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Arch Dermatol. 2009 Oct;145(10):1131-6. doi: 10.1001/archdermatol.2009.242.

Rates of skin cancer screening and prevention counseling by US medical residents.

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  • 1Department of Dermatology, Boston University School of Medicine, Boston, MA, USA.

Abstract

OBJECTIVE:

To determine factors related to residents' self-reported skill level for the skin cancer examination (SCE).

DESIGN:

Survey of residents in November 2003.

SETTING:

Four US residency programs.

PARTICIPANTS:

Medical residents in family medicine, pediatrics, obstetrics and gynecology, and internal medicine and specialists.

MAIN OUTCOME MEASURE:

Proportion of residents reporting their current skill level for the performance of the SCE.

RESULTS:

Of 454 surveys distributed, 342 residents completed the survey (75.3% response rate). Clinical training for the SCE during residency was infrequent. During residency, 75.8% were never trained in the SCE, 55.3% never observed an SCE, and 57.4% never practiced the examination. Only 15.9% of residents reported being skilled in the SCE. However, the conduct of 4 SCEs (or slightly more than 1 per each year of residency) was associated with manifold increases in self-reported skill levels.

CONCLUSIONS:

Information now collected from 7 medical schools and 4 residency programs underscores the need for more supervised opportunities to enable physicians in training to perform an SCE during routine patient examinations.

PMID:
19841400
DOI:
10.1001/archdermatol.2009.242
[PubMed - indexed for MEDLINE]
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