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Holly J. Smedira, MD; Rebecca J. Patrick, MA; Lisa A. Rybicki, MS; Joseph P. Crowe, MD

Arch Intern Med. 2008;168(18):2042-2045.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The development of comprehensive, multidisciplinary breast centers over the past 30 years reflects advances in breast cancer detection, diagnosis, and treatment. Subspecialties within the field of breast disease, including surgical oncologists, radiologists, medical oncologists, and pathologists, have emerged to diagnose and treat benign and malignant breast disease, and these subspecialties generally define the multidisciplinary breast center model at most institutions.^1-6 Under this model, the surgical breast specialist (SBS) triages and manages all patients, whether surgical intervention is required or not.

The Cleveland Clinic Breast Center, Cleveland, Ohio, which opened in 1995, was based on this surgeon-directed practice model. Since its inception, it has offered full-time surgical oncology and breast radiology services and part-time medical oncology, radiation oncology, and plastic surgery services as needed. Initially, the appointment scheduling process directed all patients, including those new . . . [Full Text of this Article]

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