Integration of Prehabilitation, Rehabilitation and Prospective Surveillance Into Cancer Interdisciplinary Teams

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Integration of Prehab, Rehab, and Prospective Surveillance into Interdisciplinary Teams

ACCC 37th National Oncology Conference 

This educational activity is jointly provided by AXIS Medical Education and ACCC

This activity is supported by educational grants from Abbvie,  AstraZeneca, GlaxoSmithKline, Lilly and Pfizer, Inc.

Release Date: 10/16/2020

Expire Date: 10/15/2021

Estimated Time to Complete: 75 minutes

Target audience: Nurses, APPs, nurse navigators, rehabilitation specialists, physical therapists, cancer program administrators, practice administrators

Overview: Learn how Beaumont Cancer Institute implemented these services and improved the patient experience, reduced hospital length of stay, and facilitated early identification of physical impairments, functional limitations, and/or treatment restrictions. Other key outcomes include reduction of cancer-related fatigue, lymphedema, and falls, and non-opioid pain management. Then hear about the important role rehabilitation played in palliative care for patients with advanced cancer by optimizing quality of remaining life and minimizing unwarranted hospital readmissions. Patient case-based scenarios and video vignettes demonstrate how to integrate and sustain these services into cancer care, including necessary training for team members.         

Learning Objectives:

At the end of this educational activity, participants should be able to:

  1. State the importance of prehabilitation in immediate and late-effect outcomes of cancer survivors
  2. Identify key opportunities within individual healthcare systems to integrate prehabilitation, rehab and prospective surveillance concepts
  3. Explain to an uncomplicated patient the basics of safe, effective cardiovascular exercise in preparation for cancer treatments
  4. Identify and refer complex patients that may require an oncology rehabilitation therapist to provide prehabilitation or formal rehabilitation


Christopher Wilson, PT, DPT, DScPT, Residency Director, Oncologic Rehabilitation

Reyna Colombo, PT, MA, Director of Rehabilitation Services Beaumont Health System, Beaumont Cancer Institute

Jannifer S. Stromberg, MD, Medical Director, Wilscon Cancer Resource Center; Clinical Assistant professor, OUWB School of Medicine


Accreditation Statement


In support of improving patient care, this activity has been planned and implemented by AXIS Medical Education and ACCC.  AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation for Nursing
AXIS Medical Education designates this continuing nursing education activity for 1.25 contact hours.
Learners are advised that accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with an activity.

Healthcare Executives
ACHE Qualified Education credit must be related to healthcare management (i.e., it cannot be clinical, inspirational, or specific to the sponsoring organization). It can be earned through educational programs conducted or sponsored by any organization qualified to provide education programming in healthcare management. Programs may be sponsored by ACHE, chapters, or other qualified sources, whether the programming is face-to-face or distance offerings (webinars, online seminars, self-study courses, etc.). You will receive a certificate of completion for 1.25 hours.

AXIS Contact Information
For information about the accreditation of this program please contact AXIS at

Disclosure of Conflicts of Interest
AXIS Medical Education requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by AXIS for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

The faculty reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

Name of Faculty or Presenter/Planner

Reported Financial Relationship

Christopher Wilson, PT, DPT, DScPT

Nothing to disclose

Reyna Colombo, PT, MA

Nothing to disclose

The planners and managers reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity: 


Name of Planner/Manager/Reviewer

Reported Financial Relationship

Leigh Boehmer, PharmD, BCOP

Nothing to disclose

Christina Fuller, BSW

Nothing to disclose

Tom A. Gallo, MS, MDA

Nothing to disclose

Marilyn L. Haas-Haseman, PhD, RN, CNS, ANP-BC

Nothing to disclose

Monique J. Marino

Nothing to disclose

Rebecca McMahon

Nothing to disclose

Kerri Michalik, MHA, BSN

Nothing to disclose

Dee Morgillo, MEd., MT(ASCP), CHCP

Nothing to disclose

Barbara Schmidtman, PhD

Nothing to disclose


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. 

Method of Participation and Request for Credit    

  • Attend/participate in the educational activity and review all course materials. 

To receive credit for this activity, participants must review the activity information including learning objectives and faculty/planner disclosures and actively participate in the educational activity. Upon successfully completing the post-test with a score of 75% or better and the post-activity evaluation, your certificate will be made available immediately.

Reyna Colombo

Reyna Colombo, MA, PT, is the director of physical and occupational therapy services at Beaumont Health, Troy Hospital. She is also the Past-President of the Michigan Physical Therapy Association’s Oncology Special Interest Group, a board member of the Oakland University School of Health Sciences Advisory Board and is an active member at the Michigan Cancer Consortium.

She has spoken nationally and internationally on the administrative structure of development and sustainability of cancer rehabilitation programs, has numerous publications in cancer rehabilitation and care of those with chronic diseases, and is a recipient of the MPTA’s Marjorie Stamm Award for Outstanding Professional Service. Her leadership and management expertise led to the development of multiple rehabilitation clinics and a variety of specialty programs designed variety of clinics to improve health and wellness in the community. 

Colombo is actively engaged in collaborative research projects with Oakland University. Her PRISM philosophy challenges therapist to embrace prevention, intervention, and sustainable wellness across the continuum of care. Her efforts and passion helped develop and implement Beaumont’s Cancer Survivorship and Rehabilitation Program, designed to provide comprehensive wellness education to patients diagnosed with cancer at the earliest point in their care to preserve function and quality of life. She spearheaded the development of one of the first Comprehensive Rehab Programs in the state of Michigan and was a lead in the creation of the first Oncology Residence Program in the United State through the American Physical Therapy Association.

Jannifer Stromberg

Medical Director, Wilson Cancer Resource Center

Jannifer Stromberg, MD, received her bachelor’s degree in cellular and molecular biology from the University of Michigan and is a graduate of the University of Michigan Medical School. She completed her radiation oncology residency at Beaumont and is certified by the American Board of Radiology. She is an assistant professor at Oakland University William Beaumont School of Medicine and serves as the medical director of the Wilson Cancer Resource Center at Beaumont Hospital, Troy. She co-leads the thoracic multidisciplinary lung clinics at Beaumont and has been instrumental in developing supportive care services for cancer patients, including psychosocial oncology services, oncology rehabilitation and survivorship care programs. She maintains a diverse clinical practice and participates in the multidisciplinary care of breast, lung, head and neck, lymphoma and colorectal cancer patients. She also has an interest in cancer care for the elderly. She has published more than 30 peer-reviewed articles and continues to participate in Beaumont-initiated research as well national cooperative group trials.

Chris Wilson

Residency Program Director

Dr. Wilson is an Assistant Professor at Oakland University and the residency program director for the Beaumont Health Oncology Residency. He is board certified in geriatric physical therapy. His clinical practice is in cancer physical therapy and acute care. Dr. Wilson’s research agenda focuses on palliative care physical therapy and the management of late-stage chronic illnesses. He teaches geriatrics, pharmacology, biophysical agents, and acute care in Oakland University’s Physical Therapy Program.  He is co-principal and co-founder of HOP-UP-PT, LLC.

Chris received his Doctor of Science in Physical Therapy from Oakland University in 2015.  He received his transitional Doctor in Physical Therapy from University of St. Augustine with a Primary Care Certification and his master's in physical therapy from Oakland University in 2001.  


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