PATIENT PROGRAM

Empower Yourself: Updates on Lynch Syndrome, FAP and Familial Colon CancerThis event is for patients with Lynch Syndrome, FAP, and Familial Colon Cancer

SATURDAY, OCTOBER 11, 2014

The Inn at St. John’s, Plymouth, MI

PROGRAM SCHEDULEEmpower Yourself: Updates on Lynch Syndrome, FAP and Familial Colon Cancer

8:30 am Registration & Continental Breakfast

9:00 Welcome & Introduction John Carethers, MD

9:15 Family History and Colon Cancer Risk: Opportunities for Preventing Cancers Elena Stoffel, MD, MPH

9:45 Genetic Counseling for Familial Colon and Rectal Cancers: When the Entire Family is the Patient Jessica Everett, MS, CGC Victoria Raymond, MS, CGC, CCRP

10:30 Break

Colon Cancer Treatment and Prevention

10:45 Preventing Cancers Through Endoscopy and Medications D. Kim Turgeon, MD

11:05 Surgeries for the Treatment and Prevention of Colon and Rectal Cancers Karin Hardiman, MD, PhD

11:25 Overview of Medical Treatments for Colon and Rectal Cancers John Krauss, MD

11:45 Q&A for the Panel John Krauss, MD, Karin Hardiman, MD, PhD, D. Kim Turgeon, MD

12:00 pm Gynecologic Screening and Surgical Options for Women with Lynch Syndrome Monique Swain, MD

12:30 Lunch

1:30 Update on Cancer Risks and Recommended Surveillance Elena Stoffel, MD, MPH

2:00 Patient Panel - Sharing Your Story

2:45 Wrap-up and Evaluation

3:00 Course Adjourns

Previvors and survivors with Lynch Syndrome, patients with FAP, patients interested in learning more about familial colon cancers, and family members who want to learn more and provide support.

TARGET AUDIENCE

Jessica Everett, MS, CGCClinical Instructor, Department of Internal MedicineCertified Genetic Counselor

Victoria Raymond, MS, CGC, CCRPClinical Instructor, Department of Internal MedicineCertified Genetic CounselorLead Certified Clinical Research Professional

Elena Stoffel, MD, MPH Assistant Professor,Division of Gastroenterology Department of Internal Medicine Director, GI Colon Cancer Genetics Program

Lisa Sylvest, RN, BSNPatient Liaison, Division of GastroenterologyDepartment of Internal Medicine

PLANNING COMMITTEE

UNIVERSITY OF MICHIGAN FACULTYJessica Everett, MS, CGCClinical Instructor, Department of Internal MedicineCertified Genetic Counselor

Karin Hardiman, MD, PhDAssistant Professor,Division of Colorectal SurgeryDepartment of Surgery

John Krauss, MDAssistant Professor, Division of Hematology & Oncology Department of Internal Medicine

Victoria Raymond, MS, CGC, CCRPClinical Instructor, Department of Internal MedicineCertified Genetic CounselorLead Certified Clinical Research Professional

Elena Stoffel, MD, MPHAssistant Professor,Division of Gastroenterology Department of Internal Medicine Director, GI Colon Cancer Genetics Program

Monique Swain, MDClinical Lecturer,Department of Obstetrics and Gynecology

D. Kim Turgeon, MDAssociate Professor,Division of Gastroenterology Department of Internal Medicine

A. Alfred Taubman Health Care Center888-229-7408

Briarwood Health Associates, Building 5 - Ann Arbor888-229-7408

Brighton Health Center888-229-7408

Canton Health Center888-229-7408

Dexter Health Center888-229-7408

East Ann Arbor Health and Geriatrics Center888-229-7408

Northville Health Center888-229-7408

Saline Health Center888-229-7408

Veterans Affairs Ann Arbor Healthcare System734-845-4341

Cancer Genetics Clinic, Domino’s Farms4029 Ave Maria Dr., Lobby C, Suite 1300 734-763-2532

Colorectal Cancer Clinic University of Michigan Comprehensive Cancer Center1500 E Medical Center Dr., Level B1, Reception E734-647-8902

DEPARTMENT OF INTERNAL MEDICINEDivision of Gastroenterology

CLINIC LOCATIONS

GENERAL INFORMATION

DATE Saturday, October 11, 2014

TIME 8:30 am - 3:00 pm

LOCATIONThe Inn at St. John’s44045 Five Mile Rd., Plymouth, MI 48170Phone: (734) 414-0600Fax: (734) 414-0606www.stjohnsgolfconference.com

REGISTRATIONRegistration fees include continental breakfast, coffee service, and lunch for participants. Payment must accompany registration. Checks should be made payable to the University of Michigan in U.S. currency. Payments by American Express, Discover, MasterCard or Visa are also accepted. Conference registration deadline is Friday, October 3, 2014.

