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Related Experiment Videos

Improving physicians' and nurses' clinical breast examination: a randomized controlled trial.

H S Campbell1, S W Fletcher, C A Pilgrim

  • 1Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill.

American Journal of Preventive Medicine
|January 1, 1991
PubMed
Summary

A training program significantly improved health professionals' clinical breast examination (CBE) accuracy and skills, particularly in detecting smaller lumps. This enhanced tactile skill training offers a viable method to boost diagnostic capabilities in breast cancer screening.

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Area of Science:

  • Medical Education
  • Oncology
  • Diagnostic Skills

Background:

  • Clinical breast examination (CBE) accuracy and skills among health professionals are suboptimal.
  • Early detection of breast cancer relies heavily on accurate physical examination techniques.

Purpose of the Study:

  • To evaluate the impact of a specialized training program on physicians' and nurses' clinical breast examination accuracy and skills.
  • To assess improvements in lump detection sensitivity, specificity, and examination technique.

Main Methods:

  • A randomized trial comparing an experimental group receiving tactile skills training with a control group.
  • Participants used silicone breast models with varying lump characteristics (size, hardness, depth).
  • Sensitivity, specificity, and examination technique were measured pre- and post-training.

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Main Results:

  • The experimental group showed a significant increase in mean sensitivity (57% to 63%), particularly for small (0.3 cm) and medium-hard lumps.
  • Examination duration was a significant predictor of sensitivity.
  • Specificity decreased in the experimental group (56% to 41%) but increased in the control group (56% to 68%).
  • Physicians demonstrated higher sensitivity but lower specificity than nurses.
  • The experimental group improved significantly in five of six technique components.

Conclusions:

  • Health professionals can be successfully trained to enhance their clinical breast examination accuracy and skills.
  • Tactile skills training is effective in improving lump detection, although specificity requires further investigation in clinical practice.
  • The study highlights the potential for targeted educational interventions to improve breast cancer screening efficacy.