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Journal of General Internal Medicine

, Volume 33, Issue 6, pp 799–800 | Cite as

Dermoscopy of Concerning Pigmented Lesions and Primary Care Providers’ Referrals at Intervals After Randomized Trial of Mastery Learning

  • June K. Robinson
  • Michael MacLean
  • Rachel Reavy
  • Rob Turrisi
  • Kimberly Mallett
  • Gary J. Martin
Concise Research Reports

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

METHODS

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...

Notes

Funding/Support

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.

References

  1. 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.
  2. 2.
    US Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, et al. Screening for skin cancer: US preventive services task force recommendation statement. JAMA. 2016; 316(4):429–435.CrossRefGoogle Scholar
  3. 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
  4. 4.
    McGaghie WC. Medical education research as translational science. Sci Trans Med. 2010; 2:19cm8.CrossRefGoogle Scholar
  5. 5.
    Liu W, Dowling JP, Murray WK, McArthur GA, Thompson JF, Wolfe R, Kelly JW. Rate of growth in melanomas. Arch Dermatol. 2006; 142:1551–1558.PubMedGoogle Scholar
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    Woolard M, Whitfield R, Newcombe RG, Colquhoun M, Vetter N, Chamberlain D. Optimal refresher training intervals for AED and CPR skills: a randomised controlled trial. Resuscitation. 2006;71:237–247.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2018

Authors and Affiliations

  • June K. Robinson
    • 1
  • Michael MacLean
    • 2
  • Rachel Reavy
    • 3
  • Rob Turrisi
    • 3
  • Kimberly Mallett
    • 3
  • Gary J. Martin
    • 4
  1. 1.Department of Dermatology Northwestern University Feinberg School of MedicineChicagoUSA
  2. 2.Department of Medical EducationNorthwestern University Feinberg School of MedicineChicagoUSA
  3. 3.Biobehavioral Health and Prevention Research CenterThe Pennsylvania State UniversityState CollegeUSA
  4. 4.Department of MedicineNorthwestern University Feinberg School of MedicineChicagoUSA

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