The American Cancer Society's most recent estimates for breast cancer in the United States are for 2009:

• 192,370 new cases of invasive breast cancer
• 40,170 deaths from breast cancer

Breast cancer is the most common cancer among women in the United States, other than skin cancer. It is the second leading cause of cancer death in women, after lung cancer. The chance of a woman having invasive breast cancer some time during her life is about 1 in 8. The chance of dying from breast cancer is about 1 in 35. Right now there are about 2.5 million breast cancer survivors in the United States.

There are many advanced techniques and tools that aid in early breast cancer diagnosis, such as breast ultrasound. However, not all surgeons are trained to perform this procedure. There is a pressing need for increased training of these clinicians to improve patient care.

The American Society of Breast Surgeons confirms that breast ultrasound is useful and appropriate in multiple clinical situations, including but not limited to the following:

• Identification and characterization of palpable abnormalities noted on clinical breast examination;
• Identification and characterization of localized breast symptoms, such as breast pain, fullness, and nipple discharge;
• Identification and characterization of nonpalpable abnormalities detected on other breast imaging modalities;
• Guidance for invasive procedures;
• Evaluation and assessment of the breast after surgical or medical therapy; and
• Preoperative evaluation of breast and axilla in diagnosed breast cancer (i.e., ultrasound mapping, BIRADS 6).

Physicians:  USF Health is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
USF Health designates this educational activity for up to 4.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nurses:  The University of South Florida College of Nursing is accredited is a provider of nursing continuing education by the American Nurses Credentialing Center’s Commission on Accreditation. This activity is for up to 4.5 contact hours.

These credits align with the American Society of Breast Surgeon (ASBS) guidelines for performing breast ultrasound.

Basic Physics and Principles of Breast Ultrasound (Beth B. DuPree, MD, FACS)

Scanning Techniques and Annotation (Michael Berry, MD)

Ultrasound Interpretation of Breast Lesions (Michael Berry, MD)

Interventional Breast Ultrasound: Basic Biopsy Techniques, Lesion Selection, and Management of Benign Lesions (Beth B. DuPree, MD, FACS)

Model Scanning and Ultrasound-Guided Intervention with Phantoms (Beth B. DuPree, MD, FACS and Michael P. Berry, MD)

Integrating Breast Ultrasound into Your Practice, Practical Office Issues, and Procedure Coding and Reimbursement (Beth B. DuPree, MD)

USF Health endorses the standards of the ACCME that requires everyone in a position to control the content of a CME activity to disclose all financial relationships with commercial interests that are related to the content of the CME activity. CME activities must be balanced, independent of commercial bias and promote improvements or quality in healthcare. All recommendations involving clinical medicine must be based on evidence accepted within the medical profession. 

A conflict of interest is created when individuals in a position to control the content of CME have a relevant financial relationship with a commercial interest which therefore may bias his/her opinion and teaching.  This may include receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, stocks or other financial benefits. 

USF Health will identify, review and resolve all conflicts of interest that speakers, authors or planners disclose prior to an educational activity being delivered to learners.  Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Relevant financial relationships exist between the following individuals and commercial interests:

Disclosures were also obtained from USF Health staff involved in the activity. These are on file in the Office of Continuing Professional Development. All have nothing to disclose.

Off-Label Discussion
None disclosed.

1. Read the information above to ensure consistency with your own learning needs and objectives.
2. Register by clicking the link below.
3. Use the link provided on your payment confirmation page to access the course content.
4. View all videos. PowerPoint slides are included in the video files themselves.
5. Complete the Post-Test. You must receive a score of at least 80% to proceed.
6. Complete the Course Evaluation.
7. Your CME/CNE certificate will be mailed to the address provided within 4 weeks.

Once you register online and your credit card is charged successfully, you will receive a link to the course material on the confirmation page itself and will then be able to view the course and take the post-test in one sitting if desired. You may also bookmark the link and come back to it later. Please be sure to enter a valid e-mail address, as the primary method for communication in this course is through e-mail.

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