Full course description

About this Program

This program was developed to help primary care providers identify, evaluate, and manage patients at increased risk of HBOC. The program was developed by the Michigan State Department of Health and Human Services and the National Coalition for Health Profession Education in Genetics (now The Jackson Laboratory Clinical and Continuing Education Program) with funding from the Centers for Disease Control and Prevention.

Working through the case studies, you will practice identifying, evaluating, and managing patients with HBOC. The program also provides strategies for counseling patients before and after genetic testing, approaches to communicating risk, and tools to help you collaborate with a genetic or other specialist.

Already enrolled?  Go to the course.

Learning Objectives

  1. Demonstrate the ability to collect cancer family history information
  2. Describe appropriate referral procedures and methods to identify genetic specialists in one's area.
  3. Identify current evidence based recommendations for genetic counseling/testing for breast and ovarian cancer.
  4. Describe current evidence based recommendations for the management of hereditary breast and ovarian cancer syndrome.

CME Information

This CME activity provides a case-based overview of hereditary breast and ovarian cancer (HBOC). Five to ten percent of individuals with breast cancer have HBOC and more have familial forms that increase their risk for additional disease and relatives risk for certain types of cancer.  This condition is an important cause of morbidity and mortality in the population of individuals with breast cancer; emphasizing the importance of accurate diagnosis and consideration of at-risk family members. Through practical and educational case studies, this course provides an overview of the clinical and molecular features of HBOC, as well as issues surrounding genetic testing.

This course should take up to 2 hours to complete.

Release Date: July 20, 2017
Termination Date: July 30, 2019

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of Wayne State University School of Medicine and the Michigan Department of Health and Human Services. The Wayne State University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The Wayne State University School of Medicine designates this enduring material for a maximum of  2 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity."

Cost

Free.  There is no cost for CME to participants.

CME Documentation

You can receive documentation of your CME by visting your dashboard. The link to your dashboard is on this screen in the left navigation column. Once you have navigated to your dashboard select the "Completed" Button. This will take you to a list of completed modules and a link to download your CME certificate.

Overall Learning Objectives

Upon completion of this activity, participants will be able to:

  1. Demonstrate the ability to collect cancer family history information for the purpose of risk assessment
  2. Describe appropriate referral procedures and methods to identify genetic specialists in one's area.
  3. Identify current evidence based recommendations for genetic counseling/testing for breast and ovarian cancer.
  4. Describe current evidence-based recommendations for the management of hereditary breast and ovarian cancer syndrome.

Target Audience

This activity is designed to meet the educational needs of all primary care physicians, but is also appropriate for other specialists such as oncologists and surgeons. Other non-physician health care providers, such as nurses and physician assistants, may find the activity beneficial.

Statement of Need

Guidelines developed by the National Comprehensive Cancer Network and the American College of Obstetrics and Gynecology have outlined risk assessment, genetic testing, and management strategies for HBOC. There is a demonstrated need for physicians to become more knowledgeable about hereditary breast and ovarian cancer and the established guidelines for identifying and managing patients at risk.

Statement of Competency

This activity is designed to address the following ABMS/ACGME competencies: patient care, medical knowledge, and interpersonal and communication skills.

Method of Participation

Registrants participate in the learning process by reading each of 8 case studies and answering interactive multiple-choice questions. After selecting an answer, they read about the consequences of their answers. If they answer a case study question correctly, they proceed to the case summary.  If they do not answer the case study question correctly, they are provided with skill building tips and links to more detailed information on the concepts covered to help them answer correctly. Then they are then prompted to try again until they select the correct answer. They must select the correct answer to progress through the course. All cases end with a case summary page that provides reinforcement of the most important messages, links to more detailed information and to tools that can be printed for later use.

In order to earn credit, physicians must complete the entire educational activity (all 8 case studies) and the post-test before the termination date (see above). Non-physicians will earn a certificate of participation after successfully completing the course before its termination date.  All participants will receive a certificate of participation after successfully completing the course. Those who want CME credit can ask for a transcript of their participation from the Wayne State University CME office. Transcripts will be available approximately one month after you have completed the program. Participants must score 75% or better on the post-test to receive credit.

