TEMa (SBM / AMB) study plan

Reconstruct breast embryology, fascial planes, and vascular/lymphatic drainage on blank paper without references

Trace the hypothalamic-pituitary-ovarian axis to explain ductal and lobular growth through puberty, the menstrual cycle, pregnancy, and involution

Distinguish physiologic pregnancy- and lactation-related changes from findings that mimic disease (engorgement, galactocele, accessory tissue, Montgomery tubercles)

Answer 40 Domain 1 items and write the missing mechanism behind every incorrect choice

Explain the pathophysiology and stepwise management of lactational mastitis, abscess, milk fistula, and galactocele, including when to stop versus continue breastfeeding

Classify the common benign solid and cystic lesions (fibroadenoma, cyst, phyllodes, intraductal papilloma, radial scar, fat necrosis) by typical age, consistency, and behavior

Differentiate nipple eczema, Paget disease, and duct ectasia by presentation and first diagnostic step

Rank benign findings into observe-versus-biopsy categories using age, duration, and change over time

Build a stepwise mastalgia algorithm separating cyclic, noncyclic, chest-wall, and referred pain, and state first-line therapy for each

Decide when mastalgia needs imaging versus reassurance, and justify each threshold

Work through nipple discharge by color, spontaneity, and duct location to the correct imaging and surgical step

Score at least 80% on 30 mixed Domain 2 items and rewrite every missed item as a one-line rule

Compare screening strategies by age and risk tier, including interval, start/stop age, and the role of risk models

Interpret BI-RADS categories 0 through 6 and state the required next action for each

Explain the evidence for and limits of supplemental ultrasound and MRI in dense breasts and high-risk patients

Read 20 short imaging descriptions and assign the correct BI-RADS category with a stated next step

Choose among fine-needle aspiration, core needle biopsy, and excisional biopsy for given lesion types and explain the trade-offs

Manage radiology-pathology discordance and identify when repeat or excisional biopsy is mandatory

Interpret receptor status, grade, proliferation markers, and genomic assay results and state how each changes management

Assign anatomic stage using tumor size, nodal involvement, and metastasis findings

Compare breast-conserving therapy with mastectomy on survival, margins, contraindications, and local recurrence

Sequence sentinel lymph node biopsy technique, tracer options, and the meaning of a positive sentinel node in the modern era

Decide axillary dissection versus observation using trial-based criteria for limited nodal disease

Match reconstruction timing and flap or implant type to patient anatomy, adjuvant therapy plan, and comorbidity

Map systemic therapy by biologic subtype and disease setting, including endocrine agents, chemotherapy, anti-HER2 therapy, CDK4/6 inhibitors, and immunotherapy

Justify neoadjuvant versus adjuvant sequencing and name the endpoints that guide the choice

State indications, targets, and typical fractionation for whole-breast, chest-wall, and regional nodal radiation

Build a survivorship checklist covering bone health, lymphedema surveillance, fertility and pregnancy counseling, and appropriate follow-up imaging

Complete a timed 80-item mixed exam at roughly 1.2 minutes per item to build pacing

Review every miss and tag it to a domain, a mechanism, and a corrective action

Re-drill only the three weakest subtopics identified by the tagged errors

Rehearse rapid pattern recognition for high-yield discriminators across all five domains