Breast Care Training

Breast Health and Beyond: A Provider’s Guide to the Examination and Screening of Women with Disabilities

January 2008 2nd Edition, Breast Health Access for Women with Disabilities (BHAWD), Primary Author: Florita Maiki (Toveg). Reproduced with permission.

For health care providers who offer breast health screening services to women with disabilities; includes ways to improve accessibility and personal interaction with patients.

Note: CMEs and CEUs are no longer available for this Guide and the BHAWD Video (below).

This document is posted as a community service due to multiple requests for its useful content. The original document was not available, so although the pdf document is accessible, it is a copy of the original notebook.



BHAWD: Mammography for Women with Disabilities: Training for the Mammography Technologist, 2005, Alta Bates Summit Medical Center, A Sutter Health Affiliate.

This video is a companion piece to the above “A Provider’s Guide to the Examination and Screening of Women with Disabilities.” It demonstrates how to improve accessibility to mammography for women with disabilities and personal interaction with patients.

Posted with permission

Principal Authors Florita Maiki, MA, Manager, BHAWD Kim H. Cardoso, CNM, NP, MS, Nurse Practitioner, BHAWD


The Pathway™ Series: Breast Care Training

An Online Training Series for Health Professionals Providing Preventive Health Care Services for Disabled Women

Do ALL of your patients, including women with disabilities, have access to preventive health care services? The Pathways™ Series Breast Care Training can help! It provides independent learning for the active professional.


An Underserved Population

Too often, people with disabilities have difficulty accessing preventive health care services. Women with disabilities receive fewer mammograms and Pap smears, regardless of age, insurance or whether or not they live in long-term care facilities. Some women even report being refused access to health care on the basis of their disability alone. These women are at risk for missed diagnosis, and you, their providers, are responsible.

Many providers report receiving little or no education on how to adapt care for persons with disabilities. As a result, the focus of care is frequently on the disability itself, rather than the presenting problem. This training is designed to give you the tools and skills you need, thus making care accessible and reducing your risk for missed diagnosis.

Course Description

This interactive, self-learning module is intended to provide Physicians, Nurse Practitioners and Physician Assistants with the tools they need to successfully adapt the Clinical Breast Exam (CBE), Breast Self-Exam (BSE) and Mammography for women with physical, sensory and mild cognitive disabilities.

Materials include:

  • Printable protocols for use in your clinic
  • Video and photo examples
  • Strategies for positioning, communication and minimizing discomfort and anxiety associated with mammography and the breast exam

Permission is granted to share and distribute sections of this product provided you:

  1. Make no changes to the original document
  2. Include proper copyright citation (see below)
  3. Do not sell the contents for profit
  4. Notify June Kailes, Associate Director, Harris Family Center for Disability and Health Policy, at

Required Citation

© The Pathway™ Series: (2002) Harris Family Center for Disability and Health Policy; Breast Care, Strategies for making preventive breast care accessible for women with disabilities.

This training was made possible by generous support from:


*(no longer in operation)



Start training here.


How to Use The Pathway Series: Breast Care Training


If you have difficulty navigating through this training with Internet Explorer (IE) as your browser, you can either use a different browser or change your user settings in IE (which may also affect your security settings). To change your user settings,

  • Open the page in IE.
  • Click on the gear icon in the upper right corner of the browser window.
  • Scroll down the menu and select Compatibility View settings. You should see in the top box.
  • Click the Add button and should move down into the second (large) box. Leave the other settings as is.
  • Click Close. The left navigation menu should now be visible for you to begin the training.