13
Annual Meeting Committee Disclosure of Relationships The American Society for Radiation Oncology (ASTRO) is an Accreditation Council for Continuing Medical Education (ACCME) accredited CME provider and complies with the ACCME Standards for Commercial Support. In accordance with these Standards, the ASTRO Conflict of Interest Policy, and the Council for Medical Specialty Societies’ Code for Interactions with Companies, ASTRO is disclosing here the relationships between members of the Committees charged with planning the Annual Meeting and other entities related to oncology or radiation therapy. Explanatory notes: ASTRO uses the information disclosed to identify and manage any potential conflicts of interest that may arise in carrying out the responsibilities of the Committees. Committee members disclose their own relationships and those of their immediate family members. There is no “minimum value” threshold for disclosure. Disclosure time period covers relationships held or payments received during the year leading up to the disclosure. The disclosure information at this link is relevant only to the planning of the 2016 Annual Meeting and should be considered out‐of‐date after this time. Information at this link may be different from disclosure information provided in other contexts by the Committee members because of variation in the disclosure requests for these other purposes. Employment/Leadership Positions = positions held at the time of disclosure. These include both full‐ and part‐time relationships, whether compensated or uncompensated. Compensation/Remuneration/Funding = includes consultant/advisory roles, honoraria, research funding, travel expenses, in-kind donation, etc. If a Committee member receives an honorarium and donates it to charity, the honorarium is disclosed. If a Committee member declines an honorarium and it is paid directly to charity, the honorarium is not included. Honoraria from accredited CME providers are not included. Ownership or Investment Interests = includes stock, stock options, partnership, royalties, or patents. Stocks in mutual funds, blind trusts, or other holdings that are not controlled by the individual or an immediate family member are not included. Leadership Positions= positions held in other organizations or entities. The ASTRO Conflict of Interest Policies are available at www.astro.org. Please direct any questions to [email protected].

2016 Annual Meeting Planner Disclosure of Relationships

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Page 1: 2016 Annual Meeting Planner Disclosure of Relationships

Annual Meeting Committee Disclosure of Relationships

The American Society for Radiation Oncology (ASTRO) is an Accreditation Council for Continuing Medical Education (ACCME) accredited CME provider and complies with the ACCME Standards for Commercial Support. In accordance with these Standards, the ASTRO Conflict of Interest Policy, and the Council for Medical Specialty Societies’ Code for Interactions with Companies, ASTRO is disclosing here the relationships between members of the Committees charged with planning the Annual Meeting and other entities related to oncology or radiation therapy.

Explanatory notes:

ASTRO uses the information disclosed to identify and manage any potential conflicts of interest that may arise in carrying out the

responsibilities of the Committees.

Committee members disclose their own relationships and those of their immediate family members.

There is no “minimum value” threshold for disclosure.

Disclosure time period covers relationships held or payments received during the year leading up to the disclosure.

The disclosure information at this link is relevant only to the planning of the 2016 Annual Meeting and should be considered out‐of‐date after this time.

Information at this link may be different from disclosure information provided in other contexts by the Committee members because of variation in the disclosure requests for these other purposes.

Employment/Leadership Positions = positions held at the time of disclosure. These include both full‐ and part‐time relationships, whether compensated or uncompensated.

Compensation/Remuneration/Funding = includes consultant/advisory roles, honoraria, research funding, travel expenses, in-kind donation, etc. If a Committee member receives an honorarium and donates it to charity, the honorarium is disclosed. If a Committee member declines an honorarium and it is paid directly to charity, the honorarium is not included. Honoraria from accredited CME providers are not included.

Ownership or Investment Interests = includes stock, stock options, partnership, royalties, or patents. Stocks in mutual funds, blind trusts, or other holdings that are not controlled by the individual or an immediate family member are not included.

Leadership Positions= positions held in other organizations or entities.

The ASTRO Conflict of Interest Policies are available at www.astro.org. Please direct any questions to [email protected].

