TY - JOUR
T1 - The integrated skin exam film
T2 - An educational intervention to promote early detection of melanoma by medical students
AU - Garg, Amit
AU - Wang, Joyce
AU - Reddy, Shalini B.
AU - Powers, Jennifer
AU - Jacob, Reza
AU - Powers, Michael
AU - Biello, Katie
AU - Cayce, Rachael
AU - Savory, Stephanie
AU - Belazarian, Leah
AU - Domingues, Erik
AU - Korzenko, Adam
AU - Wilson, Lindsay
AU - Grant-Kels, Jane M.
AU - George, Paul
AU - Robinson-Bostom, Leslie
AU - Trotter, Shannon C.
AU - Geller, Alan C.
N1 - Funding Information:
Development of The Integrated Skin Exam film and the study was funded by an Astellas Grant through the American Academy of Dermatology and a translational grant by the Harry J. Lloyd Charitable Trust.
Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2014/1
Y1 - 2014/1
N2 - Background Knowledge of the skin cancer examination (SCE) and its practice remain relevant competency gaps among medical students. Objective We elaborate on a method of SCE known as the Integrated Skin Exam and discuss the development of an instructional film that illustrates its principles. We assess the tool's effect on knowledge, attitudes, and perceptions related to the SCE. Methods Second-year students among 8 randomized schools viewed the film and completed pre-post questionnaires. Results After viewing The Integrated Skin Exam film, students demonstrated improved melanoma knowledge, including identification of high-risk demographic groups (61% vs 42.9%, P <.001), high-risk anatomic sites in women (88.6% vs 46.5%, P <.001) and men (92.1% vs 34.8%, P <.001), and the ABCDEs of melanoma (98.4% vs 91.2%, P <.001). Students demonstrated increased confidence in the SCE (66.93% vs 16.40%, P <.001) and augmented intentions to practice it (99.05% vs 13.9%, P <.001). A greater proportion (70.4% vs 41.9%, P <.001) of students thought less than 3 minutes were required to integrate SCE into the routine examination. Limitations Longitudinal impact of the film was not assessed. Conclusion The Integrated Skin Exam film introduces an integrated approach to the SCE that addresses knowledge gaps, mitigates perceived barriers, and augments intention related to practice of the SCE.
AB - Background Knowledge of the skin cancer examination (SCE) and its practice remain relevant competency gaps among medical students. Objective We elaborate on a method of SCE known as the Integrated Skin Exam and discuss the development of an instructional film that illustrates its principles. We assess the tool's effect on knowledge, attitudes, and perceptions related to the SCE. Methods Second-year students among 8 randomized schools viewed the film and completed pre-post questionnaires. Results After viewing The Integrated Skin Exam film, students demonstrated improved melanoma knowledge, including identification of high-risk demographic groups (61% vs 42.9%, P <.001), high-risk anatomic sites in women (88.6% vs 46.5%, P <.001) and men (92.1% vs 34.8%, P <.001), and the ABCDEs of melanoma (98.4% vs 91.2%, P <.001). Students demonstrated increased confidence in the SCE (66.93% vs 16.40%, P <.001) and augmented intentions to practice it (99.05% vs 13.9%, P <.001). A greater proportion (70.4% vs 41.9%, P <.001) of students thought less than 3 minutes were required to integrate SCE into the routine examination. Limitations Longitudinal impact of the film was not assessed. Conclusion The Integrated Skin Exam film introduces an integrated approach to the SCE that addresses knowledge gaps, mitigates perceived barriers, and augments intention related to practice of the SCE.
KW - integrated skin cancer examination
KW - medical education
KW - medical students
KW - melanoma
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U2 - 10.1016/j.jaad.2013.09.028
DO - 10.1016/j.jaad.2013.09.028
M3 - Article
C2 - 24220723
AN - SCOPUS:84890807735
SN - 0190-9622
VL - 70
SP - 115
EP - 119
JO - Journal of the American Academy of Dermatology
JF - Journal of the American Academy of Dermatology
IS - 1
ER -