Distance Learning and Spaced Review to Complement Dermoscopy Training for Primary Care.

Area of Science:

• Dermatology
• Primary Care Medicine
• Medical Education Technology

Background:

• Dermoscopy significantly improves melanoma detection sensitivity compared to naked-eye examination.
• A shortage of dermoscopy training exists for primary care providers.
• The Triage Amalgamated Dermoscopic Algorithm (TADA) is a training tool for novice dermoscopists, with retention improved by spaced review and blended learning.

Purpose of the Study:

• To determine the impact of adding a distance learning platform (Extension for Community Health Outcomes - ECHO) to a TADA workshop on clinical dermoscopy use.
• To evaluate dermoscopic image identification and knowledge retention after implementing distance learning.

Main Methods:

• A longitudinal observational cohort study involving 27 primary care providers.
• Participants attended a 120-minute TADA workshop and completed tests on 30 dermoscopic images (pre-intervention, post-TADA, post-ECHO).
• A survey assessed clinical dermoscopy use and prior training.

Main Results:

• Mean test scores improved significantly from 20.29 (pre-intervention) to 24.62 (post-TADA) and 27.63 (post-ECHO) (P < .001).
• Attendance of ECHO sessions correlated positively with post-ECHO scores (r = 0.77).
• Clinical dermoscope use increased dramatically from 37.0% to 96.3% (P < .001).

Conclusions:

• Distance learning, when combined with spaced review, effectively complements traditional dermoscopy workshops for primary care providers.
• This blended learning approach enhances both knowledge retention and practical application of dermoscopy in clinical settings.