Page 2: 2016 Annual Meeting Planner Disclosure of Relationships

2016 Annual Meeting Disclosure of Relationships Annual Meeting Steering Committee

Name Role 01: Employment Relationship (Self, Spouse, Family Member, Other Employment)

0.2 Compensation/ Remuneration/ Funding (Research Grant, Research Funding, Honoraria, Consultant, Speakers Bureau, Travel Expenses, In- kind Donations, Advisory Board)

03: Ownership or Investment Interests (Stocks, Partnership, Royalty, Patent, Copyright)

0.4: Leadership Position (Outside of ASTRO)

David Beyer

Chairman

Arizona Oncology Services Physicians: Medical Director: Partner: Self

None

None

None

Brian Kavanagh

Vice-chairman

University of Colorado School of Medicine: Professor and Interim Chair: Employee: Self

None

None

None

Benjamin Movsas

Associate Chairman

Henry Ford Health System: Chairman, Dept of Radiation Oncology: Employee: Self

Varian Medical Systems, Inc: Research funding to dept from: Varian, Inc: Self; Philips, Inc: Research funding to dept: Self; NCI: research funding for clinical trial (from NCI SBIR grant): Self

Varian Medical Systems, Inc: Self: Philips, Inc: Self

Henry Ford Health System: Self

Radiation Therapy Oncology Group/NRG: Chair, Quality of Life Subcommittee: Self

Lisa Kachnic

Member

Vanderbilt University: Radiation Oncologist: Employee: Self

NCI NCORP: Research Grant(s): co- chair of cancer prevention: Self; SWOG: Self

Best Doctors: Self

None

ABR: Trustee: Self

Brian Czito

Member

Duke University: Associate Professor: Employee: Self

Abbvie: Self

None

None

George Rodrigues

Member

London Health Sciences Centre: Employee: Self

George Rodrigues Medicine Professional Corporation: President: Independent Contractor

None

George Rodrigues Medicine Professional Corporation: Self; Demos Medical Publishing: Self

Canadian Association of Radiation Oncologists: Ontario Director, CARO Board of Directors: Self

Andrea Ng

Member

Brigham and Women's Hospital: Radiation Oncologist: Employee

None

None

None

Paul Harari

Ex Officio

University of Wisconsin: Professor and Chairman: Employee

None

None

None

Page 3: 2016 Annual Meeting Planner Disclosure of Relationships

2016 Annual Meeting Disclosure of Relationships Annual Meeting Education Committee

Name Role 01: Employment Relationship (Self, Spouse, Family Member, Other Employment)

0.2 Compensation/ Remuneration/ Funding (Research Grant, Research Funding, Honoraria, Consultant, Speakers Bureau, Travel Expenses, In-kind Donations, Advisory Board)

03: Ownership or Investment Interests (Stocks, Partnership, Royalty, Patent, Copyright)

0.4: Leadership Position (Outside of ASTRO)

Mekhail Anwar Member Self : University of California, San Francisco : Assistant Professor : Employee

None None None

Bulent Aydogan Member Self : University of Chicago : Associate Professor : Employee

Self : Varian Medical Systems Inc : Research Funding

None None

Beth Beadle Member Self : UT MD Anderson Cancer Center : Assistant Professor : Employee

Self : NIH : Co-PI on R01 grant : Research Funding

None Self : American Radium Society : Member-At-Large

Lindsay Burt Member Self : University of Utah : Resident Physician : Employee

None None Self : Association of Residents in Radiation Oncology : ARRO executive committee member

Oren Cahlon Member Self : Procure : Medical Director : Other

None Self : Procure Self : Procure : Medical Director

Aileen Chen Member Self : Dana-Farber Cancer Institute : : Employee

None None None

Josephine Chen Member Self : University of California San Francisco : Assistant Professor : Employee

Self : Siemens Medical Solutions: Research Funding

None None

Junzo Chino Member Self : Duke University Cancer Center : Assistant Professor : Partner

None Self : NanoScint None

Brian Czito Chairman Self : Duke University : Associate Professor : Employee

Self : Abbvie : Research Funding None None

Robert Den Member Self : Sidney Kimmel Medical College at Thomas Jefferson : Assistant Professor of Radiation Oncology and Cancer Biology : Employee

Self : GenomeDx : Research Funding None None

Jun Deng Member Self : Yale University : Associate Professor : Employee

None None Self : Physics in Medicine and Biology : Board member Self : Open Journal of Clinical Diagnostics Self : American Journal of Cancer Therapy and Pharmacology : Advisory Editorial Board Member Self : International Journal of Medical Physics : Editorial Board Member Self : Journal of Cancer Science & Research : Editorial Board Member

Self : Scholarena Journal of Cancer Science : Editorial Board Member Self : Austin Journal of Radiology : Editorial Board Member Self : Journal of Cancer Prevention and Current Research : Editorial Board Member Self : Computational and Mathematical Methods in Medicine : Editorial Board Member Self : The Scientific World Journal : Editorial Board Member Self : British Journal of Medicine and Medical Research :

