The professional practice of clinical breast examination (CBE) is a crucial element in early detection of neoplasms, but it is often compromised by insufficient formal training and conflicting demands on professional time. From an extensive research base, a training technology has been developed which generates highly proficient CBE. This technology is being adopted by agencies concerned with improved screening for breast cancer. New strategies for enhancing the role of CBE in breast cancer detection might include training and licensing personnel whose primary function would be to perform highly proficient CBE under professional supervision.