PT  - JOURNAL ARTICLE
AU  - Tiffaney Tran
AU  - Peggy R. Cyr
AU  - Alex Verdieck
AU  - Miranda D. Lu
AU  - Hadjh T. Ahrns
AU  - Elizabeth G. Berry
AU  - William Bowen
AU  - Ralph P. Braun
AU  - Joshua M. Cusick-Lewis
AU  - Hung Q. Doan
AU  - Valerie L. Donohue
AU  - Deborah R. Erlich
AU  - Laura K. Ferris
AU  - Evelyne Harkemanne
AU  - Rebecca I. Hartman
AU  - James Holt
AU  - Natalia Jaimes
AU  - Timothy A. Joslin
AU  - Zhyldyz Kabaeva
AU  - Tracey N. Liebman
AU  - Joanna Ludzik
AU  - Ashfaq A. Marghoob
AU  - Isac Simpson
AU  - Jennifer A. Stein
AU  - Daniel L. Stulberg
AU  - Isabelle Tromme
AU  - Matthew J. Turnquist
AU  - Richard P. Usatine
AU  - Alison M. Walker
AU  - Bryan L. Walker
AU  - Robert F. West
AU  - Megan L. Wilson
AU  - Alexander Witkowski
AU  - Dominic J. Wu
AU  - Elizabeth V. Seiverling
AU  - Kelly C. Nelson
TI  - Expert Consensus Statement on Proficiency Standards for Dermoscopy Education in Primary Care
AID  - 10.3122/jabfm.2022.220143R1
DP  - 2023 Feb 08
TA  - The Journal of the American Board of Family
                Medicine
PG  - 25--38
VI  - 36
IP  - 1
4099  - http://www.jabfm.org/content/36/1/25.short
4100  - http://www.jabfm.org/content/36/1/25.full
SO  - J Am Board Fam Med2023 Feb 08; 36
AB  - Background: Primary care providers (PCPs) frequently address dermatologic concerns and perform skin examinations during clinical encounters. For PCPs who evaluate concerning skin lesions, dermoscopy (a noninvasive skin visualization technique) has been shown to increase the sensitivity for skin cancer diagnosis compared with unassisted clinical examinations. Because no formal consensus existed on the fundamental knowledge and skills that PCPs should have with respect to dermoscopy for skin cancer detection, the objective of this study was to develop an expert consensus statement on proficiency standards for PCPs learning or using dermoscopy.Methods: A 2-phase modified Delphi method was used to develop 2 proficiency standards. In the study’s first phase, a focus group of PCPs and dermatologists generated a list of dermoscopic diagnoses and associated features. In the second phase, a larger panel evaluated the proposed list and determined whether each diagnosis was reflective of a foundational or intermediate proficiency or neither.Results: Of the 35 initial panelists, 5 PCPs were lost to follow-up or withdrew; 30 completed the fifth and last round. The final consensus-based list contained 39 dermoscopic diagnoses and associated features.Conclusions: This consensus statement will inform the development of PCP-targeted dermoscopy training initiatives designed to support early cancer detection.