The CoC Source - December 7, 2012
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CoC Hospital Locator Update Scheduled for January 2013

Time to update your facility profile!

Is your accredited program putting its best foot forward? The CoC Hospital Locator will be updated in January 2013 with facility resource and service information recently entered into the Eligibility Requirements and select sections of the Survey Application Record (SAR) in CoC Datalinks. In preparation for the January update, please review the accuracy of the following sections of CoC Datalinks:

Facility Information

  • Cancer Program Contact Information
  • Accreditation Category
  • First Date of CoC Accreditation (NEW!)

Eligibility Requirements

  • E-1: Facility Accreditation (NEW!)
  • E-6: Diagnostic Services
  • ER: Surgical Procedures
  • E-7: Radiation Oncology Services
  • E-8: Medical Oncology Services
  • E-10: Supportive Services and Groups
  • E-11: Rehabilitation Services
  • E-12: Nutrition Services (NEW!)
  • ER: Education Programs (NEW!)
  • ER: Healthy Lifestyle and Prevention Programs
  • ER: Screening and Early Detection Programs

Survey Application Record

  • ST 1.1: Cancer-Related Specialists
  • ST 1.9: Research Activities

There is a CoC Hospital Locator Glossary posted on the CoC Datalinks Activity Menu defining the data items displayed in your profile. The resources and services for your facility will be available to patients on the CoC Hospital Locator in January 2013.

CoC Hospital Locator: Annual Cancer Case Volume

The data table found under the CoC Hospital Locator: Annual Cancer Case Volume link is currently available for 2010 cases. A total of 949 cancer programs have elected to release their 2010 data table for display on the CoC Hospital Locator. Your facility’s 2010 data table can still be released. Click the CoC Hospital Locator: Annual Cancer Case Volume link on your Activity Menu and indicate your decision to release by clicking on one of the three options above the data table. The 2011 data tables will be posted for release in spring 2013.

Questions? Please contact

Staff Contacts Needed in CoC Datalinks

The CoC requires all accredited facilities to list key contacts at their facility in the Manage Staff Contacts section of CoC Datalinks. For the purposes of compliance, accreditation management, and communications, the CoC requires that the following roles be assigned to a contact at your facility:

  • Chief Executive Officer
  • Cancer Program Administrator        
  • Cancer Committee Chair                   
  • Cancer Liaison Physician    
  • Hospital Registrar
  • Cancer Conference Coordinator        
  • Quality Improvement Coordinator   
  • Cancer Registry Quality Coordinator           
  • Community Outreach Coordinator       
  • Clinical Research Representative          
  • Psychosocial Services Coordinator   
  • HIPAA Privacy Officer
  • Marketing/Public Relations Director   
  • Billing Representative         

Authorized users need to log on to CoC Datalinks to review the contact lists. If your facility’s Current Contacts list is missing any of the above roles, please review the instructional information below to learn more about managing staff contacts in CoC Datalinks. The instructions below are also posted in the large “?” icon at the top of the Manage Staff Contacts screen.

Managing Your Staff Contacts

Edit/Add a Role: You can edit or add a role to a current contact or previous contact by selecting the person’s name and clicking the “Edit” button.

  • Contact Info Change: You can change the address, phone, e-mail, etc., for current or previous contacts. Click Save at the bottom of the edit pop-up screen.

  • Role Change/Addition: You can assign an additional role (for example, a Registrar is also a Coordinator) or change a role by checking or unchecking the access role from the list. Click Save at the bottom of the pop-up screen after making any changes to the person’s record.

Removing a Contact: You can remove a contact by clicking the contact’s name in the Current Contacts list and clicking the Remove.

Add: The Add New Contact button should only be used to add a completely new contact not already listed in the Current or Previous Contacts lists. Complete the necessary fields of the new contact screen, select a role and click Save.

Managing Staff Contact Tips

  • Adding a new contact is an electronic request. The new contact will be listed in the Pending Contacts until the CoC Datalinks Administrator processes the request. Please allow 2–3 business days for processing. The new user will receive an e-mail containing their log-in information immediately upon processing.
  • If you are removing a Cancer Liaison Physician (CLP), please be sure that a CLP appointment is in place to ensure ongoing compliance with Standard 4.3. If there is not a second CLP or a new CLP appointment is not being made, it is suggested that the Cancer Committee Chair assume the CLP role until a suitable candidate’s appointment is made.
  • If you are reappointing your CLP please send an e-mail to requesting the reappointment. Include the name of the CLP and the e-mail address that should be used for electronic communications.
  • The Name fields cannot be changed by the facility. In the event of a name change, e-mail
  • CoC Datalinks log-in information is unique to the user and connected to that user’s e-mail account for access purposes. Each contact listed MUST have a unique e-mail address listed. If one e-mail address is listed for multiple users, access to CoC Datalinks may be denied.

