Format

Send to

Choose Destination
See comment in PubMed Commons below
JAMA Dermatol. 2013 Jun;149(6):710-6. doi: 10.1001/jamadermatol.2013.2882.

Melanoma simulation model: promoting opportunistic screening and patient counseling.

Author information

1
Department of Dermatology, Northwestern University Feinberg School of Medicine, 676NSt Clair St, Ste 1260, Chicago, IL 60611, USA.

Abstract

IMPORTANCE:

Lack of training hampers melanoma recognition by physicians.

OBJECTIVE:

To evaluate a melanoma simulation model to teach visual assessment and counseling skills.

DESIGN AND SETTING:

Simulation model study in an academic research setting.

PARTICIPANTS:

A convenience sample of third-year medical students was randomly assigned to receive the intervention before or after a standardized patient.

INTERVENTION:

During the primary care clerkship, medical students participated in melanoma skills training using 2 simulation models replicating melanomas and abnormal or benign nevi. Scoring threshold rules for visual assessment and management of pigmented lesions and videos of patient counseling were provided.

MAIN OUTCOME MEASURES:

Identifying a melanoma moulage and counseling the standardized patient. Secondary measures were preintervention and 2-week postintervention knowledge, attitudes about and confidence in their ability to perform opportunistic surveillance and counseling, as well as identification on the model of clinically suspicious pigmented lesions, lesions needing a biopsy, and lesions to be monitored for change. RESULTS Among 74 students, confidence in their ability to perform opportunistic surveillance improved significantly after skills training (P < .05, χ2 test). Monitoring clinically suspicious lesions for change decreased from 16% (12 of 74) to 3% (2 of 74) and performing a biopsy increased from 80% (59 of 74) to 96% (71 of 74), monitoring benign lesions for change decreased from 43% (32 of 74) to 3% (2 of 74), and biopsying melanoma in situ increased from 10% (7 of 74) to 26% (20 of 74) (P < .05 for all, χ2 test). Detection of the melanoma moulage on the standardized patient occurred more often by trained students (P < .05, χ2 test).

CONCLUSION AND RELEVANCE:

A 1-hour melanoma simulation education and skills training experience improved performance of opportunistic surveillance, management, and patient counseling by third-year medical students.

TRIAL REGISTRATION:

clinicaltrials.gov Identifier: NCT01191294.

PMID:
23552462
DOI:
10.1001/jamadermatol.2013.2882
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems
    Loading ...
    Support Center