Medical Breast Training Program: High-Risk Prevention & Early Detection Online Course
Access to this online course is available from the date of purchase until the course expires on April 6, 2029. Credit must be claimed within that time period.
Registration required to claim CME credit.
Sandhy Pruthi, M.D., Sabrina Sahni, M.D., Jessica Franker, M.D., Lakshmi Khatri, M.D. (Cleveland Clinic), Melanie A. Frederixon, APRN, C.N.P., D.N.P.
Available until April 6, 2029 - Online CME Course
Mayo Clinic and Cleveland Clinic’s collaborative Medical Breast Training Program: High-Risk Prevention & Early Detection Online Course prepares clinicians to identify and manage women at increased risk for breast cancer. It covers hereditary and familial risk guidelines, assessment models, high-risk lesions, risk-reduction strategies, surveillance imaging, early detection, and case-based learning.
Target Audience
This course is specifically tailored for specialty groups including medical oncology, women’s health, family medicine, and primary care. The content is designed to meet the educational needs of physicians, nurse practitioners, physician assistants, registered nurses, and allied health professionals.
Learning Objectives
Identify patients at increased risk for breast cancer using clinical, familial, and genetic risk factors.
- Apply evidence-based guidelines (e.g., NCCN, JCO) to determine appropriate screening strategies, imaging modalities, and surveillance intervals for high-risk individuals.
- Identify high-risk breast lesions by incorporating current surgical and nonsurgical recommendations.
- List risk-reducing strategies tailored to individual risk profiles and comorbidities.
- Recall risk assessment models to guide clinical decision-making for familial and hereditary breast cancer risk.
- Recite survivorship care principles into the management of high-risk patients and breast cancer survivors.
- List the risks, benefits, and limitations of various screening, diagnostic, and preventive strategies.
Utilization of this Mayo Clinic online (enduring materials) course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be in this course.
| Medical Breast Training Program: High-Risk Prevention & Early Detection Online Course | ||
| Course Date: April 7, 2026 - April 6, 2029 | ||
| Lecture Title | Speaker(s) | Duration |
| Unit 1: Introduction To The High-Risk Patient | ||
| Identifying the High-Risk Patient | Sabrina Sahni, M.D. | 0:15:03 |
| Risk Factor: Breast Density and Supplemental Imaging | Kristin A. Robinson, M.D. | 0:25:49 |
| Overview of High-Risk Management: Screening | Lakshmi Khatri, M.D. | 0:29:13 |
| Effects of Lifestyle and Lifestyle Modifications on Breast Cancer Risk | Christine Q. Nguyen, D.O. | 0:13:34 |
| Risk Factor: Obesity & Cancer Risk | Maria Daniela Hurtado Andrade, M.D., Ph.D. | 0:24:43 |
| Risk Factor: Hormonal Contraception In the High-Risk Women and Hereditary Cancer - Part 1 | Sabrina Sahni, M.D. | 0:14:46 |
| Risk Factor: Hormones and the High-Risk Patient Part 2 | Jewel M. Kling, M.D., M.P.H. | 0:34:28 |
| Overview of High-Risk Management: Risk Reduction Medication | Jessica L. Fraker, M.D. | 0:24:55 |
| Choosing The Best Medications | Lakshmi Khatri, M.D. Sabrina Sahni, M.D. Jessica L. Fraker, M.D. | 0:43:22 |
| Overview of High-Risk Management: Risk Reduction Surgery | Mara A. Piltin, D.O. | 0:19:37 |
| Overview of High-Risk Management: Reconstruction Options after Mastectomy | Graham Schwarz, M.D. | 0:43:13 |
| A Special Population: Patients with a history of chest wall radiation | Jessica L. Fraker, M.D. | 0:11:32 |
| Unit 2: Management of the Familial High Risk | ||
| Introduction to familial high risk and risk assessment by models | Kaitlin M. Moran, M.D. | 0:25:40 |
| Using risk calculation to guide high risk screening and risk reduction - Part 1 | Sandhya Pruthi, M.D. | 0:30:20 |
| Using risk calculation to guide high risk screening and risk reduction - Part 2 | Sabrina Sahni, M.D. | 0:24:44 |
| Case: High Risk Screening | Sabrina Sahni, M.D. Lakshmi Khatri, M.D. | 0:40:34 |
| Case: Risk Reducing Medication: Part 1 | Sandhya Pruthi, M.D. Jessica L. Fraker, M.D. | 0:34:20 |
| Case: Risk Reducing Medication: Part 2 | Melanie A. Frederixon, APRN, C.N.P., D.N.P. Jessica L. Fraker, M.D. | 0:12:08 |
| Case: Risk Reducing Surgery | Sabrina Sahni, M.D. Sarah A McLaughlin, M.D. | 0:32:56 |
| Unit 3: Management of the High Risk Lesions | ||
| What is atypical ductal hyperplasia? | Zahraa AlHilli, M.D., M.B.A. | 0:18:51 |
| What are atypical lobular hyperplasia and LCIS? | Julie A. Billar, M.D. | 0:22:04 |
| Management of other benign breast lesions | Jessica L. Fraker, M.D. | 0:25:56 |
| ASBRS Updates To Management of High Risk Benign Lesions | Patricia A. Cronin, M.D. | 0:26:47 |
| High risk screening and risk reduction in patients with atypical hyperplasia or LCIS | Christine L. Klassen, M.D. | 0:25:00 |
| Case: Risk Reduction | Lakshmi Khatri, M.D. Zahraa AlHilli, M.D., M.B.A. | 0:43:39 |
| Case: High risk and hormone therapy | Jewel M. Kling, M.D., M.P.H. Sabrina Sahni, M.D. Lakshmi Khatri, M.D. | 1:00:24 |
| Unit 4: Management of the Hereditary Mutation Carriers | ||