Page 4: 2016 Annual Meeting Planner Disclosure of Relationships

Editorial Board Member Self : Austin Journal of Radiation Oncology & Cancer : Editorial Board Member Self : International Journal of Radiology : Editorial Board Member Self : Journal of Cancer Sciences : Editorial Board Member

Martina Descovich Member Self : University of California San Francisco : Associate Professor : Employee

Self : Accuray Inc., Sunnyvale CA : Honoraria, Research Funding, Consultant,

None Self : University of California San Francisco : Interim Co-Director, Physics Division

Thomas Dilling Member Self : Moffitt Cancer Center : Associate Member, Radiation Oncology : Employee

None None Self : NCCN : Panel Member, Lung Cancer Committee

Lorraine Drapek Member Self : Massachusetts General Hospital : Nurse Practitioner - GI Radiation Oncology : Employee

None None None

Beth Erickson

Member Self : Medical College of Wisconsin : MD Professor of Radiation Oncology : Employee; Family Member : ProHealth Care, Waukesha, WI : MD : Employee

None None Self : American Brachytherapy Society : Co- chair : Relationship ended 06-01-2015 ;Self : American Brachytherapy Society : Steering committee

Silvia Chiara Formenti Member Self: Weill Cornell Medical College: Professor : Employee

Self: Regeneron Pharmaceuticals: Honoraria, Consultant Self: Janssen Pharmaceutials (J&J) : Research Funding

None Self: Weill Cornell Medical College: Chairman: Employee

Alexander Gottschalk Member Self : University of California : Professor : Employee

None None None

Robert Griffin Member Self : University of Arkansas for Medical Sciences : Associate Professor : Employee

None None Self : Society for Thermal Medicine : Past President

Self : American College of Cryosurgery : Board Member

B. Ashleigh Guadagnolo Member Self : MD Anderson Cancer Center : Associate Professor : Employee

None None None

Nikki Guinther Member Self : Ohio State University : Nurse Practioner : Employee

None None None

Chul Ha Member Self : The University of Texas Health Science Ctr at SA : Professor & Chairman : Employee

None None Self : KASTRO : Board Member

Daniel Hamstra Member Self : Texas Oncology : Physician : Employee

None None None

Jona Hattangadi Member Self : University of California San Diego Health Systems : Assistant Professor : Employee

None None None

Alice Ho Member Self : Memorial Sloan Kettering Cancer Center : Radiation Oncologist : Employee

None None None

David Hodgson Member Self : University Health Network : Physician : Employee

None None Self : Children's Oncology Group : Vice-chair, Hodgkin Lymphoma Committee

Page 5: 2016 Annual Meeting Planner Disclosure of Relationships

Self : Cancer Care Ontario : Co-chair, Proton Advisory Committee

Janet Horton Member Self : Duke University Medical Center : Associate Professor : Employee

Self : NIH, Susan G. Komen for the Cure, Varian Medical Systems Inc, Gateway for Cancer Research : Research Funding

None Self : New Life After Cancer : Board Member

Candice Johnstone Member Self : Medical College of Wisconsin : Associate Professor : Employee; Family Member :Medical College of Wisconsin : Professor : Employee

None None None

Matthew Katz Member Self : Radiation Oncology Associates, PA : Partner : Partner

None None Self : ASCO : Social Media Working Group

Atif Khan Member Self : Rutgers Cancer Institute of New Jersey : Associate Professor

: Employee

Self : Elekta : Partial support of clinical trial : Research Funding, Consultant

None None

Ana Kiess Member Self : Johns Hopkins University : Assistant Professor of Radiation Oncology : Employee

None None None

Bridget Koontz Member Family Member : Duke University Medical Center : Assistant Professor : Employee

Self : Duke Cancer Institute : Associate Professor : Employee

Self : Janssen Services LLC : Funding of Investigator-Initiated Study : Research Funding Self: ASTRO: Advisory Board

Self : UpToDate Self : ASTRO : Committee Chair/Member

Self : IHE-RO : Committee Co-chair

Shlomo Koyfman Member Self : Cleveland Clinic : Associate Professor of Medicine : Employee

None None None

Sunil Krishnan Member Self : MD Anderson Cancer Center : Associate Professor : Employee

