MOVING FORWARD AFTER TREATMENT A Free Conference for Adolescent Childhood Cancer Survivors (ages 12 – 18) and Their Parents How To Register: Please complete the registration form below : SCHEDULE 8:30-9:30 Breakfast and Registration 9:30-10:00 Welcome and Opening Remarks 10:00-10:30 Keynote Speaker - Jennifer Earls A Survivor’s Journey 10:30-12:00 Saturday, March 15th, 2014 8:30 a.m. – 4:00 p.m. 12:00-1:00 Lunch 1:00-1:45 Workshop Session 1 1:45-2:30 Workshop Session 2 2:30-3:30 Late Effects – Panel of Experts Sanjeev Francis MD – Cardiologist MGH –Cardio-Oncology Program Laurie Cohen MD –Pediatric Endocrinologist – DFCI Christine Trask PhD – Neuropsychologist – Hasbro Naheed Usmani MD – Pediatric Oncologist – U Mass Medical Erin Barlow MD – Adolescent Gynecology Peter Manley MD – Brain Tumor Specialist Hole in the Wall Gang Camp 565 Ashford Center Rd Ashford, Connecticut 06278 Sponsored by: Consortium for New England Childhood Cancer Survivors and The Hole in the Wall Gang Camp Name of Patient Survivor ________________________________Age_________ *Must be 12 – 18 years old and off treatment Name of Parent(s)/Guardian(s) _____________________________________________ Email/Phone number _____________________________________________ Treating Cancer Center Conference Location: CONNECCS Childhood Cancer Survivor Panel A Panel of Survivors– Sharing their Stories –Question and Answer E -mail/mail/fax to: Molly Tower PNP mtower@partners.org Tel: 617-643-7664 / Fax: 617-724-0702 Mass General Hospital, Long Term Follow-up Clinic Yawkey 8B, 55 Fruit St. Boston, MA 02114 3:30-4:00 Program Conclusion Total # of persons attending __________________________ __________________ *We will not be able to accommodate for siblings. You may attend 2 workshops. Please list 3 workshops, in order of preference, you would like to attend, as space may be limited. Parent/Guardian 1. 2. 3. ____________________ ____________________ ____________________ Parent/Guardian 1. 2. 3. ____________________ ____________________ ____________________ Patient Survivor 1. 2. 3. ____________________ ____________________ ____________________ WORKSHOPS 1:00-1:45 p.m. 1:45-2:30 p.m. (All Workshops run in both sessions) Advocating for School Support, Preparing for College and the Work Force – A discussion with experts on how to advocate for yourself/your child. Topics include: Neuropsychological testing, IEP’s, 504 plans, College and Vocational Planning, Scholarships. Facilitated by Christine L. Trask PhD, ABPP, PediNeuropsychologist, Hasbro, Lisa Northman, PhD, Staff Psychologist, DFCI Marybeth Morris, Ed.M., School Psychologist, DFCI Affordable Care Act – What does it mean for Childhood Cancer survivors? – A discussion of how to navigate new health care law and it affects the life long health care of childhood cancer survivors. Question and answers. Facilitated by Elyse Parks. PhD. Psychologist Mass General Hospital Overview of Late Effects An updated review of late effects from cancer treatment, including chemotherapy, radiation, Surgery, and bone marrow and stem cell transplantation. Presentation by Naheed Usmani, MD Pediatric Oncologist, U Mass Medical Center Reproductive Health This presentation will provide an overview of concerns of cancer survivors regarding reproductive health. Facilitated by Erin Barlow M.D.- Adolescent Gynecology, Lisa Kenney MD Pediatric Oncology Choosing a Healthy Lifestyle – Nutrition and exercise are important to making you feel good physically and emotionally. This fun workshop will provide latest tips to apply to your everyday life to optimize your long term health. Facilitated by Katlyn Stefanski RD, Marcy Gunning, PT Creative Expressions Through ArtDiscover your creative side with a variety of artistic materials. Come see why a picture is worth a 1000 words. No artistic talent require, just bring your creative energy! Facilitated by Christine Tatem CCLS, Christina Marchitto, MSW, John Paul Shoup Your Song. Your story. Your groove. Each of us has a story to share, some through words and poetry, others through songs, beats, and just rocking out! Come start that process with us. Come explore Next Step’s Song . Studio, and win fabulous prizes. No musical experience Necessary!!! Facilitated by: Kimberly Khare, MA, CMT – Director of Music Therapy at Next Step, Lorrie Kubicek MT – BC, Music Therapist MGH, Mike Simonelli MT-BC, Music Therapist SEEM - Collaborative Reconnecting Socially after Cancer – A presentation and discussion on how to navigate reconnecting with friends, family and the non-medical world. Explore various ways of reconnecting and sharing - different forms of social media, (texting, Instagram, Facebook) talking one on one, going out with friends, dating, exploring new ways of meeting new friends. Facilitated by Annah N. Abrams, MD Child Psychiatrist, MGH, Giselle K. Perez, Ph.D Research and Clinical Fellow, MGH Connecticut Children's Medical Center REACH for the STARS Survivorship Program Hartford, CT phone: 860-545-9630 Yale University Medical Center HEROS Clinic Yale-New Haven Children's Hospital Pediatric Specialty Clinic New Haven, CT 06510 phone -203-785-4640 Eastern Maine Medical Center Pediatric Hematology/Oncology Bangor, ME 04401 phone: 207-973-7572 Maine Children‘s Cancer Program Post Therapy Wellness Clinic Scarborough, ME 04074 phone: 207-396-7565 MassGeneral Hospital for Children Long Term Follow-up Clinic Boston, MA 02114 phone: 617-726-2737 Floating Hospital for Children/Tufts New England Medical Center Hematology and Oncology Boston, MA 02111 phone: 617-636-5535 | fax: 617-636-7738 Dana-Farber Cancer Institute Stop and Shop Family Pediatric Neuro-oncology Outcomes Program Brain Tumor Clinic Boston, MA 02215-5450 phone: 617-632-2680 Dana-Farber Cancer Institute David B. Perini Jr Quality of Life Clinic Boston, MA 02215-5450 phone: 617-632-5124 UMass Memorial Medical Center UMass Survivors Clinic Worcester, MA 01655 phone: 508-856-4225 Baystate Medical Center Pediatric Hematology & Oncology Springfield, MA 01199 phone: 413-794-9338 Children's Hospital at Dartmouth Pediatric Hematology and Oncology One Medical Center Drive phone: 603-650-5541 Hasbro Children's Hospital CHAMPS Program Providence, RI 02903 phone: 401-444-5241 Vermont Children’s Hospital at Fletcher Allen Pediatric Oncology Long Term Follow Up Clinic Burlington, VT 05401 phone: 802-847-2850