Dermoscopy Proficiency Expectations for US Dermatology Resident Physicians
| Autor: | Sancy A. Leachman, Richard P. Usatine, Andrea Tan, Edward Prodanovic, Stephanie Savory, Patricia Lucey, Ralph P. Braun, John Kawaoka, Kelly C. Nelson, Clara Curiel-Lewandrowski, Lauren Fried, Elizabeth G. Berry, Elizabeth V. Seiverling, Ashfaq A. Marghoob, Michael A. Marchetti, Rebecca I. Hartman, Jennifer A. Stein, Julia A. Curtis, Natalia Jaimes, Alan Levin, Tracey N. Liebman, Aimilios Lallas, Laura K. Ferris, Susan M. Swetter, Debbie Miller, Maria L. Wei, David Polsky, Caroline C. Kim |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Delphi Technique MEDLINE Modified delphi Dermoscopy Dermatology Skin Diseases 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Humans Medicine Relevance (information retrieval) Pigmented lesion Medical diagnosis Original Investigation Response rate (survey) business.industry Internship and Residency Skill development 030220 oncology & carcinogenesis Clinical Competence business Residency training Dermatologists |
| Zdroj: | JAMA Dermatol |
| ISSN: | 2168-6068 |
| DOI: | 10.1001/jamadermatol.2020.5213 |
| Popis: | Importance Dermoscopy education in US dermatology residency programs varies widely, and there is currently no existing expert consensus identifying what is most important for resident physicians to know. Objectives To identify consensus-based learning constructs representing an appropriate foundational proficiency in dermoscopic image interpretation for dermatology resident physicians, including dermoscopic diagnoses, associated features, and representative teaching images. Defining these foundational proficiency learning constructs will facilitate further skill development in dermoscopic image interpretation to help residents achieve clinical proficiency. Design, Setting, and Participants A 2-phase modified Delphi surveying technique was used to identify resident learning constructs in 3 sequential sets of surveys—diagnoses, features, and images. Expert panelists were recruited through an email distributed to the 32 members of the Pigmented Lesion Subcommittee of the Melanoma Prevention Working Group. Twenty-six (81%) opted to participate. Surveys were distributed using RedCAP software. Main Outcomes and Measures Consensus on diagnoses, associated dermoscopic features, and representative teaching images reflective of a foundational proficiency in dermoscopic image interpretation for US dermatology resident physicians. Results Twenty-six pigmented lesion and dermoscopy specialists completed 8 rounds of surveys, with 100% (26/26) response rate in all rounds. A final list of 32 diagnoses and 116 associated dermoscopic features was generated. Three hundred seventy-eight representative teaching images reached consensus with panelists. Conclusions and Relevance Consensus achieved in this modified Delphi process identified common dermoscopic diagnoses, associated features, and representative teaching images reflective of a foundational proficiency in dermoscopic image interpretation for dermatology residency training. This list of validated objectives provides a consensus-based foundation of key learning points in dermoscopy to help resident physicians achieve clinical proficiency in dermoscopic image interpretation. |
| Databáze: | OpenAIRE |
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