MODEL FOR TEACHING--CBE SKILLS IN MEDICAL SCHOOL

该项目的目标是创建一种用于 医学院使用乳房模型和模拟患者增加 熟练掌握临床乳房检查的表现。我们相信 对医生的教育与行政改革相结合可以 影响医生执业行为，有助于促进 将癌症预防和早期检测技术纳入 练习模式。 临床乳房检查(CBE)，尽管仍有一些 争议，是一种被接受的乳房早期迹象的筛查方法 癌症。此外，精通CBE的医生也很重要。 用于乳房X光检查和加强妇女的转介来源 乳房自我检查技术。相反，当医生没有 接受过足够的CBE培训，可能会错失临床机会 转诊至乳房X光检查。导致CBE技能不足的原因之一是 缺乏在医学院的实践经验。它仍然是 乳房X光检查最有力的推动者是医生的在场 推荐或推荐。 这项提案开发了一种指导医学生入学的模式 在鲍曼·格雷医学院以问题为基础的平行课程中 在CBE技术中。课堂教学与实践相结合 经过培训的模拟患者将在第一年呈现 医学院，然后是一个案例研究和临床表演 考试(CPX)，要求学生执行CBE并获得 来自训练有素的模拟患者的反馈。在并入 平行课程，它更灵活，我们将尝试 将乳房检查的组成部分吸收到传统的 课程设置。作为一个试验性概念，这门课程是关于乳房的 癌症筛查随后可出口到社区供以下机构使用 社区倡导者、初级保健医生、医生助理、护士 从业者和其他医疗保健提供者。我们相信， 对医疗保健提供者的教育仍然是 影响乳腺癌的预防和早期发现。

The goal of this project is to create an educational model for use in medical school using breast models and simulated patients to increase proficiency in the performance of clinical breast examination. We believe that education of physicians coupled with administrative changes can influence physician practice behavior and help facilitate the incorporation of cancer prevention and early detection techniques into practice patterns. Clinical Breast Examination (CBE), although still surrounded by some controversy, is an accepted means of screening for early signs of breast cancer. Additionally, physicians who are skilled in CBE are important referral sources for mammography screening and for reinforcing women's breast self examination techniques. Conversely, when a physician has not had adequate training in CBE, there may be missed clinical opportunities for referral to mammography. Contributing to inadequate CBE skills is the lack of practical experience in medical school. It remains that the strongest facilitator to mammography is the presence of a physician recommendation or referral. This proposal develops a model for instructing medical students enrolled in the problem-based Parallel curriculum at Bowman Gray School of Medicine in CBE techniques. A combination of classroom instruction and practice with trained simulated patients will be presented during the first year of medical school, followed by a case study and a clinical performance examination (CPX) that would require students to perform CBE and receive feedback from trained simulated patients. Following incorporation into the Parallel curriculum, which is more flexible, we will attempt to assimilate the breast examination component into the traditional curriculum. Developed as a pilot concept, this curriculum piece on breast cancer screening can subsequently be exported to the community for use by community advocates, primary care physicians, physician assistants, nurse practitioners, and other health care providers. We believe that the education of health care providers remains a major opportunity for influencing the prevention and early detection of breast cancer.