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Fear of missing a lesion: use of simulated breast models to decrease student anxiety when learning clinical breast

Carla M Pugh1, Lawrence H Salud,

  • 1Department of Surgery, Northwestern University Feinberg School of Medicine, 201 East Huron Street, Galter 10-105, Chicago, IL 60611-2908, USA. drpugh@northwestern.edu

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Summary

Medical students experience anxiety during clinical breast examinations (CBEs). Simulated breast models significantly improved student comfort levels and reduced anxiety when learning CBE skills.

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Area of Science:

  • Medical Education
  • Clinical Skills Training
  • Anxiety Research

Background:

  • Medical students often face discomfort during training.
  • Identifying anxiety sources in clinical breast examination (CBE) learning is crucial.
  • Understanding student comfort is key to effective medical education.

Purpose of the Study:

  • To identify primary sources of student anxiety during clinical breast examination (CBE) training.
  • To evaluate the impact of simulated breast models on medical student comfort levels.
  • To enhance the learning experience for essential clinical skills.

Main Methods:

  • Introduction of simulated breast models into the curriculum for 175 second-year medical students.
  • Utilizing surveys to gather student feedback on anxiety triggers and comfort levels.
  • Assessing comfort ratings before and after the integration of simulation tools.

Main Results:

  • "Fear of missing a lesion" and the "Intimate/personal nature of the exam" were identified as major anxiety sources, accounting for 73.8% of student concerns.
  • Significant improvements in student comfort levels were observed (P < .05) after using simulated breast models.
  • Simulated models provided a safe and effective learning environment for CBE skills.

Conclusions:

  • Two primary causes of anxiety for medical students learning CBEs have been identified.
  • Simulated breast models are effective tools for increasing student comfort during CBE training.
  • Educational interventions using simulation can mitigate student anxiety and improve skill acquisition.