Results of an office-based training program in clinical breast examination for primary care physicians.
Results of an office-based training program in clinical breast examination for primary care physicians.
复制标题
初级保健医生临床乳房检查办公室培训计划的结果。
DOI：
10.1080/08858199609528388
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Engstrom,PF
中科院分区：
文献类型：
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作者：
Benincasa,TA;King,ES;Rimer,BK;Bloom,HS;Balshem,A;James,J;Engstrom,PF
背景。本研究假设临床乳房检查 (CBE) 的办公室培训计划将提高初级保健医生的肿块检测技能。方法。采用单组前测-后测设计，没有在指导前、指导后立即和六个月后进行结果测量。来自 117 个诊所的 50 名医生被随机挑选并符合计划资格标准，被选为参加者。干预措施是基于 MammaCare® 方法的一小时办公室 CBE 培训计划，这是一种使用硅胶乳房模型教授检测乳房肿块的标准化方法。结果。硅胶模型中有五个肿块。正确检测肿块的平均数量显着增加，从指导前的 0.66 个增加到指导后的 3.2 个，并且这种增加在六个月的随访中保持不变。假阳性的平均数量从指导前的 2.9 减少到指导后的 1.16，在六个月的随访中略有增加至 1.6。 96% 的医生报告说，他们通过培训修改了 CBE 方法。结论。这种使用学术细节模型的办公室指导提高了参与医生正确检测硅胶乳房模型中肿块的能力，并受到好评。
Background.This study hypothesized that an office‐based training program in clinical breast examination (CBE) would improve the lump‐detection skills of primary care physicians.Methods.A one‐group pretest—posttest design was utilized, without outcome measurements taken prior to instruction, immediately afterwards, and six months later. Fifty physicians from 117 practices that had been randomly selected and met program eligibility criteria elected to participate. The intervention was a one‐hour office‐based CBE training program based on the MammaCare® method, a standardized approach to teaching the detection of breast lumps using silicone breast models.Results.There were five lumps in the silicone model. The mean number of correct lump detections increased significantly, from 0.66 before to 3.2 after instruction, and this gain was maintained at six‐month follow‐up. The mean number of false positives decreased from 2.9 before to 1.16 after instruction, increasing slightly to 1.6 at six‐month follow‐up. Ninety‐six percent of the physicians reported that they had modified their methods of CBE as a result of the training.Conclusions.This office‐based instruction using an academic detailing model improved the participating physicians’ abilities to correctly detect lumps in a silicone breast model and was received favorably.