• Breast Health

  • Topic outline

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    By Sheldahl (Own work) [CC BY-SA 4.0 (https://creativecommons.org/licenses/by-sa/4.0)], via Wikimedia Commons

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    This introductory course in Breast Health is intended for medical students, residents, practicing physicians, nursing students and practitioners, and other graduate level health professionals in training and practice who are interested in breast health. The training provides foundational theoretical and practical knowledge and skills such as techniques on how to provide effective counseling regarding breast health. All components of this training (like all NextGenU.org pieces of training) are free, including registration, learning, testing, and a certificate of completion.

    There are 7 modules to complete, providing a basic introduction to the anatomy and physiology of the breast, benign disorders of the breast, routine screening approaches to selected diseases of the breast, epidemiology and risk assessment of breast cancer, basic mechanisms of genetic inheritance of breast cancer, and diagnosis of invasive carcinoma of the breast.

    At the end of each module, there is a practice quiz, and at the end of the course, you’ll have a final exam, and a chance to assess the training. We will give you all the results of your assessments. We can report your testing information and share your work with anyone (your school, employer, etc.) that you request. We hope this is a wonderful learning experience for you, and the assessment that you provide at the course’s conclusion will help us improve the training for future students.

    Select the “Next” button to begin Module 1: Anatomy of the Breast

    This course is co-sponsored by the University of Florida through the affiliation of the course creator, Maryam Sattari, MD, MS, Associate Professor of Medicine, Division of General Internal Medicine. Like all NextGenU courses, this course is competency-based and uses adapted Breast Health competencies outlined in Educational Objectives: Core Curriculum in Obstetrics and Gynecology, 10th Edition (designed by affiliates of the Education Committee of the Council on Resident Education in Obstetrics and Gynecology (CREOG)). It also uses resources from world-class organizations such as Johns Hopkins Medicine, the National Cancer Institute and the U.S. Preventive Task Force.  The course was developed by Maryam Sattari, MD, MS with advice from Erica Frank, MD, MPH and several faculty members of the University of Florida.

    The course creator, Maryam Sattari, MD chose the CREOG (Council on Resident Education in Obstetrics and Gynecology) competencies applicable to the topic of breast health for this course. The CREOG competencies were developed as a guideline to curriculum development for a comprehensive residency program in obstetrics and gynecology.  Since this course is intended to be useful for learners of different levels (e.g. students and residents) and various specialties (e.g. family medicine, internal medicine, and obstetrics and gynecology), Dr. Sattari chose to include only those competencies that would be pertinent to the diverse audience mentioned above. Please don’t hesitate to contact NextGenU.org should you have any further questions or concerns about this topic.

  • Module 1: Anatomy of the Breast

    anatomy of breast labeled

    Competency covered in this module: 

    • Basic Science/Mechanisms of Disease: Anatomy

    This module will act as a foundation for the rest of the course, providing you with an understanding of the gross and histologic anatomy of the breast.

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  • Lesson 1: Anatomy of the Breast

    Learning Objective:

    Upon completion of this module, students should be able to:

    • Describe the gross and histologic anatomy of the breast.
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  • Module 2: Physiology of the Breast

    Competency covered in this module:Breast - National Cancer Institute Public Domain 

    • Basic Science/Mechanisms of Disease: Physiology

    This module will act as foundation for the rest of the course, providing you with an understanding of the physiology of the breast.

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  • Lesson 1: Physiology of the Breast

    Learning Objectives:

    Upon completion of this module, students should be able to:

    • Describe the major physiologic changes that occur to the breast during pregnancy.
    • Describe the physiologic changes that occur at time of puberty and menopause.
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  • Module 3: Benign Disorders of the Breast

    Competency covered in this module: Breast and Lymph Nodes - National Cancer Institute, Public Domain

    • Benign Disorders of the Breast

    After reading the resources and participating in the activities in this module, you will become familiar with the presentation of benign breast disorders, their work-up, treatment, and management.

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  • Lesson 1: Benign Disorders of the Breast

    Learning Objectives:

    Upon completion of this module, students should be able to:

    • Describe the clinical history and the principal pathophysiologic conditions that affect the breast such as the following:  (a) Breast mass, (b) Nipple discharge, (c) Pain, (d) Infection (mastitis), (e) Asymmetry, (f) Excessive size, and (g) Underdevelopment.
    • Perform a focussed physical examination to evaluate for an abnormality of the breast.
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  • Module 4: Routine Screening for Selected Diseases of the Breast

    mammogram attr Rhoda Baer

    Competency covered in this module: 

    • Routine Screening for Selected Diseases

    This module will provide an overview of the screening and management of selected diseases of the breast such as Mastitis, Galactorrhea, Mastodynia, and Breast Masses.

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  • Lesson 1: Routine Screening for Selected Diseases of the Breast

    Learning Objective:

    Upon completion of this module, students should be able to:

    • Evaluate and manage breast disorders such as the following: (1) Mastitis, (2) Galactorrhea, (3) Mastodynia, and (4) Breast Masses.
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  • Module 5: Epidemiology and Risk Assessment for Breast Cancer

    African American female doc with female patient

    Competency covered in this module: 

    • Epidemiology and Risk Assessment for Breast Cancer

    This module will provide you with an overview of the epidemiology of breast cancer as well as the evaluation and effective counseling of patients with a risk for breast cancer.

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  • Lesson 1: Epidemiology and Risk Assessment for Breast Cancer

    Learning Objectives:

    Upon completion of this module, students should be able to:

    • Evaluate a patient's personal and family history of breast cancer, including the risk associated with BRCA1 and BRCA2.
    • Evaluate other epidemiologic factors to assess a woman's risk of developing breast cancer, such as the following:  (a) Patient age, (b) Parity, (c) Ethnicity, (d) Lactation, (e) Hormone replacement, and (f) Alcohol consumption.
    • Counsel patients regarding breast cancer prevention strategies.
    • Counsel patients regarding the use of screening methods, such as mammography.
    • Refer patients appropriately for genetic counseling and testing.
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  • Module 6: Basic Mechanisms of Genetic Inheritance

    Competency covered in this module: Classic BRCA1 Pedigree

    • Basic Mechanisms of Genetic Inheritance

    In this module, you will learn about common inheritance patterns of breast cancer and indications for screening for certain genes related to breast cancer.

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  • Lesson 1: Basic Mechanisms of Genetic Inheritance

    Learning Objectives:BRCA2 Pedigree

    Upon completion of this module, students should be able to:

    • Describe the inheritance patterns for malignancies of the breast.
    • Describe the current indications for screening for BRCA1 and BRCA2.
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  • Module 7: Diagnosis of Invasive Carcinoma of the Breast

    Competency covered in this module: Invasive carcinoma of the breast

    • Diagnosis of Invasive Carcinoma of the Breast

    This module will provide you with an overview of diagnostic methods to detect an invasive carcinoma of the breast.

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  • Lesson 1: Diagnosis of Invasive Carcinoma of the Breast

    Learning Objectives:Needle Biopsy of the Breast - National Cancer Institute, Public Domain

    Upon completion of this module, students should be able to:

    • Explain to the patient the appropriate diagnostic tests for evaluating a suspicious breast lesion.
    • Describe the indications for other diagnostic studies, such as the following:  (a) Mammography, (b) Ultrasonography, (c) Magnetic resonance imaging, (d) Core-needle biopsy, and (e) Excisional biopsy.
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