MODEL FOR TEACHING--CBE SKILLS IN MEDICAL SCHOOL

这个项目的目标是创建一个教育模式， 医学院使用乳房模型和模拟病人， 熟练进行临床乳房检查。 我们认为 医生的教育加上行政改革， 影响医生的实践行为，并帮助促进 将癌症预防和早期检测技术纳入 实践模式。 临床乳腺检查（CBE），虽然仍然围绕着一些 争议，是一种公认的筛查乳腺癌早期症状的方法， 癌 此外，熟练掌握CBE的医生也很重要。 乳房X光检查和加强妇女保健的转诊来源 乳房自我检查技术。 相反，如果医生没有 在CBE方面接受了充分的培训，可能会错过临床机会 转介到乳房X光检查 导致CBE技能不足的原因是 在医学院缺乏实践经验。 它仍然是， 乳房X光检查最有力的促进因素是医生的在场 推荐或推荐。 本研究提出了一种医学生入学指导模式 在鲍曼格雷医学院以问题为基础的平行课程中， CBE技术。 课堂教学与实践相结合 将在第一年期间展示经过培训的模拟患者， 医学院，其次是案例研究和临床表现 考试（CPX），要求学生进行CBE，并获得 来自受训模拟患者的反馈。 在并入 平行课程，这是更灵活的，我们将尝试 将乳房检查部分纳入传统的 课程。 作为一个试点的概念，这一课程一块乳房 癌症筛查随后可以输出到社区， 社区倡导者、初级保健医生、医生助理、护士 医生和其他医疗服务提供者。 我们认为 卫生保健提供者的教育仍然是一个重要的机会， 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.