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Clinical Tools

The Every Woman Counts program recommends, develops, and distributes select clinical tools to clinicians providing breast and/or cervical cancer screening and diagnostic services (see EWC Developed). EWC also reviews and offers selected links to clinical tools developed by national, not-for-profit organizations (see National Sources).

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EWC Developed:

Breast Cancer

Breast Cancer Diagnostic Algorithms for Primary Care Providers June 2011 (4th Ed.)
These algorithms were developed by an expert panel of California providers specifically for primary care clinicians who play a key role in ensuring that women receive timely diagnostic and follow-up services.

Download the Breast Cancer Diagnostic Algorithms from our website.

Breast Diagnostic Algorithms

Breast Cancer History and Risk Assessment: Patient Information Form
This form offers a systematic approach for gathering and recording key information needed for determining a patient's breast cancer risk and plan of action. It is intended to be completed by the patient and reviewed by the clinician with the patient. It can be used in conjunction with the Risk Assessment Table (see Breast Cancer Diagnostic Algorithms) to help identify women who may be at increased risk of developing breast cancer.

Breast Cancer Historay and Risk Assessment: Patient Information Form

CBE Results Documentation Form
EWC has created a comprehensive standardized form, suitable for use in any clinic providing clinical breast exams. When completed with care and accuracy, the form is a valuable tool for assisting providers with clinical risk management as well as communicating patient risk within and across specialties.

CBE Results Documentation Form

Core Competencies of Clinical Breast Examination (Skills Reminder Card)
The skills reminder card addresses the nine core competencies of CBE: History, Lymph Node Exam, Visual Inspection, Patient Positioning, Vertical Strip Pattern, Palpation, Pressure, Plan of Action & Patient Education, and Documentation.

Core Competencies of Clinical Breast Examination

Examination of the Lymph Nodes
This exam guide describes the proper lymph node examination technique, a crucial element in the comprehensive clinical breast examination (CBE). Intended for clinicians who screen for breast cancer, learn how to identify suspicious lymph node findings during your routine screening exams.

Lymph Nodes Exam Guide

Cervical Cancer

Cervical History & Exam Documentation Form
This form is suitable for use in clinics providing cervical cancer screening services, developed for Every Woman Counts providers.

Focus tested by Every Woman Counts clinicians in 2011, this clinical tool may be used in conjunction with the CBE Results Documentation Form (go to a link to the form), also available on this website.

Cervical History & Exam Documentation Form

General Tools

Will come soon.


National Sources:

Breast Cancer

Guide for Clinicians with Patients who Have Dense Breasts
If your patient has mammographically dense breasts, she will be notified per California State Law (SB 1538). This notification may prompt questions regarding the need for supplemental breast cancer screening . Developed by the California Breast Density Information Group, this brief guide helps clinicians identify red flag risk factors that may necessitate further screening and offers suggestions for how to reassure those patients without additional risk factors.

Tier 1 Genomic Applications Toolkit
The Centers for Disease Control and Prevention (CDC) has developed a Tier 1 Genomic Applications Toolkit for public health departments that focuses on specific evidence-based applications for persons at risk of hereditary colorectal cancer due to Lynch syndrome, hereditary breast and ovarian cancer due to BRCA mutations, and cardiovascular disease due to familial hypercholesterolemia. The toolkit provides key background information, tools, and real world examples to help states and their partners build upon existing chronic disease programs.

Cervical Cancer

2012 Updated Consensus Guidelines and Algorithms
The American Society for Colposcopy and Cervical Pathology (ASCCP) has released the 2012 Updated Consensus Guidelines for Managing Abnormal Cervical Cancer Screening Tests and Cancer Precursors. These guidelines follow adoption of updated cervical cancer screening guidelines (2012), incorporating longer screening intervals and cotesting. Algorithms detailing the different management recommendations were also updated and released.

Note: Documents in Portable Document Format (PDF) require Adobe Acrobat Reader 5.0 or higher to view. Download Adobe Acrobat Reader.

Last updated: July 3, 2017

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