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Medical Breast Training Program

Co-Course Directors: Sandhya Pruthi, M.D., Ruth Heisey, M.D., Juliana (Jewel) M. Kling, M.D., M.P.H., Dawn Mussallem, D.O., Holly Pederson, M.D., Melinda, Wu, M.D., and Heidi A. Apsey, APRN, NP-C, M.S.N.

Available until December 31, 2022 - Online CME Course

The Medical Breast Training Program will provide clinicians tools and knowledge to evaluate and manage common breast complaints, to perform personalized risk assessment and risk management and to care for breast cancer survivors. The goal is to educate practitioners in the field about guidelines for screening and diagnosis, risk reduction, genetics, and survivorship. 

Participants, through online, pre-recorded lectures and live interactive case discussion sessions, will gain practical knowledge about the workup and management of common breast issues, will confidently identify and manage those at risk and will effectively care for survivors, with topics ranging from bone health to sexuality to integrative medicine. 

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Target Audience

This program is designed for the specialty groups of for Medical Oncologists, Women's Health, Family Medicine, and Primary Care. Content is designed for physicians, NP, PA , RN and Allied Health professionals.

Learning Objectives

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.

  • Review the clinical importance of average and high-risk screening, recognizing the challenges resulting in disparities.
  • Discuss the work up of common breast complaints including breast/axillary mass, breast pain, nipple discharge/scaling or erosion/inversion, skin changes, and changes in the shape of the breast or local deformities including mastery of the clinical breast exam.
  • Develop a consistent and comprehensive approach to identification of those at hereditary cancer with knowledge of NCCN guidelines, American Society of Breast Surgeons’ guidelines and those of USPSTF.
  • Discuss the management of patients with biopsy-proven high-risk breast lesions, a strong family history of breast cancer, or identified gene mutations that significantly increase risk of breast cancer.
  • Develop an approach to breast cancer risk mitigation strategies including lifestyle modifications, risk-reducing pharmacotherapy, or preventative surgery.
  • Demonstrate expertise in the identification and management of common benign breast lesions and more rare lesions such as phyllodes tumours and radial scars.
  • Describe the difference between non-invasive and invasive breast cancer and available surgical options for early-stage breast cancer including updates in breast reconstruction.
  • Describe healthcare needs for breast cancer survivors including surveillance imaging, management of SERM and AI side effects, bone health, and cardio-oncology surveillance and safe and effective treatments that may improve symptoms commonly seen with breast cancer survivors including vasomotor symptoms, sexual dysfunction, lymphedema, and mental health concerns.
  • Describe the role of healthy lifestyle habits including regular exercise, healthy diet, alcohol, and tobacco avoidance as it relates to breast cancer prevention and reduction in recurrence risk
  • Demonstrate the impact of hormones on breast cancer risk, be comfortable having informed discussions with women at risk for or with a history of breast cancer who wish to use hormones for local or systemic therapy.

Attendance at any Mayo Clinic course does not indicate or guarantee competence or proficiency in the skills, knowledge or performance of any care or procedure(s) which may be discussed or taught in this course.

Course summary
Course opens: 
Course expires: 



Click here to view the program schedule in your mobile device. 

Co-Course Directors

Sandhya Pruthi, M.D.
Ruth Heisey, M.D., CCFP, FCFP
Holly J. Pederson, M.D.
Juliana (Jewel) M. Kling, M.D., M.P.H.
Dawn M. Mussallem, D.O.
Melinda Wu, M.D.
Heidi A. Apsey, APRN, NP-C, M.S.N.

Planning Committee

Sandhya Pruthi, M.D.
Ruth Heisey, M.D., CCFP, FCFP
Holly J. Pederson, M.D.
Juliana (Jewel) M. Kling, M.D., M.P.H.
Dawn M. Mussallem, D.O.
Melinda Wu, M.D.
Heidi A. Apsey, APRN, NP-C, M.S.N.

Jennifer E. Bertschinger
Brittani N. Burroughs, MHA
Elaine Goulbourne
Marilyn E. Marolt
Lisa Winter, M.A., PMP

Holly Pederson, MD

 Dr. Pederson is the Director of the Medical Breast Program at Cleveland Clinic and Associate Professor of Medicine at CCLCM.

She completed a clinical genetics fellowship at CCF in 2008 and the City of Hope Course in 2017.  She is actively involved in clinical research and is co-appointed in the Lerner Research Institute.

She has served on the NCCN Risk Reduction and Genetic Committees and speaks nationally with a focus on management of high-risk patients.  She has developed an internal fellowship for training of Medical Breast Providers, a program which she helped to create. 

Juliana (Jewel) Kling, MD MPH NCMP FACP

 Dr. Jewel Kling is an Associate Professor of Medicine, Chair of the Division of Women’s Health Internal Medicine and Associate Chair of Equity, Inclusion and Diversity for the Department of Medicine at the Mayo Clinic in Scottsdale, Arizona.

She completed her undergraduate at Arizona State University, and then medical school and master’s in public health at the University of Arizona Tucson and Internal Medicine Residency at Mayo Clinic Arizona, followed by a Chief Internal Medicine fellowship year.

Her clinical and research interest are in menopause, sexual health, breast health and LGBT care. She is a North American Menopause Society (NAMS) Certified Menopause Practitioner and serves on the board of the International Society for the Study of Women’s Sexual Health (ISSWSH), and the American Medical Women’s Association Sex and Gender Health Collaborative. She is part of the transgender steering committee at MCA and has been a past co-chair of the LGBTI Mayo Employee Resource Group. She is also involved in education and is active with the Internal Medicine residency and Mayo Clinic Alix School of Medicine, as well as efforts to expand the discipline of Sex and Gender specific medicine.

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures.

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