Session date: 
01/30/2025 - 12:15pm to 1:45pm

Presentation Title:  Cancer-related cognitive impairment: Overview and Longitudinal Assessment
Presenters:  Bryan J. Neth, MD, PhD

AGENDA
Session Time 12:15 - 12:45 pm

12:15-12:20: introduction/overview
12:20-12:30: overview of CRCI
12:30-12:40: development of a cancer cognition clinic and future directions
12:40-12:45: questions

COURSE SERIES DESCRIPTION
This course will address topics of interest to SLPs and related disciplines. Topics are typically generated by practice needs or changes in regulations. Division members usually serve as instructors; guest instructors are occasionally invited as well.

COURSE DESCRIPTION
This lecture will address the importance of cancer-related cognitive impairment, how it is assessed and current management options. Discussion will include the need for longitudinal neurocognitive assessment in establishing a cancer cognition clinic.

COURSE LEARNING OBJECTIVES

  1. Recognize the importance of neurocognitive function in patients with cancer
  2. Recognize the importance of longitudinal neurocognitive assessment
  3. Identify future strategies for improving cognitive outcomes in patients with cancer

SERIES LEARNING OBJECTIVES
Upon completion of this activity, participants should be able to:

  • Describe how to apply new information to provide enhanced assessment and intervention in the areas of
    • Speech sound production
    • Fluency and fluency disorders
    • Voice and resonance
    • Receptive and expressive language
    • Swallowing/feeding
    • Cognitive aspects of communication
    • Social aspects of communication
    • Augmentative and alternative communication modalities
  • Explain how to integrate principles of patient-centered care including cultural competence and interprofessional practice
  • Implement strategies to improve SLP and SLPA use of feedback

SPEAKER BIO
Bryan J. Neth, MD, PhD is a senior associate consultant in the Depts. of Neurology and Medical Oncology at Mayo Clinic Rochester with interest in improving neurocognitive outcomes in patients with cancer.
 

Faculty

Biography

Heather Clark, Ph.D. 

Dr. Clark is the Chair of Speech Pathology in the Department of Neurology and Associate Professor in the College of Medicine at the Mayo Clinic in Rochester, Minnesota. She is board-certified by the Academy of Neurologic Communication Disorders and Sciences and is a Fellow of the American Speech-Language-Hearing Association. Her clinical responsibilities include differential diagnosis of communication and swallowing disorders in adults and children. She serves as co-investigator in several projects examining the nature of speech, language, and swallowing impairment in degenerative neurologic disease.  Dr. Clark has served as a topic chair for the ASHA convention, program chair of the Conference on Motor Speech, and chair of the fall conference of the North Carolina Speech Language Hearing Association.

Emily Axelson

Emily Axelson has worked as a speech pathologist across the continuum of care, from acute care to the outpatient setting. She has a special interest in traumatic brain injury evaluation and treatment, as well as early intervention in the acute care setting. Additionally, she serves patients with a variety of acquired neurogenic disorders, including those related to communication, cognition, and swallowing.

Becky Baas

Becky Baas, M.A., CCC-SLP is a pediatric speech-language pathologist at Mayo Clinic. Her clinical and research interests are in the areas of motor speech disorders, craniofacial anomalies, early language acquisition, and hearing impairment in children.

Emily Hosfield

Emily graduated from the University of the District of Columbia with a master’s degree in Speech-Language Pathology in 2013.  She has worked for Mayo Clinic since 2013 and has special interest and experience with pediatric aerodigestive and adult swallowing disorders and currently acts as the clinical coordinator of the outpatient adult dysphagia practice. In 2020, she was recognized as an Instructor in Neurology in the Mayo Clinic College of Medicine and Science.

Anne Kulinski

Anne received her Master’s degree in Speech Pathology from the University of Wisconsin- Eau Claire. She has been working at Mayo Clinic- Rochester since 2013 and has special interests in and experience with patients with tracheostomies and evaluating and treating swallowing disorders. Her clinical work is focused on the assessment and treatment of adults with dysphagia and she has lead and contributed to quality improvement initiatives to foster interdisciplinary collaboration and currently acts as the inpatient dysphagia clinical lead. In 2019, she was recognized as an Instructor in Neurology in the Mayo Clinic College of Medicine and Science. 

Julia Meverden

Julia graduated from St. Cloud State University with a Master’s of Science in Speech-Language Pathology in 2010. She worked for the Mayo Clinic Health System Austin/Albert Lea for 4 years before transferring to Mayo Rochester for the last 8 years. Her clinical work is focused on assessment and treatment of adults with communication and swallowing disorders and she has participated in quality improvement projects for interdisciplinary teamwork in inpatient rehabilitation and optimization of the Speech Pathology hospital practice. Julia was recognized as an Instructor of Medicine in the department of Neurology in 2016. She was the clinical lead of the inpatient communication practice 2017-2021 and became Assistant Supervisor of the Division of Speech Pathology in March 2020.