Self : NIH : R21, R01, U01, KL2, DoD, Celgene : Research Funding

Self : Taylor and Francis Group

Self : RTOG : Vice-chair, GI translational research program

Lynn Leandro Member Self :Emory Radiation Oncology : Nurse Practitioner : Employee

Self : Lynn Leandro : Nurse Practitioner : Other

None None None

Alexander Louie Member Self : London Health Sciences Center : Radiation Oncologist : Employee

None None None

Shannon MacDonald Member Self : Massachusetts General Hospital : Employee

None None None

Harvey Mamon Member Self : Brigham and Women's Hospital : Radiation Oncologist : Employee

None None None

Karen Marcus Member Self : Brigham and Women's Hospital : Associate Professor : Employee

None None Self : PDQ : Editorial Board Member

Brian Marples Member Self : Beaumont Health Systems : Radiobiologist : Employee

Self: ASTRO : Honoraria, Advisory Board None None

Page 6: 2016 Annual Meeting Planner Disclosure of Relationships

Family Member : Karmanos Cancer Institute : Executive Director Clinical Trials : Employee

Martha Matuszak Member Self : University of Michigan : Assistant Professor : Employee

Family Member : William Beaumont Hospital : Orthopaedic Surgeon : Employee

None None None

Charles Mayo Member Self : University of Michigan : Associate Professor : Employee

Self : Varian Medical Systems : Research Funding

None Self : AAPM : Chair TG-263 Radiation Oncology Nomenclature

Susan McCloskey Member Self : UCLA : Assistant Professor : Employee

None None None

Jeffrey Meyer Member Self : UT Southwestern Medical Center : Physician : Employee

Self : Texas Radiological Society, Osler Institute, UpToDate, Inc. : Honoraria Self : Peregrine Pharmaceuticals, Inc. : Research Funding Self : Osler Institute, Advisory Board

None None

Arno Mundt Member Self : Univ of Calif San Diego Dept of Radiation Medicine : Professor and Chair : Employee

Self : American College of Radiation Oncology (ACRO), Up to Date: Honoraria

None Self : American College of Radiation Oncology (ACRO) : Member of Executive Committee/Board of Chancellors

Catherine Park Immediate Past Chairman

Self : UCSF : Professor and Chair : Employee

Self : NIH : Research Funding Self : Oncosynergy, Ltd: Advisory Board

Self : Oncosynergy Self : UCSF Radiation Oncology : Department Chair

George Rodrigues Vice-chair None None Self : George Rodrigues Medicine Professional Corporation

Self : Demos Medical Publishing

Self : Canadian Association of Radiation Oncologists : Ontario Director, CARO Board of Directors

Andrew Sharabi Member Self: University of California at San Diego: Employee

None None None

Tracy Sherertz Member Self : UCSF : Assistant Professor : Employee

None None None

Sotirios Stathakis Member Self : University of Texas Hlth Sc Ctr at San Antonio : Associate professor : Employee

None None None

Ranjan Sur Member None None None None

Crystal Swalwell Member Self : The James Cancer Hospital : ANM : Employee

None None None

Daniel Trifiletti Member Self : University of Virginia : Resident : Employee

Self : Western State Hospital : Physician : Employee

None None Self : ARRO : Member

Christina Irene Tsien Member Self : Washington University at St. Louis : Professor : Employee

None None None

Michelle Wallace Member Self : Beaumont Health System : Nurse Clinician : Employee

None None Self : ASTRO : Chair

Page 7: 2016 Annual Meeting Planner Disclosure of Relationships

Self : Metro Detroit Oncology Nursing Society : Director at Large for Leadership Development

Matthew Witek Member Self : University of Wisconsin : Assistant Professor : Employee

None None None

William Woods Member Self : University of MS Medical Center : Faculty Instructor Nurse Practitioner : Employee

None None None

Min Yao Member Self : University Hospitals Case Medical Center : Professor : Employee

None None None

Michael Yu Member Self: Moffitt Cancer Center : Associate Member : Employee

None None None

James Yu Member Self : Yale School of Medicine : Assistant Professor : Employee

None None None

Jennifer Yu Member Self : Cleveland Clinic : Associate Staff : Employee

None None None

Page 8: 2016 Annual Meeting Planner Disclosure of Relationships

2016 Annual Meeting Disclosure of Relationships Annual Meeting Scientific Committee

Name Role 01: Employment Relationship (Self, Spouse, Family Member, Other Employment)