Questions? Please contact


Many Accredited Programs Are Using the Survey Application Record: Is Your Program?

The new Survey Application Record (SAR) opened to CoC-accredited cancer programs in early October of this year.  Now that programs have completed the Eligibility Requirements, they are starting to enter 2012 cancer program activity into the new SAR. 

Unless you are preparing for a 2013 survey, there is no completion date for entering 2012 activity in the new SAR. Programs are encouraged to enter data and upload documents to track cancer program activity between surveys.

Have you started entering data and uploading documents into the new SAR?  Here is a breakdown of usage statistics to date:

  • More than 550 people from more than 500 facilities have updated at least one section in the SAR. Let’s break this statistic down further.
    • Chapter 1:  more than 430 facilities have entered data or documents
    • Chapter 2:  more than 210 facilities have entered data or documents
    • Chapter 3:  more than 120 facilities have entered data or documents
    • Chapter 4:  more than 160 facilities have entered data or documents
    • Chapter 5:  more than 270 facilities have entered data or documents

Congratulations to those cancer programs that have delved into the new SAR with confidence and success! Keeping the SAR continually updated with cancer program activity will make the annual update and preparation for survey processes more efficient.

Please remember to use these CoC resources for assistance:

Questions? Please contact Remember to include the specific standard, your facility name, and FIN with your question or issue.

Resources to Support the Patient Navigation Standard

With support from Kaiser Permanente and IP3, and with technical assistance from the Centers for Disease Control and Prevention, The Community Health Needs Assessment has released a free web-based platform designed to assist hospitals (with particular attention to critical access and other smaller facilities), non-profit organizations, state and local health departments, financial institutions, and other organizations seeking to better understand the needs and assets of their communities, and to collaborate to make measurable improvements in community health and well-being. 

Look for the following key capabilities at

  • An easy to use, intuitive platform to guide you through the process of conducting community health needs assessments
  • The ability to create a community health needs assessment report
  • The ability to select area geography in different ways
  • Ability to identify and profile geographic areas with significant health disparities
  • Single-point access to thousands of public data sources, such as the U.S. Census Bureau and the Behavioral Risk Factor Surveillance System (BRFSS)
  • Feedback functionality and access to technical support
  • Adaptability and development for future learning and versions

Visit the website to view an introductory video and to sign up for one of the upcoming one-hour webinars that will provide an overview of and will guide you through how to use the platform.  Webinars are planned for:

Thursday, December 13 at 9:00 am PT/11:00 am CT/12:00 pm ET
Tuesday, December 18 at 9:00 am PT/11:00 am CT/12:00 pm ET
Thursday, January 17 at 11:00 am PT/1:00 pm CT/2:00 pm ET

Completing the Cancer Liaison Physician Activity Report

Are you looking for the Cancer Liaison Physician Activity Report and can’t find it? The report of your activities as a Cancer Liaison Physician is now embedded into the Survey Application Record. Please work with your registrar to complete the report on an annual basis. Your input helps to inform program improvements. Please also include any suggestions for training needs, questions you have about how to comply with Standard 4.3, and input on your successes.

Appointing or Reappointing a Cancer Liaison Physician Made Easy with CoC Datalinks

It’s that time of year again!  In December, the Cancer Liaison Program staff will send an email notification to those facilities whose Cancer Liaison Physician’s (CLP's) term expires as of January 1, 2013.

CLPs serve a three-year term and are eligible to serve an unlimited number of terms based on performance and evaluation data collected at the time of survey.  Each cancer committee must determine whether the current CLP is appropriately serving in this role or if another candidate would better suit the position.  

The process to reappoint or appoint a new CLP has been simplified.

New Appointment Process

  1. Log into CoC Datalinks
  2. Go under Manage Staff Contact
  3. Under Pending Contacts section, select Add Contact
  4. Enter the CLP name and contact information in this window
  5. Click Save button. This will come directly to the Cancer Liaison Program for processing. An appointment letter will be sent to the CLP and notification to the cancer program staff via e-mail

Remove Former CLP

  1. Log into CoC Datalinks
  2. Go under Manage Staff Contact
  3. Click on the former CLP’s name to expand their record
  4. Click the Remove button. A box will open asking if you want to remove this contact. Click ok

Reappointment Process
Send an e-mail to with your CLP’s name and e-mail address stating that your program would like to reappoint them to an additional term. An e-mail will be sent to the CLP and program staff confirming reappointment.

If you have any difficulty with this process, send an e-mail to

NOTE: If your accredited facility does not have a CLP in place, you are in jeopardy of being in noncompliance with CoC accreditation standards 1.3 and 4.3. It is important that an appointment is made as soon as possible and that an individual is designated as the CLP in CoC Datalinks. If there is not a CLP appointed for your facility and recorded in CoC Datalinks, the CoC recommends that the Cancer Committee Chair be listed as the interim CLP until an official appointment is made.

