Journal article
Effectiveness of a dynamic breast examination training model to improve clinical breast examination (CBE) skills
Cancer detection and prevention, Vol.27(6), pp.451-456
2003
DOI: 10.1016/j.cdp.2003.09.008
PMID: 14642553
Abstract
Despite the potential utility of clinical breast examination (CBE), doctors’ palpation skills are often inadequate and difficult to train. CBE sensitivity ranges from 39–59%, in part because current training does not effectively teach tactile skills. To address CBE training limitations, we developed a breast examination training model with 15 dynamically controlled lumps, set to desired hardness within underlying rib and muscle structures, in a silicone breast. In an experiment of 48 medical students, training with the dynamic model increased lump detection by 1.35 lumps compared to 0.60 lumps for a traditional breast model (
P=0.008), reduced false positives by −0.70 lumps compared to +0.42 lumps (
P=0.0277), and demonstrated skill transfer with a 1.17 lump detection improvement on the traditional device compared to only a 0.17 lump detection improvement by traditional device trainees on the dynamic device (
P<0.001). Findings demonstrate the advantage of the dynamic model over conventional models in training CBE tactile skills.
Details
- Title: Subtitle
- Effectiveness of a dynamic breast examination training model to improve clinical breast examination (CBE) skills
- Creators
- Gregory J Gerling - Department of Industrial Engineering, University of Iowa, Industrial Engineering, 3131 Seamans Center, Iowa City, IA 52242, USAAlicia M Weissman - Family Medicine, University of Iowa, Family Medicine, 01291-A PFP, Iowa City, IA 52242, USAGeb W Thomas - Industrial Engineering, University of Iowa, Industrial Engineering, 2404 Seamans Center, Iowa City, IA 52242, USAEdwin L Dove - Biomedical Engineering, University of Iowa, Biomedical Engineering, 1412 Seamans Center, Iowa City, IA 52242, USA
- Resource Type
- Journal article
- Publication Details
- Cancer detection and prevention, Vol.27(6), pp.451-456
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.cdp.2003.09.008
- PMID
- 14642553
- ISSN
- 0361-090X
- eISSN
- 1873-443X
- Language
- English
- Date published
- 2003
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation; Industrial and Systems Engineering
- Record Identifier
- 9984040481502771
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