Lofgreen Seth, Lehrer Michael, Bennett Paige, Garg Amit, Dunnick Cory A
University of Colorado School of Medicine, Aurora, CO.
Dermatol Online J. 2016 Nov 15;22(11):13030/qt5pk3n658.
AbstractBackgroundThe mortality rate for melanoma continues to rise and the greatest improvement in melanoma survival is attributable to early detection with skin cancer screening exams. However, physicians feel that limited training in the examination of skin and limited clinical time both serve as barriers to adequately assess high-risk lesions.ObjectiveTo test the use of The Integrated Skin Exam film as an instructional tool to teach the examination of skin in a live classroom setting, outside of the purview of the original formal study.MethodsIdentical cross-sectional surveys were administered pre- and post-film to a class of first-year medical students at the time of viewing The Integrated Skin Exam film. Results were compared to the initial assessment of this film as a teaching tool in a research setting.ResultsOf the maximum 182 possible surveys administered, we collected 148 pre-surveys and 142 post-surveys (81.3% and 78.0% 33 response rates, respectively). After viewing the film, students showed improvement in identification of high-risk demographic 34 groups (79.3% vs 58.9%, p<0.001) and high-risk anatomic sites in both women (91.9% vs 59.6%, p<0.001) and men (92% vs 35 62.1%, p<0.001). Students demonstrated increased confidence in the skin cancer examination (SCE) (52.2% vs 6.9%, p<0.001) and a greater proportion (74.4% vs 48.3%, p<0.001) of students believed less than 3 minutes was required to integrate a skin cancer exam (SCE) into the routine examination.ConclusionsThe Integrated Skin Exam film is a valuable training tool as proven by increased knowledge of, and improved attitudes about the 2 SCE after viewing the film. In addition, there was a striking similarity in outcomes when using this film in a live classroom 3 environment compared to the original study setting.
摘要
背景
黑色素瘤的死亡率持续上升，黑色素瘤生存率的最大改善归因于通过皮肤癌筛查检查进行早期检测。然而，医生们认为，皮肤检查方面的培训有限以及临床时间有限，都成为了充分评估高危病变的障碍。
目的
在原始正式研究范围之外，测试使用《综合皮肤检查》影片作为一种教学工具，在现场课堂环境中教授皮肤检查。
方法
在观看《综合皮肤检查》影片时，对一年级医学生班级在观看影片前后进行了相同的横断面调查。将结果与该影片在研究环境中作为教学工具的初始评估进行比较。
结果
在可能进行的最多182份调查中，我们收集了148份观看影片前的调查和142份观看影片后的调查（回复率分别为81.3%和78.0%）。观看影片后，学生在识别高危人群组方面有改善（79.3%对58.9%，p<0.001），在女性（91.9%对59.6%，p<0.001）和男性（92%对62.1%，p<0.001）的高危解剖部位识别上也有改善。学生在皮肤癌检查（SCE）方面表现出更高的信心（52.2%对6.9%，p<0.001），并且有更大比例的学生（74.4%对48.3%，p<0.001）认为将皮肤癌检查（SCE）纳入常规检查所需时间少于3分钟。
结论
《综合皮肤检查》影片是一种有价值的培训工具，观看影片后对皮肤癌检查（SCE）的知识增加和态度改善证明了这一点。此外，与原始研究环境相比，在现场课堂环境中使用该影片时，结果有惊人的相似性。