Assess Edits for the 2013 NCDB Call for Data

Cancer registry data from CoC-accredited cancer programs make up the backbone of the CoC’s National Cancer Data Base (NCDB), and hospital cancer registrars are the talented and hard-working experts who coordinate the data-management process and organize the NCDB Call for Data submissions. Data submissions for the NCDB 2013 Call for Data will take place during the month of January with a January 31 deadline. Visit for a full description of the cases to be submitted, deadlines for submission and correction, and related information.

The edit metafile and configuration files for use in 2013 with the North American Association of Central Cancer Registries, Inc. (NAACCR) layout 12.2 are available at In a few weeks, some software providers may be shipping software upgrades to NAACCR layout 13.0; edits for that version will be available from the same website by the end of December. Both versions will be accepted throughout 2013.

  • The 13.0 upgrade will include new Country fields that supplement existing State fields and new 7-digit Secondary Diagnosis fields to record ICD-10-CM secondary diagnoses once they are implemented in hospitals. There will be no changes to the Collaborative Stage Data Collection System in 2013. FORDS: Revised for 2013, which will include the new items, will be posted at the end of December.

NCDB offers a few suggestions to keep in mind for data submission:

  • Registries that created submission files prior to December 1, 2012, are reminded to recreate the file now so no cases are lost between submission years.
  • New programs that submitted 2010 data during 2012 are reminded to submit the full diagnosis years’ cases for pre-2010 diagnoses from the time of their Reference Date forward, rather than limiting their submissions to cases added or updated since December 1, 2011.
  • Only registrars, coregistrars, and cancer program administrators are permitted to submit data, unless there is a software provider approved by one of those people. Check the new SAR to make sure the correct staff contacts are named for those functions.
  • Registrars who work for more than one program will need to check that the correct program is selected in the drop-down list when they submit cases. Files submitted under the wrong program selection will not be processed. (Network facilities and merger campuses will see the combined program in the drop-down list.)

Questions? Please contact

An Update on Assigning Class of Case

Over the last two or three years, a substantial number of hospitals either have purchased physician practices or have begun to hire physicians. The physician or practice is now part of the hospital. Under these circumstances, diagnosis and first-course treatment performed by those physicians are coded as having been done by the hospital.

  • Hospital A purchased an oncology clinic to provide service to patients living some distance from the main hospital location. Patients who receive first-course treatment in the clinic must be abstracted as having treatment “in the reporting facility” as analytic Class of Case 11-14 or 21-22.
  • Hospital B has several dozen physician practices spread across a large metropolitan area; the physicians are employed by the hospital. All diagnosis and first-course treatment provided by these physicians must be abstracted as part of the hospital’s care (analytic Class of Case 00, 11-14, or 21-22).

The examples above illustrate that the geographic location of hospital-employed physicians does not determine Class of Case. Similarly, a practice or clinic that is not owned by the hospital but which rents space within its walls is considered “elsewhere” when patients are diagnosed or receive first course treatment there.

  • An independent radiology clinic rents space from Hospital C and provides both diagnostic scans and radiotherapy treatment for many of Hospital C’s patients. Patients who receive care at the clinic must be abstracted by Hospital C only if the patient also receives care from the hospital itself. All care given by the clinic is “elsewhere” for the purposes of assigning Class of Case. If the program wishes to abstract cases that never receive care from the hospital, those cases are assigned an appropriate non-analytic Class of Case (usually 42).

The term “staff physician” is used to refer to independent physicians who have routine admitting privileges at the hospital.

  • Patients who are diagnosed in the physician’s office by a physician who has routine practice privileges in a hospital and then receive first-course treatment from the hospital itself are abstracted as Class of Case 11 or 12, “initial diagnosis in a staff physician’s office….” If the program wishes to abstract cases seen by staff physicians that never receive care from the hospital, those cases are assigned an appropriate non-analytic Class of Case (usually 40-41).

There are a number of ways to determine whether a clinic or physician practice is part of the hospital.

  • Does the hospital own the medical records for the practice?
  • Does the hospital’s accrediting organization (for example, The Joint Commission) identify the practice as a single entity with the hospital or as separate from it?
  • If all else fails, ask your cancer committee or hospital administration what the relationship is.

Are You Caught Up On The Latest Education to Support the New Standards?

Stay up-to-date on the latest CoC standards education and view one of the 13 webinars on the CoC Online Education Portal. These webinars were created to support all cancer program staff in understanding and implementing the 2012 patient-centered standards.

Some of the most popular webinars include:

  • Cancer Program Standards 2012 Continuum of Care Services: Focus on Survivorship Care Plans
  • Studies of Quality and Quality Improvements
  • Cancer Program Standards 2012 Continuum of Care Services: Focus on Psychosocial Distress Screening, Tools and Resources
  • Quality of Patient Care: New CoC Standard

For more information and to register visit the CoC Online Education Portal.

