Morales SMA, Zárate FLM

Language: Spanish
References: 22
Page: 79-83
PDF size: 200.57 Kb.

ABSTRACT

Dermoscopy is an auxiliary method for the diagnosis of skin neoformations, mainly melanocytic ones, which reduces the number of unnecessary biopsies. It is also currently used for the clinical evaluation of inflammatory diseases, trichopathies and nail disorders. The main barriers to implementing its use in clinical practice are the lack of access to formal training programs and the cost of the equipment for public health systems. The objective of this review was to describe and analyze the different teaching-learning methods implemented in training programs for general practitioners, residents and dermatologists.

REFERENCES

1. Kittler H, Pehamberger H, Wolff K, Binder M. Diagnostic accuracy of dermoscopy. Lancet Oncol. 2002; 3: 159-165.

2. Chen Y, Rill J, Seiverling E. Analysis of dermoscopy teaching modalities in United States dermatology residency programs. Dermatol Pract Concept. 2017; 7: 38-43.

3. Vestergaard M, Macaskill P, Holt P, Menzies S. Dermoscopy compared with naked eye examination for the diagnosis of primary melanoma: a meta-analysis of studies performed in a clinical setting. Br J Dermatol. 2008; 159: 669-676.

4. Wu T, Newlove T, Smith L, Vuong C, Stein J, Polsky D. The importance of dedicated dermoscopy training during residency: a survey of US dermatology chief residents. J Am Acad Dermatol. 2013; 68: 1000-1005.

5. Fee JA, McGrady FP, Rosendahl C et al. Training primary care physicians in dermoscopy for skin cancer detection: a scoping review. J Cancer Educ. 2020; 35: 643-650.

6. Herschorn A. Dermoscopy for melanoma detection in family practice. Can Fam Physician. 2012; 58: 740-745.

7. Chia A, Trevena L. A systematic review of training to improve melanoma diagnostic skills in general practitioners. J Cancer Educ. 2016; 31: 730-735.

8. Westerhoff K, McCarthy W, Menzies S. Increase in the sensitivity for melanoma diagnosis by primary care physicians using skin surface microscopy. Br J Dermatol. 2000; 143: 1016-1020.

9. Morris J, Alfonso S, Hernandez N, Fernández MI. Examining the factors associated with past and present dermoscopy use among family physicians. Dermatol Pract Concept. 2017; 7: 63-70.

10. Binder M, Puespoeck-Schwarz M, Steiner A et al. Epiluminescence microscopy of small pigmented skin lesions: Short-term formal training improves the diagnostic performance of dermatologists. J Am Acad Dermatol. 1997; 36: 197-202.

11. Augustsson A, Paoli J. Effects of a 1-day training course in dermoscopy among general practitioners. Dermatol Pract Concept. 2019; 9: 195-199.

12. Robinson J, Jain N, Marghoob A et al. A randomized trial on the efficacy of mastery learning for primary care provider melanoma opportunistic screening skills and practice. J Gen Intern Med. 2018; 33: 855-862.

13. Shaikh W, Geller A, Alexander G et al. Developing an interactive web-based learning program on skin cancer: the learning experiences of clinical educators. J Cancer Educ. 2012; 27: 709-716.

14. Chappuis P, Duru G, Marchal O et al. Dermoscopy, a useful tool for general practitioners in melanoma screening: a nationwide survey. Br J Dermatol. 2016; 175: 744-750.

15. Nehal K, Oliveria S, Marghoob A et al. Use of and beliefs about dermoscopy in the management of patients with pigmented lesions: a survey of dermatology residency programmes in the United States. Melanoma Res. 2002; 12: 601-605.

16. Terushkin V, Oliveria S, Marghoob A et al. Use of and beliefs about total body photography and dermatoscopy among US dermatology training programs: an update. J Am Acad Dermatol. 2010; 62: 794-803.

17. Engasser HC, Warshaw EM. Dermatoscopy use by US dermatologists: a cross-sectional survey. J Am Acad Dermatol. 2010; 63: 412-419.

18. Patel P, Khanna S, McLellan B, Krishnamurthy K. The need for improved dermoscopy training in residency: a survey of US dermatology residents and program directors. Dermatol Pract Concept. 2017; 7: 17-22.

19. Piliouras P, Buettner P, Soyer H. Dermoscopy use in the next generation: a survey of Australian dermatology trainees. Australas J Dermatol. 2014; 55: 49-52.

20. Breton A, Amini-Adle M, Duru G, Poulalhon N, Dalle S, Thomas L. Overview of the use of dermoscopy in academic and non-academic hospital centres in France: a nationwide survey. J Eur Acad Dermatol Venereol. 2014; 28: 1207-1213.

21. Chevolet I, Hoorens I, Janssens A et al. A short dermoscopy training increases diagnostic performance in both inexperienced and experienced dermatologists. Australas J Dermatol. 2015; 56: 52-55.

22. Boespflug A, Guerra J, Dalle S, Thomas L. Enhancement of customary dermoscopy education with spaced education e-Learning: a prospective controlled trial. JAMA Dermatol. 2015; 151: 847-853.