0.2 Compensation/ Remuneration/ Funding (Research Grant, Research

Funding, Honoraria, Consultant, Speakers Bureau, Travel Expenses, In-kind Donations, Advisory Board)

03: Ownership or Investment Interests (Stocks, Partnership, Royalty, Patent, Copyright)

0.4: Leadership Position (Outside of ASTRO)

Kevin Albuquerque Member Self : UTSW : Associate Professor : Employee

Self : ACR : Honoraria None None

Jonathan Ashman Member Self: Mayo Clinic Arizona None None None

Richard Bakst Member Self: Mount Sinai School of Medicine

None None None

Elizabeth Baldini Member Self : Brigham and Women's Hospital : Radiation Oncologist : Employee

None None None

Michael Bassetti Member Self : University of Wisconsin Medical Foundation : Assistant Professor : Employee

None Self : Seattle genetics None

Beth Beadle Member Self : UT MD Anderson Cancer Center : Assistant Professor : Employee

Self : NIH : Co-PI on R01 grant: Research Funding

None Self : American Radium Society : Member-At-Large

Justin Bekelman Member Self : University of Pennsylvania Department of Radiology : Associate Professor : Employee

None None Self : National Radiation Oncology Registry : Member, Executive Committee, Co-chair, Pilot : Relationship ended 06-30-2015

Jennifer Bellon Member Self : Brigham and Women's Hospital : Hospital : Employee

None None Self : IJROBP : Associate Senior Editor

Self : ABR : Breast Cancer Oral Boards Chair

Lawrence Berk Member Self : University of South Florida School of Medicine : Professor : Employee

None None None

Ramesh Bilimagga Member Self : Health Care Global Enterprises INDIA : Medical Director : Employee

Self : Health Care Global Enterprises Limited, INDIA: Honoraria

Self : Health Care Global Enterprises INDIA

Self : AROI : Past President

A. Bapsi Chakravarthy Member Self: Vanderbilt University Self : Bayer-Onyx : Research Funding None Self : ECOG-ACRIN : Chair, Radiation Oncology Committee

Deborah Citrin Member Self : National Institutes of Health : Investigator : Employee

Family Member : US Army : Physician : Employee

Self : National Institutes of Health : Research Funding

None None

Bouthaina Dabaja Member Self: MD Anderson Cancer Center None None None

Shari Damast Member Self : Yale University School of Medicine : Assistant Professor : Employee

None None None

Alicia DeCaria Member Self : Beaumont Health System : Administrative Manager : Employee

None None None

Jun Deng Member Self : Yale University : Associate Professor : Employee

None None Self : Physics in Medicine and Biology : Board member

Page 9: 2016 Annual Meeting Planner Disclosure of Relationships

Self : Open Journal of Clinical Diagnostics : Editorial Board Member

Self : American Journal of Cancer Therapy and Pharmacolog : Advisory Editorial Board Member

Self : International Journal of Medical Physics : Editorial Board Member

Self : Journal of Cancer Science & Research : Editorial Board Member

Self : Scholarena Journal of Cancer Science : Editorial Board Member

Self : Austin Journal of Radiology : Editorial Board Member

Self : Journal of Cancer Prevention and Current Research : Editorial Board Member

Self : Computational and Mathematical Methods in Medicine : Editorial Board Member

Self : The Scientific World Journal : Editorial Board Member

Self : British Journal of Medicine and Medical Research : Editorial Board Member

Self : Austin Journal of Radiation Oncology & Cancer : Editorial Board Member

Self : International Journal of Radiology : Editorial Board Member

Self : Journal of Cancer Sciences : Editorial Board Member

Lei Dong Member Self : Scripps Proton Therapy Center : Director, Chief of Medical Physics : Employee

None Self : Varian Medical System None

Lorraine Drapek Member Self : Massachusetts General Hospital : Nurse Practitioner - GI Radiation Oncology : Employee

None None None

Jason Efstathiou Member Self : Massachusetts General Hospital : Director : Employee

None None Self : NRG Oncology : Co-chair, Member

Page 10: 2016 Annual Meeting Planner Disclosure of Relationships

Self : NCI : Co-chair

Self : Massachusetts Prostate Cancer Coalition : Board of Directors

Self : ASTRO : GU Track Chair

Suzanne Evans Member Self : Yale University : Assistant Professor : Employee

Self : American Cancer Society : Research Funding

None None

Michelle Fay Member Self : Ackerman Cancer Center : RN : Employee

None None None

Felix Feng Member Self : University of Michigan : Assistant Professor : Employee

Self : GenomeDx : Research Funding, Honoraria

Self : Myriad : Research Funding

Self : Medivation

Self : Astellas

None Self : Radiation Therapy Oncology Group : Liaison, GU Translational Research Program

