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Research ArticleResearch Letter

Perspectives on Dermoscopy in the Primary Care Setting

Natalie M. Williams, Ashfaq A. Marghoob, Elizabeth Seiverling, Richard Usatine, Darren Tsang and Natalia Jaimes
The Journal of the American Board of Family Medicine November 2020, 33 (6) 1022-1024; DOI: https://doi.org/10.3122/jabfm.2020.06.200238
Natalie M. Williams
From 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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Ashfaq A. Marghoob
From 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).
MD
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Elizabeth Seiverling
From 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).
MD
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Richard Usatine
From 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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Darren Tsang
From 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).
MD, MPH
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Natalia Jaimes
From 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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  • Article
  • Figures & Data
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Article Figures & Data

Tables

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    Table 1.

    Participant Demographics and Career Information

    DemographicsAll No. (%)
    All156
    Gender
     Female98 (62.8)
     Male58 (37.2)
    Age, years
     25 to 3483 (53.2)
     35 to 4430 (19.2)
     45 to 5420 (12.8)
     55 to 6421 (13.5)
     65 to 742 (1.3)
    Specialty
     Family medicine67 (42.9)
     Internal medicine55 (35.3)
     Pediatrics27 (17.3)
     Med/peds7 (4.5)
    Years practiced
     Current resident81 (51.9)
     0 to 410 (6.4)
     5 to 1419 (12.2)
     15 to 2424 (15.4)
     25 to 3415 (9.6)
     35 to 447 (4.5)
    Location
     Urban117 (75.0)
     Suburban33 (21.2)
     Rural6 (3.8)
    • View popup
    Table 2.

    Participant Perspectives Regarding Dermoscopy

    Perspectives on DermoscopyAll No. (%)
    All156
    Dermatoscope access
     No131 (84.0)
     Yes25 (16.0)
    Dermatoscope use
     No142 (91.0)
     Yes14 (9.0)
    Prior dermoscopy training
     No133 (85.3)
     Yes23 (14.7)
    Importance of dermoscopy in primary care
     Extremely important30 (19.2)
     Very important37 (23.7)
     Moderately important51 (32.7)
     Slightly important30 (19.2)
     Not at all important8 (5.2)
    Reasons for not using a dermatoscope*
     Lack of access to a dermatoscope116 (85.3)
     Lack of training104 (76.5)
     Cost of dermatoscope32 (23.5)
     Time constraints32 (23.5)
     Unlikely to have an impact10 (7.4)
    Should PCPs receive dermoscopy training?
     Yes, should be provided during residency (obligatory)83 (55.0)
     Yes, should be given during residency (optional)48 (31.8)
     Yes, once practicing (optional)13 (8.6)
     No7 (4.6)
    Interest in dermoscopy training
     Very interested104 (68.9)
     Somewhat interested27 (17.9)
     Neutral7 (4.6)
     Not very interested8 (5.3)
     Not at all interested5 (3.3)
    Preferred dermoscopy training
     Hands-on training (rotation, observership)57 (41.3)
     Self study using dermoscopy textbook and/or app34 (25.4)
     In-person course (lecture style PowerPoint)17 (13.6)
     Online video (lecture style)9 (7.2)
     Web-based modules with self-paced learning10 (7.8)
    Ideal duration for hands-on training
     Days (mean ± SD)3.2 ± 4.4
     Hours (mean ± SD)5.4 ± 5.3
    Ideal duration for in-person course
     Days (mean ± SD)2.4 ± 2.6
     Hours (mean ± SD)4.5 ± 4.8
    Ideal duration for online video
     Sessions (mean ± SD)3.3 ± 3.3
     Hours (mean ± SD)2.6 ± 3.2
    • ↵* Multiple response (e.g. “select all that apply”) question.

    • PCPs, primary care physicians; SD, standard deviation.

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The Journal of the American Board of Family     Medicine: 33 (6)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 6
November-December 2020
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Perspectives on Dermoscopy in the Primary Care Setting
Natalie M. Williams, Ashfaq A. Marghoob, Elizabeth Seiverling, Richard Usatine, Darren Tsang, Natalia Jaimes
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 1022-1024; DOI: 10.3122/jabfm.2020.06.200238

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Perspectives on Dermoscopy in the Primary Care Setting
Natalie M. Williams, Ashfaq A. Marghoob, Elizabeth Seiverling, Richard Usatine, Darren Tsang, Natalia Jaimes
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 1022-1024; DOI: 10.3122/jabfm.2020.06.200238
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