SAVE THE DATE for Survey Savvy 2013!

The next Survey Savvy will be June 26-28, 2013 in Chicago, IL. There will be an optional Rapid Quality Reporting System (RQRS) Workshop on June 26, held at College Headquarters. We will be examining the new 2012 Standards in greater depth at this conference. Registration will be $600 per person and hotel is $239 per night. Stay tuned to the CoC Flash for updates as they become available.


Answers to Coding Dilemmas in CSv0204

Do you have a case where none of the CS codes seems right for your scenario?  It is probably a known issue, and one that the CS team is addressing for version 02.05.  In the meantime, CS has developed a document to help you, and it is posted on the home page at  The “CSv0204 Support for Identified Issues” is an important resource.  This provides registrars coding guidelines for the key issues identified in the current version, 0204, that will be fixed in the next release.  The list is brief, as we try to keep it to the most important issues, or those affecting a large number of cases.  If your issue isn’t there, please use the search feature in the CAnswer Forum to find the guidance you need.  If you topic has not yet been addressed, you may submit it the CAnswer Forum for assistance.

CS Education Resources: Know What’s Available and Where to Find Them!

Take advantage of the many Collaborative Stage (CS) educational resources available!  Below is a brief overview of the various resources available and the direct links to take you to the information.

You Tube

The AJCC YouTube Channel has been available for some time and offers short presentations that focus on specific topics such as 998 vs. 999, Neoadjuvant,  Testis,  and Grade Path Value/ Grade Path System.   Now these videos are viewable directly from within the CS website!

The YouTube videos are found under the education section on the Cancer Staging on YouTube tab. By clicking on this tab, website visitors will be taken to the CS YouTube Page that will allow them to watch all the CS videos from the bulleted list at the bottom of the page. 

The CS Education Team hopes this additional viewing option will be welcomed by those who are blocked from accessing YouTube at their facility and were previously unable to view these free educational presentations.  More videos will be coming in the future as the CS Education Team continues to develop short presentations focused on addressing specific issues that are troubling registrars in CS. Suggestions for topics to be addresses in YouTube videos can be submitted to the CAnswer Forum.

CS Webinars

There are seven Collaborative Stage webinars available at the AJCC Education Portal for complimentary viewing to the entire registry community!  These seven webinars were developed and presented by some of the leaders in the field.  The webinars are available for viewing 24 hours a day, 7 days a week.  Topics include:

The CS webinars are free, however, creation of an account to view the webinars is necessary for new users.  If you have previously viewed an AJCC  or CoC webinar through the CommPartners Education Portal you can begin viewing the presentations immediately by adding the CS webinars to your cart.  For technical issues, such as login or account creation, contact Comm Partners directly at

The original presentations and supporting materials for all of these presentations are available on the CS website under the Presentations Tab of the Education section.  These presentations are a tremendous resource on their own and readily available from the CS website for those who have already viewed the webinars and just want to quickly reference the information in the presentation. 

CS Website

The CS website has all the critical information you need for CS coding -- from the General Rules of the Coding Instruction (essential reading for any CS coder!) to the CoC and SEER Combined Required Site Specific Factors, there are many helpful documents on the CS website for registrars.  Check out the recently added Education Presentations page.  This page includes the CS presentations from the 2012 and 2011 NCRA meeting for anyone to download. The page also contains the PowerPoint slides, the handouts, the quiz and the answer sheet for the seven CS webinars available on the AJCC Education Portal. All these materials have been made available so that all registrars have access to these important educational resources.

CAnswer Forum

Lastly, if you have a question that isn’t addressed by any of the educational resources, the CAnswer Forum is the best place to visit!  Chances are if you have the question, someone else does too so be sure to search the CAnswer Forum for your question before posting a new one.  

The CS Education and Training Team encourages registrars to get familiar with these resources as more content will continue to be added in the future. The CS Education team has strived to provide CS education in a variety of formats to cater to the various learning styles of the registry community.

We hope that you will find these resources useful and, as always, we welcome your feedback at



Pursuing Excellence through Accreditation Workshop – May 24, 2013

Mark your calendar…The NAPBC has scheduled a full-day workshop – Pursuing Excellence through Accreditation, which will take place at the American College of Surgeons headquarters in Chicago, IL, on Friday, May 24, 2013.  This workshop will provide detailed information related to the NAPBC components and standards, survey process, the quality measures and related requirements for 2013 and beyond.  The workshop will assist centers applying for accreditation, as well as centers due for re-accreditation in 2013. 

NAPBC Board members, surveyors, and staff will present information at the workshop.  Most importantly, a presentation regarding the NAPBC components and standards will specify the requirements for complying  with each standard.  The workshop will also incorporate recent changes to the standards, and participants should leave with a clear understanding of what is expected and how it will be measured.  Another detailed presentation, titled "What to expect on the day of survey," will walk you through a site visit from a surveyor’s perspective.  Learn what the surveyor is looking for during different aspects of the survey.   

