Training Family Medicine Residents in Dermoscopy Using an e-Learning Course: Pilot Interventional Study.

Autor:	Friche P; University Department of Family Medicine, University of Montpellier, Montpellier, France., Moulis L; Clinical Research and Epidemiology Unit, Department of Public Health, Montpellier University Hospital, Montpellier, France.; Pathogenesis and Control of Chronic and Emerging Infections, University of Montpellier, Institut national de la santé et de la recherche médicale, Etablissement français du sang, University of Antilles, Montpellier, France., Du Thanh A; Pathogenesis and Control of Chronic and Emerging Infections, University of Montpellier, Institut national de la santé et de la recherche médicale, Etablissement français du sang, University of Antilles, Montpellier, France.; Department of Dermatology, Montpellier University Hospital, Montpellier, France.; Department of Dermatology, University of Montpellier, Montpellier, France., Dereure O; Department of Dermatology, Montpellier University Hospital, Montpellier, France.; Department of Dermatology, University of Montpellier, Montpellier, France., Duflos C; Clinical Research and Epidemiology Unit, Department of Public Health, Montpellier University Hospital, Montpellier, France.; Department of Public Health, University of Montpellier, Montpellier, France., Carbonnel F; University Department of Family Medicine, University of Montpellier, Montpellier, France.; Desbrest Institute of Epidemiology and Public Health, Unité Mixte de Recherche, Unité d'accueil 11, University of Montpellier, Institut national de la santé et de la recherche médicale, Montpellier, France.; University Multiprofessional Health Center Avicenne, Montpellier, France.
Jazyk:	angličtina
Zdroj:	JMIR formative research [JMIR Form Res] 2024 May 13; Vol. 8, pp. e56005. Date of Electronic Publication: 2024 May 13.
DOI:	10.2196/56005
Abstrakt:	Background: Skin cancers are the most common group of cancers diagnosed worldwide. Aging and sun exposure increase their risk. The decline in the number of dermatologists is pushing the issue of dermatological screening back onto family doctors. Dermoscopy is an easy-to-use tool that increases the sensitivity of melanoma diagnosis by 60% to 90%, but its use is limited due to lack of training. The characteristics of "ideal" dermoscopy training have yet to be established. We created a Moodle (Moodle HQ)-based e-learning course to train family medicine residents in dermoscopy. Objective: This study aimed to evaluate the evolution of dermoscopy knowledge among family doctors immediately and 1 and 3 months after e-learning training. Methods: We conducted a prospective interventional study between April and November 2020 to evaluate an educational program intended for family medicine residents at the University of Montpellier-Nîmes, France. They were asked to complete an e-learning course consisting of 2 modules, with an assessment quiz repeated at 1 (M1) and 3 months (M3). The course was based on a 2-step algorithm, a method of dermoscopic analysis of pigmented skin lesions that is internationally accepted. The objectives of modules 1 and 2 were to differentiate melanocytic lesions from nonmelanocytic lesions and to precisely identify skin lesions by looking for dermoscopic morphological criteria specific to each lesion. Each module consisted of 15 questions with immediate feedback after each question. Results: In total, 134 residents were included, and 66.4% (n=89) and 47% (n=63) of trainees fully participated in the evaluation of module 1 and module 2, respectively. This study showed a significant score improvement 3 months after the training course in 92.1% (n=82) of participants for module 1 and 87.3% (n=55) of participants for module 2 (P<.001). The majority of the participants expressed satisfaction (n=48, 90.6%) with the training course, and 96.3% (n=51) planned to use a dermatoscope in their future practice. Regarding final scores, the only variable that was statistically significant was the resident's initial scores (P=.003) for module 1. No measured variable was found to be associated with retention (midtraining or final evaluation) for module 2. Residents who had completed at least 1 dermatology rotation during medical school had significantly higher initial scores in module 1 at M0 (P=.03). Residents who reported having completed at least 1 dermatology rotation during their family medicine training had a statistically significant higher score at M1 for module 1 and M3 for module 2 (P=.01 and P=.001). Conclusions: The integration of an e-learning training course in dermoscopy into the curriculum of FM residents results in a significant improvement in their diagnosis skills and meets their expectations. Developing a program combining an e-learning course and face-to-face training for residents is likely to result in more frequent and effective dermoscopy use by family doctors. (©Pauline Friche, Lionel Moulis, Aurélie Du Thanh, Olivier Dereure, Claire Duflos, Francois Carbonnel. Originally published in JMIR Formative Research (https://formative.jmir.org), 13.05.2024.)
Databáze:	MEDLINE
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