Diagnostic effectiveness of dermoscopy performed by plastic surgery registrars trained in melanoma diagnosis

Pescarini, Elena; E, De Antoni; Azzena, Gian Paolo; Vindigni, Vincenzo; Brambullo, Tito

doi:10.1016/j.bjps.2019.09.032

Cited by 4 publications

(5 citation statements)

References 17 publications

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“… 1 Research also suggests that dermoscopy training increases the ability of plastic surgeons to accurately diagnose melanoma and NMSC. 4 , 9 Indeed, a retrospective review involving three plastic surgery trainees with dermoscopy training found their diagnostic accuracy to be comparable to dermatologists. 9 Moreover, among plastic surgeons who attended a one-day dermoscopy training course, the sensitivity of diagnosing malignant skin lesions increased from 56% to 64%, with the specificity increasing from 44% to 64%.…”

Section: Discussionmentioning

confidence: 98%

“… 4 , 9 Indeed, a retrospective review involving three plastic surgery trainees with dermoscopy training found their diagnostic accuracy to be comparable to dermatologists. 9 Moreover, among plastic surgeons who attended a one-day dermoscopy training course, the sensitivity of diagnosing malignant skin lesions increased from 56% to 64%, with the specificity increasing from 44% to 64%. 4 Notwithstanding these results, dermoscopy is a tool with a steep learning curve, and proper use likely requires formal training with sustained exposure.…”

Section: Discussionmentioning

confidence: 98%

“…Plastic surgeons have been shown more likely than dermatologists to proceed with surgical biopsy and excision of suspicious lesions, 9 , 12 possibly related to their underutilization of dermoscopy. 13 While this study was limited to plastic surgeons, only one of whom reported routine use of dermoscopy, it would be of interest to investigate whether there is a difference in management among plastic surgeons who use, and those who do not use, dermoscopy.…”

Section: Discussionmentioning

confidence: 99%

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Assessing exposure to dermoscopy in plastic surgery training programs

Percival

Nicholas²,

Webb³

et al. 2021

JPRAS Open

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Summary Background Dermoscopy is a noninvasive tool that improves the diagnostic accuracy of melanoma and other cutaneous malignancies; yet, it is not widely used by plastic surgeons, who commonly manage skin lesions. Thus, the purpose of this study was to explore current practice patterns and knowledge of dermoscopy among plastic surgeons and postgraduate plastic surgery trainees. Additionally, interest to establish a formal dermoscopy curriculum as part of plastic surgery residency training was evaluated. Methods An online electronic questionnaire was developed and distributed through email to practicing plastic surgeons and plastic surgery trainees at two Canadian universities. Results Of the 59 potential participants, 27 (46%) responded. While the majority of participants were familiar with dermoscopy (n = 26; 96%), only one respondent reported using dermoscopy in clinical practice. However, all respondents reported exposure to melanoma clinically (n = 26; one participant did not provide a response). A lack of training, along with lack of access to dermatoscopes, were the most frequently cited reasons for not using dermoscopy. Knowledge scores with regard to dermoscopic features were also low; coupled with a noted propensity toward diagnostic or excisional biopsy, whichcould raise the benign to malignant ratio. Overall, 89% (n = 24) of respondents expressed interest in dermoscopy training in plastic surgery postgraduate training. Conclusions Few responding plastic surgeons or plastic surgery residents currently use dermoscopy in training or practice but are interested in formal dermoscopy training in residency.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Assessing exposure to dermoscopy in plastic surgery training programs

Percival

Nicholas²,

Webb³

et al. 2021

JPRAS Open

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…The study compared the number of lesion excisions with pathological findings and found an overall accuracy of 48% (224 of 466 lesions were considered pathological or atypical lesions). 19 This study was significant because it assessed the diagnostic abilities of plastic surgery residents through a specific course, given that they will be considered experts in the field in the future, but are not currently receiving standard education in this methodology. According to Townley et al, a one-day course of dermoscopy improved the diagnostic ability of qualified plastic surgeons.…”

Section: Discussionmentioning

confidence: 99%

Dermoscopy Education for Plastic Surgery Residents: How a Brief Theoretical Course and Practical Training Have an Impact

Brambullo,

Carpenito,

Ricci

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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Background: Currently, the evaluation of pigmented skin lesions relies on dermoscopy, which has become the standard of care. As melanoma is one of the principal areas of expertise in plastic surgery, it is essential that diagnostic skills be acquired during the course of specialization. This study aimed to assess the impact and effectiveness of a brief and intensive dermoscopy training program for plastic surgery residents. Methods: This study was carried out on a group of 41 doctors, who were divided into three categories based on their experience in dermoscopy (none, intermediate, and advanced). A preliminary assessment of each participant’s baseline knowledge was conducted by using a 15-query test. Subsequently, the participants attended a 90-minute lecture on diagnostic techniques and the process of differentiating between various skin lesions. To determine the effectiveness of the lecture in improving diagnostic skills, the participants were tested immediately after the lecture and again after a 3-month period. Results: At the conclusion of the final examination, all three groups achieved an accuracy rate of at least 80% for dermatoscopic diagnosis. However, none of the groups was completely successful. The variations in diagnostic accuracy among the three groups are presented, and P values were calculated for each group. Conclusion: The short, intensive course of dermoscopy has proven to have a significant positive impact on plastic surgeons in their postdegree training program.

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