Pursuing Excellence through Accreditation is designed for individuals involved in the delivery of multidisciplinary breast health care, including physicians, nurses, administrators, cancer registry professionals, and others involved in the day-to-day operations of the breast center.

If you have questions or wish to request early registration, please contact the NAPBC administrative office at 312-202-5185, or by e-mail at napbc@facs.orgOnline registration will open on March 4, 2013 at

These workshops are always well-attended, and seating is limited.  Enrollment will be on a first- come, first-served basis.

NAPBC Exhibit Schedule 

The NAPBC will have an exhibit at the following meetings:

18th Annual Multidisciplinary Breast Symposium on Breast Disease
February 14-16, 2013
Ritz Carlton-Amelia Island
Amelia Island, FL

Association of Community Cancer Centers (ACCC) 39th Annual National Meeting

March 6-8, 2013
Washington Marriott Wardman Park
Washington, DC

23rd Annual Interdisciplinary Breast Center Conference sponsored by the National Consortium of Breast Centers (NCBC)
March 23-27, 2013
Paris Las Vegas Hotel & Casino
Las Vegas, NV

If you will be attending these meetings and have questions, or wish to pick up an NAPBC Information Kit, stop by any one of these exhibits. 


New American College of Surgeons Patient Education Website

The Surgical Patient Education website has been expanded to include additional cancer resources, procedures, labs, medications and clinical trials – most offered in multiple languages. The site also directs the public to CoC hospitals for their cancer treatment. A new feature offers an automated permission request so that members and hospitals can place the link directly on their practice website.  This will help meet the new patient education CMS meaningful use criteria and provide patients with education directly from their surgeon’s office or website. The American College of Surgeons ‘Surgical Patient Education’ has Health on the Net Certification and features no outside advertising. Contact Mandy Bruggeman at or 312-202-5263 with any questions, or to obtain broadcast rights for the award winning ostomy education video. 


Cancer Registrars in Action
The National Cancer Registrars Association (NCRA) is seeking ways to showcase the impact cancer registrars have on public health. A key component of this effort is the new Registrars in Action column in The Connection, NCRA’s bi-monthly newsletter. The column will highlight stories of how cancer surveillance data have been used to improve cancer prevention and treatment programs. NCRA is using The Center for Disease Control and Prevention’s National Program of Cancer Registries’ “Success Stories” as the basis for these articles. These stories emphasize important data-driven projects happening across the U.S. To read the inaugural Registrars in Action column go to the NCRA website at

New Cancer Registry Recruitment and Retention PowerPoints Available on the NCRA Website
Quality Cancer Data Saves Lives: The Vital Role of Cancer Registrars in the Fight against Cancer is a PowerPoint presentation designed to assist cancer registrars and human resources professionals promote the profession. The presentations are available in three, timed sessions of 30, 60, and 90 minutes. There are notes with each slide to assist with the presentation. Visit the NCRA website to learn more.

Mark Your Calendars! NCRA 2013 is May 30-June 2 in San Francisco
The NCRA's 39th annual educational conference will be held May 30-June 2, 2013, at the Hilton Union Square in San Francisco, CA. NCRA’s Program Committee met recently to design the program, which will include three tracks (Hospital Registry, Central Cancer Registry, and Professional Development) and more than 40 sessions. This year's theme is Golden Opportunities for Education and Professional Growth by the Bay. Registration materials will be e-mailed and mailed in early January 2013.

CTR Exam Prep Workshop and CTR Exam Readiness Webinar Series
NCRA's Certified Tumor Registrars (CTRs) exam prep workshop is a proven way to prepare for the CTR exam. It is scheduled for February 2-3, 2013, in Las Vegas, NV. Workshop registration opens December 1; accommodations  can be arranged at the Westin Las Vegas Hotel ($139/night) at 702-836-5900 and mentioning “NCRA.” The hotel cut-off date is January 10, 2013. Through the CTR Exam Readiness Webinar Series, the NCRA offers one-hour webinars focus on computers, statistics and epidemiology, and exam tips and moderated by Donna Gress, RHIT, CTR, and Louise Schuman, MA, CTR. All webinars take place at 2:00 pm (ET). The webinars are scheduled as follows: computers (February 14); statistics and epidemiology (February 21); and CTR exam taking tips (February 28). More information on the CTR Exam Prep Workshop and Readiness Webinar Series can be found at

American Cancer Society News

American Cancer Society Honors Two Palliative Care Pioneers

Two leading figures in the field of palliative medicine, Diane E. Meier, M.D., F.A.C.P. and Charles von Gunten, MD, PhD, were honored by the American Cancer Society at its Nationwide Volunteer and Staff Leadership Summit in Atlanta, GA, on November 16.

