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Class of 2017
Session Information


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Session Title:
SURG: Breast Lump
Description:
Keywords:
Learning Objectives
Blueprint ID Learning Objectives
1081 Develop a differential diagnosis for a 20-year-old patient with breast mass and for a 45-year-old patient with breast mass. Consider benign vs. malignant and abscess.
1082 Describe the diagnostic work-up and sequence. (a) Discuss importance of the patient’s history—estimated duration of illness, nipple discharge, breast cancer risk factor assessment. (b) Identify physical findings to look for. (c) Discuss in-office procedures for evaluation and treatment (FNAC, needle aspiration, incision and drainage, core needle biopsy) and their diagnostic/therapeutic implications. (d) Discuss the importance of breast imaging studies such as ultrasound and mammography.
1083 Discuss the diagnosis and management of the patient with an abnormal mammogram (consider microcalcifications).
1084 Explain the rationale for management with specific emphasis on the following: (a) clinical staging of breast cancer (b) various possible malignant, pre-malignant, and benign pathology results (including hormonal receptor analysis and tumour DNA analysis) (c) follow-up for a patient with a benign lesion (alterations in lifestyle, imaging studies, cancer risk) (d) role of incision and drainage and antibiotics in breast abscess treatment(e) current recommendations for screening mammography (f) therapeutic options for the patient with breast cancer (g) role of surgery/when to consult a surgeon for further diagnosis and treatment
1085 Obtain a focused history and physical examination related to breast problems, including palpation of lymph node regions.
1086 Identify location and character of nipple discharge.
1087 Employ appropriate technique of needle aspiration, both for cyst and cytology.
1088 Employ appropriate technique of incision and drainage.
1089 Stress current recommendations for screening mammography.
1090 Stress importance of self-examination.
1091 Discuss hormone replacement therapy.
1092 Discuss role of genetic screening.

Linked Course Goal(s) to Session
Blueprint ID Course Goals
10387 EPA 1 (AAMC): Gather a history and perform a physical examination
Linked Program Competencies
To This Course Goal:
me-1 me-2 me-6 cm-1 cm-2 ha-1 pr-1
10388 EPA 2 (AAMC): Prioritize a differential diagnosis following a clinical encounter
Linked Program Competencies
To This Course Goal:
me-4 me-6 cm-1 cm-2 cm-6 co-2 ha-1 ha-2 sc-1 sc-2 sc-3 pr-1
10393 EPA 7 (AAMC): Form clinical questions and retrieve evidence to advance patient care
Linked Program Competencies
To This Course Goal:
me-6 cm-3 cm-5 cm-6 ld-2 ld-3 sc-1 sc-2 sc-3 pr-1
10395 EPA 9 (AAMC): Collaborate as a member of an interprofessional team
Linked Program Competencies
To This Course Goal:
me-6 cm-5 co-1 co-2 co-3 co-4 ld-3 ha-1 ha-2 pr-1
10396 EPA 10 (AAMC): Recognize a patient requiring urgent or emergent care and initiate evaluation
Linked Program Competencies
To This Course Goal:
me-1 me-2 me-3 me-4 me-5 me-6 cm-1 cm-2 cm-3 cm-4 cm-5 cm-6 co-1 co-2 co-3 ld-1 ld-2 ld-3 ha-3 sc-1 sc-2 pr-1
10397 EPA 11 (AAMC): Obtain informed consent for tests and/or procedures
Linked Program Competencies
To This Course Goal:
me-3 me-5 me-6 cm-1 cm-3 cm-4 cm-5 ld-2 ld-3 ha-1 ha-3 sc-2 sc-3 pr-1
10398 EPA 12 (AAMC): Perform general procedures of a physician
Linked Program Competencies
To This Course Goal:
me-3 me-5 me-6 cm-1 cm-3 cm-4 cm-5 cm-6 co-1 co-3 ld-2 sc-1 sc-2 pr-1
10399 EPA 13 (AAMC): Identify system failures and contribute to a culture of safety and improvement
Linked Program Competencies
To This Course Goal:
me-6 cm-6 co-1 ld-1 ld-3 ha-3 sc-1 sc-2 sc-3 pr-1
Linked Program Competencies To Course Goal(s)
me-1 Medical Expert
Perform a complete and accurate patient-centred history appropriate to the patient’s presentation.
me-2 Medical Expert
Perform a complete and accurate physical examination appropriate to the patient’s presentation.
me-6 Medical Expert
Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to a clinical problem.
cm-1 Communicator
Develop and maintain appropriate ethical and therapeutic relationships, rapport and trust with patients and their families.
cm-2 Communicator
Collect and synthesize accurate and relevant information, incorporating perspectives from patients and their families, colleagues and other health care professionals.
ha-1 Health Advocate
Identify the important determinants of health, risk factors for illness, interaction between the population and their physical, biological and social environment, and personal attributes.
pr-1 Professional
Demonstrate accountability to patients by applying best practices and adhering to high ethical standards.
me-4 Medical Expert
Develop a differential diagnosis and key clinical problem list following assessment of a patient.
cm-6 Communicator
Discuss effective strategies for communicating with third parties other than health care professionals.
co-2 Collaborator
Demonstrate effective consultation with other health care professionals to provide care for individuals, communities, and populations.
ha-2 Health Advocate
Identify public policies and trends that affect health locally, nationally, and globally, and barriers to access for populations, including persons with disabilities, the underserved and the marginalized.
sc-1 Scholar
Develop a plan for personal continued education.
sc-2 Scholar
Apply the principles of research, critical appraisal and evidence-based medicine to learning and practice.
sc-3 Scholar
Demonstrate facilitation of learning for health care professionals, patients and society as part of the professional responsibility.
cm-3 Communicator
Discuss relevant health care information and management plans with patients and their families.
cm-5 Communicator
Demonstrate effective oral and written communication of information associated with a medical encounter.
ld-2 Leader
Apply evidence and management processes to effectively allocate health care resources.
ld-3 Leader
Describe the roles and responsibilities of physicians and governing bodies in the development and support of the health care system.
co-1 Collaborator
Demonstrate effective collaboration skills within the health care system.
co-3 Collaborator
Demonstrate respect for health care team members without bias (e.g., bias related to gender, ethnicity, cultural background or health care role).
co-4 Collaborator
Demonstrate effective strategies to promote understanding, manage differences and resolve conflicts through negotiation and collaboration.
me-3 Medical Expert
Formulate an initial plan of appropriate diagnostic and therapeutic procedures relevant to the patient’s presentation.
me-5 Medical Expert
Develop a management plan for key clinical problems following assessment of a patient.
cm-4 Communicator
Develop a shared plan of care with patients, their families, and other health care professionals.
ld-1 Leader
Identify strategies to effectively manage practice and career.
ha-3 Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels.

Linked MCC Medical Expert Objectives
(010-1) BREAST MASSES AND ENLARGEMENT
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(010-2) BREAST DISCHARGE
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