| Training Exposure | No Exposure | Group by time interaction | |||
|
Baseline
(N = 15) | Post-Training (N = 15) |
Baseline
(N = 29) | Post-Training (N = 29) | P-Value | |
| Total Number of Visits | 7972 | 7339 | 9888 | 10432 | |
| Dermatology Referral | 16.9 | 11.4 | 13.8 | 14.1 | 0.02 |
| Reason for Referral | |||||
| Biopsy proven skin cancer that needs surgery | 0.1 | 0.1 | 0.0 | 0.2 | <.01 |
| Concern for skin cancer | 3.1 | 3.5 | 2.9 | 2.7 | 0.57 |
| Routine skin check | 4.8 | 2.1 | 2.5 | 4.6 | <.01 |
| Skin lesion not cancer concern | 1.2 | 0.7 | 1.1 | 1.1 | 0.39 |
| Other | 6.7 | 5.0 | 5.4 | 5.6 | 0.04 |
| Unknown | 1.1 | 0.0 | 1.9 | 0.0 | 0.99 |
| Dermatology e-Consult | 5.5 | 7.8 | 5.1 | 7.2 | 0.50 |
| Lesion (evaluate for skin cancer) | 1.6 | 4.8 | 0.9 | 2.1 | 0.05 |
| Atypical Skin Ulcer/Wound | 0.3 | 0.5 | 0.6 | 0.1 | 0.46 |
| Inflammatory Skin Rashes | 0.0 | 0.1 | 1.5 | 0.6 | <.01 |
| Unknown | 1.2 | 0.3 | 1.0 | 1.5 | 0.06 |
| Dot phrases | |||||
| SKINCANCERAVS** | 0.0 | 0.7 | 0.0 | 0.3 | 0.01 |
| Medical photography (photo taken during primary care clinician visit) | |||||
| All photographs (any) | 33.6 | 36.7 | 47.1 | 55.8 | 0.99 |
| Photographs specific to skin lesion concern | 10.8 | 11.9 | 8.8 | 11.9 | 0.84 |
Notes: *All rates are calculated based on per 1000 patients. **SKINCANCERAVS: Skin cancer after visit summary.
Abbreviation: Electronic Health Record (EHR).