Dr. Meier received the Society’s Medal of Honor for Cancer Control in recognition of her innovative achievements in bringing palliative care into mainstream medicine, providing care to patients, survivors, and families that focuses on quality of life even at the early phases of illness. Dr. Meier is the founder and director of the Center to Advance Palliative Care, a national organization dedicated to increasing the availability of quality palliative care services for people facing serious illness. She is the vice-chair for policy and Catherine Gaisman Professor of Medical Ethics in the Brookdale Department of Geriatrics and Palliative Medicine at Mount Sinai School of Medicine in New York, NY.

Dr. von Gunten received the Society’s Pathfinder in Palliative Care Award, recognizing his professional and personal commitment to improving the quality of life of seriously ill patients and families, combined with exceptional leadership in advancing the palliative care field as a national figure, educator, researcher, and policy thinker. 

The goal of palliative care is to prevent and relieve suffering and to support the quality of life for patients and their families—at any age and at any stage of disease. Through an innovative extramural grant partnership with the National Palliative Care Research Center created to cultivate a cadre of researchers and mentors in the field and collaborative work among them, the American Cancer Society has dedicated nearly $18 million to support 51 palliative care and symptom management research grants since 2007.

Building on the success of that research program, the Society’s affiliate advocacy organization, the American Cancer Society Cancer Action NetworkSM (ACS CAN), is now a driving force behind a new suite of Quality of Life legislation to boost palliative care and pain management research, workforce training, and access to these patient- centered services for all seriously ill patients and families in every care setting (

American Cancer Society Journals

The American Cancer Society’s CA: A Cancer Journal for Clinicians offers a range of useful information on cancer prevention, early detection, treatment, palliation, advocacy, quality of life, and other areas essential for clinicians and healthcare professionals working on the front lines of oncology care. CA publishes the latest American Cancer Society guidelines and statistics and offers journal-based continuing education (CE) for free to physicians and nurses. CA CE activities are accredited by the American Nurses Credentialing Center (ANCC) and the Accreditation Council for Continuing Medical Education (ACCME). The journal’s content is available online without a subscription.

Cancer—which has been in publication since 1948—publishes the latest peer-reviewed articles covering all oncologic disciplines for physicians and researchers and the Annual Report to the Nation every other year. The journal’s ontent is offered for free online 12 months after publication and abstracts can be viewed for free. Cancer publishes all content online ahead of print.

Cancer Cytopathology publishes the latest peer-reviewed articles in cytopathology and related oncologic disciplines for physicians and researchers. Content is offered for free online 12 months after publication and abstracts can be viewed for free. Cancer Cytopathology publishes all content online ahead of print and is the number 1 journal in its field.

NEW! View our latest online publication in a new easy-to-use flipbook format. The ACS Guidelines and Patient Pages is a great resource that gives you access to the most up-to-date cancer guidelines published in CA. This publication can be accessed for free online. To access the flipbook, go to and look on the left side bar under Special Features.

For access to all of these journals, please visit online at

Monthly Spotlight: American College of Physicians

The Commission on Cancer regularly collaborates with over 50 member organizations in its mission to provide quality cancer care. This month we introduce the American College of Physicians (ACP).

The ACP is the largest medical specialty society in the world, comprising 130,000 internists as members. Founded in 1915 to promote the science and practice of medicine, ACP works to enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine. ACP publishes Annals of Internal Medicine, one of the five most widely-cited peer-reviewed medical journals in the world. The organization also produces the annual Internal Medicine meeting, a live educational event for more than 5,000 internists, and the Medical Knowledge Self-Assessment Program (MKSAP), used by more than 50,000 physicians to prepare for board examinations and earn continuing medical education credits. ACP provides a variety of member services, including practice insurance and practice management information, and it represents the interests of internists on Capital Hill. The ACP is governed by an elected Board of Regents (BOR), a policy-making body.  An elected Board of Governors functions as an advisory board to the Board of Regents. The offices in Philadelphia and Washington D.C. are directed by Steven E. Weinberger, MD, FACP, ACP’s executive vice president and chief executive officer. ACP’s specific goals and mission are as follows:

To enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine.

I. To establish and promote the highest clinical standards and ethical ideals;
II. To be the foremost comprehensive education and information resource for all internists;
III. To advocate responsible positions on individual health and on public policy relating to health care for the benefit of the public, our patients, the medical profession, and our members;
IV. To serve the professional needs of the membership, support healthy lives for physicians, and advance internal medicine as a career;
V. To promote and conduct research to enhance the quality of practice, the education and continuing education of internists, and the attractiveness of internal medicine to physicians and the public.
VI. To recognize excellence and distinguished contributions to internal medicine; and
VII. To unify the many voices of internal medicine and its subspecialties for the benefit of our patients, our members, and our profession

Recent Publications and/or Products:
ACP is publishing the 16th edition of MKSAP. Six subspecialty books, including one that focuses on Hematology and Oncology, were released on July 31. Another five and an enhancement called Board Basics 3 will be released Dec. 31. The digital version of MKSAP 16, including native apps and an online application, will be released Jan. 31, 2013. The program will include 1,200 Board-exam-like quesitons, accompanied by answers and evidence-based explanations.

