Percival Gemma, Nicholas Christine, Webb Carmen E, Temple-Oberle Claire F
Cumming School of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary Alberta T2N 4N1, Canada.
Department of Surgery, Divisions of Plastic Surgery and Surgical Oncology, University of Calgary, Tom Baker Cancer Centre, 1331 29 Street NW, Calgary, Alberta T2A 4N2, Canada.
JPRAS Open. 2021 May 18;29:178-183. doi: 10.1016/j.jpra.2021.05.003. eCollection 2021 Sep.
Dermoscopy is a noninvasive tool that improves the diagnostic accuracy of melanoma and other cutaneous malignancies; yet, it is not widely used by plastic surgeons, who commonly manage skin lesions. Thus, the purpose of this study was to explore current practice patterns and knowledge of dermoscopy among plastic surgeons and postgraduate plastic surgery trainees. Additionally, interest to establish a formal dermoscopy curriculum as part of plastic surgery residency training was evaluated.
An online electronic questionnaire was developed and distributed through email to practicing plastic surgeons and plastic surgery trainees at two Canadian universities.
Of the 59 potential participants, 27 (46%) responded. While the majority of participants were familiar with dermoscopy (n = 26; 96%), only one respondent reported using dermoscopy in clinical practice. However, all respondents reported exposure to melanoma clinically (n = 26; one participant did not provide a response). A lack of training, along with lack of access to dermatoscopes, were the most frequently cited reasons for not using dermoscopy. Knowledge scores with regard to dermoscopic features were also low; coupled with a noted propensity toward diagnostic or excisional biopsy, whichcould raise the benign to malignant ratio. Overall, 89% (n = 24) of respondents expressed interest in dermoscopy training in plastic surgery postgraduate training.
Few responding plastic surgeons or plastic surgery residents currently use dermoscopy in training or practice but are interested in formal dermoscopy training in residency.
皮肤镜检查是一种提高黑色素瘤和其他皮肤恶性肿瘤诊断准确性的非侵入性工具；然而，它在通常处理皮肤病变的整形外科医生中并未得到广泛应用。因此，本研究的目的是探讨整形外科医生和整形外科研究生学员目前对皮肤镜检查的实践模式和知识。此外，还评估了将正式的皮肤镜检查课程纳入整形外科住院医师培训的意愿。
设计了一份在线电子问卷，并通过电子邮件分发给加拿大两所大学的执业整形外科医生和整形外科学员。
在59名潜在参与者中，27名（46%）做出了回应。虽然大多数参与者熟悉皮肤镜检查（n = 26；96%），但只有一名受访者报告在临床实践中使用皮肤镜检查。然而，所有受访者均报告临床上接触过黑色素瘤（n = 26；一名参与者未作答）。缺乏培训以及无法获得皮肤镜是最常被提及的不使用皮肤镜检查的原因。关于皮肤镜特征的知识得分也很低；同时，明显倾向于诊断性或切除性活检，这可能会提高良性与恶性的比例。总体而言，89%（n = 24）的受访者表示有兴趣在整形外科研究生培训中接受皮肤镜检查培训。
目前很少有做出回应的整形外科医生或整形外科住院医师在培训或实践中使用皮肤镜检查，但他们对住院医师阶段的正式皮肤镜检查培训感兴趣。
