Residency Level:
Surgical Rotation:
Length of Rotation:
PGY 2
Breast
One Month
Goals and Objectives
Patient care:
 Master the development and execution of patient care plans with regard to the evaluation and
management of breast pathology: both benign and malignant, including physiology, anatomy and
pathophysiology
Technical skill:
 Master the knowledge of the evaluation of the breast, including the diagnostic tools of
mammography, ultrasound, magnetic resonance imaging, image-guided core biopsy, fine needle
aspiration and core biopsy.
 Master the manual dexterity appropriate for level of training and safe intra-operative decision
making in common breast operations and procedures including but not limited to: aspiration of
breast cyst, duct excision, breast biopsy with or without needle localization, lumpectomy, simple
mastectomy, axillary dissection, sentinel lymph node biopsy, modified radical mastectomy
Medical knowledge:
 Master the knowledge and application of pertinent scientific information in breast diseases and
conditions including but not limited to: breast mass, nipple discharge, fibroadenoma, fibrocystic
disease, intraductal papilloma, gynecomastia, invasive ductal carcinoma, ductal carcinoma in situ,
invasive lobular carcinoma, lobular carcinoma in situ, fat necrosis, mastitis and abscess,
galactocoele, Mondor’s disease, inflammatory breast cancer, Paget’s disease of the nipple,
cystosarcoma phyllodes, breast cancer during pregnancy and lactation, occult breast cancer with
axillary metastasis, male breast cancer, atypical ductal hyperplasia, hereditary breast cancer and
radial scar
Practice-based learning and improvement:
 Critique personal practice outcomes
 Demonstrate recognition of need to stay abreast of new knowledge and practice-based learning
Interpersonal and communication skills:
 Learn to better counsel and educate patients and families
 Demonstrate the ability to communicate effectively and recognize the importance of such
communication between other members of the women’s’ health care/ breast team
 Effectively document practice activities
Professionalism:
 Demonstrate proper documentation of the patient care a commitment to continuity of patient care
 Demonstrate sensitivity to age, gender and culture of patients and other health care professionals
Systems-based practice:
 Learn to practice high quality, cost effective patient care and demonstrate a knowledge of riskbenefit analysis
Diseases/Conditions
BROAD
• Breast mass
• Nipple discharge
• Fibroadenoma
• Fibrocystic disease
SCORE CURRICULUM - CATEGORY 13: BREAST
Operations/Procedures
ESSENTIAL − COMMON
• Aspiration of breast cyst
• Duct excision
• Breast biopsy with or without needle localization
• Lumpectomy
• Intraductal papilloma
• Gynecomastia
• Invasive ductal carcinoma
• Ductal carcinoma in situ
• Invasive lobular carcinoma
• Lobular carcinoma in situ
• Fat necrosis
• Mastitis and abscess
• Galactocoele
• Mondor disease
• Inflammatory breast cancer
• Paget’s disease of the nipple
• Cystosarcoma phyllodes
•Breast cancer during pregnancy and lactation
• Occult breast cancer with axillary metastasis
• Male breast cancer
• Atypical ductal hyperplasia
• Hereditary breast cancer
• Radial scar
• Simple mastectomy
• Axillary dissection
• Sentinel lymph node biopsy
• Modified radical mastectomy
ESSENTIAL − UNCOMMON
• Radical mastectomy
COMPLEX
• Stereotactic breast biopsy