To learn more about this organization, please contact:
Sean McKinney, Director, Self-Assessment Programs, Philadelphia, PA
Phone: 215-351-2567 | Email:
Website: www.

ACE Newsletter: November 2012

by Dr. Linda Weller-Ferris

As we prepare to manage the post-election season and grapple with a new legislative year, oncologists continue to face unprecedented leadership challenges. The number of cancer patients keeps climbing, given our aging population. And we repeatedly view that television ad that stresses “10,000 people retire every day in the U.S.” Yes, we have an aging population that is more likely to develop some form of cancer. In “Up Close and Personal”—an October 14, 2004, article from The Economist—it was reported that 10 million people worldwide were diagnosed with cancer that year, and, unfortunately, 6 million died from it that year. Since the launch of the War on Cancer in 1971 by President Richard Nixon, America has funded nearly $70 billion (in actual, not inflation-adjusted, dollars) for cancer research to the National Cancer Institute (NCI). At this time, our cancer programs continue to be pressed to “do more with less.”

As a result, our cancer programs require “change leadership.” John Kotter speaks about the differences between “change management” versus “change leadership.” Managers have basic tools, structures, and skills to keep the change cycle under control. Change leadership involves becoming a driving force, with a vision and the processes to fuel transformation. Our complex health care systems require bold transformation that is driven by leaders who can articulate the vision and lead faster, smarter, and more efficiently.

The question comes down to us: Do we, as oncology leaders, have the tools, knowledge, and skill sets to take bigger leaps, seize opportunities, and manage the hazards we face? The Education Committee under the leadership of Diane Cassels, Association of Cancer Executives (ACE) President-Elect, has completed the agenda for the 19th annual ACE educational program, January 23–26, at the Grand Hyatt, San Antonio, TX. For newer leaders, an ACE 101 program will be held on Wednesday, January 23. The educational program is an opportunity for you to network among peers and learn. You can. Learn about cancer care changes, working with ethicists, patients’ rights, the Rapid Quality Reporting System of the NCDB, the financial benefits of nurse navigation, physician alignment strategies, nutritional issues, management of drug shortages, transitional care models, oncology shared savings to bend the cost curve, cancer survivorship programs, and more. This is the oncology leadership educational event of the year that none of us can afford to miss! Register online and encourage a colleague who could step into an oncology leadership role to attend this phenomenal educational event. It’s all about becoming transformational leaders. See you in San Antonio.

NCI Launches Redesigned AccrualNet Website

Finding tools, strategies, and tips that you can use every day to improve your clinical trial recruitment efforts can be time-consuming and seem overwhelming. However, the redesigned AccrualNet™ website helps make this process easier than ever.

The National Cancer Institute (NCI) launched the new AccrualNet™ website, which incorporates feedback from users and input from an external group of clinical trial professionals. The new site makes it easier to find the right information when you need it, such as training tools for new staff, sample letter templates, and best practices for communicating with patients. From evidence-based, peer-reviewed journal articles to practical tools from the field, AccrualNet™ provides useful information in a single location, saving you valuable time.

We’re better together!

AccrualNet™ helps you connect with clinical trial professionals from across the country and around the world. Do you have a question about how to effectively explain randomization to potential participants? Just ask! Someone is likely to have the expertise and a willingness to share their knowledge and experience. Or you can browse “Conversations” by topics such as ethical issues to see what your colleagues are discussing.  You can also create an AccrualNet™ Community of Practice. These invitation-only groups bring members with a shared purpose together to interact regularly and learn from each other about common issues related to clinical trial accrual.  

Visit the new AccrualNet™ at Look around, find great resources, and be sure to invite your colleagues to participate.

Here’s how registering on AccrualNet™ helps you:

  • Content: You will have access to vetted literature, resources, and tools to inform and support your practice. Our conceptual design—the Protocol Accrual Lifecycle wheel—reminds you to think about accrual at every stage of a clinical trial—from protocol development through participant retention, and examine lessons learned along the way. New resources are added monthly.
  • Conversations: Here you will find the collective wisdom of clinical trials professionals joined in dialogue focused on improved accrual. In addition, the AccrualNet™ team publishes a blog every Wednesday on a topic of interest. There’s also a monthly Guest Expert feature that you won’t want to miss.
  • Communities: AccrualNet™ connects you with clinical trial colleagues who share similar interests and accrual challenges, creating a virtual community of practice. These communities are places for groups to gather around a particular area of interest, discuss accrual issues, share documents, and collaborate with each other.

