| Variable/ Definition | Data Source | Data Collection / Analysis |
| Compare changes in knowledge | ||
| Clinician Knowledge - Clinicians’ knowledge of risks, lesion identification and management of melanoma | Assessed via survey using 27 items. 17 lesion identification and biopsy items are drawn from prior study. The study team wrote the remaining 10 items. | Clinicians completed a web survey prior to and after the first training session. Surveys are matched by unique study identifier such that an individual change score can be computed. An overall knowledge score (all 27 items), Risk Assessment Knowledge (6 items), Knowledge of EHR tools (4 items) and Lesion Identification & Biopsy (17 items). Items are scored correct or incorrect and the score for total and subscores are represented as percent correct, ranging from 0-100%. |
| Compare changes in process of skin cancer assessment, referral and documentation | ||
| Dermatology assessment – use of screening tool | Electronic Health Record (EHR) data abstracted through manual and automated methods | Operationalized at the clinician level representing the number per 1000 patients. Indicators are measured pre- and post-training. |
| Dermatology e-consult, reason for e-Consult | ||
| Documentation - Use of Dot phrase* | ||
| Dermatology referral, reason for referral | ||
| Use of Medical photography for dermatology - binary variable indicating whether medical photography image was made. | ||
| Compare Changes in Number of Melanomas Identified by Biopsy | ||
| Number of biopsies and biopsy findings – counts and rates per 1000 patients indicating average biopsies per clinician and biopsy findings number of biopsies per 1000 patients | EHR data abstracted through manual and automated methods | Operationalized at the clinician level. |
| Assess the feasibility, appropriateness and acceptability of Melanoma Training | ||
| Acceptability – Extent to which the training is agreeable, palatable, satisfactory | Assessed via semi-structured interview. | Qualitative Interviews with clinicians exposed to the training |
| Appropriateness – Extent to which the training fits and is compatible for addressing issue or problem | ||
| Feasibility - Extent to which the training can be successfully used or carried out | ||
* AVS-After visit summaries: SKINCANCERAVS - adult, SKINCANCERAVSPEDS - pediatrics; Skin cancer physical exam phrase SKINCANCERPE. Biopsy phrases: SKINCANCERPUNCHBX and SKINCANCERSHAVEBXS. Screening tool: SKINCASCREEN.