Examining the factors associated with past and present dermoscopy use among family physicians

Introduction: Family physicians (FPs) play a critical role in the early detection of skin cancers. Dermoscopy can improve diagnostic accuracy but its use by FPs in the United States (US) remains understudied. Objectives: To examine dermoscopy use, factors associated with ever having used (Model...

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Autores principales:	Jeffrey B. Morris, Sarah V. Alfonso, Nilda Hernandez, M. Isabel Fernández
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2017
Materias:	dermoscopy dermatoscopy epiluminescence microscopy family physicians primary care Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/5b4d9e1830ea4f9e8ab592822d0e9789
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spelling	oai:doaj.org-article:5b4d9e1830ea4f9e8ab592822d0e97892021-11-17T08:30:35ZExamining the factors associated with past and present dermoscopy use among family physicians10.5826/dpc.0704a132160-9381https://doaj.org/article/5b4d9e1830ea4f9e8ab592822d0e97892017-10-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/319https://doaj.org/toc/2160-9381 Introduction: Family physicians (FPs) play a critical role in the early detection of skin cancers. Dermoscopy can improve diagnostic accuracy but its use by FPs in the United States (US) remains understudied. Objectives: To examine dermoscopy use, factors associated with ever having used (Model 1) and currently using the dermascope (Model 2), and barriers. Methods: We recruited 705 practicing FPs in-person at conferences and on-line to complete an anonymous, 46 item survey measuring: demographic factors, physician and practice characteristics; confidence in differentiating skin lesions; knowledge and use of dermoscopy; intentions to use; and barriers to use. We conducted bivariate analysis for each outcome and entered the significant predictors into two logistic regressions. Results: Almost 20% had ever used a dermascope and 8.3% were currently using it. Ever having used a dermascope was associated with being 39 years of age or younger, practicing in academia or community centers, and having higher confidence differentiating skin lesions. Current use was associated with seeing more than 400 patients per month and being 60 years-of-age or older. Conclusion: Use of dermoscopy by FPs is low. This study is an initial step in understanding its use among US FPs. Jeffrey B. MorrisSarah V. AlfonsoNilda HernandezM. Isabel FernándezMattioli1885articledermoscopydermatoscopyepiluminescence microscopyfamily physiciansprimary careDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 7, Iss 4 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	dermoscopy dermatoscopy epiluminescence microscopy family physicians primary care Dermatology RL1-803
spellingShingle	dermoscopy dermatoscopy epiluminescence microscopy family physicians primary care Dermatology RL1-803 Jeffrey B. Morris Sarah V. Alfonso Nilda Hernandez M. Isabel Fernández Examining the factors associated with past and present dermoscopy use among family physicians
description	Introduction: Family physicians (FPs) play a critical role in the early detection of skin cancers. Dermoscopy can improve diagnostic accuracy but its use by FPs in the United States (US) remains understudied. Objectives: To examine dermoscopy use, factors associated with ever having used (Model 1) and currently using the dermascope (Model 2), and barriers. Methods: We recruited 705 practicing FPs in-person at conferences and on-line to complete an anonymous, 46 item survey measuring: demographic factors, physician and practice characteristics; confidence in differentiating skin lesions; knowledge and use of dermoscopy; intentions to use; and barriers to use. We conducted bivariate analysis for each outcome and entered the significant predictors into two logistic regressions. Results: Almost 20% had ever used a dermascope and 8.3% were currently using it. Ever having used a dermascope was associated with being 39 years of age or younger, practicing in academia or community centers, and having higher confidence differentiating skin lesions. Current use was associated with seeing more than 400 patients per month and being 60 years-of-age or older. Conclusion: Use of dermoscopy by FPs is low. This study is an initial step in understanding its use among US FPs.
format	article
author	Jeffrey B. Morris Sarah V. Alfonso Nilda Hernandez M. Isabel Fernández
author_facet	Jeffrey B. Morris Sarah V. Alfonso Nilda Hernandez M. Isabel Fernández
author_sort	Jeffrey B. Morris
title	Examining the factors associated with past and present dermoscopy use among family physicians
title_short	Examining the factors associated with past and present dermoscopy use among family physicians
title_full	Examining the factors associated with past and present dermoscopy use among family physicians
title_fullStr	Examining the factors associated with past and present dermoscopy use among family physicians
title_full_unstemmed	Examining the factors associated with past and present dermoscopy use among family physicians
title_sort	examining the factors associated with past and present dermoscopy use among family physicians
publisher	Mattioli1885
publishDate	2017
url	https://doaj.org/article/5b4d9e1830ea4f9e8ab592822d0e9789
work_keys_str_mv	AT jeffreybmorris examiningthefactorsassociatedwithpastandpresentdermoscopyuseamongfamilyphysicians AT sarahvalfonso examiningthefactorsassociatedwithpastandpresentdermoscopyuseamongfamilyphysicians AT nildahernandez examiningthefactorsassociatedwithpastandpresentdermoscopyuseamongfamilyphysicians AT misabelfernandez examiningthefactorsassociatedwithpastandpresentdermoscopyuseamongfamilyphysicians
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Examining the factors associated with past and present dermoscopy use among family physicians

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