Training Nurses and Program Administrators to Implement Cancer Clinical Trials

The National Cancer Institute has funded a training project help organizations implement cancer clinical trials. The training program is designed to develop the knowledge and skill necessary to implement and support a clinical trials program within cancer programs and is targeted to Cancer Nurses and Cancer Program Administrators who work at Commission on Cancer (CoC)-accredited organizations.  The two-day skills-based workshop will be limited to a total of 50 people (teams of 25 nurses and 25 program administrators), and will use a small group format  for more personalized learning. The workshop will be conducted by clinical leaders who have extensive experience in the development and management of cancer clinical trials. These experts will provide training addressing such topics as clinical trial design, essential elements of a protocol, ensuring quality in clinical trials, marketing clinical trials, developing an infrastructure to support clinical trials, and a number of related subjects. Ongoing monthly consultation will be provided to trainees following the workshop.

The first training program is scheduled for Saturday and Sunday, May 18-19, 2013 at the City of Hope National Medical Center in Duarte, California. The training will be repeated on October 5-6, 2013 at the Mount Sinai Medical Center in New York City. Our goal is to recruit nurse/administrator teams from CoC-accredited programs. Limited stipends may be available for trainees for whom travel to the workshop would represent a financial hardship.

Additional information can be found at


Central Brain Tumor Registry of the United States

The Central Brain Tumor Registry of the U.S. (CBTRUS) announces the publication by Oxford University Press of its latest report, CBTRUS Statistical Report: Primary Brain and Central Nervous System Tumors Diagnosed in the United States in 2005-2009. The report is a supplement to the Society for Neuro-Oncology's official journal, Neuro-Oncology, and is available free to view on the CBTRUS website at by clicking on Reports and Tables. Data collected by the Centers for Disease Control and Prevention’s National Program of Cancer Registries (NPCR) and the National Cancer Institute’s Surveillance Epidemiology and End Results (SEER) program from 49 population-based cancer registries were analyzed resulting in an incidence rate of 20.59 cases per 100,000 for all primary brain and central nervous system tumors in 2005–2009. The efforts of hospital tumor registrars, central cancer registries, and staff from NPCR and SEER to collect accurate and complete data have contributed to making this report possible.  

A limited number of printed booklets may be requested by contacting

Joint International Oncology Congress

Building on the success of recent Sentinel Node Oncology Foundation biennial meetings in San Francisco, CA; New York, NY: and previous International Sentinel Node Society meetings, for the first time together, we will convene the most renowned international faculty and leading experts in the field of oncology and cancer research, advancing our goal of fostering genuine translational dialogue among the disciplines responsible for discovering and delivering therapies for cancer. The Joint International Oncology Congress will focus on updates in the understanding of cancer metastases, especially sentinel node biopsy concepts and technology. Studies of biomarkers and their diagnostic and prognostic applications in cancer progression and metastatic cancer, as well as their usefulness in radio imaging and molecular-targeted therapy will be a significant part of the congress. Sessions will explore recent developments in understanding the cancer microenvironment, the molecular mechanisms involved in the progression of cancer cells to metastasis, and immune trafficking and responses to cancer cells. Participants will discuss results of recent clinical trials of emerging therapies.

The congress will bring together basic scientists, oncologists, surgeons, and radiologists from around the world, resulting in a cross fertilization of ideas that will enhance the translation of basic science into clinical application—and challenge basic scientists with clinical issues—thus linking “the bench to the bedside.”

We hope you will join us at the Joint International Oncology Congress convening the Sentinel Node Oncology Foundation’s 5th International Symposium on Cancer Metastasis and the Lymphovascular System: Basis for Rational Therapy and the 8th International Sentinel Node Society Meeting, Monday, May 27–Wednesday, May 29  in San Francisco.

Please visit our website: for more information.

ACP Launches 16th Edition of MKSAP

The American College of Physicians (ACP) is releasing the 16th edition of its 44-year-old Medical Knowledge Self-Assessment Program (MKSAP 16) this year. The program meets the educational needs of oncologists and other internists by providing updated evidence-based recommendations in all of the subspecialties of internal medicine and by providing 1,200 multiple-choice questions modeled after the types of questions used in certification and recertification examinations administered by the American Board of Internal Medicine (ABIM). MKSAP 16’s brand-new questions involve patient-based clinical scenarios and are based on the latest evidence. Questions in the printed and digital versions of MKSAP challenge clinical decision making, help subscribers discover their strengths and weaknesses, and, ultimately, enhance patient care by helping subscribers improve their competence. MKSAP 16 can also be used by oncologists and other internists to earn a maximum of 80 self-evaluation of medical knowledge points required for maintenance of certification in general internal medicine, oncology, and other subspecialties in internal medicine. The MKSAP 16 Part A books have been approved by the ABIM for 208 medical knowledge points. Part B books are currently being considered by the ABIM for additional MOC points.The entire program also offers 174 Category 1 AMA PRA CME credit(s)™, including 20 credits for hematology and oncology.