Combination of Media Used

This internet enduring material is a case-based, interactive presentation comprised mainly of text, interactive questions, and images. No plugins are required for general use of the CME website.

Planners/Faculty*

Kate Reed, MPH, ScM, CGC

Project Director, Jackson Laboratories Clinical and Continuing Education Programs

Angela Trepanier, MS, CGC

Associate Professor, Wayne State University, Cancer Genomics  Educator (subcontract), Michigan Department of Health and Human Services (MDHHS)

Debra Duquette, MS, CGC

Adult Genomics Coordinator, MDHHS

*This educational program is a revised version of the original program developed by Kate Reed, Deb Duquette, Jennifer McLosky, MS, CGC (Cancer Genomics Education Coordinator, MDHHS), Summer Cox, MPH (Screenwise Genetics Program Coordinator, Oregon Health Authority), and Katrina Trivers, PhD, MPH (Epidemiologist, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention).

Disclosure Statement

In order to assure the highest quality of CME programming, and to comply with the ACCME Standards for Commercial Support, WSU requires that all faculty, planning committee members and members of the WSU CME Program Committee disclose relevant financial relationships with any commercial or proprietary entity producing health care goods or services relevant to the content being planned or presented.

Debra Duquette, Kate Reed, and Angela Trepanier, the individuals involved in the planning, review and delivery of this content do not have any relevant relationships to disclose.

Hardware/Software Requirements

Screen Size
Canvas is best viewed at a minimum of 800x600, which is the average size of a notebook computer. If you want to view Canvas on a device with a smaller screen, we recommend using the Canvas mobile app.

Operating Systems

  • Windows 7 and newer (users on Windows 10 need to download the Windows 10 Anniversary Update to submit Canvas assignments
  • Mac OSX 10.6 and newer
  • Linux - chromeOS

Mobile Operating System Native App Support

  • iOS 7 and newer (versions vary by device)
  • Android 4.2 and newer

Computer Speed and Processor

  • Use a computer 5 years old or newer when possible
  • 1GB of RAM
  • 2GHz processor

Internet Speed

  • Minimum of 512kbps

Screen Readers

  • Macintosh: VoiceOver (latest version for Safari)
  • PC: JAWS (latest version for Internet Explorer)
  • PC: NVDA (latest version for Firefox)
  • There is no screen reader support for Canvas in Chrome

Funding

This program was funded by a cooperative agreement with the Centers for Disease Control, Center for Cancer Control and Prevention.  

Authors and Partners

The current version of this program is a collaboration between the Michigan Department of Health and Human Services, Wayne State University, and The Jackson Laboratory Clinical Education Program. A previous version of this program was created in partnership with three additional entities- the Oregon Department of Health, the Georgia Department of Health, and the Cancer Control and Prevention Division of the Centers for Disease Control.

Copyright

The copyright for this program is held by The Jackson Laboratory. 

Policy on Privacy and Confidentiality

Neither The Jackson Laboratory nor WSU will release proprietary database information about participants' use of the site, including mailing and e-mail addresses, to any third party.

We collect the domain name and email address of users to our site, information volunteered by the user such as quiz or evaluation information and/or site registrations. The information we collect is used to notify users about updates, provide confirmation on courses, completions, and to facilitate the statistical analysis of our continuing education content. This information is not shared with other organizations for commercial purposes.

We use industry-standard data-encryption technology when we transfer and receive personal information on the site. We maintain appropriate security measures in our physical facilities to protect against loss, misuse, or alteration of information we have collected from you at our site.

Interested in taking the program? The course is available for up to 2 CME credits and is free to participants.

Contact Information

Should you have questions regarding the content of the activity, please email Kate Reed or call 207.288.6971.

Should you have technical questions, please email Therese Ingram

Should you have questions about CME, contact Angela Trepanier at atrepani@med.wayne.edu or call 313-577-6298