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Updated: Mar 7, 2026

Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
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Dermascope Use by Osteopathic Primary Care Physicians.

Jeffrey B Morris, Sarah V Alfonso, Nilda Hernandez

    The Journal of the American Osteopathic Association
    |February 28, 2017
    PubMed
    Summary

    Primary care osteopathic physicians (DOs) are underutilizing dermascopes for early skin cancer detection. Increased training and awareness are needed to improve diagnostic accuracy and reduce specialist referrals.

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    Area of Science:

    • Dermatology
    • Primary Care Medicine
    • Medical Education

    Background:

    • Osteopathic physicians (DOs) in primary care are vital for early skin cancer detection.
    • Dermoscopy significantly enhances diagnostic accuracy for skin lesions.
    • Current dermascope utilization among primary care DOs is not well-documented.

    Purpose of the Study:

    • To determine the prevalence of dermascope use among primary care DOs.
    • To identify physician and practice characteristics associated with dermascope awareness and use.
    • To explore barriers hindering dermascope adoption in primary care settings.

    Main Methods:

    • An anonymous survey was administered to osteopathic physicians.
    • The survey assessed demographics, practice characteristics, and confidence in lesion differentiation.
    • Data were analyzed using bivariate statistics and logistic regression models.

    Main Results:

    • Only 15% of surveyed DOs reported using a dermascope, while 54% had heard of it.
    • Graduating after 1989 and higher confidence in lesion differentiation predicted dermascope use.
    • Factors associated with hearing about dermascopes included being female and practicing in group, academic, or community settings.

    Conclusions:

    • Dermascope use can improve primary care DOs' skin cancer diagnostic accuracy.
    • Wider adoption of dermoscopy may reduce unnecessary specialist referrals.
    • Targeted educational initiatives are necessary to promote dermascope knowledge and use among DOs.