Dermoscopy of Concerning Pigmented Lesions and Primary Care Providers’ Referrals at Intervals After Randomized Trial of Mastery Learning
Patients visit their primary care provider (PCP) almost twice yearly and the number of visits increases with age.1 The US Preventive Services Task Force encouraged screening at-risk patients for melanoma.2 We conducted a randomized trial to assess the efficacy of mastery learning and found that trained PCPs referred significantly more melanomas and less benign nevi and seborrheic keratoses than controls in the 3 months after education.3 Now, we examine (a) trained PCPs’ short-term clinical use of dermoscopy and (b) the electronic medical records (EMRs) of patients of all PCPs for 6-, 9-, and 12-month referrals. Thus, the effect of PCP training on patient outcomes, the third phase of translation science, was assessed.4
Short-term Dermoscopy of Patients’ Pigmented Lesions
After completing the post-test, a research assistant helped the 44 trained PCPs transmit dermoscopic images of lesions and their management decisions to the dermatologist (JKR) with a smartphone equipped with a...
The study was supported by R21CA182725 from the National Cancer Institute (Dr. Robinson).
Compliance with Ethical Standards
The institutional review board of Northwestern University approved the study with online consent.
Conflict of Interest
The authors declare that they do not have a conflict of interest.
- 1.Centers for Disease Control and Prevention. National Center for Health Statistics. https://www.cdc.gov/nchs/fastats/physician-visits.htm. Accessed December 28, 2017.
- 3.Robinson JK, Jain N, Marghoob AA, McGaghie W, MacLean M, Gerami P, et al. A randomized trial on the efficacy of mastery learning on primary care providers’ melanoma opportunistic screening skills and practice. J Gen Int Med. 2018.Google Scholar