Fellowship Course in Breast Surgery

Candidate should have completed MS/DNB General surgery or equivalent.

Breast disease represents a conundrum of conditions ranging from benign breast diseases to breast cancer. The challenge is to identify when the seemingly innocuous benign breast condition may actually be a harbinger of malignancy. This program aims to hone your clinical skills in differentiating the benign from malignant; to sharpen your ability to not stop investigating when the clinical index of suspicion is high. The emphasis will be on TRIPLE ASSESSMENT, wherein a good clinical examination, imaging and needle biopsy will form the backbone to clinching the diagnosis. Staging the disease followed by appropriate multidisciplinary management will then follow.
This program will take you through this process of diagnosis, staging, a multidisciplinary tumor board discussion to formulate the plan for management, conveying the same to the patient in a coherent manner and hand holding them through the process which can last fro a few months to a year.
It is important for the fellow to approach this program with an open mind and absorb all the key aspects of delivery of care. He or she is encouraged to share his or her ideas and suggest methods to improve care, especially by asking a research question, which he or she may attempt to answer during the course of his or her stay.

• Become knowledgeable about the preoperative, intraoperative and postoperative care of patients with breast tumors.
• Collaborate with our interdisciplinary team which includes basic scientists, oncologists, radiologists, nuclear medicine physicians, pathologist, radiation therapists and surgeons.
• Become an active participant in the dedicated Breast Tumor Board to discuss cases preoperatively as well as postoperatively.
• Become knowledgeable about preoperative radiology and nuclear medicine studies and minimally invasive and regular surgical techniques.
• Take courses in outcomes, clinical trials design and management and ethics.
• Participate in designing and conducting clinical trials.
• Write clinical papers and present at local, national, and international breast surgical, general surgical and breast oncology meetings