Goetsch Nicholas J, Hoehns James D, Sutherland John E, Ulven Matthew E, Shiyanbola Olayinka O, Rauch Monica K
Northeast Iowa Family Medicine Residency Program, Northeast Iowa Family Practice Center, Waterloo, IA, USA.
G Medical, LLC, Cedar Falls, IA, USA.
SAGE Open Med. 2017 Mar 15;5:2050312117691392. doi: 10.1177/2050312117691392. eCollection 2017.
Family medicine physicians play a pivotal role in the prevention and early detection of skin cancer. Our objective was to evaluate how family physicians believe their postgraduate training in skin cancer screening and prevention has prepared them for independent practice and to assess the need for enhanced skin lesion teaching in a family medicine residency setting.
A descriptive, cross-sectional survey investigating provider demographics, confidence in providing dermatological care, residency training, current medical practice, and skin cancer prevention beliefs was mailed to all family medicine physicians in the state of Iowa as listed in the Iowa Academy of Family Physicians annual directory in 2006 (N = 1069).
A total of 575 family medicine physicians completed the survey for an overall response rate of 53.8%. Overall, family medicine physicians reported feeling confident in their ability to diagnose skin lesions (83.2%), differentiate between benign and malignant lesions (85.3%), and perform a biopsy of a lesion (94.3%). Only 65% of surveyed physicians felt that their residency program adequately trained them in diagnosing skin lesions and 65.7% of physicians agree that they could have benefited from additional training on skin lesions during residency training. Nearly 90% of clinicians surveyed believe that skin cancer screenings are the standard of care; however, only 51.8% perform skin cancer screening examinations during adult health maintenance visits more than 75% of the time. The primary reason listed by respondents who said they do not routinely perform skin cancer screenings was inadequate time (68.2%).
Family medicine physicians in the state of Iowa are confident in evaluating skin lesions. However, they reported a need for additional enhanced, targeted skin lesion education in family medicine residency training programs. Physicians believe that skin cancer screening examination is the standard of care, but find that inadequate time increasingly hinders skin cancer screening during routine health maintenance examinations.
家庭医学医生在皮肤癌的预防和早期检测中发挥着关键作用。我们的目标是评估家庭医生认为他们在皮肤癌筛查和预防方面的研究生培训如何使他们为独立执业做好准备，并评估在家庭医学住院医师培训环境中加强皮肤病变教学的必要性。
一项描述性横断面调查，调查提供者的人口统计学特征、提供皮肤科护理的信心、住院医师培训、当前医疗实践以及皮肤癌预防信念，该调查邮寄给了2006年爱荷华州家庭医师学会年度名录中列出的爱荷华州所有家庭医学医生（N = 1069）。
共有575名家庭医学医生完成了调查，总体回复率为53.8%。总体而言，家庭医学医生报告称对自己诊断皮肤病变的能力（83.2%）、区分良性和恶性病变的能力（85.3%）以及对病变进行活检的能力（94.3%）感到有信心。只有65%的受访医生认为他们的住院医师培训项目在诊断皮肤病变方面对他们进行了充分培训，65.7%的医生同意他们在住院医师培训期间本可以从额外的皮肤病变培训中受益。近90%的受访临床医生认为皮肤癌筛查是医疗标准；然而，只有51.8%的医生在超过75%的成人健康维护就诊中进行皮肤癌筛查检查。表示不常规进行皮肤癌筛查的受访者列出的主要原因是时间不足（68.2%）。
爱荷华州的家庭医学医生对评估皮肤病变有信心。然而，他们报告称在家庭医学住院医师培训项目中需要额外加强针对性的皮肤病变教育。医生们认为皮肤癌筛查检查是医疗标准，但发现时间不足越来越阻碍在常规健康维护检查期间进行皮肤癌筛查。
