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Related Experiment Videos

Provider confidence in breast examination

J M Wiecha1, P Gann

  • 1Department of Family and Community Medicine, University of Massachusetts Medical Center, Worcester 01655.

Family Practice Research Journal
|March 1, 1993
PubMed
Summary
This summary is machine-generated.

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Many healthcare providers lack confidence in their clinical breast examination skills, impacting patient care. Longitudinal training programs are recommended to improve and maintain these essential skills for physicians and nurse practitioners.

Area of Science:

  • Medical Education
  • Oncology
  • Primary Care

Background:

  • Physicians express a desire for advanced training in clinical breast examination (CBE).
  • Concerns exist regarding healthcare providers' confidence and proficiency in performing CBE.
  • Effective CBE is crucial for early detection of breast abnormalities.

Purpose of the Study:

  • To assess the confidence levels of physicians and nurse practitioners in performing CBE.
  • To identify factors associated with confidence in CBE skills among healthcare providers.
  • To determine the need for enhanced educational strategies in breast examination.

Main Methods:

  • A survey was administered to physicians and nurse practitioners at a multisite family practice residency.
  • Participants reported on their confidence levels and perceived barriers in performing CBE.

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  • Data were analyzed to correlate experience with breast lumps and reported confidence.

    • Main Results:

    • 43% of respondents reported that lack of confidence impaired their CBE skills.
    • 50% felt only "somewhat" or "moderately" confident in their CBE abilities.
    • Limited experience with palpable breast lumps was associated with lower reported confidence.

    Conclusions:

    • A significant portion of healthcare providers lack confidence in their clinical breast examination skills.
    • Insufficient experience with breast lumps may contribute to decreased confidence.
    • Longitudinal educational programs are essential for improving and maintaining CBE confidence and skills in residents and practicing physicians.