Anne Arundel Medical Center

The Breast Center of the DeCesaris Cancer Institute

Annapolis, Maryland

Training Program Director: Lorraine Tafra, MD, FACS
Co-Director, Robert Buras, MD, FACS

Breast surgery has emerged as a distinct specialty and the required preparation for a career in this specialty has become extensive.

Goal

To rigorously train surgeons for a career in breast surgery and equip them with extensive knowledge and skills to (1) provide superb and compassionate clinical care, (2) stimulate intellectual curiosity and foster a lifelong commitment to innovation and breast disease research, (3) direct and understand the many facets and multidisciplinary aspects of a Breast Center, (4) provide leadership for colleagues, Breast Center teams, governmental agencies, insurance companies, and industry to improve breast disease care, (5) be an advocate for patients, and (6) articulate research results, clinical and patient information in a collaborative and carefully planned manner.

Program Description and Rotations

As this is a surgical fellowship, the fellows spend most of their time on operative rotations with the team of breast and reconstructive surgeons. Subspecialty rotations include the Risk Assessment and Prevention Program, Pathology, Psychosocial/Counseling, Radiation Oncology, Medical Oncology, Reconstructive Surgery, Breast Imaging, Leadership, Clinical Trials, and the Lymphedema Clinic. Rotations outside of AAMC include Johns Hopkins Hospital (Medical Oncology). The Faculty consists of renowned experts who have been chosen for passion in their field and their teaching abilities.

Patient Volume

Our AAMC clinicians perform over 7,000 clinical encounters, care for more than 600 patients with breast cancer, and perform approximately 30,000 screening mammograms each year. The Fellow will perform approximately 400-600 surgical procedures including skin-sparing mastectomies, ultrasound-guided biopsies and image-guided partial mastectomies, nipple explorations, sentinel node and completion axillary node dissections, assist in reconstructive procedures and see an extensive variety of both benign and malignant patients in clinic. Extensive experience in image-guided biopsy is obtained.

The AAMC Breast Center of the DeCesaris Cancer Institute

The Breast Center's location in beautiful historic Annapolis and its proximity to Baltimore and Washington provide a wide array of recreational and cultural activities. The Breast Center and its associated activities will be at the center of the Fellow's experience. The Center has been under the direction of Dr. Lorraine Tafra, past president of the American Society of Breast Surgeons, for over a decade. It has been a destination site for breast patients locally, regionally, and nationally and has been extensively supported financially by the community and prominent national leaders. The research program at the Breast Center is well funded from many granting agencies for innovative projects and well staffed with research nurses and coordinators, data managers, and information technology. The Center is also actively involved in breast research sponsored by large cooperative groups including NSABP, ACOSOG, and RTOG. The Center consists of state-of-the-art facilities including digital mammography, dedicated breast MRI, procedure and biopsy rooms, and a dedicated breast disease library for patients and staff. The Center is also responsible for teaching breast disease to Johns Hopkins Surgical Oncology Fellows and occasional residents and students.

Courses and Meetings

It is anticipated the Fellow will attend SOBO (School of Breast Surgical Oncology), as well as the American Society of Breast Surgeons Annual Meeting. Other optional meetings include the National Consortium of Breast Centers, the San Antonio Breast Conference, the Miami Breast Conference, the American Society of Breast Disease, and the Society of Surgical Oncology. It is expected the Fellow will take a breast ultrasound course.

Expectations of the Fellow

The Fellow is expected to: participate in all aspects of clinical care of patients at all the participating centers under the supervision of the faculty; attend and present at weekly breast tumor boards; adopt 2 to 3 research projects; submit at least two abstracts, two manuscripts and a review paper on a topic of their choosing; participate in grant submissions, IRB protocols, generation of consents and protocols; prepare and present talks on breast disease at our breast surgery courses and community outreach programs.

Our Teaching Philosophy

Our approach to teaching is no different than our approach to patient care - kind and supportive. We train our fellows to be leaders nationally in breast surgical care, advocate for patients, and be on the forefront of breast disease research.

Number of Positions: One

Length of Fellowship: One Year

Contact Information

Training Program Director: Lorraine Tafra, MD, FACS
Address: The AAMC Breast Center
Belcher Pavilion
2000 Medical Parkway, Suite 200
Annapolis, MD 21401
Phone: 443-481-5312
Fax: 443-481-3542
Email: Admin. Assist., Patricia DelGavio
pdelgavio@aahs.org