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Natalie M Williams1, Ashfaq A Marghoob1, Elizabeth Seiverling1

  • 1From the Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL (NMW, DT, NJ); Dermatology Service, Memorial Sloan-Kettering Cancer Center, New York, NY (AAM); Division of Dermatology, Maine Medical Center, Portland, ME (ES); Department of Family and Community Medicine, The University of Texas Health Science Center at San Antonio, San Antonio, TX (RU); Sylvester Comprehensive Cancer Center, Miami, FL (NJ).

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Primary care physicians (PCPs) show interest in dermoscopy for skin cancer detection, but lack of access and training are significant barriers. Most PCPs view dermoscopy as valuable and desire hands-on training.

Keywords:
DermoscopyFamily PhysiciansPrimary Care PhysiciansPrimary Health CareSkin CancerSurveys and Questionnaires

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Area of Science:

  • Dermatology
  • Primary Care Medicine
  • Medical Education

Background:

  • Dermoscopy enables visualization of subsurface skin structures for improved skin cancer detection.
  • Educational interventions are increasingly incorporating dermoscopy into primary care settings.

Purpose of the Study:

  • To assess primary care physicians' (PCPs) perspectives, attitudes, and interest in using dermoscopy.
  • To identify barriers to dermoscopy adoption in primary care.

Main Methods:

  • Anonymous survey distributed to PCPs at academic institutions.
  • Survey included 23 questions focusing on dermoscopy use, training, and perceived value.

Main Results:

  • Only 16% of PCPs had access to a dermatoscope, and 9% used it regularly.
  • Lack of access (85%) and training (76%) were primary barriers to dermoscopy use.
  • 87% of PCPs expressed interest in receiving dermoscopy training, preferably hands-on.

Conclusions:

  • Despite low current usage, PCPs recognize dermoscopy's value in primary care.
  • Addressing barriers like device access and providing targeted training are crucial for wider adoption.
  • Educational initiatives should prioritize hands-on learning to meet PCP demand for dermoscopy skills.