Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care

Background: Dermoscopy aids in skin cancer identification. For family physicians who use dermoscopy, there is higher sensitivity for melanoma detection than naked-eye examination. There is a shortage of dermoscopy training for primary care providers. The Triage Amalgamated Dermoscopic Algorithm (TA...

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Autores principales:	Elizabeth Seiverling, Danielle Li, Kathryn Stevens, Peggy Cyr, Gregory Dorr, Hadjh Ahrns
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2021
Materias:	dermoscopy primary care skin cancer distance learning resident education Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/1398144c3e0e443bab6fb0f0328cc69e
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spelling	oai:doaj.org-article:1398144c3e0e443bab6fb0f0328cc69e2021-11-17T08:28:00ZDistance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care10.5826/dpc.1102a302160-9381https://doaj.org/article/1398144c3e0e443bab6fb0f0328cc69e2021-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/1475https://doaj.org/toc/2160-9381 Background: Dermoscopy aids in skin cancer identification. For family physicians who use dermoscopy, there is higher sensitivity for melanoma detection than naked-eye examination. There is a shortage of dermoscopy training for primary care providers. The Triage Amalgamated Dermoscopic Algorithm (TADA) is designed for novice dermoscopists. While TADA can be taught in a short dermoscopy workshop, spaced review and blended learning strategies improve knowledge retention. Objectives: This study determined the impact that the addition of a distance learning platform has on clinical dermoscopy use. Moreover, it evaluated dermoscopic image identification (knowledge retention) following the addition of distance learning via Extension for Community Health Outcomes (ECHO) to a traditional TADA dermoscopy workshop. Methods: Primary care providers voluntarily attended a 120-minute TADA dermoscopy workshop. Participants completed pre-intervention, post-TADA, and post-ECHO tests of 30 dermoscopic images of benign and malignant skin lesions. A survey was also administered to analyze clinical dermoscopy use and prior dermoscopy training. Results: Twenty-seven residents, faculty, and advanced practice providers participated in this longitudinal observational cohort study. Mean test scores (out of 30) for images of benign and malignant lesions improved from 20.29 pre-intervention to 24.62 post-TADA and 27.63 post-ECHO (P < .001). On average, participants attended 4 ECHO sessions (out of 7 total) and there was a positive correlation (r = 0.77) between the number of ECHOs attended and post-ECHO scores. Dermoscope use increased from 37.0% to 96.3% (P < .001). Conclusion: Distance learning and spaced review complement dermoscopy workshop training for primary care. Elizabeth SeiverlingDanielle LiKathryn StevensPeggy CyrGregory DorrHadjh AhrnsMattioli1885articledermoscopyprimary careskin cancerdistance learningresident educationDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 11, Iss 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	dermoscopy primary care skin cancer distance learning resident education Dermatology RL1-803
spellingShingle	dermoscopy primary care skin cancer distance learning resident education Dermatology RL1-803 Elizabeth Seiverling Danielle Li Kathryn Stevens Peggy Cyr Gregory Dorr Hadjh Ahrns Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care
description	Background: Dermoscopy aids in skin cancer identification. For family physicians who use dermoscopy, there is higher sensitivity for melanoma detection than naked-eye examination. There is a shortage of dermoscopy training for primary care providers. The Triage Amalgamated Dermoscopic Algorithm (TADA) is designed for novice dermoscopists. While TADA can be taught in a short dermoscopy workshop, spaced review and blended learning strategies improve knowledge retention. Objectives: This study determined the impact that the addition of a distance learning platform has on clinical dermoscopy use. Moreover, it evaluated dermoscopic image identification (knowledge retention) following the addition of distance learning via Extension for Community Health Outcomes (ECHO) to a traditional TADA dermoscopy workshop. Methods: Primary care providers voluntarily attended a 120-minute TADA dermoscopy workshop. Participants completed pre-intervention, post-TADA, and post-ECHO tests of 30 dermoscopic images of benign and malignant skin lesions. A survey was also administered to analyze clinical dermoscopy use and prior dermoscopy training. Results: Twenty-seven residents, faculty, and advanced practice providers participated in this longitudinal observational cohort study. Mean test scores (out of 30) for images of benign and malignant lesions improved from 20.29 pre-intervention to 24.62 post-TADA and 27.63 post-ECHO (P < .001). On average, participants attended 4 ECHO sessions (out of 7 total) and there was a positive correlation (r = 0.77) between the number of ECHOs attended and post-ECHO scores. Dermoscope use increased from 37.0% to 96.3% (P < .001). Conclusion: Distance learning and spaced review complement dermoscopy workshop training for primary care.
format	article
author	Elizabeth Seiverling Danielle Li Kathryn Stevens Peggy Cyr Gregory Dorr Hadjh Ahrns
author_facet	Elizabeth Seiverling Danielle Li Kathryn Stevens Peggy Cyr Gregory Dorr Hadjh Ahrns
author_sort	Elizabeth Seiverling
title	Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care
title_short	Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care
title_full	Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care
title_fullStr	Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care
title_full_unstemmed	Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care
title_sort	distance learning and spaced review to complement dermoscopy training for primary care
publisher	Mattioli1885
publishDate	2021
url	https://doaj.org/article/1398144c3e0e443bab6fb0f0328cc69e
work_keys_str_mv	AT elizabethseiverling distancelearningandspacedreviewtocomplementdermoscopytrainingforprimarycare AT danielleli distancelearningandspacedreviewtocomplementdermoscopytrainingforprimarycare AT kathrynstevens distancelearningandspacedreviewtocomplementdermoscopytrainingforprimarycare AT peggycyr distancelearningandspacedreviewtocomplementdermoscopytrainingforprimarycare AT gregorydorr distancelearningandspacedreviewtocomplementdermoscopytrainingforprimarycare AT hadjhahrns distancelearningandspacedreviewtocomplementdermoscopytrainingforprimarycare
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Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care

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