Early detection of skin cancer by family physicians: a pilot project

J Cutan Med Surg. 2004 Mar-Apr;8(2):103-9. doi: 10.1007/s10227-002-0142-1. Epub 2004 Mar 25.

Abstract

Background: Malignant melanoma is rising quickly in incidence and mortality rates. Family physicians (FPs) have been reported to lack confidence in diagnosing skin cancers.

Objective: The aim of this study was to determine whether an educational intervention can improve FPs' abilities to diagnose skin cancers.

Methods: The design was a prospective, randomized trial which included a skin cancer questionnaire, a video intervention, and a skin biopsy review.

Results: Pre-intervention, FPs answered 57% of the questions correctly on the skin cancer questionnaire. Post-intervention, the video intervention group scored higher than did the control group. The video intervention group removed 10% fewer benign lesions and almost 3 times more malignant lesions compared with their pre-intervention biopsy rate. No findings were statistically significant.

Conclusion: An educational intervention may improve FPs' knowledge and diagnosis of skin cancer. Our results may guide future studies with larger sample sizes in developing a skin cancer continuing medical education (CME) course for FPs.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Biopsy
  • British Columbia
  • Diagnostic Errors
  • Education, Medical, Continuing*
  • Educational Measurement
  • Educational Status
  • Family Practice / education*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Skin / pathology
  • Skin Neoplasms / diagnosis*
  • Videotape Recording