The organization of breast health and diseases topics in undergraduate medical education programs: a model proposal
Makaleler > Tam Makale · 2025
Yazarlar: Ayşe Hilal BATI
BMC MEDICAL EDUCATION, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Social Sciences Citation Index, 2025, cilt 25, ss 1-8
Özet
<p>Abstract</p><p>Background In Türkiye, over 100 medical faculties implement integrated medical education, but integration levels</p><p>vary and are often at initial stages of the integration ladder. Istanbul University Istanbul Faculty of Medicine (IU-ITF),</p><p>as the first medical faculty in Türkiye, has been a pioneer and leader in many aspects. As faculty of IU-ITF, we have</p><p>identified certain shortcomings in our program and are committed to improving it. This study aims to analyse how</p><p>breast health and diseases are integrated into the undergraduate medical education (UGME) program at IU-ITF,</p><p>identifying its strengths and weaknesses. Additionally, it seeks to evaluate the program’s alignment with the National</p><p>Core Education Program (UÇEP) and propose a new model for integrating “breast health and diseases” into medical</p><p>education. This model will also be adaptable to other organ systems, serving as a template for incorporating similar</p><p>topics that address significant and priority health concerns into educational programs.</p><p>Methods This descriptive cross-sectional study was conducted in three stages: analysis of the IU-ITF UGME</p><p>program using a literature-based framework, an online survey assessing intern physicians’ self-competency in breast</p><p>health and diseases, and a faculty workshop to gather feedback and propose amendments for improvement.</p><p>Results Program analysis revealed the absence of structured breast examination skills training, multidisciplinary</p><p>integrated sessions, and problem-based learning (PBL) sessions, as well as a lack of objective structured practical</p><p>exams for breast examination. Interns highlighted the need for greater emphasis on symptoms, treatment</p><p>approaches, practical application of theoretical knowledge and the need for more integrated sessions. The workshop</p><p>concluded that, breast health and diseases are addressed at a post graduate medical education level, surpassing</p><p>the UÇEP 2020 guidelines. Students have limited exposure to patients with benign breast conditions, primary care</p><p>education is insufficient, and structured training in breast examination skills is lacking.</p><p>Conclusions Challenges such as high student numbers, inadequate educational environments, low motivation,</p><p>cultural and religious taboos limiting male participation, and resistance from some faculty members are common</p><p>barriers. Addressing these issues will enhance medical education, ensuring future healthcare professionals are better</p><p>equipped to manage breast health and diseases effectively.</p>