Peripherally related to breastfeeding:

Seen in eOBGYN newsfor 11/15/05:

<QUEBEC CITY — Residents trained using the vertical strip clinical breast
exam are significantly more likely to detect and be able to describe
small breast masses, Elizabeth Steiner, M.D., reported at the annual
meeting of the North American Primary Care Research Group. 
The vertical strip three-pressure method examines the breast in
overlapping vertical strips using the pads of the first three fingers
with light, then medium, then deep pressure. It covers a wide area of the
chest from the clavicle down to the inframammary ridge and out to the
lymph nodes.
Unlike the standard concentric circle or wedge methods, it includes the
entire nipple-areolar complex where 15%–20% of breast cancers originate,
said Dr. Steiner of Oregon Health and Science University, Portland.
The method has been endorsed as the best breast exam method by the
Centers for Disease Control and Prevention and the American Cancer
Society (CA Cancer J. Clin. 2004;54:327–44). But it has a drawback: It
takes 3–5 minutes per breast to perform.>

Article goes on to describe the details of research into teaching
resident physicians to perform the exam correctly.

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