Activity

Activity ID

2811

Expires

September 12, 2024

Format Type

Internet

CME Credit

1

Fee

$0

CME Provider: Massachusetts Medical Society

Description of CME Course

Part 1: Breast Cancer Screening in Women 40 – 49
Module 2 features presentations on SDM for two cancer screening measures. The first is by Karen Sepucha, PhD on SDM for Breast Cancer Screening for women 40-49. Dr. Sepucha reviews the current clinical guidelines for screening women younger than 50 with mammography and criteria for identifying younger women at high risk for breast cancer. She uses two case studies to illustrate the performance and use of risk calculations in SDM. Dr. Sepucha describes the evidence for benefits and harms of screening women 40-49 and best practices for risk communication. She ends her presentation with recommendations for eliciting patients’ goals and preferences relevant to screening decisions and facilitating their use by the patient in making an informed, preference-based decision.

Part 2: CT Lung Cancer Screening
The second presentation by Andrea McKee, MD focuses on SDM for lung cancer screening. Dr. McKee uses several cases to illustrate the possible benefits of low dose CT scans in diagnosing lung cancer at an early stage. She reviews the results of the National Lung Cancer Screening Trial, which showed a 20% lung cancer mortality reduction among screened patients. She reviews CT lung screening results from the Lahey Clinic to illustrate changes in rates of lung cancer diagnosis and in the occurrence of false positives in screened cohorts over time. Dr. McKee enumerates and discusses tasks providers must complete to refer a patient for lung cancer screening, including performing and documenting SDM that incorporates a decision aid and smoking cessation counseling when indicated. She concludes her presentation with some practical tips on integrating SDM into clinical practice.

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Commercial Support?
No

NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

Name examples of patient values that may be relevant to a decision about breast cancer screening
State and implement the steps involved in the lung cancer screening process including identifying patients eligible for screening, providing SDM with use of a decision aid as required by Medicare, providing counseling on smoking cessation, and interpreting findings with their recommended follow-up
State and effectively communicate the nature and likelihoods of occurrence of the possible benefits and harms of screening for lung cancer with low dose CT scans and screening for breast cancer with mammography for women 40-49

Keywords

Preventive care, Clinical medicine, Provider-patient communication, Patient engagement

Competencies

Medical Knowledge, Patient Care & Procedural Skills

CME Credit Type

AMA PRA Category 1 Credit

Practice Setting

Inpatient, Outpatient, Rural, Urban, VA/Military

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