| Genetic Consultation and Multigene Panel Testing | Laura J. Ongie, M.S., CGC | 0:11:53 |
| Updates in Risk and Management for Genetic Pathogenic Variants - NCCN Guideline Updates | Sarah K. Mantia, M.S., CGC | 0:28:42 |
| Communication of Risk Information in Hereditary Mutation Carriers | Laura J. Ongie, M.S., CGC | 0:12:37 |
| Risk Calculators for Risk Assessment in Mutation Carriers | Laura J. Ongie, M.S., CGC | 0:11:09 |
| Medical Genetics - How to Approach Other Non-Breast Cancer Risks in Our Gene Carriers, Multidisciplinary Management | DeAnna M. Weaver, APRN, C.N.P., M.S.N. | 0:15:59 |
| Fertility Implications in the Gene Carrier | Mindy Christenson, M.D., M.B.A. | 0:49:01 |
| Hormone Use In Hereditary Mutation Carriers | Sabrina Sahni, M.D. Sandhya Pruthi, M.D. Mariam Alhilli, M.D. | 0:50:58 |
| Risk Reducing Medication in Hereditary Mutation Carriers | Aparna S. Kaur, M.D. | 0:33:45 |
| Psychosocial Perspectives on risk Management Decision-Making | Karen Hurley, Ph.D. | 0:35:14 |
| Breast Cancer Genetics & the Future of Polygenic Risk Scores | Siddhartha Yadav, M.B.B.S., M.D. | 0:22:05 |
| Future implementation of PRS and High Risk Assessment | Lakshmi Khatri, M.D. Jessica L. Fraker, M.D. Sabrina Sahni, M.D. | 0:35:17 |
| Content Hours | 17:10:18 | |
| Credit Hours | 17.00 | |
| Webinars | ||
| Lecture Title | Speaker(s) | Duration |
| #1: Case Approach To The Risk Models & How To Use: How to talk with patients who are high risk | Sandhya Pruthi, M.D. Jessica L. Fraker, M.D. Lakshmi Khatri, M.D. Melanie Frederixon, APRN, C.N.P., D.N.P. Sabrina Sahni, M.D. Christine L. Klassen, M.D. | 1:30:00 |
| #2: How to use prevention medications | Sandhya Pruthi, M.D. Jessica L. Fraker, M.D. Lakshmi Khatri, M.D. Melanie Frederixon, APRN, C.N.P., D.N.P. Sabrina Sahni, M.D. Jewel Kling, M.D. | 1:30:00 |
| #3: Hereditary Mutation Carrier | Sandhya Pruthi, M.D. Jessica L. Fraker, M.D. Lakshmi Khatri, M.D. Melanie Frederixon, APRN, C.N.P., D.N.P. Sabrina Sahni, M.D. Zahra Alhilli, M.D. Ryan Noss, M.S., CGC DeAnna M. Weaver, APRN, C.N.P., M.S.N. | 1:30:00 |
| #4: Imaging | Sandhya Pruthi, M.D. Jessica L. Fraker, M.D. Lakshmi Khatri, M.D. Melanie Frederixon, APRN, C.N.P., D.N.P. Sabrina Sahni, M.D. Paulette Turk, M.D. Laura K. Harper, M.D. | 1:30:00 |
| Content Hours | 6:00:00 | |
| Credit Hours | 6.00 | |
| Total Content Hours | 23:10:18 | |
| Total Credit Hours | 23.00 | |
Accreditation Statement
In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
AMA
Mayo Clinic College of Medicine and Science designates this other activity (live and online content) for a maximum of 23.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AAPA
Mayo Clinic College of Medicine and Science has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. Approval is valid until 04/06/2029. This activity is designated for 23.00 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
ACHE
By attending the Medical Breast Training Program: High-Risk Prevention & Early Detection Online Course offered by Mayo Clinic College of Medicine and Science participants may earn up to 23.00 ACHE Qualifying Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.
ANCC
Mayo Clinic College of Medicine and Science designates this activity for a maximum of 23.00 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.
Other Healthcare Professionals
A record of attendance will be provided to all registrants for requesting credits in accordance with state nursing boards, specialty societies or other professional associations.
For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures.
| Course | Credits |
|---|---|
| MBTP: Medical Breast High-Risk Prevention & Early Detection Online Course | 17.00 |
| Optional Live Webinars | 6.00 |
| Total Credit Count | 23.00 |
Available Credit
- 23.00 AAPA Category 1
- 23.00 ACHE
- 23.00 AMA PRA Category 1 Credit™
- 23.00 ANCC
- 23.00 Attendance
Access to this online course is available from the date of purchase until the course expires on April 6, 2029. Credit must be claimed within that time period.
Registration required to claim CME credit.
Commitment to Belonging and Inclusion
Mayo Clinic School of Continuous Professional Development (MCSCPD) strives to foster a learning environment in which all individuals are valued, allowing all to achieve their fullest potential.
Every effort will be made to accommodate dietary requirements; however, some requests may not be feasible based on venue kitchen capabilities. Attendees will be contacted in advance if a dietary restriction cannot be fulfilled.
The Mayo Clinic School of Continuous Professional Development strives for fully accessible learning experiences. If you anticipate any barriers while attending this course, please reach out to the course coordinator who will be in touch with all registrants. If you need disability-related accommodations, please contact the Office of Wellness and Academic Support – Disability Access Services at MCCMS.DS@mayo.edu.
Cancellation and Refund Policy
View Cancellation and Refund Policy
All requests must be submitted in writing using the Contact Us Form.
Any use of this site constitutes your agreement to the Terms and Conditions of Registration.

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