carla m. pugh, md, phd, facsa search f mal a search f fem 0 20 40 60 0 50 100 150 200 simulator b...
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Carla M. Pugh, MD, PhD, FACS
GOALS• Sensor Technology
• Metrics and Breast Examination Accuracy
• Implications for Physicians & Patients
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Time (1/30 Sec)
Pre
ssure
(P
U)
Sensor Data 52 GBMotion Data 328 GBAudio Data 15 GBVideo Data 3,845 GB
Number of Physician Encounters - 16,479
Number of Different Clinical Simulations - 27
They lined up to be tested.
They wanted feedback.
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Time (1/30 Sec)
Pre
ssure
(P
U)
How to Perform the
Clinical Breast Examination
RECOMMENDATIONS
Search PatternPalpation Pressure Search Technique
Saslow D, et. al (+20) Clinical breast examination: practical recommendations for optimizing performance and reporting.
CA Cancer J Clin. 2004 Nov-Dec;54(6):327-44.
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1 151 301 451 601 751 901 1051 1201 1351 1501 1651 1801 1951 2101 2251 2401 2551 2701 2851 3001 3151 3301Time (1/30 Sec)
Pre
ssu
re (
PU
)
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1 151 301 451 601 751 901 1051 1201 1351 1501 1651 1801 1951 2101 2251 2401 2551 2701 2851 3001 3151 3301Time (1/30 Sec)
Pre
ss
ure
(P
U)
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1 151 301 451 601 751 901 1051 1201 1351 1501 1651 1801 1951 2101 2251 2401 2551 2701 2851 3001 3151 3301Time (1/30 Sec)
Pre
ss
ure
(P
U)
Data Collection Method
How to Perform the
Clinical Breast Examination
RECOMMENDATIONS
Search PatternPalpation Pressure Search Technique
Saslow D, et. al (+20) Clinical breast examination: practical recommendations for optimizing performance and reporting.
CA Cancer J Clin. 2004 Nov-Dec;54(6):327-44.
PALPATION PRESSURE
Force Matters
TED BREAST VIDEO
15%
SEARCH PATTERN
RESULTS
• Linear covers significantly more
breast tissue
• Despite 2004 recommendations
< 20% of (N=553) use the linear
strip technique
• 50-70% circular, 12-30% radialSearch Pattern
How to Perform the
Clinical Breast Examination
RECOMMENDATIONS
Search PatternPalpation Pressure Search Technique
Saslow D, et. al (+20) Clinical breast examination: practical recommendations for optimizing performance and reporting.
CA Cancer J Clin. 2004 Nov-Dec;54(6):327-44.
Rescuing the Clinical Breast Examination: Advances in Classifying Technique and
Assessing Physician Competency.Laufer, Shlomi PhD; DAngelo, Anne-Lise D. MD; Kwan, Calvin BS; Ray, Rebbeca D. PhD; Yudkowsky,
Rachel MD, MHPE; Boulet, John R. PhD; McGaghie, William C. PhD; Pugh, Carla M. MD, PhD
Search Force vs Time by Simulator and Gender
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Simulator A – 2cm Superficial Mass (soft)
A Search F Mal A Search F Fem
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Simulator B – 1cm Superficial Mass (soft)
B Search F Mal B Search F Fem
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Simulator C – 2cm Deep Mass (hard)
C Search F Mal C Search F Fem
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Simulator B – 2cm Deep Mass (soft)
D Search F Mal D Search F Fem
The Clinical Breast Examination?
15%45%
Sensor Data Analytics
Thank You!!
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