Self : PFS Genomics : President and Founder

Eric Ford Member Self : University of Washington Medical Center : Associate Professor : Employee

None None Self : AAPM : Vice-chair: Work Group on Prevention of Errors, Vice-chair: Quality Assurance Subcommittee

David Kassler Gaffney Member Self : University of Utah : : Employee

Self : NCI : Consultant or Advisory Board

None Self : NCI : Co-chair

Lia Halasz Member Self : University of Washington physicians : Assistant Professor : Employee

None None None

Michele Yvette Halyard Member Self : Mayo Clinic : Associate Prof of Radiation Oncology : Employee

None None Self : Mayo Clinic College of Medicine : VIce Dean Mayo Medical School-Arizona Campus

Alice Ho Member Self : Memorial Sloan Kettering Cancer Center : Radiation Oncologist : Employee

None None None

Salma Jabbour Member Self: Rutgers Cancer Institute of New Jersey

None None None

Lisa Kachnic Vice- chairman

Self : MGHPO, BU : Radiation Oncologist : Employee

Self : NCI NCORP : Research Grant

Self : SWOG : Research Funding

Self: Best Doctors

None Self : ABR : Trustee

Randall Kimple Member Self : University of Wisconsin : Assistant Professor : Employee

Family Member : University of Wisconsin : Assistant Professor : Employee

None None None

Jonathan Knisely Member Self : North Shore-LIJ Health System : Associate Professor : Employee

None None None

Page 11: 2016 Annual Meeting Planner Disclosure of Relationships

Alexander Louie Member Self : London Health Sciences Center : Radiation Oncologist : Employee

None None None

Stephen Thomas Lutz Member Self : Eastern Woods Radiation Oncology : President : Partner

None None None

Anand Mahadevan Member Self : Harvard Medical Faculty Physicians : MD : Employee

Family Member : Harvard MEdical Faculty Physicians : MD : Employee

Self : Accuray Inc : Honoraria None Self : The Radiosurgery Sociey : Chairman of the Board of Directors

George Mikhaeel Member Self: Clinical Oncologist Guy's and St. Thomas Hospital

None None None

Drew Moghanaki Member Self : Hunter Holmes McGuire Veterans Medical Center : Staff Physician : Employee

Self : Virginia Commonwealth University : Associate Professor : Employee

None None Self : Hunter Holmes McGuire VA Medical Center - RadOnc : Director of Clinical Research

Zachary Morris Member Self : University of Wisconsin Hospitals and Clinics : Resident Physician : Employee

None None Self : ARRO : Executive Committee Member

Benjamin Movsas Chairman Self : Henry Ford Health System : Chairman, Dept of Radiation Oncology : Employee

Self : Varian Medical Systems, Inc : Research Funding

Self : Philips, Inc : Research Funding

Self : NCI : Research Funding

Self : Henry Ford Health System Self : Radiation Therapy Oncology Group/NRG : Chair, Quality of Life Subcommittee

Ashwatha Narayana Member Self: Greenwich Hospital None None

Harald Paganetti Member Self : Massachusetts General Hospital : Academic Hospital : Employee

Self : National Cancer Institute : Research Grant, Honoraria, Consultant

None None

Diane Paolilli Member Self : Memorial Sloan Kettering Cancer Center : Nurse Leader : Employee

None None None

Andreas Rimner Member Self : Memorial Sloan-Kettering Cancer Center : Assistant Attending : Employee

Self : Varian Medical Systems : Research Funding

Self : Boehringer Ingelheim : Research Funding

Self : Bristol Myers-Squibb : Relationship ended 05-14-2014: Honoraria

None None

Farzan Siddiqui Member Self : Henry Ford Health System : Senior Staff Physician : Employee

Self : Wayne State University : Relationship ended 05-08-2015: Honoraria

Self : Varian Medical System Inc : Relationship ended 06-08-2015 : Honoraria

None Self : Department of Radiation Oncology, Henry Ford Hosp : Vice-Chairman or Operations