Gina Mitchell

Gina Mitchell, M.S. CCC-SLP, is a speech-language pathologist and Supervisor in the Department of Neurology at Mayo Clinic, Rochester, MN. She obtained her Master’s in Speech-Language Pathology from the University of Northern Iowa and began working in Mayo Clinic's brain rehabilitation inpatient and outpatient programs in 1994 and to this day continues to provide clinical care to adults with brain injury. Gina has presented locally, regionally, and nationally on brain injury and speech-language related topics. In addition, she has been an active member of Mayo Clinic's Traumatic Brain Injury Model System research center for many years and is currently working on a community-based study examining the use of telemedicine to provide coordinated brain rehabilitation and community support services in conjunction with the Minnesota Brain Injury Alliance. Gina is a current contributor to ASHA project in developing  an Evidence-based Clinical Practice Guideline on cognitive rehabilitation for adults with acquired brain injuries

Julie Stierwalt

Dr. Stierwalt is a Consultant in the Division of Speech Pathology, Department of Neurology at Mayo Clinic. In this capacity she provides diagnostic and treatment services for individuals with speech, language, cognitive, and/or swallowing impairment across acute care, outpatient and specialty clinic settings. She has conducted research, presented, and published across these topic areas as well. In 2009, she was recognized as a Fellow of the American Speech, Language & Hearing Association.

Rene Utianski

Rene L. Utianski, Ph.D., CCC-SLP, BC-ANCDS is a Consultant in the Division of Speech Pathology at Mayo Clinic in Rochester, Minnesota. She earned her BA in Speech and Hearing Science and Psychology from The George Washington University. She earned her MS in Communication Sciences and Disorders and PhD in Speech and Hearing Science from Arizona State University. She is currently an Associate Professor of Speech Pathology and Assistant Professor of Neurology  in the Mayo Clinic College of Medicine. Her clinical responsibilities include differential diagnosis of acquired and degenerative speech and language disorders in the outpatient and acute care settings. Her research focus is to define the distinguishing clinical, acoustical, and electrophysiological characteristics of these neurological disorders, refine their differential diagnoses, and inform subsequent treatment.


Credit Statement(s)


 

 

 

 


Completion Requirements
Learners must complete both the course and faculty evaluations at the end of the course in order to receive a certificate of completion.

DISCLOSURE SUMMARY
As a provider accredited by Joint Accreditation for Interprofessional Continuing Education, Mayo Clinic College of Medicine and Science must ensure balance, independence, objectivity and scientific rigor in its educational activities.  All who are in a position to control the content are required to disclose all financial relationships with any ineligible company.   Faculty will also identify any off-label and/or investigational use of pharmaceuticals or instruments discussed in their content for FDA compliance.

Listed below are individuals with control of the content of this program who have disclosed...

Faculty MemberRelevant Financial Relationship(s)Relevant Non-Financial Relationship(s)
Heather Clark, Ph.D.Mayo Clinic EmployeeNo relevant non-financial relationships
Emily AxelsonMayo Clinic EmployeeNo relevant non-financial relationships
Becky BaasMayo Clinic EmployeeNo relevant non-financial relationships
Emily HosfieldMayo Clinic EmployeeNo relevant non-financial relationships
Anne KulinskiMayo Clinic EmployeeNo relevant non-financial relationships
Julia MeverdenMayo Clinic EmployeeNo relevant non-financial relationships
Gina MitchellMayo Clinic EmployeeNo relevant non-financial relationships
Julie StierwaltMayo Clinic EmployeeNo relevant non-financial relationships
Rene UtianskiMayo Clinic EmployeeNo relevant non-financial relationships
SPEAKER: Bryan Neth, MD, PhD   Mayo Clinic EmployeeNo relevant non-financial relationships


References to off-label usage(s) of pharmaceuticals or instruments in their presentation:
None

Commercial Support
This activity is supported in part by educational & in-kind grants from the following companies in accordance with ACCME Standards:
Grants:  None
In-Kind:  None
Exhibitors:  None

TARGET AUDIENCE
Although SLPs and Audiologists are the only professionals eligible for ASHA CEU credit, the course topics may be of interest to MD, nurses, NP, PA, residents, fellows, and allied health providers: physical medicine, social work, nutrition, respiratory therapy, and radiation technicians.

ATTENDANCE/CREDIT
Text the session code (provided only at the session) to 507-200-3010 within 48 hours of the live presentation to record attendance.  All learners are encouraged to text attendance regardless of credit needs.  This number is only used for receiving text messages related to tracking attendance.  Additional tasks to obtain credit may be required based on the specific activity requirements and will be announced accordingly. Swiping your badge will not provide credit; that process is only applicable to meet GME requirements for Residents & Fellows.

TRANSCRIPT
Any credit or attendance awarded from this series will appear on your Transcript.

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures.

Presenter: 
Bryan J. Neth, MD, PhD
Support location: 
Minnesota

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Support location: 
Minnesota