The Confidence in Hereditary Cancer Discussion Series for Primary Care Providers was developed through a collaboration between the National Association of Chronic Disease Directors (NACDD) and the Family Medicine Education Consortium (FMEC), with funding from the Centers for Disease Control and Prevention. 

About this series

This series is designed to improve family medicine healthcare providers’ skills and confidence in identifying and managing patients who may have a higher risk of hereditary breast cancer (HBC) due to genetic factors . Each module explores a vital aspect of identifying and managing HBC. Of particular interest is the use of narrative medicine, a powerful tool for engaging patients in discussions about HBC risk. Other topics include setting up the primary care office for HBC screening and referral, working with genetic counselors, and addressing patients’ concerns about insurance, disclosure, and communicating with family.  We recommend viewing the modules in the order below, but it is not a requirement.

FMEC has also cataloged CME modules other organizations offer to accompany this series. This list is available below.

Watch our introduction video:


Confidence in Hereditary Cancer Discussion for Primary Care Providers Modules

Explore the Series Modules and Receive Your Self-Study AAFP Prescribed Credits Here 

  • Narrative Medicine Background and Use in Family Medicine
  • Narrative Medicine as a Tool to Support Patients with Hereditary Cancer Risk
  • Setting up the Family Practice for Hereditary Breast Cancer Risk Assessment, Testing, and Counseling, Part A
  • Setting up the Family Practice for Hereditary Breast Cancer Risk Assessment, Testing, and Counseling, Part B
  • Working with Genetic Counselors
  • Supporting Patients’ Common Questions and Concerns, Part A - Educational Resources for Talking with Families After Hereditary Cancer Screening
  • Supporting Patients’ Common Questions and Concerns, Part B - Common Questions about Insurance, Privacy, and Disclosure

CME Information
The AAFP has reviewed Confidence in Hereditary Cancer Discussion for Primary Care Providers and deemed it acceptable for AAFP credit. Term of approval is from 07/01/2024 to 06/30/2025. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  Modules have been approved for 0.25 Self-Study AAFP Prescribed Credits. More information available at: https://www.aafp.org/credit-reporting/cmecenter/details?activityId=100520

Earning and Claiming Your Credit
Once you have completed viewing a module, you will be directed to a link to complete the module evaluation to receive your Certificate of Participation. To self-report CME credit, visit the AAFP CME Reporter at www.aafp.org/credit-reporting/reporting/claim-credit

Confidence in Hereditary Cancer Discussion for Primary Care Providers Module Overviews

 Module Name  AAFP Credits

Narrative Medicine Background and Use in Family Medicine

This module reviews the definition, history and core concepts of narrative medicine and helps physicians understand how narrative medicine can improve their practice, through improved physician-patient communication, empathy, and patient education.

Learning Objectives.  By the end of this module, learners will be able to:

  • Describe the history and foundational concepts of narrative medicine.
  • Identify strategies to utilize narrative medicine in patient care and resources for patient education and empowerment.

Speaker: Philip G. Day, PhD,  Associate Director of Education and an Assistant Professor of Family Medicine at the University of Massachusetts Chan Medical School

0.25 Prescribed credits

Narrative Medicine as a Tool to Support Patients with Hereditary Cancer Risk

This module demonstrates how exploring a diverse range of patients’ hereditary cancer journeys and learning from other physicians' experiences can change physician perspectives and improve patient care.

Learning Objectives. By the end of this module, learners will be able to:

  • Describe the benefits to both providers and patients of using narrative medicine and stories.
  • Find stories and videos that help them as healthcare providers feel confident in helping patients and avoid burnout.
  • Find stories and videos that help patients understand their cancer risk, find support, and take appropriate steps to help stay healthy.

Speaker: Maya Bass, MD MA FAAFP, Assistant Professor and Program Director, Department of Family Medicine, Cooper University

0.25 Prescribed credits

Setting up the Family Practice for Hereditary Breast Cancer Risk Assessment, Testing and Counseling, Part A

This two-part module addresses setting up the family practice office to assess and manage patients who may have a higher risk of hereditary cancer due to genetic factors. It covers risk assessment tools, practice protocols, finding and working with genetic counseling and testing, and helping providers and patients understand genetic test results.

Learning Objectives. By the end of this module, learners will be able to

  • Overcome barriers to the risk assessment and genetic testing referral for patients at risk of hereditary cancer in their practice.
  • Proceed with developing practice protocols, training, and other resources to make risk assessment and patient referrals routine.

Speaker: Susanna Evans, MD,  Associate Professor and Hamot Endowed Chair, Department of Family, Community & Preventive Medicine, Drexel University College of Medicine.

