Clinical Trials Engagement

Participation in clinical research helps to advance science and improve patient care but in some National Accreditation Program for Breast Centers (NAPBC)-accredited centers, the number of patients accrued to clinical trials is low due to the limited availability of trials and poor participation. The speakers will discuss the current challenges with increasing both the availability of clinical trials and increasing enrollment faced by their centers and the successful strategies and methods used to increase availability and enrollment.

Target Audience

The NAPBC Best Practices webinar series is for all members of the multidisciplinary care team at health care facilities that treat patients with cancer and diseases of the breast, including but not limited to: 

  • Cancer committee members
  • Navigators
  • Nurses
  • Physicians 
  • Program leadership (cancer program administrators, breast program directors, breast program leaders)
  • Registrars

Learning Objectives

  • Describe how the NAPBC defines “clinical research trials” and some examples of different types of clinical research trials.
  • Discuss successful strategies to increase the clinical research trials available to patients with breast cancer and methods used to increase the number of patients with breast cancer enrolled in clinical trials.
  • Compare and contrast the experiences in a variety of health care settings to change clinical trial availability and accrual to clinical trials and use the information to design evaluations and interventions to address clinical trial enrollment in their own NAPBC-accredited center.


Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 CE Contact hours
  • 1.00 Certificate of Completion
Course opens: 
Course expires: 

Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all financial relationships with any commercial interest (termed by the ACCME as an “ineligible company”, defined below) held in the last 24 months (see below for definitions). Please note that first authors were required to collect and submit disclosure information on behalf all other authors/contributors, if applicable.

Ineligible company

Any entity producing, marketing, re-selling, or distributing health care goods or services used on or consumed by patients. Providers of clinical services directly to patients are NOT included in this definition.

Financial Relationships

Relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit.  Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected.  ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Conflict of Interest

Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity.  Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during the educational activity, please report it on the evaluation. 

Faculty Disclosures


Katharine Yao, MD, FACS—Nothing to disclose

Dr. Yao is currently chief of the Division of Surgical Oncology and vice chair of Research in the department of surgery at NorthShore University HealthSystem, Evanston, IL. She is Vice-Chair of the Quality Improvement Committee of the NAPBC and was a surveyor for the NAPBC at its inception.  Prior to her Vice-Chair position, she was Chair of the NAPBC Quality Improvement committee. She also serves on committees within the Alliance Clinical Trial group and the American Society of Breast Surgeons.


Ian Greenwalt, MDNothing to disclose 

Dr. Greenwalt is a caring and diligent breast surgeon practicing in the MedStar Breast Health Program at MedStar Georgetown University Hospital. A graduate of Boston College, he received his medical degree from Drexel University College of Medicine. Dr. Greenwalt completed his general surgery residency at University Hospitals Cleveland Medical Center/Case Western Reserve University. He then completed a fellowship in breast oncologic surgery at MedStar Georgetown University Hospital/Washington Hospital Center.

Dr. Greenwalt is a board-certified general surgeon who specializes in management of both malignant and benign breast disease. Through the combination of minimally invasive surgical techniques and advanced oncoplastic skills, he strives to provide his patients with high-quality, comprehensive, multidisciplinary care.

Misty Harrison-Gwin, ASN, RN, CRNNothing to disclose

Ms. Harrison-Gwin joined Reid Health, Richmond, IN, in 2011, working as a circulator nurse at Reid Orthopedic Center, and as an emergency trauma nurse. She received her degree at Indiana University. Ms. Harrison-Gwin is trained in clinical research, monitoring and coordinating clinical trials at our site, and working in cooperation with the Dayton Clinical Oncology Program. As a cancer navigator, she loves having the opportunity to help guide and support patients and their families, dealing with the challenges of a cancer diagnosis. 

Rachael Lancaster, MD—Nothing to disclose

Dr. Lancaster is an assistant professor of surgery at the University of Alabama at Birmingham (UAB) within the Division of Breast and Endocrine Surgery. She completed her general surgery residency at UAB and completed a fellowship in breast surgical oncology at University of California in San Francisco. Her surgical practice focuses on breast cancer and benign breast disease and is actively engaged in educating medical students, residents, and fellows. She is the associate program director for the UAB Breast Surgery Fellowship and co-director for the UAB Surgery SURE program (an undergraduate research experience in surgery). She is an associate scientist with the UAB Comprehensive Cancer Center and her current primary research interests and current projects include work in prevention and risk assessment of breast cancer, benign breast disease, methods to improve screening for breast cancer, and decreasing pain after breast surgery.

Planning Committee Disclosures

Katharine Yao, MD, FACS—Nothing to disclose
NorthShore University HealthSystem

Ian Greenwalt, MD—Nothing to disclose
Medstar Georgetown University Hospital

Misty Harrison-Gwin, ASN, RN, CRN—Nothing to disclose
Reid Health

Rachael Lancaster, MD—Nothing to disclose
The University of Alabama at Birmingham (UAB)

Mehra Golshan, MD, FACS—Nothing to disclose
Dana Farber/Brigham and Women’s Cancer Center   

Judy Kneece, RN, OCN—Salary from Educare, Inc.     
EduCare, Inc.

Scott Kurtzman, MD, FACS—Nothing to disclose        
Waterbury Hospital

William Laffey, MBA—Nothing to disclose     
The Laffey Partnership

Denise Mammolito, MD, FACS—Nothing to disclose
University of Illinois College of Medicine at Peoria

Melissa Nye, RN, BA, CN-BN—Nothing to disclose
Breast Advocates International

Richard Reitherman, MD—Nothing to disclose
National Consortium of Breast Centers (NCBC)

Colette Salm-Schmid, MD, FACS—Nothing to disclose
Prevea/HSHS St. Vincent’s Regional Cancer Program

Asa Carter, MBA, CTR—Nothing to disclose
American College of Surgeons

Chantel Ellis—Nothing to disclose
American College of Surgeons

Andrea Scrementi—Nothing to disclose
American College of Surgeons

Continuing Medical Education Credit Information


The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American College of Surgeons and ACGME Logos

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 CE Contact hours
  • 1.00 Certificate of Completion
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