1. The Future of Cancer Care The Future of Cancer Care Stephen C. Schimpff Executive Vice President, UMMC Interim Director, University of Maryland Greenebaum Cancer Center

2. The Future of Cancer Care Key Elements Genomics New Technologies Information Management Pharmaceuticals Complementary Medicine Supportive Care –Multidisciplinary Care –Palliative Care

3. The Future of Cancer Care Genomics Genomics Improved Diagnostics Prognostication Gene Therapy Pharmacogenomics

4. The Future of Cancer Care Genomics The human genome now known - “We have the parts list”Proteomics Understanding the functions of genomic change

5. The Future of Cancer Care New Technologies - Imaging - Surgery - Radiation

6. The Future of Cancer Care Information Systems/Electronic Medical Record Patient Safety - Error Detection Improved Quality - “Knowledge” Incorporated

7. The Future of Cancer Care Pharmaceuticals Pharmaceuticals Drug Discovery Process –Currently - 10-12 year process –Future - < 5 year process Targeted, less toxic drug therapy Traditional chemotherapy will become obsolete

8. The Future of Cancer Care Lance Armstrong & The War on Cancer 1960’s - Testicular cancer generally fatal Radiation by cobalt was new Combination CT developed (HD & AL) 1971 - Armstrong born War on cancer declared Today - Armstrong cured Incredibly determined, competitive A national champion for clinical trials

9. The Future of Cancer Care Complementary Medicine Complementary Medicine for Supportive Care for Supportive Care Support groups for support/understanding Massage for stress Meditation/prayer Acupuncture for pain

10. The Future of Cancer Care Multidisciplinary Approach Multidisciplinary Approach To Care For The Patient With Cancer To Care For The Patient With Cancer

11. Typical Approach to Cancer Care Typical Approach to Cancer Care Patient Diagnosed with Cancer Surgeon Radiation Oncologist Medical Oncologist Primary Care Physician

12. Multidisciplinary Approach Patient Diagnosed Team Evaluation & Treatment Planning Surgeon Medical Oncologist Palliative/ Supportive Care Primary Care Physician Radiation Oncologist Patient Advocate Patient Advocate Patient Advocate

13. The Future of Cancer Care Palliative / Supportive Care

14. The Future of Cancer Care Palliative / Supportive Care Standard Approach Diagnosis Death Care

15. The Future of Cancer Care Palliative / Support Care Standard Approach Diagnosis Death Care End of Curative Attempts

16. The Future of Cancer Care Palliative Care Approach Diagnosis Death Care Palliative Care Curative Approach

17. The Future of Cancer Care Palliative Care Approach Diagnosis Death Care Palliative Care Curative Approach Bereavement Counseling for Family

18. The Future of Cancer Care National Cancer Institute - 20 Year Goal National Cancer Institute - 20 Year Goal “No one suffers, no one dies”