Structured clinical breast examination (CBE) training results in objective improvement in CBE skills

John Vetto, John K. Petty, Nancy Dunn, Nancy C. Prouser, Donald F. Austin

    Research output: Contribution to journalArticle

    13 Citations (Scopus)

    Abstract

    Background. A statewide breast cancer care provider needs assessment had identified CBE training as a target educational need. Accordingly, the authors implemented a one-on-one skills-based course for primary care providers (PCPs) across the state. Method. The course had two components: a prerequisite self-study manual, followed by a 1 1/2-hour skills-based practicum. As part of the practicum, pre- and post-course testing were performed on standardized silicone breast models. Results. Pre- and post-testing data were available for 205 PCPs who completed the course. In the pre-test period, 59% of PCPs examined could detect 60-100% of the lumps. In the posttest, that rose to 94% of PCPs detecting 60-100% of the lumps. This improvement reached statistical significance. Further, false-positive lump detection declined in the post-test period to 59% of the pre-test rate (236 to 139). Conclusion. Formal CBE training for PCPs significantly improves the sensitivity of lump detection and concurrently reduces false-positive detection. The program is currently being extended to a greater number of providers across the state.

    Original languageEnglish (US)
    Pages (from-to)124-127
    Number of pages4
    JournalJournal of Cancer Education
    Volume17
    Issue number3
    StatePublished - Sep 2002

    Fingerprint

    Primary Health Care
    Breast
    Needs Assessment
    Silicones
    Breast Neoplasms

    ASJC Scopus subject areas

    • Public Health, Environmental and Occupational Health
    • Oncology

    Cite this

    Structured clinical breast examination (CBE) training results in objective improvement in CBE skills. / Vetto, John; Petty, John K.; Dunn, Nancy; Prouser, Nancy C.; Austin, Donald F.

    In: Journal of Cancer Education, Vol. 17, No. 3, 09.2002, p. 124-127.

    Research output: Contribution to journalArticle

    Vetto, John ; Petty, John K. ; Dunn, Nancy ; Prouser, Nancy C. ; Austin, Donald F. / Structured clinical breast examination (CBE) training results in objective improvement in CBE skills. In: Journal of Cancer Education. 2002 ; Vol. 17, No. 3. pp. 124-127.
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    abstract = "Background. A statewide breast cancer care provider needs assessment had identified CBE training as a target educational need. Accordingly, the authors implemented a one-on-one skills-based course for primary care providers (PCPs) across the state. Method. The course had two components: a prerequisite self-study manual, followed by a 1 1/2-hour skills-based practicum. As part of the practicum, pre- and post-course testing were performed on standardized silicone breast models. Results. Pre- and post-testing data were available for 205 PCPs who completed the course. In the pre-test period, 59{\%} of PCPs examined could detect 60-100{\%} of the lumps. In the posttest, that rose to 94{\%} of PCPs detecting 60-100{\%} of the lumps. This improvement reached statistical significance. Further, false-positive lump detection declined in the post-test period to 59{\%} of the pre-test rate (236 to 139). Conclusion. Formal CBE training for PCPs significantly improves the sensitivity of lump detection and concurrently reduces false-positive detection. The program is currently being extended to a greater number of providers across the state.",
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