Flap 1:40 PM Discussion 1:55 PM Do You Want to Start a Lymphedema Program? 1:00 PM 2:00 PM 2:30 PM Panel IV: Through Thick and Thin: Breast Cancer patients at the extremes of BMI Surgical Oncologist s Perspective 2:10 PM Reconstruction of the Obese Pt with Alloplastic Reconstruction 2:20 PM Reconstruction of the Obese Pt of Autologous Reconstruction 2:30 PM Reconstruction of the Thin Pt 2:40 PM Discussion 2:50 PM Free Papers & Case Presentations (Basic Science, Best Cases, Complications, Unknown Cases) 2:00 PM 3:00 PM Program Dismissed

10 Surgery Day, Friday, September 18, 2015 University of Chicago physicians, Julie Park, MD, Nora Jaskowiak, MD, David Chang, MD, and David Song, MD, will perform various procedures live on Friday, September 18, 2015, from 7:00 AM to 5:00 PM. These procedures include: Lymph node transfer & lymphovenous bypass; Nipple sparing mastectomy with direct to implant reconstruction; Bilateral Upper Gracillis (BUG) flap breast reconstruction. The CBLS Surgery Day will be held at the Knapp Center for Biomedical Discovery (KCBD) at 900 E. 57th Street, Chicago, Illinois, on The University of Chicago campus. These surgeries will be streamed live for registered guests to view in an auditorium setting and will be moderated by our symposium faculty. Operating rooms will have A/V capabilities allowing operating physicians to communicate directly with registrants for questions and clarification. Breakfast, lunch and refreshments will be provided. Registration for the live-surgery event is not included in the symposium registration fee. Please see live-surgery registration rates below. Auditorium seating is limited. Early Registration (Before June 30) $750 Clip Here to Mail In Registration Form Late Registration (After July 1) $1000 We reserve the right to combine or cancel live surgery day at any time due to enrollment. In the unlikely event that the live surgery day is canceled, a refund will be issued for the additional fee only.

11 Registration How to Register: Online: (credit card payments only) Mail: The University of Chicago Plastic & Reconstructive Surgery C/o Eve Kuzma 5841 S. Maryland Ave, MC 6035, Rm J-641 Chicago, IL Registration Fee The registration fee includes an electronic syllabus, conference materials, continental breakfasts, lunches, and refreshment breaks. While registration is open until the start of the conference, we do encourage early registration to enable us to provide the best possible service to participants. Payment Worksheet Before June 30 After July 1 Physicians $400 $450 Nurse and other Allied Health Professionals $100 $150 Residents & Fellows (with letter of verification) $0 $0 Contact Information Name Degree Specialty Organization Preferred Mailing Address City State Zip Code Phone Fax Please Check All That Apply You must check this box if you do not want your contact mailing address shared with conference participants and exhibitors (where applicable). Please tell us how you found out about this activity. Check all that apply: Colleague Save the Date Brochure Internet Journal Ad Previous Attendance Other: For additional information about this activity, please call the Center for Continuing Medical Education at Cancellation Policy If you cancel your participation in this conference, your registration fee, less a $100 administrative fee, will be refunded when written notification is received by August 15, No refunds will be made after August 15, Accessibility The University of Chicago is committed to providing equal access appropriate to need and circumstance and complies fully with the legal requirements of the Americans with Disabilities Act. If you are in need of special accommodation, please contact our office at or via at ekuzma@surgery.bsd.uchicago.edu. Payment Check enclosed (U.S. funds only), payable to The University of Chicago (Tax ID# )

12 The University of Chicago 5841 S. Maryland Ave, MC 6035 Chicago, IL September 19 20, 2015 The University of Chicago Biological Science Learning Center 924 E. 57th Street Chicago, Illinois Non-Profit Organization US Postage PAID Merrill WI Permit No 24