Improved Follow-Up of Breast Abnormalities Through Comprehensive Breast Care in Women 40 to 70 Years of Age

Abstract

To address inconsistencies among health care providers in breast cancer screening and management of abnormal findings, we randomized eight Family Practice residencies into control and intervention groups. The intervention has multiple components addressing skill, knowledge and management of breast cancer related issues. Additionally, a chart reminder system assists physicians in daily breast care management. Physician performance in clinical settings is assessed through chart audits. We have successfully completed the training and baseline assessment of cognitive and clinical skills and implemented the chart reminder system for the intervention sites. Chart audits are 95% complete. The analysis of the immediate effect of the training session found that in the short term the curriculum significantly improved cognitive and clinical skills. Assessment of the long-term effect of the curriculum is planned for May and June 2000. The curriculum will be provided to the control sites in August and September 2000. One unexpected outcome is that we have been asked to provide this curriculum to other health care professionals (Nurse Practitioners, OB/Gyn residents, etc.). Over all we are on target for the successful completion of the project according to the scope of work statement in the original grant.

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Document Details

Document Type
Technical Report
Publication Date
Mar 01, 2000
Accession Number
ADA381114

Entities

People

  • Dorothy R. Pathak

Organizations

  • Michigan State University

Tags

DTIC Thesaurus Topics

  • Breast Cancer
  • Databases
  • Health Services
  • Medical Personnel
  • Skin Diseases
  • Surgery

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Instructional Design and Training Evaluation.
  • Medical or Health Care Field.