Pelvic radiotherapy can have lasting impacts on the sexual and reproductive health of adolescent and young adult (AYA) cancer survivors, yet the unique needs of this population remain poorly understood. This presentation will share findings from a mixed-methods study exploring survivors' experiences, unmet supportive care needs, and opportunities to improve survivorship care and clinical practice. By highlighting patient perspectives, the study identifies key gaps in education, supportive resources, and healthcare delivery that can inform more comprehensive, patient-centered survivorship care for AYA cancer survivors.
Kaviya Devaraja is a clinical researcher passionate about improving care and experiences for adolescents and young adults (AYA) living with cancer. Her work focuses on patient-centered research, digital health, and advancing equitable healthcare solutions through collaboration, innovation, and lived experience engagement. She is committed to translating research into meaningful impact for patients, families, and care teams.
Dr. Jennifer Croke (she/her) is a Radiation Oncologist Clinician Investigator at the Radiation Medicine Program at the Princess Margaret Cancer Centre and an Associate Professor in the Department of Radiation Oncology at the University of Toronto. Dr. Croke completed her residency training in Radiation Oncology at the University of Ottawa, followed by a clinical research fellowship at the University of Toronto specializing in Gynecologic Malignancies. In addition to her clinical work, Dr. Croke holds a Master's in Health Professions Education from Maastricht University (2018). Her clinical focus is in managing breast cancers and gynecological malignancies, including performing brachytherapy procedures. She serves as the Breast Site Lead within the Radiation Medicine Program at the Princess Margaret Cancer Centre. As an educator, Dr. Croke is the Director of the Fellowship Program and Director of Equity, Diversity, Inclusion, and Professionalism within the Department of Radiation Oncology at the University of Toronto. Her academic interests include patient education, survivorship, patient-reported outcome and advancing inclusive-patient cancer care.
The presentation will explore how cancer treatments affect pelvic floor function and contribute to sexual dysfunction in survivors. It will highlight opportunities for multidisciplinary collaboration to better integrate sexual health as a core aspect of daily living in survivorship care. It will also examine existing evidence on vaginal dilation after treatment and apply clinical reasoning to inform its use, including considerations for anal dilation in survivorship care.
Sarah holds a Master's of Physiotherapy with Merit (Robert Gordon University, Scotland) and has specialized in pelvic health since 2014. She delivers courses in oncology and the pelvic floor, has presented at national symposia and university seminars, and is a member of the CPA, IUGA, and IPPS. Her clinical passion lies in the physiotherapy management of GI disorders and cancer-related pelvic floor dysfunction.
How to support patients facing irreversible loss of fertility due to cancer treatment. Discussing alternative family-building options and addressing grief, myths and misconceptions.
Erica is a Registered Psychotherapist who specializes in counselling for fertility preservation, infertility and family building using third party fertility options. She has a broad range of experience working with Intended Parents, gestational carriers and sperm and egg donors. Erica is passionate about helping people through the challenges of creating a family and believes in inclusiveness and acceptance. Erica also does therapy for post-partum mental health as well as anxiety, depression, trauma, and relationship counselling.
In Ontario, the Pediatric Oncology Group of Ontario (POGO) is partnering with hospitals and cancer system leaders to advance a coordinated, province-wide approach to care for adolescents and young adults (AYA) with cancer (ages 15-39). With more than 6,200 AYAs receiving care across diverse treatment settings, establishing a shared provincial vision and a path forward is critical to ensuring equitable access to specialized supports. This presentation will highlight Ontario's approach, key progress to date, and next steps in developing a provincial AYA cancer care program.
Victoria Hagens is the Director, Strategy, Programs, and Partnerships at the Pediatric Oncology Group of Ontario (POGO), the advisor to government on childhood cancer care. She works across Ontario's pediatric and adult cancer systems to support provincial programs and partnerships that advance equitable, age appropriate care for children, adolescents, and young adults with cancer, with a strong focus on practical implementation and collaboration with healthcare teams.
Featuring AYA program perspectives from:
- Hamilton Health Sciences
- London Health Sciences Centre
- Princess Margaret Cancer Centre
- Southlake Health
- Sunnybrook Health Sciences Centre
- The Ottawa Hospital
This expert panel will explore emerging scientific explanations for the rising incidence of cancer among young people, including the role of genetic predisposition and evolving environmental and lifestyle factors.
Dr. Anita Villani is a Staff Oncologist within the Solid Tumor Section and co-Director of the Cancer Genetics Program in the Division of Haematology/Oncology at The Hospital for Sick Children, and an Associate Professor in the Department of Paediatrics at the University of Toronto. She received her medical degree at the University of Ottawa and completed both her Paediatric residency training and Haematology/Oncology fellowship at The Hospital for Sick Children in Toronto. She obtained her Master of Science degree in Genetics and Genome Biology through the Clinician Investigator Program and Institute of Medical Science at the University of Toronto. (SickKids)
Dr. Mathieu Lupien is a Senior Scientist at the Princess Margaret Cancer Centre, an Associate Professor at the University of Toronto and holds a cross-appointment with the Ontario Institute for Cancer Research (OICR). He serves on the Senior Advisory Group and the Research Council on Oncology to the Princess Margaret Cancer Centre. His research in chromatin and epigenetics has pioneered the study of the noncoding genome and accelerated the development of chromatin and epigenetic-based precision medicine against cancer.
