Dedicated general practitioner education sessions can improve diagnostic capabilities and may have a positive effect on referral patterns for common skin lesions

Beecher, Suzanne M.; Keogh, Cillian J.; Healy, Claragh

doi:10.1007/s11845-018-1788-z

Cited by 19 publications

(16 citation statements)

References 15 publications

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“…Thirty-six interventional studies with a range of study designs were found: 11 randomised controlled trials Open access (RCTs), 9 10 20-29 19 diagnostic accuracy studies, [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] 3 cohort studies 49-51 and 3 case-control studies. [52][53][54] Five of the 31 training programmes were assessed twice.…”

Section: Study Designsmentioning

confidence: 99%

Training general practitioners in melanoma diagnosis: a scoping review of the literature

2021

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BackgroundGeneral practitioners (GPs) play a key role in early melanoma detection. To help GPs deal with suspicious skin lesions, melanoma diagnostic training programmes have been developed. However, it is unclear whether these programmes guarantee the acquisition of skills that will be applied by GPs in their daily clinical practice and maintained over time.ObjectivesThis scoping review aimed to examine and compare educational programmes designed to train GPs in melanoma diagnosis using clinical (naked eye) examination alone or dermoscopy±clinical examination, and sought to inform on the long-term sustainability of the GPs’ acquired skills.Eligibility criteriaStudies eligible for inclusion evaluated educational programmes for teaching diagnosis of melanoma to GPs. MEDLINE, EMBASE and Cochrane databases were searched for relevant articles from 1995 to May 2020.ResultsForty-five relevant articles were found assessing 31 educational programmes. Most programmes that improved the diagnostic accuracy and long-term performances of the GPs, that is, increase in confidence, decrease in dermatologist referral for benign skin lesions and improvement in the benign/malignant ratio of excised skin lesions, trained the GPs in clinical diagnosis, followed by dermoscopy. To maintain long-term performances, these programmes provided refresher training material.ConclusionThis review shows that studies generally report positive outcomes from the training of GPs in melanoma diagnosis. However, refresher training material seemed necessary to maintain the acquired skills. The optimal form and ideal frequency for these updates have yet to be defined.

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Section: Study Designsmentioning

confidence: 99%

Training general practitioners in melanoma diagnosis: a scoping review of the literature

2021

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“…25 Continuous training on issues related to the diagnosis of dermatological diseases through seminars during the professional life of a family doctor is considered necessary. 26 Unfortunately, medical report regarding thepool entry refers mainly to public pools and not private ones such as hotels and spa. In these areas, the risk of transmit ion of a dermatological disease to swimmers is more likely due to a lack of medical control of swimmers' ability to access private swimming pools regardless of whether water is treated properly and hygiene rules are followed in the surrounding environment.…”

Section: Resultsmentioning

confidence: 99%

Untitled

2020

JDC

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Introduction: Due to the difficult financial conditions in Greece, most of the prospective swimmers do not go to the dermatologist for their medical report regarding transmissible dermatological diseases. They receive this report from their family doctors. The purpose of this study was the evaluation of the ability of other specialties on recognizing and diagnosing transmissible dermatological diseases of swimmers. Methods:A total of 1090 people were examined. The first group consisted of 479 people who were examined for the first time in the medical office of the swimming pool and had no medical report about a transmissible dermatological disease. The second group consisted of the remaining 611 people, who had a recent medical report from a family doctor certifying that they did not suffer from a transmissible dermatological disease.Results: The 11.7% of the first group had some potentially transmissible dermatological disease, while the corresponding percentage of the second group was 5.7%. Virtually one in two swimmers of the second group suffered from a potentially transmissible dermatological disease and had been diagnosed as healthy by a family doctor. Conclusions:There are issues with the diagnosis of dermatological diseases by nondermatologists, since some lesions might not be recognized by General Practitioners or family doctors. The reason for that might be the difficulty in the diagnoses of the dermatological diseases, the training of other specialties in dermatological lesions and the financial status of the people examined.

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“…Apesar da baixa prevalência do melanoma, as taxas de mortalidade são elevadas, consequência do seu alto poder metastático 20 . Por esse motivo é importante que os médicos saibam reconhecer as lesões melanocíticas malignas de forma precoce, para que o tratamento não seja postergado, reduzindo o risco de mortalidade pela doença 21 .…”

Section: Discussionunclassified

“…Uma medida que parece contribuir sobremaneira seria a realização de atividade de atualização envolvendo o diagnóstico de câncer de pele, por meio de palestras com especialistas ou apresentações multimídias e videoconferências online. De acordo com um estudo prospectivo 20 sobre o conhecimento de médicos generalistas em relação ao diagnóstico de lesões de pele antes e após uma única atividade de atualização com especialista, o mesmo demonstrou um incremento de 35% na capacidade de identificação de lesões de pele após a atividade educativa.…”

Section: Discussionunclassified

Reconhecimento de lesões de pele suspeitas de malignidade por médicos da atenção primária de Curitiba-PR

Janeczko

Gustman

Presa³

et al. 2021

R. Saúde Públ. Paraná

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Este estudo teve por objetivo analisar o desempenho de médicos atuantes na atenção primária frente ao reconhecimento de lesões suspeitas de câncer de pele. Trata-se de um estudo de campo exploratório descritivo com abordagem quantitativa. Médicos generalistas, médicos de família e residentes em Medicina de Família e Comunidade atuantes nas 66 unidades de saúde de Curitiba-PR foram entrevistados. O conhecimento em dermatologia foi considerado mínimo para 61,5% dos participantes. A sensibilidade média (S) no reconhecimento das lesões suspeitas foi de 63,92% (IC95% 60,5-67,34). O desempenho foi considerado satisfatório na identificação do melanoma cutâneo (S=83%) e do carcinoma espinocelular (S=97%) e insatisfatório nos casos de ceratose actínica (S=54%), nevo melanocítico displásico (S=51%) e carcinoma basocelular (S=32%). Lesões de pele prevalentes podem estar sendo diagnosticadas tardiamente ou subdiagnosticadas. Salienta-se a importância de atualizações e treinamentos profissionais para aprimoramento da percepção e capacidade de reconhecimento precoce na atenção primária.

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Dedicated general practitioner education sessions can improve diagnostic capabilities and may have a positive effect on referral patterns for common skin lesions

Abstract: Dedicated education sessions on skin lesions can improve the diagnostic accuracy of GP trainees, and we suggest that they are incorporated into the GP training curriculum.

Cited by 19 publications

References 15 publications

Training general practitioners in melanoma diagnosis: a scoping review of the literature

Training general practitioners in melanoma diagnosis: a scoping review of the literature

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Reconhecimento de lesões de pele suspeitas de malignidade por médicos da atenção primária de Curitiba-PR

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