Self : Medical Dosimetry Certification Board : ASTRO Representative

Page 12: 2016 Annual Meeting Planner Disclosure of Relationships

Self : American College of Radiology : Panel member

Self : ASTRO : Chair

Ben Slotman Member Self : VU University Medical Center : Professor and Chair of Radiation Oncology : Employee

Self : Varian Medical Systems Inc : Research Funding, Honoraria

None Self : American Radium Society : Secretary

Self : International Stereotactic Radiosurgery Society : Board Member

Daniel Trifiletti Member Self : University of Virginia : Resident : Employee

Self : Western State Hospital : Physician : Employee

None None Self : ARRO : Member

Minh Tam Truong Member Self: Boston Medical Center None None Self : National Cancer Institute : Board Member

Johanna Vanarsdall Staff Liaison

Self : ASTRO : Sr. Education Program Manager : Employee

None None None

Akila Viswanathan Member Self : Brigham and Women's Hospital : Chief, Gynecologic Radiation Oncology : Employee

None None Self : American Brachytherapy Society : Multiple leadership roles

Michelle Wallace Member Self : Beaumont Health System : Nurse Clinician : Employee

None None Self : ASTRO : Chair

Self : Metro Detroit Oncology Nursing Society : Director at Large for Leadership Development

Stephanie Weiss Member Self: Fox Chase Cancer Center None None Self : RSNA : Scientific Session Committee

Maria Werner-Wasik Member Self : Thomas Jefferson University : Professor : Employee

Self : ELEKTA Oncology Self : Illumina Self : NRG Oncology : Co-Chair, NRG Oncology Publications Committee

Page 13: 2016 Annual Meeting Planner Disclosure of Relationships

2016 Annual Meeting Disclosure of Relationships

Council Chairs Name Role 01: Employment Relationship

(Self, Spouse, Family Member, Other Employment)

02 Compensation/ Remuneration/ Funding (Research Grant, Research Funding, Honoraria, Consultant, Speakers Bureau, Travel Expenses, In- kind Donations, Advisory Board)

03: Ownership or Investment Interests

(Stocks, Partnership, Royalty, Patent, Copyright)

04: Leadership Position (Outside of ASTRO)

Stephen Hahn

Edu Council Vice-chair

Self: MD Anderson Cancer Center : Division Head, Radiation Oncology : Employee

Self: University of California Irvine : Advisory Board Self: AACR : Honoraria Self: Academic Institutions : Honoraria Self: ASTRO - Chicago Thoracic Meeting : Honoraria Self: UMDNJ Cancer Center : Honoraria

Self: NIH/Mitos Inc : Royalty Self: Liquid Biotech : Partnership, Patent License Fee Copyright

Self: American Board of Radiology : Trustee Self: AACR/FECS : Course Director

Self: ASTRO Board of Directors : VC Educational Council

Geraldine Jacobson

Member

Self: West Virginia University : Chair, RO Dept : Employee

None

None

Self: HVO health Volunteers Overseas : Oncology Steering Committee member

Sonja Dieterich

Member

Self: UC Davis: Associate Professor: Employee

Self: Mira Dx: Advisory Board

Self: Mira Dx: Stock, Royalty, Patent License Fees Copyright

Family Member: Mira Dx: Board Member

Theodore DeWeese

Member

Self: Johns Hopkins University: Professor and Chair: Employee

None

None

None

Thomas Eichler

Member

Self: Thomas Johns Cancer Hospital

None

Self: Virginia Radiation Oncology Associates : President : Partnership

None

James Hayman

Member

Self: University of Michigan: Professor: Employee

Self: Blue Cross Blue Shield of Michigan : Research Funding

None

Self: ASTRO: Vice-chair, Clinical Affairs and Quality Council

Michael Kuettel

Member

Self: Roswell Park Cancer Center: Professor and Chair: Employee

None None Self: NCCN: NCCN BOD

Sameer Keole

Member

None

Self: Mayo Clinic : Consultant

None

None

Daniel Low

Member

Self: Vice- chair and Director of Medical Physics : Employee

Self: ViewRay Inc : Scientific Advisory Board Member : Consultant Self: Varian Medican Systems Inc : Research Funding

None

Self: ViewRay Inc

Joanne Weidhaas

Member

Self: UCLA Radiation Oncology

Self: Mira Dx: Advisory Board

Self: Mira Dx: Stock, Royalty, Patent License Fees Copyright

Family Member: Mira Dx: Board Member

Lawrence Marks Member Self: University North Carolina: Professor, Physician: Employee

None None None