Continuing Medical Education (CME)

Breast Problems: Common Problems in Adults (non-pregnant) [2007 revision]

Introduction to this self-study CME activity

Purpose

Little scientific information is available on evaluation and management of women who present to their primary care physicians with breast problems.  While most disorders are benign, the possibility of breast cancer is always a concern.  This CME activity helps clinicians improve their knowledge and clinical strategies for the diagnosis and treatment of four common breast problems: 

• Palpable mass
• Breast pain with a negative exam
• Nipple discharge without abnormal findings
• Assessment and management of women at high risk for breast cancer. 

New to this updated guideline are:

• The primary care physician’s role in determining patient’s risk for developing breast cancer
• The initial evaluation of galactorrhea

Audience

This self-study activity is appropriate for adult primary care clinicians and other health care providers involved in the diagnosis and treatment of breast problems in adults.

Authors

Team Leader
	Amy F Saunders, MD  General Internal Medicine
Team Members
	R Van Harrison, PhD Medical Education Amy B Locke, MD Family Practice Lisa A Newman, MD  Surgical Oncology Mark Pearlman, MD   Obstetrics & Gynecology Mark Helvie, MD Radiology/Breast Imaging
Author Disclosures
	No member of the Breast Problems Guideline Team has relationships with commercial companies whose products are discussed in this guideline.

Other Acknowledgements

UMHS Guidelines Oversight Team: William E. Chavey, MD R. Van Harrison, PhD Connie J. Standiford, MD Literature search services: Taubman Medical Library Production of Internet format and   web site maintenance: Ellen Patrick-Dunlavey, MA

CME Accreditation and Credit Designation

The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Michigan Medical School designates this educational activity for a maximum of 1 AMA/PRA Category 1 Credits™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

This CME activity was released in October 2007 with credit available through September 2010. It was reviewed for currency of content in September 2010 with availability of credit extended through September 2013. Continuation of credit from that date depends on a thorough review of the content currency and accuracy.

Method of Participation

1. View the web pages. You may print the self-study text to read off-line.
2. Complete the on-line learning assessment test with a score of 70% or higher.  After you initially take the test, the test will be immediately electronically scored. 
   If fewer than 70% of the questions are answered correctly, the questions that were not answered correctly will be noted in red.  Review the CME content related to those topics and retake the test.
   If 70% or more of the questions are answered correctly, the correct and incorrect answers for all questions will be shown along with explanations of the basis for the correct answer.  The link to register and receive credit is shown at the end of the items and explanations. 
3. Complete the electronic credit request and activity evaluation.  An electronic certificate of participation will be provided immediately.
4. Print the certificate of participation for your personal records.

 

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