Literature DB >> 8120686

Improving clinical breast examination training in a medical school: a randomized controlled trial.

C Pilgrim1, C Lannon, R P Harris, W Cogburn, S W Fletcher.   

Abstract

To evaluate a new program for teaching clinical breast examination, a class of 156 second-year medical students were randomized into an experimental group (practice and feedback on silicone breast models and women volunteers) and a control group (lecture only). During a simulated practical clinical examination routinely conducted at the end of the second year, the experimental group students used more suggested palpation techniques during a patient examination (4.6 vs 2.0; p < 0.0001) and found more simulated lumps in a silicone model (4.7 vs 4.4; p < 0.05). Practice with immediate feedback is more effective than lecture alone in teaching clinical breast examination.

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Year:  1993        PMID: 8120686     DOI: 10.1007/bf02598289

Source DB:  PubMed          Journal:  J Gen Intern Med        ISSN: 0884-8734            Impact factor:   5.128


  10 in total

1.  First results on mortality reduction in the UK Trial of Early Detection of Breast Cancer. UK Trial of Early Detection of Breast Cancer Group.

Authors: 
Journal:  Lancet       Date:  1988-08-20       Impact factor: 79.321

2.  Progress in manual breast examination.

Authors:  D C Hall; M K Goldstein; G H Stein
Journal:  Cancer       Date:  1977-07       Impact factor: 6.860

3.  Increased proficiency of search in breast self-examination.

Authors:  K J Saunders; C A Pilgrim; H S Pennypacker
Journal:  Cancer       Date:  1986-12-01       Impact factor: 6.860

4.  Physicians' abilities to detect lumps in silicone breast models.

Authors:  S W Fletcher; M S O'Malley; L A Bunce
Journal:  JAMA       Date:  1985-04-19       Impact factor: 56.272

Review 5.  Screening for breast cancer: how effective are our tests? A critical review.

Authors:  M Moskowitz
Journal:  CA Cancer J Clin       Date:  1983 Jan-Feb       Impact factor: 508.702

6.  Breast Cancer Detection Demonstration Project: five-year summary report.

Authors:  L H Baker
Journal:  CA Cancer J Clin       Date:  1982 Jul-Aug       Impact factor: 508.702

7.  Major stimulus dimensions determining detection of simulated breast lesions.

Authors:  H S Bloom; E L Criswell; H S Pennypacker; A C Catania; C K Adams
Journal:  Percept Psychophys       Date:  1982-09

8.  Physical examination. Its role as a single screening modality in the Canadian National Breast Screening Study.

Authors:  C J Baines; A B Miller; A A Bassett
Journal:  Cancer       Date:  1989-05-01       Impact factor: 6.860

9.  Improving physicians' and nurses' clinical breast examination: a randomized controlled trial.

Authors:  H S Campbell; S W Fletcher; C A Pilgrim; T M Morgan; S Lin
Journal:  Am J Prev Med       Date:  1991 Jan-Feb       Impact factor: 5.043

10.  Improved detection of human breast lesions following experimental training.

Authors:  D C Hall; C K Adams; G H Stein; H S Stephenson; M K Goldstein; H S Pennypacker
Journal:  Cancer       Date:  1980-07-15       Impact factor: 6.860

  10 in total
  13 in total

1.  An instructional program to facilitate teaching joint/soft-tissue injection and aspiration.

Authors:  Scott A Vogelgesang; Theresa M Karplus; Clarence D Kreiter
Journal:  J Gen Intern Med       Date:  2002-06       Impact factor: 5.128

2.  Making behavioral technology transferable.

Authors:  H S Pennypacker; L L Hench
Journal:  Behav Anal       Date:  1997

3.  Lump detection is enhanced in silicone breast models simulating postmenopausal breast tissue.

Authors:  M M McDermott; N C Dolan; J Huang; D Reifler; A W Rademaker
Journal:  J Gen Intern Med       Date:  1996-02       Impact factor: 5.128

Review 4.  Oncology Education in Medical Schools: Towards an Approach that Reflects Australia's Health Care Needs.

Authors:  Robert J McRae
Journal:  J Cancer Educ       Date:  2016-12       Impact factor: 2.037

5.  Improving diagnosis in healthcare: Local versus national adoption of recommended guidelines for the clinical breast examination.

Authors:  Jay N Nathwani; Anna Garren; Shlomi Laufer; Calvin Kwan; Carla M Pugh
Journal:  Am J Surg       Date:  2017-12-05       Impact factor: 2.565

6.  Evaluating the feasibility of a novel Marking Breast Oncoplastic Surgery Simulator (MBOSS) as a training tool for marking: a randomised trial.

Authors:  Geok Hoon Lim; Xue Wang; John C Allen; Ruey Pyng Ng; Bien Keem Tan; Stephen McCulley; Heow Pueh Lee
Journal:  Gland Surg       Date:  2020-10

Review 7.  The educational utility of simulations in teaching history and physical examination skills in diagnosing breast cancer: a review of the literature.

Authors:  Jory S Simpson
Journal:  J Breast Cancer       Date:  2014-06-27       Impact factor: 3.588

8.  Characterizing the range of simulated prostate abnormalities palpable by digital rectal examination.

Authors:  Leigh A Baumgart; Gregory J Gerling; Ellen J Bass
Journal:  Cancer Epidemiol       Date:  2010-01-12       Impact factor: 2.984

9.  Diagnostic Accuracy of Breast Medical Tactile Examiners (MTEs): A Prospective Pilot Study.

Authors:  Michael P Lux; Julius Emons; Mayada R Bani; Marius Wunderle; Charlotte Sell; Caroline Preuss; Claudia Rauh; Sebastian M Jud; Felix Heindl; Hanna Langemann; Thomas Geyer; Anna-Lisa Brandl; Carolin C Hack; Werner Adler; Rüdiger Schulz-Wendtland; Matthias W Beckmann; Peter A Fasching; Paul Gass
Journal:  Breast Care (Basel)       Date:  2019-01-30       Impact factor: 2.860

10.  Attitudes of midwifery students towards teaching breast-self examination.

Authors:  Andrej Plesnicar; Martina Golicnik; Irena Kirar Fazarinc; Bozo Kralj; Viljem Kovac; Blanka Kores Plesnicar
Journal:  Radiol Oncol       Date:  2010-03-18       Impact factor: 2.991

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