Journal of the National Cancer Institute American Cancer Society Breast Cancer Facts and Figures Atlanta GA American Cancer Society
TITLE PAGE Manuscript Title: Effectiveness of a dynamic breast examination training model to improve clinical breast examination (CBE) skills Running Title: Dynamic clinical breast exam training model Authors: Gregory J. Gerling, M.S., Industrial Engineering, University of Iowa Industrial Engineering 3131 Seamans Center Iowa City, Iowa 52242 (319)-358-1615 Alicia M. Weissman, M.D., Family Medicine, University of Iowa Family Medicine Iowa City, Iowa 52242 Geb W. Thomas, PhD, Industrial Engineering, University of Iowa Industrial Engineering 2404 Seamans Center Iowa City, Iowa 52242 (319)-335-5936 Edwin L. Dove, PhD, Biomedical Engineering, University of Iowa Biomedical Engineering 1412 Seamans Center Iowa City, Iowa 52242 (319)-335-5635 Corresponding Author: Gregory J. Gerling Department of Industrial Engineering 3131 Seamans Center Iowa City, Iowa 52242 Telephone: (319)-358-1615 Fax: (319)-335-5669 Email: gregory-gerling@uiowa.edu Total text pages: 21 Total tables: 0 Total illustrations (figures): 6 Acknowledgement of Support:University of Iowa College of Medicine Educational Development FundUniversity of Iowa Central Investment Fund for Research Enhancement Grant Despite the potential utility of clinical breast examination (CBE), doctors’ palpation skills are often inadequate and difficult to train. CBE sensitivity ranges from 39-59%, in part because current training does not effectively teach tactile skills. To address CBE training limitations, we developed a breast examination training model with 15 dynamically controlled lumps, set to desired hardness within underlying rib and muscle structures, in a silicone breast. In an experiment of 48 medical students, training with the dynamic model increased lump detection by 1.35 |
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