Jan 31, 2021
1 Given a well woman with concerns about breast disease, during
a clinical encounter (annual or not):
a) Identify high-risk patients by assessing modifiable and non- modifiable risk factors
b) Advise regarding screening (mammography, breast self- examination) and its limitations.
c) Advise concerning the woman’s role in preventing or detecting breast disease (breast self-examination, lifestyle changes).
2 Given a woman presenting with a breast lump:
a) Use the history, features of the lump, and the patient’s age to determine if aggressive work-up or watchful waiting is indicated.
b) Ensure adequate support throughout investigation of the breast lump by availability of a contact resource.
c) Use diagnostic tools (e.g., needle aspiration, imaging, core biopsy , referral) in an appropriate manner (i.e., avoid over- or under-investigation, misuse) for managing the breast lump.
3 In a woman who presents with a malignant breast lump and knows
a) Recognize and manage immediate and long-term complications of breast cancer.
b) Consider and diagnose metastatic disease in the follow-up care of a breast cancer patient by appropriate history and investigation.c) Appropriately direct (provide a link to) the patient to community resources able to provide adequate support (psychosocial support).