CONFIRMATION Conference registrations will be confirmed by email. If you have any questions, please call (734) 232-3469 or email intmedcme@umich.edu.

CANCELLATION POLICY An administrative fee of $50 will be deducted from your registration payment. Refund requests must be received in writing, no later than Friday, October 3, 2014. No refunds will be made thereafter.

CONTACT INFORMATION Department of Internal Medicine Continuing Medical EducationPhone: (734) 232-3469 Email: intmedcme@umich.edu Fax: (734) 998-0085 www.med.umich.edu/intmed/cme

DRIVING DIRECTIONS From the East Follow I-96 until it turns into M-14. Follow M-14 west to Sheldon Road exit. Turn right onto Sheldon Road. Follow Sheldon Road for about half a mile. Turn right onto Five Mile Road. Entrance to The Inn at St. John’s is on the right.

From the West Follow M-14 east to Sheldon Road exit. Turn right onto Sheldon Road. Follow Sheldon Road for about half a mile. Turn right onto Five Mile Road. Entrance to The Inn at St. John’s is on the right.

From the South Take I-275 north to M-14. Exit onto M-14 west towards Ann Arbor. Follow M-14 west to Sheldon Road exit. Turn right onto Sheldon Road. Follow Sheldon Road for about half a mile. Turn right onto Five Mile Road. Entrance to The Inn at St. John’s is on the right.

From the North Take I-275 south to M-14. Exit onto M-14 west towards Ann Arbor. Follow M-14 west to Sheldon Road exit. Turn right onto Sheldon Road. Follow Sheldon Road for about half a mile. Turn right onto Five Mile Road. Entrance to The Inn at St. John’s is on the right.

From Detroit Metro Airport (DTW) Take I-94 west (toward Chicago) for 3.5 miles. Exit to I-275 north. Take I-275 north for 12 miles to M-14 west (towards Ann Arbor.) Take the first exit, which is Sheldon Road. Turn right. Follow Sheldon Road for about half a mile. Turn right onto Five Mile Road. Entrance to The Inn at St. John’s is immediately on the right.

LODGINGA block of rooms has been reserved at the course location, The Inn at St. John’s, at a special rate of $139 single or double occupancy. When making your hotel reservation, mention you are attending the University of Michigan Empower Yourself: Updates on Lynch Syndrome, FAP and Familial Colon Cancer conference. The hotel reservation deadline is Friday, September 26, 2014.

Reservations: The Inn at St. John’s By Phone: (734) 414-0600Group code: 10F9OF Online: www.stjohnsgolfconference.com

Course Registration FormEmpower Yourself: Updates on Lynch Syndrome, FAP and Familial Colon Cancer

Saturday, October 11, 2014

REGISTRATION FEES & PAYMENT INFORMATION

Please enclose a check (U.S. currency) payable to the University of Michigan or pay by credit card below. Payment must accompany registration.

CREDIT CARD: �AmEx �Discover �MasterCard �Visa

CARD # EXP. DATE

NAME ON CARD (Please print)

SIGNATURE (Not valid without signature)

REGISTRANT NAME (first, middle initial, last) (as you would like it to appear on your name tag)

PREFERRED MAILING ADDRESS..........................................select one � HOME � BUSINESSADDRESS

CITY STATE ZIP OR POSTAL CODE COUNTRY

CONTACT PHONE NUMBER SPECIAL ACCOMMODATIONS

EMAIL ADDRESS (Receipts and confirmations are sent via email. Please print clearly.)

REGISTRATION OPTIONS

Mail this form to: Online: www.med.umich.edu/intmed/cmeDepartment of Internal Medicine CME By Phone: (734) 232-3469 University of Michigan By Fax: (734) 998-008524 Frank Lloyd Wright Dr. Lobby J, Suite 1200 Registration Deadline: Friday, October 3, 2014Ann Arbor, MI 48106-5750 On-site registration will be available.

CONTACT INFORMATION

IndividualDiscount for Families

(individual + 1 or more family members)Full Course � $75 � $150

Total Number of Guests:

Name(s) of Additional Guests:

Patient FCC . Saturday, October 11, 2014