A Brief Dermatology Curriculum in Skin Cancer Detection and Prevention to Improve Medical Student Knowledge and Confidence

Introduction While the incidence of skin cancers continues to rise, there remains a disproportionate lack of introductory training on skin cancer screening and identification of modifiable behaviors in medical curricula. Trainees and students have cited low confidence in their ability to counsel pat...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Elsy Compres, Kassandra Holzem, Erin Ibler, Jennifer A. Bierman, Alfred W. Rademaker, Roopal V. Kundu
Formato: article
Lenguaje:EN
Publicado: Association of American Medical Colleges 2020
Materias:
L
Acceso en línea:https://doaj.org/article/fb86578820c6441aafe9c2e78439335a
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:fb86578820c6441aafe9c2e78439335a
record_format dspace
spelling oai:doaj.org-article:fb86578820c6441aafe9c2e78439335a2021-11-19T15:21:07ZA Brief Dermatology Curriculum in Skin Cancer Detection and Prevention to Improve Medical Student Knowledge and Confidence10.15766/mep_2374-8265.110492374-8265https://doaj.org/article/fb86578820c6441aafe9c2e78439335a2020-12-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11049https://doaj.org/toc/2374-8265Introduction While the incidence of skin cancers continues to rise, there remains a disproportionate lack of introductory training on skin cancer screening and identification of modifiable behaviors in medical curricula. Trainees and students have cited low confidence in their ability to counsel patients and lack of instruction as barriers. Methods To address this need, we created a 1-hour didactic lecture based on a cognitive teaching framework for third-year medical students during their core primary care clerkship. The session highlighted visual identification of different skin cancers, factors increasing individual risk, and photoprotective behaviors. Session content was based on American Academy of Dermatology recommendations for skin cancer prevention. An assessment of knowledge, behaviors, and attitudes given before, immediately following, and at 6 months after the session was used to determine efficacy. Results One hundred eight students before and immediately after the session demonstrated significantly improved knowledge (mean correct: 71% presession vs. 99% postintervention, p < .0001). Based on 39 participants completing 6-month follow-up, knowledge remained improved (mean answered correctly: 80%, p < .0001). Confidence in patient counseling on preventive behaviors, risk assessment, and reported likelihood of counseling significantly increased across the three time points (p < .0001 for all attitude questions). Specific topics included appropriate referral to a dermatologist, sunscreen application, and dangers of indoor tanning bed usage. Discussion Our session on skin cancer screening and prevention demonstrated improvements in medical student knowledge, confidence, and patient counseling likelihood. This introductory curriculum could be adapted for multiple core clerkships or specialties.Elsy CompresKassandra HolzemErin IblerJennifer A. BiermanAlfred W. RademakerRoopal V. KunduAssociation of American Medical CollegesarticleSun-Protective BehaviorsSkin CancerKnowledgeAttitudesBehaviorsPatient CounselingMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution DOAJ
collection DOAJ
language EN
topic Sun-Protective Behaviors
Skin Cancer
Knowledge
Attitudes
Behaviors
Patient Counseling
Medicine (General)
R5-920
Education
L
spellingShingle Sun-Protective Behaviors
Skin Cancer
Knowledge
Attitudes
Behaviors
Patient Counseling
Medicine (General)
R5-920
Education
L
Elsy Compres
Kassandra Holzem
Erin Ibler
Jennifer A. Bierman
Alfred W. Rademaker
Roopal V. Kundu
A Brief Dermatology Curriculum in Skin Cancer Detection and Prevention to Improve Medical Student Knowledge and Confidence
description Introduction While the incidence of skin cancers continues to rise, there remains a disproportionate lack of introductory training on skin cancer screening and identification of modifiable behaviors in medical curricula. Trainees and students have cited low confidence in their ability to counsel patients and lack of instruction as barriers. Methods To address this need, we created a 1-hour didactic lecture based on a cognitive teaching framework for third-year medical students during their core primary care clerkship. The session highlighted visual identification of different skin cancers, factors increasing individual risk, and photoprotective behaviors. Session content was based on American Academy of Dermatology recommendations for skin cancer prevention. An assessment of knowledge, behaviors, and attitudes given before, immediately following, and at 6 months after the session was used to determine efficacy. Results One hundred eight students before and immediately after the session demonstrated significantly improved knowledge (mean correct: 71% presession vs. 99% postintervention, p < .0001). Based on 39 participants completing 6-month follow-up, knowledge remained improved (mean answered correctly: 80%, p < .0001). Confidence in patient counseling on preventive behaviors, risk assessment, and reported likelihood of counseling significantly increased across the three time points (p < .0001 for all attitude questions). Specific topics included appropriate referral to a dermatologist, sunscreen application, and dangers of indoor tanning bed usage. Discussion Our session on skin cancer screening and prevention demonstrated improvements in medical student knowledge, confidence, and patient counseling likelihood. This introductory curriculum could be adapted for multiple core clerkships or specialties.
format article
author Elsy Compres
Kassandra Holzem
Erin Ibler
Jennifer A. Bierman
Alfred W. Rademaker
Roopal V. Kundu
author_facet Elsy Compres
Kassandra Holzem
Erin Ibler
Jennifer A. Bierman
Alfred W. Rademaker
Roopal V. Kundu
author_sort Elsy Compres
title A Brief Dermatology Curriculum in Skin Cancer Detection and Prevention to Improve Medical Student Knowledge and Confidence
title_short A Brief Dermatology Curriculum in Skin Cancer Detection and Prevention to Improve Medical Student Knowledge and Confidence
title_full A Brief Dermatology Curriculum in Skin Cancer Detection and Prevention to Improve Medical Student Knowledge and Confidence
title_fullStr A Brief Dermatology Curriculum in Skin Cancer Detection and Prevention to Improve Medical Student Knowledge and Confidence
title_full_unstemmed A Brief Dermatology Curriculum in Skin Cancer Detection and Prevention to Improve Medical Student Knowledge and Confidence
title_sort brief dermatology curriculum in skin cancer detection and prevention to improve medical student knowledge and confidence
publisher Association of American Medical Colleges
publishDate 2020
url https://doaj.org/article/fb86578820c6441aafe9c2e78439335a
work_keys_str_mv AT elsycompres abriefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT kassandraholzem abriefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT erinibler abriefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT jenniferabierman abriefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT alfredwrademaker abriefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT roopalvkundu abriefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT elsycompres briefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT kassandraholzem briefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT erinibler briefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT jenniferabierman briefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT alfredwrademaker briefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
AT roopalvkundu briefdermatologycurriculuminskincancerdetectionandpreventiontoimprovemedicalstudentknowledgeandconfidence
_version_ 1718420048837607424