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https://hdl.handle.net/2440/121883
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Type: | Journal article |
Title: | General practice registrars' use of dermoscopy Prevalence, associations and influence on diagnosis and confidence |
Author: | Whiting, G. Stocks, N. Morgan, S. Tapley, A. Henderson, K. Holliday, E. Ball, J. van Driel, M. Spike, N. McArthur, L. Davey, A. Magin, P. |
Citation: | Australian Journal of General Practice, 2019; 48(8):547-553 |
Publisher: | AJGP |
Issue Date: | 2019 |
ISSN: | 2208-794X 2208-7958 |
Statement of Responsibility: | Georgina Whiting, Nigel Stocks, Simon Morgan, Amanda Tapley, Kim Henderson, Elizabeth Holliday, Jean Ball, Mieke L van Driel, Neil Spike, Lawrie McArthur, Andrew R Davey, Parker Magin |
Abstract: | BACKGROUND AND OBJECTIVES:Dermoscopy increases accuracy for melanoma diagnosis by trained primary care physicians. We aimed to establish prevalence of dermatoscope use by general practice registrars, and identify factors associated with dermatoscope use and the implications of dermatoscope use for diagnosis and confidence in diagnosis. METHOD:This was a cross-sectional study nested within the Registrar Clinical Encounters in Training (ReCEnT) project, an ongoing multi-site cohort study of general practice registrars' consultations. The study was conducted during two six-monthly rounds of ReCEnT data collection in four regional training providers in 2014. RESULTS:Forty-nine per cent of registrars reported having dermoscopy training. Dermoscopy was used in 61% of consultations involving skin or pigmented lesion checks. Dermatoscope use changed provisional diagnosis in 22% of instances and increased diagnostic confidence in 55%. DISCUSSION:Dermoscopy is performed by general practice registrars in a modest proportion of skin and pigmented lesion checks. Its use influences registrars' diagnoses and increases their confidence in their diagnoses. |
Keywords: | Humans Dermoscopy Prevalence Cohort Studies Cross-Sectional Studies Self Efficacy Education, Medical, Continuing Adolescent Adult Aged Middle Aged Child Child, Preschool Infant Medical Staff, Hospital Australia General Practice |
Rights: | © The Royal Australian College of General Practitioners 2019. |
DOI: | 10.31128/AJGP-11-18-4773 |
Published version: | http://dx.doi.org/10.31128/ajgp-11-18-4773 |
Appears in Collections: | Aurora harvest 8 Medicine publications |
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