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Published in: Journal of General Internal Medicine 11/2018

01-11-2018 | Concise Research Reports

Are Primary Care Residents Trained to Perform Skin Cancer Examinations?

Authors: Richard A. Shellenberger, DO, Karine Tawagi, MD, Sweta Kakaraparthi, MD, Jeremy Albright, Ph.D, Mohammed Nabhan, MD, Alan C. Geller, MPH, RN

Published in: Journal of General Internal Medicine | Issue 11/2018

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Excerpt

Skin cancer remains the most common cancer in the United States (US), with incidence of both nonmelanoma skin cancers and malignant melanoma rising.1 Visual skin cancer examination (SCE) screening rates remain among the lowest for any detectable cancer.2 Lack of training has been identified as a barrier in the performance of SCE.3 We evaluated the level of skin cancer education in primary care residency programs with a survey instrument used by Wise et al. in 2009, which showed infrequent training in SCE.4 We chose to assess the impact of Wise’s study on current residency education and define possible variations in skills and training based on differences in residency programs. Our study evaluated smaller and less urban residency programs since rural areas have lower population densities of dermatologists and higher melanoma mortality rates.5
Literature
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go back to reference Lakhani NA, Saraiya M, Thompson TD, King SC, Guy GP, Jr. Total body skin examination for skin cancer screening among U.S. adults from 2000 to 2010. Preventive medicine. 2014;61:75–80.CrossRef Lakhani NA, Saraiya M, Thompson TD, King SC, Guy GP, Jr. Total body skin examination for skin cancer screening among U.S. adults from 2000 to 2010. Preventive medicine. 2014;61:75–80.CrossRef
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go back to reference Oliveria SA, Heneghan MK, Cushman LF, Ughetta EA, Halpern AC. Skin cancer screening by dermatologists, family practitioners, and internists: barriers and facilitating factors. Archives of dermatology. 2011; 147(1):39–44.CrossRef Oliveria SA, Heneghan MK, Cushman LF, Ughetta EA, Halpern AC. Skin cancer screening by dermatologists, family practitioners, and internists: barriers and facilitating factors. Archives of dermatology. 2011; 147(1):39–44.CrossRef
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go back to reference Wise E, Singh D, Moore M, et al. Rates of skin cancer screening and prevention counseling by US medical residents. Archives of dermatology. 2009; 145 (10):1131–1136.CrossRef Wise E, Singh D, Moore M, et al. Rates of skin cancer screening and prevention counseling by US medical residents. Archives of dermatology. 2009; 145 (10):1131–1136.CrossRef
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go back to reference Aneja S, Aneja S, Bordeaux JS. Association of increased dermatologist density with lower melanoma mortality. Archives of dermatology. 2012; 148(2):174–178.CrossRef Aneja S, Aneja S, Bordeaux JS. Association of increased dermatologist density with lower melanoma mortality. Archives of dermatology. 2012; 148(2):174–178.CrossRef
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go back to reference Weinstock MA, Ferris LK, Saul MI, et al. Downstream consequences of melanoma screening in a community practice setting: First results. Cancer. 2016; 122 (20):3152–3156.CrossRef Weinstock MA, Ferris LK, Saul MI, et al. Downstream consequences of melanoma screening in a community practice setting: First results. Cancer. 2016; 122 (20):3152–3156.CrossRef
Metadata
Title
Are Primary Care Residents Trained to Perform Skin Cancer Examinations?
Authors
Richard A. Shellenberger, DO
Karine Tawagi, MD
Sweta Kakaraparthi, MD
Jeremy Albright, Ph.D
Mohammed Nabhan, MD
Alan C. Geller, MPH, RN
Publication date
01-11-2018
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 11/2018
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-018-4572-x

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