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Volume 40, Issue 3
Publication date: September 1, 2014
Expiration date: September 1, 2017

What to Advise Your Patients About Breast Cancer Screening
Mark Pearlman, MD (Moderator)
S. Jan Behrman Professor of Obstetrics and Gynecology, Professor of Surgery, University of Michigan Medical School; Director, Breast Health Fellowship in Obstetrics and Gynecology, Von Voigtlander Women’s Hospital, University of Michigan Health System, Ann Arbor, Michigan

Jennifer L. Griffin, MD, MPH
Assistant Professor of Gynecology and Breast Diseases; Director, Residency Program, Department of Obstetrics and Gynecology, University of Nebraska Medical Center, Omaha, Nebraska

Ashley R. Stuckey, MD
Assistant Professor of Obstetrics and Gynecology, Warren Alpert School of Medicine of Brown University; Assistant Director, Breast Fellowship Program, Providence, Rhode Island

Learning Objectives
After completing this activity, the physician should be better able to:
1. Describe the differing national guideline rationales for breast cancer screening with mammography starting at age 40 versus biennial screening starting at age 50.
2. Accurately counsel women on the breast cancer mortality improvement in women undergoing annual mammography.
3. Describe the clinically relevant adverse effects of mammography.
4. Develop a useful script to counsel women on challenges of screening mammography in women with dense breasts.
5. Incorporate breast cancer risk screening methods to counsel women regarding the possible need for adjunct breast cancer screening and recommending genetic counseling for possible BRCA and other appropriate gene mutation screening.

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