Master your breast cancer screening spiel, cultivate your approach to the breast mass, and empower your patients with empathetic shared decision-making (which we know you’re all already fabulous at)! On this fantastic episode, we are joined by Dr. Nancy Keating @NancyKeatingMD, policy wonk and primary care doc extraordinaire at Brigham and Women’s Hospital. This episode is rife with drama, as the ACS butts heads with the USPTF and the ACR, and you have to figure out what’s right for the patient by talking with them--almost as exciting as that moment on Grey’s when Izzie cuts the...anyway, I won’t ruin a key plot point in the most excellent medical show of all time, all in a day’s work, here at The Curbsiders. Enjoy!

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

Credits

Producer and Writer: Nora Taranto MD
Show Notes: Nora Taranto MD, Isabel Valdez PA
Infographic: Nora Taranto MD
Cover Art: Kate Grant, MD
Hosts: Stuart Brigham MD, FACP; Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Reviewer: Arielle Medford MD
Guest: Nancy Keating MD, MPH

Sponsors Provider Solutions & Development

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.

Time Stamps

Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
Sponsor - VCU Health Continuing Education
00:30 Intro & Guest Bio
03:27 Guest one-liner
05:27 Best Advice for Women in Medicine
07:34 Picks of the Week
Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
10:00 Case 1: Brenda Cantwell and Breast Lump DDx
13:39 Clinical Breast Exam vs Self Breast Exam
17:26 Practical Tips for the Clinical Breast Exam
21:50 Imaging to Evaluate the Breast Lump
26:36 Demystifying BIRADS
28:36 Epidemiology Potpourri
33:02 Breast Pain without a Mass
34:30 Case 2: Mammie Gram and Breast Screening
46:03 Average Risk vs High Risk Screening
47:18 Breast Risk Prediction Tools
48:51 Breast Density
53:16 Imaging Modalities
61:28 Shared Decision Making in Screening
68:04 Case 3: Ms Britta Lumpworth and When to Stop Screening Mammograms
74:42 Take Home Points and Outro
Sponsor - VCU Health Continuing Education

Links*

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Goal

Listeners will learn how to evaluate a breast lump in the primary care clinic, what the guidelines recommend for asymptomatic breast cancer screening, and how to engage a patient in shared-decision making given the data available on mammograms.

Learning objectives

After listening to this episode listeners will…

Triage and evaluate the Breast Lump
Perform breast cancer risk assessment
Recall the Guideline Recommendations for Breast Cancer Screening and how they vary
Engage patients in conversation about b...

#234 The Breast Lump, and Breast Cancer Screening with Nancy Keating MD, MPH

The Curbsiders Internal Medicine Podcast