Residency Level: PGY 2

Residency Level: PGY 2 Surgical Rotation: Breast Length of Rotation: One Month

Goals and Objectives

Patient care:  Master the development and execution of patient care plans with regard to the evaluation and management of breast pathology: both benign and malignant, including physiology, anatomy and pathophysiology

Technical skill:  Master the knowledge of the evaluation of the breast, including the diagnostic tools of mammography, ultrasound, magnetic resonance imaging, image-guided core biopsy, fine needle aspiration and core biopsy.  Master the manual dexterity appropriate for level of training and safe intra-operative decision making in common breast operations and procedures including but not limited to: aspiration of breast cyst, duct excision, breast biopsy with or without needle localization, lumpectomy, simple mastectomy, axillary dissection, sentinel lymph node biopsy, modified radical mastectomy

Medical knowledge:  Master the knowledge and application of pertinent scientific information in breast diseases and conditions including but not limited to: breast mass, nipple discharge, fibroadenoma, fibrocystic disease, intraductal papilloma, gynecomastia, invasive ductal carcinoma, ductal carcinoma in situ, invasive lobular carcinoma, lobular carcinoma in situ, fat necrosis, mastitis and abscess, galactocoele, Mondor’s disease, inflammatory breast cancer, Paget’s disease of the nipple, cystosarcoma phyllodes, breast cancer during pregnancy and lactation, occult breast cancer with axillary metastasis, male breast cancer, atypical ductal hyperplasia, hereditary breast cancer and radial scar

Practice-based learning and improvement:  Critique personal practice outcomes  Demonstrate recognition of need to stay abreast of new knowledge and practice-based learning Interpersonal and communication skills:  Learn to better counsel and educate patients and families  Demonstrate the ability to communicate effectively and recognize the importance of such communication between other members of the women’s’ health care/ breast team  Effectively document practice activities

Professionalism:  Demonstrate proper documentation of the patient care a commitment to continuity of patient care  Demonstrate sensitivity to age, gender and culture of patients and other health care professionals

Systems-based practice:  Learn to practice high quality, cost effective patient care and demonstrate a knowledge of risk- benefit analysis

SCORE CURRICULUM - CATEGORY 13: BREAST Diseases/Conditions Operations/Procedures BROAD ESSENTIAL − COMMON • Breast mass • Aspiration of breast cyst • Nipple discharge • Duct excision • Fibroadenoma • Breast biopsy with or without needle localization • Fibrocystic disease • Lumpectomy • Intraductal papilloma • Simple mastectomy • Gynecomastia • Axillary dissection • Invasive ductal carcinoma • Sentinel lymph node biopsy • Ductal carcinoma in situ • Modified radical mastectomy • Invasive lobular carcinoma ESSENTIAL − UNCOMMON • Lobular carcinoma in situ • Radical mastectomy • Fat necrosis COMPLEX • Mastitis and abscess • Stereotactic breast biopsy • Galactocoele • Mondor disease • Inflammatory breast cancer • Paget’s disease of the nipple • Cystosarcoma phyllodes •Breast cancer during pregnancy and lactation • Occult breast cancer with axillary metastasis • Male breast cancer • Atypical ductal hyperplasia • Hereditary breast cancer • Radial scar