Melanoma toolkit for early detection for primary care clinicians: a 1-year follow-up on outcomes
IntroductionPrimary care providers or clinicians (PCPs) have the potential to assist dermatologists in screening patients at risk for skin cancer, but require training to appropriately identify higher-risk patients, perform skin checks, recognize and biopsy concerning lesions, interpret pathology re...
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Frontiers Media S.A.
2024-12-01
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| author | Kyra Diehl Elizabeth Stoos Alyssa Becker Victoria E. Orfaly Jacob Nelson Jordan Gillespie Justin Ng Tayler Tobey Tayler Tobey Emile Latour Emile Latour Joanna Ludzik Elizabeth G. Berry Alan C. Geller Heidi Jacobe Justin Leitenberger Danielle McClanahan Jessica Tran Smriti Prasad Stephanie Mengden-Koon Kelly C. Nelson Ryan Petering Alex Verdieck Stephanie Savory Emily H. Smith Susan Tofte Martin A. Weinstock Martin A. Weinstock Kevin White Oliver Wisco Oliver Wisco Clara Curiel-Lewandrowski Susan M. Swetter Alexander M. Witkowski Laura Ferris Samantha Black Rebecca Xu Shuai Xu Sancy Leachman Sancy Leachman |
| author_facet | Kyra Diehl Elizabeth Stoos Alyssa Becker Victoria E. Orfaly Jacob Nelson Jordan Gillespie Justin Ng Tayler Tobey Tayler Tobey Emile Latour Emile Latour Joanna Ludzik Elizabeth G. Berry Alan C. Geller Heidi Jacobe Justin Leitenberger Danielle McClanahan Jessica Tran Smriti Prasad Stephanie Mengden-Koon Kelly C. Nelson Ryan Petering Alex Verdieck Stephanie Savory Emily H. Smith Susan Tofte Martin A. Weinstock Martin A. Weinstock Kevin White Oliver Wisco Oliver Wisco Clara Curiel-Lewandrowski Susan M. Swetter Alexander M. Witkowski Laura Ferris Samantha Black Rebecca Xu Shuai Xu Sancy Leachman Sancy Leachman |
| author_sort | Kyra Diehl |
| collection | DOAJ |
| description | IntroductionPrimary care providers or clinicians (PCPs) have the potential to assist dermatologists in screening patients at risk for skin cancer, but require training to appropriately identify higher-risk patients, perform skin checks, recognize and biopsy concerning lesions, interpret pathology results, document the exam, and bill for the service. Very few validated dermatology training programs exist for PCPs and those that are available focus primarily on one emphasis area, which results in variable efficacy and single-topic limited scope.MethodsWe have created a free, online, continuing education program (Melanoma Toolkit for Early Detection, MTED) that allows learners to choose from a variety of multimedia tools (image recognition, videos, written material, in-person seminars, self-tests, etc.) that suits their learning style and time availability. Here we present the toolkit, the development and validation of the curriculum, and report on 1-year outcomes of a nested survey study. Because the goal of the program is to maximize participation by allowing PCPs to tailor their experience to their own needs and interests, the majority of participants did not complete every element of the program.ResultsA total of 8,683 PCPs have accessed at least one element of the toolkit from 2019–2024. Participants completed a pre-survey, online training module, and post-survey that included self-reported screening behaviors, changes in confidence, and malignant and benign lesion categorization based on clinical images. A total of 139 pre-surveys and 92 post-surveys were completed, including 55 matched participants that completed both the pre- and post-training surveys. There were significant improvements in PCP confidence (P < 0.001) and malignant (P < 0.001) and benign image (P = 0.029) identification respectively.DiscussionPCPs may serve as a valuable aid in skin cancer screening efforts, but additional studies are needed to evaluate the impact of these curricula in clinical practice. |
| format | Article |
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| institution | OA Journals |
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| language | English |
| publishDate | 2024-12-01 |
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| spelling | doaj-art-cf08db6b1e7248ea8b7d5e56ed7799782025-08-20T02:36:59ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2024-12-011110.3389/fmed.2024.15002161500216Melanoma toolkit for early detection for primary care clinicians: a 1-year follow-up on outcomesKyra Diehl0Elizabeth Stoos1Alyssa Becker2Victoria E. Orfaly3Jacob Nelson4Jordan Gillespie5Justin Ng6Tayler Tobey7Tayler Tobey8Emile Latour9Emile Latour10Joanna Ludzik11Elizabeth G. Berry12Alan C. Geller13Heidi Jacobe14Justin Leitenberger15Danielle McClanahan16Jessica Tran17Smriti Prasad18Stephanie Mengden-Koon19Kelly C. Nelson20Ryan Petering21Alex Verdieck22Stephanie Savory23Emily H. Smith24Susan Tofte25Martin A. Weinstock26Martin A. Weinstock27Kevin White28Oliver Wisco29Oliver Wisco30Clara Curiel-Lewandrowski31Susan M. Swetter32Alexander M. Witkowski33Laura Ferris34Samantha Black35Rebecca Xu36Shuai Xu37Sancy Leachman38Sancy Leachman39Department of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesSchool of Medicine, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesSchool of Medicine, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesBiostatistics Shared Resource, Knight Cancer