Final Agenda
Saving Women's Lives: Strategies for Improving Breast Cancer Detection and Diagnosis

A Breast Cancer Research Foundation and Institute of Medicine Symposium
June 14, 2004
National Academy of Sciences
2100 C Street, N.W.
Washington, D.C.

8:30 - 9:00     Continental Breakfast in the Great Hall

9:00 - 9:15     Plenary Session - The Lecture Room

Introduction of Symposium
Ed Penhoet, Ph.D., Chair, Committee on Saving Women's Lives: Strategies for Improving Breast Cancer Detection and Diagnosis; Director of Science and Higher Education Programs, Gordon and Betty Moore Foundation
Evelyn H. Lauder, Founder and Chairman, The Breast Cancer Research Foundation

9:15 - 9:45     "The Pros and Cons of Screening Mammography: What Women Need to Know"

An Overview of the Report's findings on Mammography
Laura Esserman, M.D., Director, Carol Franc Buck Breast Care Center and Associate Professor of Surgery and Radiology, University of California at San Francisco

9:45 - 10:15     "Challenges to Expanding Mammography Capacity"

Better Quality for Women in Screening Sites
Reed Dunnick, M.D., Professor and Chair, Department of Radiology, University of Michigan

10:15 - 10:45     "Better Models for U.S. Mammography Services: Implications for Accuracy and Encouragement of Screening"

Better Quality for Women Through Better Organized Mammography
Robert Smith, Ph.D., Director of Cancer Screening, American Cancer Society

10:45 - 11:05     Q & A

11:05 - 11:35     "Risk Stratification for Breast Cancer Detection"

Better Quality Mammography Through Better Focusing of Services
Suzanne Fletcher, M.D., Professor, Ambulatory Care and Prevention, Harvard Medical School

11:35 - 12:05     "The Promise of Biomarkers in Early Detection of Breast Cancer"

Better Quality for Women Through New Ways of Detecting Breast Cancer
Samir Hanash, M.D., President and Chair, Human Proteome Initiative Committee and Professor, Department of Pediatrics, University of Michigan

12:05 - 12:35     "Bringing New Technologies into Service"

Better Quality for Women Through New or Improved Technologies
Sean Tunis, M.D., Chief Medical Officer, Centers for Medicare and Medicaid Services

12:35 - 1:00     Q&A

1:00 - 1:45     LUNCH in the Great Hall for speakers and attendees

Simultaneous group discussions with invited speakers

Moderators and Rapporteurs:

Etta Pisano, M.D., Professor of Radiology and Biomedical Engineering, Chief of Breast Imaging and Director, UNC Biomedical Research Imaging Center at the University of North Carolina at Chapel Hill

Richard Bohmer, M.B.Ch.B., M.P.H.,  Assistant Professor, Harvard Business School.  Panelists:

Up to 20 minute talks each, followed by group Q & A and discussion for the balance of the time.

1:45 - 3:30  Lecture Room     Delivering Better Breast Cancer Screening Services

To discuss the report's findings and recommendations: about enhancing mammography quality, capacity, and interpretation; concerning regulation; regarding barriers to better mammography like liability, reimbursement, and access; and about advances in mammography in every day practice.

Panelists:             

Stephen Taplin, M.D., Senior Scientist, Applied Research Program, NCI

Rebecca Smith-Bindman, M.D., Assistant Professor, Obstetrics, Gynecology and Reproductive Medicine, Radiology and Epidemiology/Biostatistics, UCSF

Charles Finder, M.D., Center for Devices and Radiological Health, FDA

James Borgstede, M.D., Vice Chairman, Board of Chancellors, American College of Radiology

1:45 - 3:30  Board Room     Developing and Delivering New Detection Technologies

To discuss the report’s recommendations: that appropriate federal and other agencies consider ways to assemble expertise and funding toward a more comprehensive approach to the assessment, adoption, and comparison of multiple new technologies; and that sponsors should support research on technology adoption and monitoring of use in practice to identify both potential failures as well as opportunities for improvement.

Panelists:             

Dan Sullivan, M.D., Associate Director, Cancer Imaging Program, NCI

Kirby Vosburgh, Ph.D., Associate Director, Center for Integration of Medicine and Innovative Technologies, Partners Health Care

Sean Tunis, M.D., M.Sc., Chief Medical Officer and Director, Office of Clinical Standards and Quality, Centers for Medicare and Medicaid Services

Eric Baugh, M.D., Senior Vice President, Medical Affairs, Care First, Blue Cross and Blue Shield

Diana Petitti, M.D., M.P.H., Director, Research and Evaluation Kaiser Permanente                                 

3:30 - 4:00     Plenary Session - The Lecture Room

Summary of sessions and wrap-up with rapporteurs, Etta Pisano and Richard Bohmer

4:00     Comments on the presentations and discussions from the perspective of survivors

Carolina Hinestrosa, M.A., M.P.H., Executive Vice President for Programs and Planning, National Breast Cancer Coalition

4:30     Adjourn

Acknowledgements:

The Institute of Medicine acknowledges the generous support of this symposium by The Apex Foundation, The Breast Cancer Research Foundation, and The Broad Reach Foundation.  The Apex Foundation support was given in memory of  Mabel Frost McCaw and Joan Morgan, and in honor of Sallie Nicholls, Beth Weibling, Jane Carlson Williams, Bonnie Main and Amy McGraw.  Also acknowledged is the assistance of the American Cancer Society, Centers for Disease Control and Prevention, and National Cancer Institute in the planning and implementation of this symposium.