Caring for breast cancer survivors in primary care

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© Copyright 2016 American Academy of Physician Assistants.Women with a history of breast cancer compose the larges group of cancer survivors. Physician assistants and nurs practitioners can play a key role in caring for cancer survivor in primary care settings. This article provides a brie overview and synthesis of current breast cancer guidelines other resources, and clinical observations that may hel primary care providers to translate plans developed b oncology specialists into primary care delivery.






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Stouder, A, and K Trotter (2016). Caring for breast cancer survivors in primary care. Journal of the American Academy of Physician Assistants, 29(10). pp. 16–22. 10.1097/01.JAA.0000496950.95334.86 Retrieved from

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April Loehmer Stouder

Associate Professor in Family Medicine and Community Health

Associate Program Director, Duke Physician Assistant Program

  • Director of Admissions
  • Disability Service Liaison
  • Stead Society Faculty Advisor
  • Interest in evaluation of clinical competency, holistic admissions processes, enhancing accessibility for learners, and hematology/oncology teaching.
  • Chair, Academic Progress Committee
  • Volunteer at TROSA Medical Clinic in Durham.     

Kathryn Jane Trotter

Associate Clinical Professor in the School of Nursing

Dr. Trotter is the lead faculty for the Women’s Health Nurse Practitioner major. She teaches in the advanced women’s health courses as well as the basic perinatal health course and gynecology content within other courses for all NP students. 40% of her time is clinical practice as a Certified Nurse-Midwife and Family Nurse Practitioner in the Duke University Medical Center. She is the senior NP for the benign breast clinic as well as a high-risk breast cancer clinic at the Duke Comprehensive Cancer Center.  In 2008, she adapted a shared medical appointment model to develop an innovative breast cancer survivor clinic there also.

She received a BSN from George Mason University in 1982, and earned the MSN with a specialty in midwifery at the University of Kentucky in 1988. In 1998, she completed a Post-Master’s Certificate in the Family Nurse Practitioner specialty at the Duke University School of Nursing. She earned her DNP from Duke University School of Nursing in 2012. Before joining the faculty of the Duke University School of Nursing, she held faculty positions with physician resident education in the Department of Family Medicine within the University of North Carolina-Chapel Hill Medical School and was a full-time primary care provider. She initiated the CenteringPregnancy program at UNC Family Medicine and later assisted in development of the CenteringParenting model at the Centering Healthcare Institute. She has been a consultant to numerous practice sites for the Centering model of care.

Kathy Trotter is a strong clinician with interests in women’s health and families. Her current research focuses on application of group health care models to prenatal care, parenting, and chronic illnesses (particularly breast cancer survivors).

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