Breast Examination Trainer – Advanced

• Pathologies are easily changeable and can be placed in various predetermined locations
• Offers dual purpose training, bench top (with the use of the hard torso) and hybrid

• Soft tissue breasts offer a realistic look and feel
• Clavicular and axilla pads give a more accurate lymph node placement

• Range of pathologies can be moved within the breast model for a variety of diagnostic scenarios
• Ergonomic design for Simulated Patient exercises, including prolonged use in OSCEs and assessments
• Adjustable straps to fit a wide range of simulated patients

• Realistic soft tissue for palpation of the breast
• Supplied with a variety of pathologies:
• Carcinomas (2cm, 3cm and 5cm in size)
• Cyst
• Fibrocystic disease
• Fibroadenoma
• Supra- and infra-clavicular, and axillary pads for lymph node placement

• Wearable breasts component can be used with a simulated patient, strap fastenings and lymph node pads are adjustable to the wearer

• This product is latex free
• Use a small amount of talcum powder in the recess of the breast tissue to stop the insert sticking to the inside of the model
• When used on a simulated patient, ensure the breast trainer is fastened correctly, with no knots or twists in the straps

National Organisation of Nurse Practitioner Faculties, Nurse Practitioner Core Competencies Content, 2017 Independent Practice Competencies p.14 3.b Uses advanced health assessment skills to differentiate between normal, variations of normal and abnormal findings. 3.c Employs screening and diagnostic strategies in the development of diagnoses.

AAFP Recommended Curriculum Guidelines for Family Medicine Residents Reprint No. 282, 2016 Women’s Health and Gynecologic Care p.7 9. Breast health a. Anatomy and physiology of benign diseases of the breast (including cysts, adenomas, and fibrocystic changes through the menstrual cycle) b. Evaluation and management of breast disease… d. Evidence-based recommendations … clinical breast examination (CBE), breast self-examination (BSE)

AAMC (2008) – Recommendations for Preclerkship Clinical Skills Education for Undergraduate Medical Education p.26 Appendix 5: Patient Examination. “Perform … breast exam and describe examination process and findings”

CPMEC Australian Curriculm Framework for Junior Doctors v 3.1, 2012, p.7: History and Examination: Performs a comprehensive examination of all systems; Elicits symptoms & signs relevant to the presenting problem or condition. Discriminates between the possible differential diagnoses relevant to a patient's presenting problems or conditions

Curriculum for Australian General Practice 2016, CS16 Core Skills unit, p.23 CS2.2.2.2a Demonstrate appropriate and respectful physical examination technique CS2.2.2.5a Identify situations where physical examination findings are inconsistent with history CS2.2.2.2b Effectively utilise appropriate clinical tools to optimise examination CS2.2.2.3b Effectively summarise key examination findings for the patient

RANZCOG Curriculum, 3rd Ed. (2015) p.49 B.1.2 Antenatal care Assess and manage common clinical problems that arise in pregnancy …Breast pain, breast lump

Medical Deans' Clinical Assessment Blueprints for the medical graduate 4. Conducts … organ(s)/system specific physical examination as appropriate. 5. Integrates the information obtained to arrive at an appropriate diagnosis and differential diagnosis.

Competence and Curriculum Framework for the Physician Assistant 2012, p 12 and 23 2.3.5 …Perform a physical examination tailored to the needs of the patient and the demands of the clinical situation, including …breast examination …The Physician Assistant should be familiar with the following patient presentations and should be able to manage and diagnose / refer appropriately: …Breast problems (lump, pain, discharge, surface changes)

Specialty Training Curriculum for Core Medical Training, 2013 p. 117: Oncology Common cancers (presentation, diagnosis, staging, treatment principles): …breast.

The UK Foundation Programme Curriculum 2016. p.9: obtains history, performs clinical examination, formulates differential diagnosis and management plan (FPC 11)

The Intercollegiate Surgical Curriculum – General Surgery, 2016, p.32 12.5.2 Manage patients presenting with any breast condition. Competent to assess … female patients with breast symptoms or signs within the breast diagnostic MDT

Outcomes for Graduates 2018, General Medical Council, p.16 Diagnosis and medical management: 14b. safely and sensitively undertake an appropriate physical examination …interpret findings from physical examinations…synthesise findings from the history, physical and mental state examinations and investigations … and make proposals about underlying causes or pathology

Royal College of Nursing Clinical Standards for working in a Breast Specialty, 2007, p 11 conduct clinical examination of the breast, axilla and regional lymph nodes RCGP General Practice Foundation General Practice Nurse competencies 2012, p 38 Teach and encourage patients to be ‘breast aware'

Guidance for Satisfactory Progression at ARCP panels for GP Specialty Trainees, 2016 p.6 … evidence of competence of intimate examinations which includes breast examination

Both Breast Self Examinations (BSE) and Clinical Breast Exams (CBE) can be performed on our examination breast models.

Medical professionals can use the Advanced Breast Trainer to train in:

• Breast palpation to identify lumps/masses, including size and shape
• Axillary, subpectoral, supraclavicular and infraclavicular lymph node palpation
• Identification of fibrocystic disease, fibroadenoma, cysts and carcinomas

Yes, the trainer comes with a variety of different pathologies. As standard, all Limbs & Things breast exam models come with representations of 2, 3 & 5cm carcinomas, a cyst, a fibroadenoma, and fibrocystic disease.

The advanced breast exam simulator also comes with lymph node pads, allowing for the identification of axillary, supra and infraclavicular lymph nodes.

From a typical clinical examination, the breast examination simulator can be used for the following training:

• Breast palpation to identify:
  • Tenderness
  • Masses – including size, shape, edge, consistency, surface, and relations
• Lymph node palpation:
  • Axillary (anterior, posterior, medial, lateral and apical)
  • Subpectoral
  • Supraclavicular
  • Infraclavicular
• Identification of clinical conditions:
  • Early and Advanced breast cancer
  • Fibroadenoma
  • Fibrocystic disease
  • Breast abscess

Training not covered by this range:

• Inspection – asymmetry, skin changes, nipple changes, nipple discharge
• Temperature during breast palpation
• Examination for distant metastases – vertebral tenderness & straight leg raising, chest examination, hepatomegaly

This model doesn’t offer that feature, however aspiration of a cyst can be practised on our Examination and Diagnostic Breast Trainer (40044).

• Weight: 6.6 kg
• Width: 31 cm
• Height: 51 cm
• Length: 66 cm