RT Journal Article
SR Electronic
T1 Expert Consensus Statement on Proficiency Standards for Dermoscopy Education in Primary Care
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 25
OP 38
DO 10.3122/jabfm.2022.220143R1
VO 36
IS 1
A1 Tran, Tiffaney
A1 Cyr, Peggy R.
A1 Verdieck, Alex
A1 Lu, Miranda D.
A1 Ahrns, Hadjh T.
A1 Berry, Elizabeth G.
A1 Bowen, William
A1 Braun, Ralph P.
A1 Cusick-Lewis, Joshua M.
A1 Doan, Hung Q.
A1 Donohue, Valerie L.
A1 Erlich, Deborah R.
A1 Ferris, Laura K.
A1 Harkemanne, Evelyne
A1 Hartman, Rebecca I.
A1 Holt, James
A1 Jaimes, Natalia
A1 Joslin, Timothy A.
A1 Kabaeva, Zhyldyz
A1 Liebman, Tracey N.
A1 Ludzik, Joanna
A1 Marghoob, Ashfaq A.
A1 Simpson, Isac
A1 Stein, Jennifer A.
A1 Stulberg, Daniel L.
A1 Tromme, Isabelle
A1 Turnquist, Matthew J.
A1 Usatine, Richard P.
A1 Walker, Alison M.
A1 Walker, Bryan L.
A1 West, Robert F.
A1 Wilson, Megan L.
A1 Witkowski, Alexander
A1 Wu, Dominic J.
A1 Seiverling, Elizabeth V.
A1 Nelson, Kelly C.
YR 2023
UL http://www.jabfm.org/content/36/1/25.abstract
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.