Master Surgeon in Breast Treatment
The Master Surgeon in Breast Treatment (MSBT) program offers leading surgeons around the world the opportunity to earn an individual accreditation without requiring that they partner with a hospital. The MSBT program is ideal for surgeons who:
- Perform surgeries at multiple hospitals
- Desire an individual accreditation separate from or in addition to their hospital’s accreditation
- Want to earn accreditation now, but their hospital is not ready to move forward
The MSBT program is an excellent way for patients to identify world-class breast surgeons who hold themselves to a higher standard.
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Requirement 1 – Surgical Experience
The applicant has served as the primary surgeon for at least 200 breast surgery procedures in their lifetime and performs at least 125 procedures annually.
Brazilian applicant surgeons must be a member of the Brazilian Mastology Society (Sociedade Brasileira de Mastologia).
Procedures performed at any facility may be used toward volume. Surgeons must have served as the primary surgeon for a procedure to qualify. If the surgeon’s role as primary surgeon has been properly documented, procedures performed during fellowship may qualify. Cases in which the surgeon served as co-surgeon or assisting surgeon do not qualify.
Each procedure used for volume must be thoroughly documented to enable a medical chart review.
Volume waivers may be approved in some circumstances.
Required services or components that should be available to patients:
- Screening mammography (digital or analog)
- Diagnostic mammography
- Breast MRI
- Needle Biopsy
- Needle biopsy – palpation-guided
- Image guided – stereotactic
- Image guided – ultrasound
- Image guided – MRI
- Report Completeness/CAP Protocols
- Radiology-Pathology Correlation
- Prognostic and predictive indicators
- Gene studies (if available)
- Genetic Evaluation and Management
- Genetic testing
- Genetic risk assessment
- Genetic counseling
- Surgical Care
- Surgical correlation with imaging
- Preoperative planning after biopsy for surgical care
- Breast surgery: lumpectomy or mastectomy
- Lymph node surgery: sentinel node/axillary dissection
- Post initial surgical correlation/treatment planning
- Plastic Surgery Consultation/Treatment
- Tissue expander/Implants
- TRAM/Latissimus flaps
- DIEP flap/free flaps (if available)
- Medical Oncology Consultation/Treatment
- Hormone therapy
- Radiation Oncology Consultation/Treatment
- Whole breast irradiation with or without boost
- Regional nodal irradiation
- Partial breast irradiation
- Palliative radiation for bone or systemic metastasis
- Stereotactic radiation for isolated or limited brain metastasis
Qualifying Procedures that count toward surgical volume:
- Excisional biopsies
- Mastectomy (partial or complete)
- Lymph node sentinel dissection
- Lymph node axillary dissection
- Therapeutic oophorectomy
- Breast reconstruction
Requirement 2 – Equipment and Instruments
The applicant performs breast treatment in a facility that has a full line of equipment and surgical instruments to provide appropriate care for their patients. The applicant’s facility has documented training for appropriate staff in the safe operation of this equipment.
Requirement 3 – Surgeon Dedication and Qualified Call Coverage
The applicant spends a significant portion of their efforts in the field of breast treatment and has active, full privileges in their specialty at the facility participating in their inspection.
The applicant is board-certified or an active candidate for board certification in breast treatment by the highest certifying authority available.
The applicant completes at least 12 hours of continuing medical education (CME) focused on breast care every three years. Only American Medical Association Physician’s Recognition Award Category 1 Credits or similar credits from a CME accrediting body outside the United States or two national or international meetings qualify.
Requirement 4 – Clinical Pathways and Standardized Operating Procedures
The applicant formally develops and implements clinical pathways that facilitate the standardization of perioperative care for breast treatment. The following pathways are required:
- Anesthesia, including monitoring and airway management
- Perioperative care, including monitoring, pain management and airway management
- Deep vein thrombosis (DVT) prevention and management
The first three pathways will be deemed satisfied if the facility has accreditation from The Joint Commission (formerly known as JCAHO), DNV-GL or an equivalent healthcare organization approved by SRC.
- Instructions for identification, evaluation and management of early warning signs of complications.
- Preoperative patient preparation, evaluation, patient education (to include potential diagnostic tests, including genetic when appropriate), consent and plan of action for discharge that includes follow-up and any necessary patient education
- Post therapy/procedure/surgery patient rehabilitation
- Evaluation and plan of action for patients at high risk for malignancy, including when a malignancy is detected
Requirement 5 – Team and Support staff
The applicant has nurses and/or physician extenders who provide education and care to patients. The applicant performs breast surgery in a facility that has an operative team trained to care for breast treatment patients.
The applicant ensures appropriate staff are provided with ongoing, regularly scheduled staff in-service education to ensure they have a basic understanding of breast surgery and the appropriate management of the breast treatment patient.
In-service topics must include:
- Signs and symptoms of common complications following breast treatment/interventional breast procedures
- Proper use of diagnostic and surgical equipment
- Clinical pathways
- Education of nurses in specialized knowledge and skills related to breast surgery
Requirement 6 – Patient Education
The applicant must provide all breast treatment patients with comprehensive preoperative patient education.
The applicant must also have a process for obtaining informed surgical consent and selecting procedures that are most appropriate for each patient’s condition.
The applicant provides information and education about support groups for all patients who may undergo or have undergone breast treatment and require ongoing support.
Requirement 7 – Continuous Quality Assessment
The applicant must collect prospective outcomes data on all patients who undergo breast treatment in SRC’s Outcomes Database (or a similar qualifying database) in a manner consistent with applicable patient privacy and confidentiality regulations. This de-identified data must be available to SRC for initial and renewal inspections or upon request.
Application Fee: $1,750 USD
- Discounts may be available for surgeons that participate in multiple accreditation programs. Contact SRC for details.
- Upon payment of application fees, applicants achieve Provisional Status and gain access to SRC’s Outcomes Database at no additional charge.
Site Inspection Fees
Site Inspection: $1,175 USD
- Inspections for Master Surgeon accreditations are performed on site at the surgeon’s location.
- The site inspection fee covers a one-day inspection with one site inspector and includes one Master Surgeon. A day will be added to the site inspection for every additional co-applicant surgeon. Each additional day is $925.
- Applicants are responsible for arranging and paying for the site inspector’s hotel, ground transportation and, if needed, an interpreter/translator. These items are not included in the standard site inspection fee.
- Renewal inspections are required every three years to ensure ongoing program compliance.
Annual Fee: $1,750 USD
- Annual participation fees will be billed one year after applicants achieve Provisional Status and each year thereafter.
Fees are subject to change without notice and are not refundable. Payment of required fees does not guarantee accreditation.