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Curriculum

Program Goals

Fellows will achieve competence in the elements of a system-based practice through their daily clinical activities within a complex academic environment over three clinical sites. Daily interaction with medical students and residents occurs in the clinical setting, including the operating room, outpatient clinic, and inpatient ward. In addition, it is anticipated that the fellow will see a broad spectrum of patients from different socioeconomic and cultural backgrounds enabling them to treat breast disease in multiple different stages. Participation in the multi-disciplinary conference reinforces quality patient care and enhances patient safety.

The fellow will also have opportunities to engage in community activities (i.e. Komen Race for the Cure, patient advocacy day with the Breast Cancer Coalition of North Carolina, and philanthropic organization Pretty in Pink) and organize affiliated hospital staff to participate in these events. These activities promote breast cancer awareness and research, and encourage development of the fellow’s leadership skills.

Research

The fellow will be expected to initiate, conduct, and complete a minimum of one, and preferably more than one, research project during the fellowship year. This requirement can be met with research in any of the following areas of investigation:

  • Breast Cancer Outcomes
  • Review of Surgical Techniques
  • Translational Research
  • Clinical Trials
  • Basic Science
  • Decision Science
  • Health care policy research

The fellow will have access to a clinical data mart of all patients treated for breast cancer at Duke between 1997-present. A group statistician will be available to help analyze data and can also provide more complex statistical support for data modeling and analysis of SEER/Medicare, the National Cancer Data Base and insurance claims databases.