Obstetrician-gynecologists examine breasts more often than any other physician group. For many patients, the obstetrician-gynecologist is the one physician who performs a breast risk assessment, orders screening, and triages a new symptom. Guidance from major organizations has shifted, and the organizations still disagree on screening interval, supplemental screening for dense tissue, and the role of the clinical breast examination.
This activity reviews four practice skills: stratifying breast cancer risk, ordering the correct screening study at the correct age, evaluating symptoms with age-appropriate imaging, and closing the loop on abnormal results. It covers current screening recommendations by risk tier, imaging modality selection, workup of the palpable mass, nipple discharge, breast pain, and skin changes, and the Breast Imaging Reporting and Data System (BI-RADS) categories that drive follow-up and referral.
Eric Warren, DO
Obstetrics and Gynecology Resident, AdventHealth Orlando
Dr. Warren began his healthcare career as a paramedic, working in high-acuity, pre-hospital settings. That experience in emergency medicine led him to medicine. He earned his Doctor of Osteopathic Medicine degree from William Carey University College of Osteopathic Medicine in Hattiesburg, Mississippi, graduating in 2024, and matched into the obstetrics and gynecology residency program at AdventHealth Orlando. His clinical interests include high-risk obstetrics, breast health, and minimally invasive surgery. He is originally from Jackson, Mississippi.
ACOOG requires each planner and author to identify all financial relationships with ineligible companies and mitigates risk of bias using a series of strategies for relevant relationships. Unless otherwise noted below, ACOOG, ACOOG staff, planners, and faculty for this activity have no relevant financial relationships to disclose.
Dr. Warren has no relevant relationship with an ineligible company to disclose.
Those participating in this activity will receive information that should allow them to:
- Apply current age- and risk-based breast cancer screening recommendations to average-risk and higher-risk patients.
- Differentiate physiologic from pathologic breast findings and select age-appropriate diagnostic imaging for a palpable mass, nipple discharge, and skin changes.
- Assess hereditary breast cancer risk using family history and validated models, and coordinate referral for genetic counseling and supplemental magnetic resonance imaging when indicated.
- Interpret Breast Imaging Reporting and Data System (BI-RADS) categories and manage follow-up and referral pathways that close the loop on abnormal results.
Accreditation and Credit Designation
The accreditation statements cannot be condensed, combined, or altered except for type of activity and credit hours.
CME Accreditation
The American College of Osteopathic Obstetricians and Gynecologists is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians.
The American College of Osteopathic Obstetricians and Gynecologists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
CME Credit Designation
The American College of Osteopathic Obstetricians and Gynecologists designates this program for a maximum of 0.75 AOA Category 1-B credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
The American College of Osteopathic Obstetricians and Gynecologists designates this enduring for a maximum of 0.75 AMA PRA Category 1 Credits™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.
ACOG Cognate Credit(s)
The American College of Osteopathic Obstetricians and Gynecologists designates this activity for Category 1 College Cognate Credits equal to the number of AMA PRA Category 1 Credits™ claimed by the participant. ACOG recognizes AMA PRA Category 1 Credits™ to be equivalent to ACOG Cognate Credits.
NPs, PAs & CNMs
The American Academy of Nurse Practitioners Certification Board (AANPCB) recognizes activities approved for Category 1-A credit through the American Osteopathic Association and Category 1 AMA PRA Category 1 Credits™ as providing advanced practice CE content hours for applicants seeking renewal through continuing education credit.
The National Commission on Certification of Physician Assistants (NCCPA) recognizes activities approved for Category 1-A credit through the American Osteopathic Association and AMA PRA Category 1 Credits™ as Regular Category 1 CME for national certification maintenance.
The Certificate Maintenance Program of the American Midwifery Certification Board accepts AMA PRA Category 1 Credits™ to satisfy its contact hours requirement.
All NPs, PAs, CNMs and other health professionals participating in this activity will receive a certificate of completion commensurate with the extent of their participation in the activity. ACOOG strongly recommends all non-physician health professionals check with their certification/licensing organizations to confirm credit reciprocity.
This activity is not commercially supported.
Format and System Requirements
This is a text activity. An internet-connected device (computer or mobile) with internet access is required. Compatible with most popular web browsers. JavaScript and cookies must be enabled.
Requirements for Successful Completion
Participants must complete the pre-test, read the text-based content, pass the post-test (70% or greater), complete the activity evaluation, and claim credit.
Medical Judgement
This activity is for educational purposes only, offered by ACOOG. Physicians must rely on their medical knowledge, experience, and patient relationships for clinical decisions.
Use of Artificial Intelligence
The author developed this activity with assistance from generative artificial intelligence (AI) tools in July 2026. Claude Opus 4.8 (Anthropic) assisted with content organization and editing. ChatGPT 5.5 Thinking (OpenAI) assisted with image creation. The author supplied the source content to both systems, then reviewed, edited, and approved all final content. AI tools produce errors, so the author verified every clinical statement against the cited sources. ACOOG remains responsible for the accuracy, balance, and independence of this activity.
Grievances: Any registrant finding evidence that the continuing medical education activity presented is inappropriate with regard to facilities, materials, content, or who observes any unacceptable promotion by a commercial interest may submit a grievance in writing to ACOOG, PO Box 17598, Fort Worth, TX 76102. Unresolved issues regarding this activity will require a formal written complaint to the AOA Division of CME, 142 East Ontario Street, Chicago, IL 60611.
Privacy policy: This activity complies with ACOOG’s privacy policies.
Data use: Data collected as part of this activity may be analyzed as part of educational research to study the effectiveness of educational interventions on health care, population health, health care providers and others, or to identify additional needs and gaps for future interventions.
Refunds: Refunds are not available for this educational product.