Dr. Martin is Professor, Sanofi Pasteur Chair in Human Immunology, University of Toronto. His overarching research program is devoted towards understanding the role of genes and their interaction with the environment and immunity in various pathological conditions. Our current research interests can be divided into three main areas, each of which is supported by external research funding: The generation of antibody diversification, the molecular mechanisms of cancer development (i.e. emphasis on colon cancer), and the molecular mechanisms of inflammatory bowel disease and metabolic disease.
This presentation will review the key domains of female sexual function and how to approach evaluation, describe the biological and treatment-related causes of sexual dysfunction in female AYA oncology patients, and outline strategies to manage and address these sexual health concerns.
Dr. Roebotham completed her medical degree and residency in Obstetrics and Gynecology at Western University, followed by fellowship training in Mature Women's Health and Menopause at the University of Toronto. She is a gynecologist at London Health Sciences Centre and an Assistant Professor at Western University. Her clinical practice focuses on menopause and sexual medicine, with a particular interest in loss of ovarian function and changes in sexual health related to cancer and its treatment. She serves as Director of Female Sexual Health at Princess Margaret Hospital and remains actively involved in the Menopause Program at Mount Sinai Hospital in Toronto. Dr. Roebotham is a Fellow of the International Society for the Study of Women's Sexual Health (ISSWSH) and serves on its membership committee.
AYAs with advanced cancer experience a unique form of death-related distress centred on a life they fear will remain unlived. This presentation highlights qualitative findings from Princess Margaret Cancer Centre and examines how tools like the Death and Dying Distress Scale (DADDS) can help clinicians facilitate these difficult conversations.
Dr. Sofia Canales is an internal medicine trained palliative care physician whose work focuses on the unique needs of adolescents and young adults with life-limiting illnesses. She completed her medical degree at Universidad La Salle in Mexico City and her Internal Medicine residency at The American British Cowdray Medical Center, graduating with honours. She subsequently undertook three clinical fellowships at the Princess Margaret Cancer Centre in Toronto: in Palliative Care, Psychosocial Oncology, and Adolescent and Young Adult (AYA) Palliative Care. Dr. Canales is currently completing a Master's degree in Health Professions Education at Queen's University. Her clinical and research interests include the mental health and psychosocial wellbeing of AYAs with serious illness, grief in medical education, and curriculum development in palliative care.
Oliver Fung is a Palliative Care Physician at Princess Margaret Cancer Centre and an Assistant Professor at the University of Toronto. He completed his medical training at the University of Ottawa, Queen's University, and the University of Toronto. He has a strong interest in clinical teaching and education and is currently pursuing a Master of Health Professions Education at Queen's University. He is actively involved in postgraduate medical training, with a particular focus on mentorship and advancing social accountability in medical education, assessment, and clinical practice.
Peggy Moore has worked at Princess Margaret Cancer Centre in palliative care and solid tumour oncology for 5 years. Following careers in business, advertising and high school teaching, Peggy's professional spiritual care work includes 5 years in United Church congregational pastoral care ministry and 11 years in community hospice where she honed her specialty areas including end-of-life, hospice/palliative care, grief/bereavement, mental health, and trauma. Peggy holds a Master of Pastoral Studies from Emmanuel College (2007), a Bachelor of Education from the University of Toronto (1991), and Bachelor of Applied Arts from Ryerson (1983). Peggy is a Registered Psychotherapist with the CRPO since 2015. She enjoys time at the family cottage, walking, reading, swimming, journaling, cut-flower gardening, and her 2 standard poodles.
Dr. Asha Gupta is a full time Palliative Care Physician at Trillium Health Partners. She has worked in the very diverse community of Mississauga for the past 20 years. Her work follows patients throughout each step of their illness journey to ensure their care is kept aligned with their goals, values, and wishes.
Rose-Marie Fraser is a mixed-race Canadian social worker, mother, and caregiver whose work is grounded in both professional expertise and lived experience. Her clinical practice has primarily focused on adults in community, forensic mental health, medical, oncology, and outpatient palliative care settings, while maintaining a strong commitment to family-centred and intergenerational care. Her experience in social policy, practice, social work leadership, and professional regulation provides a unique perspective on how systems shape the lives of those they serve. As a caregiver-researcher with a focus on intersectionality, Rose-Marie explores how identity, culture, and systemic factors influence caregiving experiences across the lifespan. A dedicated advocate for caregivers and mental health, she is particularly interested in how cultural considerations shape care for children, youth, and families navigating serious illness and end-of-life care. She currently serves as Director of the first and only Palliative Social Work Fellowship program and is committed to advancing culturally responsive and inclusive approaches to care. Rose-Marie is on the Board of Directors for the Ontario Caregiver Coalition and was recently recognized with a municipal “Volunteer Champion” award for her work supporting parents, guardians, and caregivers in the education system.
This presentation will include a brief overview of the development and maintenance of insomnia, and its prevalence in populations with cancer diagnosis. CBT-I will be described, including key evidence-based strategies that patients may implement to improve sleep.
Dr. Maich received her clinical psychology degree at Toronto Metropolitan University (formerly Ryerson University), where her main research focus was CBT for insomnia (CBT-I). She completed her doctoral residency at CAMH, where she worked in the Mood and Anxiety Disorders and Psychosis clinics. She has completed rotations at a variety of other clinical settings over the course of her career, including St. Joseph's Healthcare Hamilton, Markham Stouffville Hospital, and St. Michael's Hospital.