#234 The Breast Lump, and Breast Cancer Screening with Nancy Keating MD, MPH
Description
Master your breast cancer screening spiel, cultivate your approach to the breast mass, and empower your patients with empathetic shared decision-making (which we know you're all already fabulous at)! On this fantastic episode, we are joined by Dr. Nancy Keating @NancyKeatingMD, policy wonk and primary care doc extraordinaire at Brigham and Women's Hospital. This episode is rife with drama, as the ACS butts heads with the USPTF and the ACR, and you have to figure out what's right for the patient by talking with them--almost as exciting as that moment on Grey's when Izzie cuts the...anyway, I won't ruin a key plot point in the most excellent medical show of all time, all in a day's work, here at The Curbsiders. Enjoy!
Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode's release date).
Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!
Credits
- Producer and Writer: Nora Taranto MD
- Show Notes: Nora Taranto MD, Isabel Valdez PA
- Infographic: Nora Taranto MD
- Cover Art: Kate Grant, MD
- Hosts: Stuart Brigham MD, FACP; Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD
- Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
- Reviewer: Arielle Medford MD
- Guest: Nancy Keating MD, MPH
Sponsors
Provider Solutions & Development
Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.
VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.
Time Stamps
- Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
- Sponsor - VCU Health Continuing Education
- 00:30 Intro & Guest Bio
- 03:27 Guest one-liner
- 05:27 Best Advice for Women in Medicine
- 07:34 Picks of the Week
- Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
- 10:00 Case 1: Brenda Cantwell and Breast Lump DDx
- 13:39 Clinical Breast Exam vs Self Breast Exam
- 17:26 Practical Tips for the Clinical Breast Exam
- 21:50 Imaging to Evaluate the Breast Lump
- 26:36 Demystifying BIRADS
- 28:36 Epidemiology Potpourri
- 33:02 Breast Pain without a Mass
- 34:30 Case 2: Mammie Gram and Breast Screening
- 46:03 Average Risk vs High Risk Screening
- 47:18 Breast Risk Prediction Tools
- 48:51 Breast Density
- 53:16 Imaging Modalities
- 61:28 Shared Decision Making in Screening
- 68:04 Case 3: Ms Britta Lumpworth and When to Stop Screening Mammograms
- 74:42 Take Home Points and Outro
- Sponsor - VCU Health Continuing Education
Links*
- Evicted: Poverty and Profit in the American City by Matthew Desmond
- Run The List podcast
- ACOG Practice Bulletin 179, 2017
- Elmore et al, Ten Year Risk of False Positive Screening Mammograms and Clinical Breast Examinations, N Engl J Med, 1998.
- Thomas, et al, Randomized trial of breast self-exam in Shanghai: final results. JNCI, 2002.
- <a href="https://pubmed.ncbi.nlm.ni