0.25 Prescribed credits

Setting up the Family Practice for Hereditary Breast Cancer Risk Assessment, Testing and Counseling, Part B

This two-part module addresses setting up the family practice office to assess and manage patients who may have a higher risk of hereditary cancer due to genetic factors. It covers risk assessment tools, practice protocols, finding and working with genetic counseling and testing, and helping providers and patients understand genetic test results.

Learning Objectives. By the end of this module, learners will be able to

  • Identify genetic testing and counseling resources in their community;
  • Access resources that help them and their patients better understand genetic testing results.

Speaker: Susanna Evans, MD,  Associate Professor and Hamot Endowed Chair, Department of Family, Community & Preventive Medicine, Drexel University College of Medicine.

0.25 Prescribed credits

Working with Genetic Counselors

This module helps primary care providers understand how genetic counselors are an important resource for patients who are considering genetic testing for hereditary cancers and other conditions and will address barriers and strategies to referring patients to genetic counselors.

Learning Objectives. By the end of this module, learners will be able to:

  • Describe the services that genetic counselors provide to patients considering or undergoing genetic testing
  • Overcome barriers that prevent primary care providers from using genetic counselors
  • Find genetic counseling services that can be accessed virtually or in-person for their patients

Speaker: Uchenna Emeche, MD, Associate Medical Director, Medstar Franklin Square Family Health Center

0.25 Prescribed credits

Supporting Patients’ Common Questions and Concerns, Part A - Educational Resources for Talking with Families After Hereditary Cancer Screening

The process of risk assessment, screening and testing for hereditary cancers can raise complex questions about insurance coverage, privacy, discrimination, and telling family members for patients. This module helps primary care providers understand some of the common questions that patients may have and how to help them.

Learning Objectives. By the end of this module, learners will be able to:

  • Listen compassionately to patients’ questions and concerns;
  • Provide basic guidance to patients who have concerns about insurance coverage, privacy, and discrimination during hereditary cancer screening and testing.

Speaker: Tracey Conti, MD, Chair, Department of Family Medicine, UPMC and University of Pittsburgh

0.25 Prescribed credits

Supporting Patients’ Common Questions and Concerns, Part B - Common Questions about Insurance, Privacy, and Disclosure

This module focuses on skills and resources physicians and their healthcare teams can use to support patients who have discovered they may carry a harmful gene in sharing information with their relatives and loved ones.

Learning Objectives. By the end of this module, learners will be able to:

  • Confidently and proactively promote the discussion of hereditary breast cancer risk between patients and their families;
  • Direct patients to resources to help them prepare for discussions with family members about hereditary cancer risk.

Speaker: Sarah Inés Ramírez, MD, Assistant Professor, Department of Family and Community Medicine, Penn State Cancer Institute

0.25 Prescribed credits


Resources and References - View and download the series resources and references here

Companion CME Modules

MODULE NAME

Provider

Understanding Early Onset Breast Cancer, Part I
Risk Factors for Early Onset Breast Cancer

The American College of Obstetricians and Gynecologists (ACOG)

Understanding Early Onset Breast Cancer, Part II
Engaging with Patients at Risk for Early Onset Breast Cancer

The American College of Obstetricians and Gynecologists (ACOG)

Genetic Testing for Breast Cancer Risk (CME)
Practice evaluating how well a particular genetic test assesses breast cancer risk and the potential impact of testing on patient outcomes.

Jointly Provided by The Jackson Laboratory and the University of Connecticut School of Medicine Office of Community and Continuing Medical Education

What Primary Care Physicians Need to Know About Multi-Cancer Early Detection Tests

The American College of Osteopathic Family Physicians (ACOFP)


Funding
NACDD’s Helping Families Communicate About Hereditary Breast or Ovarian Cancer project was supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $450,000, with 100 percent funded by CDC/HHS.

Planners, Writers, and Reviewers
Maya Bass, MD MA FAAFP, Assistant Professor and Program Director, Department of Family Medicine, Cooper University
Tracey Conti, MD, Chair, Department of Family Medicine, UPMC and University of Pittsburgh
Philip G. Day, PhD,  Associate Director of Education and an Assistant Professor of Family Medicine at the University of Massachusetts Chan Medical School
Uchenna Emeche, MD, Associate Medical Director, Medstar Franklin Square Family Health Center
Susanna Evans, MD,  Associate Professor and Hamot Endowed Chair, Department of Family, Community & Preventive Medicine, Drexel University College of Medicine.
Sarah Inés Ramírez, MD, Assistant Professor, Department of Family and Community Medicine, Penn State Cancer Institute

Disclosure Statement
The activity director, co-activity director, planning committee, writers, and reviewers involved in the Confidence in Hereditary Cancer Discussion for Primary Care Providers CME Series have no financial relationships with any companies that could be perceived as a conflict of interest. Furthermore, the modules within this series do not include any non-approved or investigational use of products or device.