Institute, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, United StatesDepartment of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Family Medicine, Oregon Health & Science University, Portland, OR, United StatesDepartment of Family Medicine, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX, United StatesDepartment of Dermatology, University of Missouri, Columbia, MO, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, The Warren Alpert Medical School of Brown University, Providence, RI, United States0Providence Veteran Affairs Health Care System, Providence, RI, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United StatesDepartment of Dermatology, The Warren Alpert Medical School of Brown University, Providence, RI, United States1Dermatology Health Specialists, Bend, OR, United States2Department of Dermatology, University of Arizona College of Medicine, Tucson, AZ, United States3Department of Dermatology, Stanford University Medical Center and Cancer Institute, Palo Alto, CA, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United States4Department of Dermatology, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX, United States5Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States6School of Medicine, Northwestern University, Chicago, IL, United StatesDepartment of Dermatology, Oregon Health & Science University, Portland, OR, United States7Knight Cancer Institute, Oregon Health & Science University, Portland, OR, United StatesIntroductionPrimary care providers or clinicians (PCPs) have the potential to assist dermatologists in screening patients at risk for skin cancer, but require training to appropriately identify higher-risk patients, perform skin checks, recognize and biopsy concerning lesions, interpret pathology results, document the exam, and bill for the service. Very few validated dermatology training programs exist for PCPs and those that are available focus primarily on one emphasis area, which results in variable efficacy and single-topic limited scope.MethodsWe have created a free, online, continuing education program (Melanoma Toolkit for Early Detection, MTED) that allows learners to choose from a variety of multimedia tools (image recognition, videos, written material, in-person seminars, self-tests, etc.) that suits their learning style and time availability. Here we present the toolkit, the development and validation of the curriculum, and report on 1-year outcomes of a nested survey study. Because the goal of the program is to maximize participation by allowing PCPs to tailor their experience to their own needs and interests, the majority of participants did not complete every element of the program.ResultsA total of 8,683 PCPs have accessed at least one element of the toolkit from 2019–2024. Participants completed a pre-survey, online training module, and post-survey that included self-reported screening behaviors, changes in confidence, and malignant and benign lesion categorization based on clinical images. A total of 139 pre-surveys and 92 post-surveys were completed, including 55 matched participants that completed both the pre- and post-training surveys. There were significant improvements in PCP confidence (P < 0.001) and malignant (P < 0.001) and benign image (P = 0.029) identification respectively.DiscussionPCPs may serve as a valuable aid in skin cancer screening efforts, but additional studies are needed to evaluate the impact of these curricula in clinical practice.https://www.frontiersin.org/articles/10.3389/fmed.2024.1500216/fulleducationmelanomaprimary careskin cancerskin neoplasmstraining |
| spellingShingle | Kyra Diehl Elizabeth Stoos Alyssa Becker Victoria E. Orfaly Jacob Nelson Jordan Gillespie Justin Ng Tayler Tobey Tayler Tobey Emile Latour Emile Latour Joanna Ludzik Elizabeth G. Berry Alan C. Geller Heidi Jacobe Justin Leitenberger Danielle McClanahan Jessica Tran Smriti Prasad Stephanie Mengden-Koon Kelly C. Nelson Ryan Petering Alex Verdieck Stephanie Savory Emily H. Smith Susan Tofte Martin A. Weinstock Martin A. Weinstock Kevin White Oliver Wisco Oliver Wisco Clara Curiel-Lewandrowski Susan M. Swetter Alexander M. Witkowski Laura Ferris Samantha Black Rebecca Xu Shuai Xu Sancy Leachman Sancy Leachman Melanoma toolkit for early detection for primary care clinicians: a 1-year follow-up on outcomes Frontiers in Medicine education melanoma primary care skin cancer skin neoplasms training |
| title | Melanoma toolkit for early detection for primary care clinicians: a 1-year follow-up on outcomes |
| title_full | Melanoma toolkit for early detection for primary care clinicians: a 1-year follow-up on outcomes |
| title_fullStr | Melanoma toolkit for early detection for primary care clinicians: a 1-year follow-up on outcomes |
| title_full_unstemmed | Melanoma toolkit for early detection for primary care clinicians: a 1-year follow-up on outcomes |
| title_short | Melanoma toolkit for early detection for primary care clinicians: a 1-year follow-up on outcomes |
| title_sort | melanoma toolkit for early detection for primary care clinicians a 1 year follow up on outcomes |
| topic | education melanoma primary care skin cancer skin neoplasms training |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2024.1500216/full |
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