The Breast Oncology Fellowship enables the fellow to acquire an advanced body of knowledge and a high level of skill in the multidisciplinary management of breast disease to assume a leadership role as a breast surgeon in a clinical, academic teaching, or research facility in the field.
- Evaluation and management of benign breast disease
- Breast cancer risk assessment
- Breast cancer genetics
- Screening and diagnostic mammography
- Natural history and pathology of benign and malignant breast disease
- Proficiency in interdisciplinary evaluation and pre-surgical treatment planning
- Selection of local therapy, indications, local recurrence and expected outcomes
- Radiation therapy post-mastectomy and as part of breast conservation
- Adjuvant systemic chemotherapy and endocrine therapy
- Preoperative work-up and postoperative care
- Management of surgical complications related to breast surgery
- Reconstructive options after mastectomy and breast-conserving treatment with poor cosmesis
- Evaluation and management of arm lymphedema
- Psychosocial and legal aspects of breast cancer care
These procedural skills are acquired during the fellowship:
- Interpretation of mammograms and ultrasound
- Stereotactic or ultrasound-guided core biopsy
- Subareolar duct excision
- Intraoperative ultrasound
- Breast-conserving surgery
- Modified radical mastectomy
- Skin-sparing mastectomy
- Nipple-sparing mastectomy
- Axillary dissection
- Sentinel node biopsy
Your training includes surgery conferences and other clinical conferences in the departments of Surgery, Internal Medicine and Oncology and in the Mayo Clinic Breast Diagnostic Clinic.
- Department of Surgery Grand Rounds and Morbidity and Mortality Conference (weekly)
- Multidisciplinary Breast Conference (weekly)
- Multidisciplinary E-Tumor Board (biweekly)
- Oncology core curriculum lectures
- Journal club (monthly)
The Department of Surgery participates in the evidence-based medicine program, case conferences and visiting faculty conferences. All didactic courses are open to residents and fellows in all subspecialties.
During the fellowship, each fellow will participate in clinical research and present at regional and national meetings, as well as publish two or more manuscripts.
To ensure you gain proficiency and develop the corresponding technical skills, your performance is monitored throughout the Breast Oncology Fellowship. You are formally evaluated by your supervising faculty member after the completion of each clinical rotation and then meet with the program director to review these evaluations quarterly.
In addition, you regularly evaluate the faculty to ensure your educational goals are being met.