This procedure meets the tumor control and staging requirements. It has shown similar results to the traditional procedure in terms of patient recovery, although the available evidence is not methodologically appropriate and does not justify its oncological safety.

Background and rationale Quality education is a prerequisite for building a sustainable health system. To address this requirement, it is necessary to strengthen capacity and expand the training opportunities to ensure equitable and efficient development of core professional competencies for specific contexts and educational needs. Methods and results A competency-based training programme for Breast Surgeons was built and was applied based on the Consolidated Framework for Implementation Research (CFIR). This framework provides a pragmatic structure for approaching complex interactions, multi-level and transient constructs in the real world. CFIR guided the implementation process and verified what works, where and why across each step. CFIR guided implementation was through an adaptable approach of the domains and creating relevant constructs that set up an ideal roadmap to analyse and improve learning needs, the curriculum design and the learning environment. Conclusion The outcomes described in this manuscript demonstrate that evidence-based principles can be implemented in health professionals’ training and clinical practice even in resource-constrained settings. Building strong and sustainable healthcare workforce capacity is an urgent need for improved health service delivery and addresses real-life workplace needs in low-middle income countries. This programme integrates training with service to solve problems and develop initiatives to address existing local health priorities. While the article focuses on a training programme development, findings are shared to promote dissemination into other settings.

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In recent years, breast surgeons have been increasing the use of ultrasound as a reliable and useful tool in their practice to assist in managing patients and the operating room. An appropriate clinical and sonographic correlation can define diagnostic workup, provide immediate reassurance to the patients, and perform one-site diagnostic needle interventions. Particularly, it has a significant role in low-middle income countries, where imaging services are scarce due to its high cost, maintenance needs, and limited availability of trained personnel. Therefore, training and accreditation of surgeons who perform and interpret ultrasound are required interventions to influence the provider’s knowledge, accomplish optimal practices, complete diagnostic examinations of the breast, and improve the patients’ quality of care. This review aims to serve as an educational resource regarding the up-to-date value of breast ultrasound for surgeons.