Skin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study

Introduction: The primary objective of this study was to determine the diagnostic accuracy and effect of an educational training on skin cancer course and dermoscopy use among primary care physicians in rural areas of Colombia. The secondary objective was to assess the diagnostic accuracy of skin c...

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Autores principales:	Valeria De Bedout, Natalie Williams, Ana Muñoz, Ana Londoño, Manuela Munera, Natalí Naranjo, Lina Rodriguez, Alejandra Toro, Feng Miao, Tulay Koru-Sengul, Natalia Jaimes
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2021
Materias:	dermoscopy skin cancer dermoscopy training diagnostic accuracy Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/0a9d3f675f184e93bd5d8f974956f09d
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spelling	oai:doaj.org-article:0a9d3f675f184e93bd5d8f974956f09d2021-11-17T08:28:17ZSkin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study10.5826/dpc.1101a1452160-9381https://doaj.org/article/0a9d3f675f184e93bd5d8f974956f09d2021-01-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/1371https://doaj.org/toc/2160-9381 Introduction: The primary objective of this study was to determine the diagnostic accuracy and effect of an educational training on skin cancer course and dermoscopy use among primary care physicians in rural areas of Colombia. The secondary objective was to assess the diagnostic accuracy of skin cancer diagnosis and detection rate after 3 months of the initial training. Methods: Twenty-one primary care physicians from 6 rural areas of Colombia participated in a 2-day skin cancer and dermoscopy training, followed by a day-long hands-on session on dermoscopy at a free skin cancer screening event. Pre- and post-tests were performed using clinical and dermoscopic images to evaluate the user’s ability to diagnose and differentiate benign and malignant neoplasms. In addition, participants’ levels of confidence were assessed. Results: After the training, the sensitivity and specificity of characterizing skin lesions as benign or malignant or providing a specific diagnosis (ie, angioma, seborrheic keratosis, basal cell carcinoma, etc.) increased by 23.6% (62.9% to 86.5%; P < 0.0001) and 21% (54.7% to 75.7%; P < 0.0017), respectively. In addition, levels of confidence when diagnosing skin lesions changed from extremely low or low, to high or extremely high by 20.7% (38.3% to 59%) using dermoscopic images (odds ratio (OR) 3.22; 95% confidence interval (CI): 2.67-3.86; P < 0.0001). The secondary objective was not achieved due to loss of follow-up of the majority of participants. Conclusion: Providers serving populations with limited healthcare access may benefit from education in diagnosing and differentiating skin cancer with the use of dermoscopy, which may ultimately improve patient care and reduce healthcare costs. Valeria De BedoutNatalie WilliamsAna MuñozAna LondoñoManuela MuneraNatalí NaranjoLina RodriguezAlejandra ToroFeng MiaoTulay Koru-SengulNatalia JaimesMattioli1885articledermoscopyskin cancerdermoscopy trainingdiagnostic accuracyDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 11, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	dermoscopy skin cancer dermoscopy training diagnostic accuracy Dermatology RL1-803
spellingShingle	dermoscopy skin cancer dermoscopy training diagnostic accuracy Dermatology RL1-803 Valeria De Bedout Natalie Williams Ana Muñoz Ana Londoño Manuela Munera Natalí Naranjo Lina Rodriguez Alejandra Toro Feng Miao Tulay Koru-Sengul Natalia Jaimes Skin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study
description	Introduction: The primary objective of this study was to determine the diagnostic accuracy and effect of an educational training on skin cancer course and dermoscopy use among primary care physicians in rural areas of Colombia. The secondary objective was to assess the diagnostic accuracy of skin cancer diagnosis and detection rate after 3 months of the initial training. Methods: Twenty-one primary care physicians from 6 rural areas of Colombia participated in a 2-day skin cancer and dermoscopy training, followed by a day-long hands-on session on dermoscopy at a free skin cancer screening event. Pre- and post-tests were performed using clinical and dermoscopic images to evaluate the user’s ability to diagnose and differentiate benign and malignant neoplasms. In addition, participants’ levels of confidence were assessed. Results: After the training, the sensitivity and specificity of characterizing skin lesions as benign or malignant or providing a specific diagnosis (ie, angioma, seborrheic keratosis, basal cell carcinoma, etc.) increased by 23.6% (62.9% to 86.5%; P < 0.0001) and 21% (54.7% to 75.7%; P < 0.0017), respectively. In addition, levels of confidence when diagnosing skin lesions changed from extremely low or low, to high or extremely high by 20.7% (38.3% to 59%) using dermoscopic images (odds ratio (OR) 3.22; 95% confidence interval (CI): 2.67-3.86; P < 0.0001). The secondary objective was not achieved due to loss of follow-up of the majority of participants. Conclusion: Providers serving populations with limited healthcare access may benefit from education in diagnosing and differentiating skin cancer with the use of dermoscopy, which may ultimately improve patient care and reduce healthcare costs.
format	article
author	Valeria De Bedout Natalie Williams Ana Muñoz Ana Londoño Manuela Munera Natalí Naranjo Lina Rodriguez Alejandra Toro Feng Miao Tulay Koru-Sengul Natalia Jaimes
author_facet	Valeria De Bedout Natalie Williams Ana Muñoz Ana Londoño Manuela Munera Natalí Naranjo Lina Rodriguez Alejandra Toro Feng Miao Tulay Koru-Sengul Natalia Jaimes
author_sort	Valeria De Bedout
title	Skin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study
title_short	Skin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study
title_full	Skin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study
title_fullStr	Skin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study
title_full_unstemmed	Skin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study
title_sort	skin cancer and dermoscopy training for primary care physicians: a pilot study
publisher	Mattioli1885
publishDate	2021
url	https://doaj.org/article/0a9d3f675f184e93bd5d8f974956f09d
work_keys_str_mv	AT valeriadebedout skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy AT nataliewilliams skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy AT anamunoz skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy AT analondono skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy AT manuelamunera skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy AT natalinaranjo skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy AT linarodriguez skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy AT alejandratoro skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy AT fengmiao skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy AT tulaykorusengul skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy AT nataliajaimes skincanceranddermoscopytrainingforprimarycarephysiciansapilotstudy
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Skin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study

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