Augustsson Anna, Paoli John
Praktikertjänst AB, Centrumpraktiken Kungälv, Sweden.
Department of Dermatology and Venereology, Institute of Clinical Sciences at the Sahlgrenska Academy, University of Gothenburg, Sweden.
Dermatol Pract Concept. 2019 Jul 31;9(3):195-199. doi: 10.5826/dpc.0903a04. eCollection 2019 Jul.
General practitioners (GPs) are often the first point of contact for Swedish patients seeking medical advice for skin lesions of concern, but many lack training in dermoscopy.
To examine the effects of a 1-day training course in dermoscopy among Swedish GPs.
The intervention group consisted of GPs who underwent a 1-day training course in dermoscopy and a control group that did not undergo any education. Before the training course, the intervention group performed a test consisting of 30 dermoscopy cases including 9 different benign and malignant melanocytic and nonmelanocytic diagnoses. The participants then took the same test directly after the course and again after 6 months. The control group took the same test twice with a 6-month interval in between tests in order to avoid recall bias.
Twenty-seven GPs in the intervention group took the test before and immediately after the course with an improvement of their median test scores by 8 points (13 vs 20 correct answers, P < 0.01). Eighteen participants also took the test a third time after 6 months with similar results compared with the second test (median scores of 20.5 vs 20.0, P = 0.3). In the control group, 16 persons preformed both tests with an improvement of their median score by 2 points (13.5 vs 15.5 correct answers, P = 0.06).
The results of this study show positive effects on diagnostic accuracy in a test situation among GPs receiving a 1-day training course in dermoscopy.
对于寻求有关可疑皮肤病变医疗建议的瑞典患者而言，全科医生（GPs）通常是其首个接触点，但许多全科医生缺乏皮肤镜检查方面的培训。
研究针对瑞典全科医生开展的为期1天的皮肤镜检查培训课程的效果。
干预组由参加了为期1天皮肤镜检查培训课程的全科医生组成，对照组未接受任何培训。在培训课程开始前，干预组进行了一项包含30个皮肤镜检查病例的测试，这些病例涵盖9种不同的良性和恶性黑素细胞及非黑素细胞诊断。参与者在课程结束后立即再次进行相同测试，并在6个月后再次测试。对照组在两次测试之间间隔6个月进行相同测试，以避免回忆偏倚。
干预组的27名全科医生在课程前后进行了测试，其测试成绩中位数提高了8分（正确答案从13个增至20个，P < 0.01）。18名参与者在6个月后第三次进行测试，结果与第二次测试相似（中位数分数分别为20.5和20.0，P = 0.3）。在对照组中，16人进行了两次测试，其成绩中位数提高了2分（正确答案从每次13.5个增至15.5个，P = 0.06）。
本研究结果表明，接受为期1天皮肤镜检查培训课程的全科医生在测试情境下的诊断准确性有积极效果。
