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Related Experiment Videos

Melanoma screening behavior among primary care physicians.

Kent P Friedman1, Diane L Whitaker-Worth, Caron Grin

  • 1Department of Dermatology, University of Connecticut School of Medicine, Farmington, CT 06030, USA.

Cutis
|December 21, 2004
PubMed
Summary

Primary care physicians (PCPs) often lack confidence and adequate training for detecting melanoma. While most refer suspicious lesions, improved education on pigmented lesion management and dermatopathology is needed.

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Area of Science:

  • Dermatology
  • Primary Care Medicine
  • Medical Education

Background:

  • Malignant melanoma incidence is rising.
  • Primary care physicians (PCPs) manage increasing skin-related visits.
  • Early detection of suspicious pigmented lesions by PCPs is crucial.

Purpose of the Study:

  • To understand primary care physicians' (PCPs) screening and referral patterns for pigmented lesions.
  • To assess PCPs' confidence and training adequacy in melanoma detection and management.
  • To identify areas for improving PCP education on pigmented lesions.

Main Methods:

  • A 28-question survey was mailed to 999 PCPs (internists, family practitioners, pediatricians) in Connecticut.
  • 248 PCPs responded, detailing their practices regarding skin examinations, lesion management, and referrals.

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  • Survey data was analyzed to compare management strategies and confidence levels among different PCP types.

    • Main Results:

    • Fewer than half of responding PCPs "often" performed full skin examinations.
    • Most PCPs referred suspicious lesions to dermatologists, without pressure from managed care.
    • Many PCPs lacked confidence and felt inadequately trained for melanoma diagnosis, with family practitioners showing higher confidence and self-biopsy rates.
    • Few PCPs utilized dermatopathology services, indicating a lack of awareness regarding its benefits.

    Conclusions:

    • PCPs' current practices show a need for enhanced focus on full skin examinations.
    • Significant gaps exist in PCPs' confidence and training for managing pigmented lesions and recognizing melanoma.
    • There is a clear need for improved educational strategies for primary care residents and physicians in dermatopathology and pigmented lesion management.