Department of Dermatology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Int J Dermatol. 2019 Mar;58(3):345-349. doi: 10.1111/ijd.14338. Epub 2019 Jan 17.
Several dermoscopy training programs have found the accuracy of dermoscopy examination depends on adequate training of practitioners. Smartphones are readily available and time-efficient tools for dermoscopy training.
To evaluate the learning efficacy of utilizing dermoscopy smartphone wallpapers to train medical students, PGY (postgraduate year)-1 trainees, and junior dermatological residents without prior dermoscopy training.
We designed smartphone wallpapers with dermoscopy pictures and features of several common melanocytic and nonmelanocytic conditions. Pretests and posttests were performed before and after a 10-day-long smartphone wallpaper training program to evaluate their diagnostic accuracy using dermoscopy images.
Significant progressions were noted between the pretest and posttest scores both in the nonmelanocytic (P < 0.001) and the melanocytic (P = 0.003) sections. Medical students and PGY-1 trainees demonstrated more significant improvement in nonmelanocytic lesions, compared to dermatology residents. Residents of dermatology showed more progression in the melanocytic section than nonresidents.
There were limited participants. The frequency and time allotted by each participant in perusing the wallpapers were variable. Further study of the application on clinical practice is still needed.
Smartphone wallpapers training improves dermoscopic interpretation significantly in medical students, PGY-1 trainees, and dermatological residents. The background knowledge of dermatology has an effect on the degree of improvement in the training course.
几个皮肤镜检查培训计划发现，皮肤镜检查的准确性取决于医生的充分培训。智能手机是用于皮肤镜检查培训的现成且高效的工具。
评估利用皮肤镜检查智能手机壁纸培训医学生、PGY（研究生）-1 受训者和没有事先进行皮肤镜检查培训的初级皮肤科住院医师的学习效果。
我们设计了带有皮肤镜图片和几种常见黑素细胞和非黑素细胞疾病特征的智能手机壁纸。在为期 10 天的智能手机壁纸培训计划前后进行了预测试和后测试，以使用皮肤镜图像评估他们的诊断准确性。
在非黑素细胞（P<0.001）和黑素细胞（P=0.003）部分，预测试和后测试分数都有显著进步。与皮肤科住院医师相比，医学生和 PGY-1 受训者在非黑素细胞病变方面的改善更为显著。皮肤科住院医师在黑素细胞部分的进展大于非住院医师。
参与者有限。每个参与者浏览壁纸的频率和时间都不同。仍需要进一步研究该应用在临床实践中的应用。
智能手机壁纸培训显著提高了医学生、PGY-1 受训者和皮肤科住院医师的皮肤镜解读能力。皮肤科的背景知识对培训课程的改进程度有影响。
