Seiverling Elizabeth V, Prentiss Madeline A, Stevens Kathryn, Stoddard Henry, Cyr Peggy R, Ahrns Hadjh
Tufts University School of Medicine, Boston, MA.
Maine Medical Center Division of Dermatology, Portland, ME.
PRiMER. 2023 Feb 3;7:276659. doi: 10.22454/PRiMER.2023.276659. eCollection 2023.
The incidence of melanoma is on the rise. In trained hands, dermoscopy aids in the differentiation of melanoma from benign skin growths, including melanocytic nevi. This study evaluated the impact of dermoscopy training for primary care practitioners (PCPs) on the number of nevi needed to biopsy (NNB) to detect a melanoma.
We conducted an educational intervention that included a foundational dermoscopy training workshop and subsequent monthly telementoring video conferences. We performed a retrospective observational study to evaluate the impact of this intervention on the number of nevi needed to biopsy to detect a melanoma.
The number of nevi biopsied to detect one melanoma decreased from 34.3 to 11.3 following the training intervention.
Dermoscopy training for primary care practitioners resulted in a significant reduction in the NNB to detect melanoma.
黑色素瘤的发病率正在上升。在经验丰富的医生手中，皮肤镜有助于将黑色素瘤与良性皮肤病变（包括黑素细胞痣）区分开来。本研究评估了针对初级保健医生（PCP）的皮肤镜培训对检测黑色素瘤所需活检痣数量（NNB）的影响。
我们开展了一项教育干预措施，包括基础皮肤镜培训工作坊以及随后每月一次的远程指导视频会议。我们进行了一项回顾性观察研究，以评估该干预措施对检测黑色素瘤所需活检痣数量的影响。
经过培训干预后，检测一例黑色素瘤所需活检的痣数量从34.3降至11.3。
针对初级保健医生的皮肤镜培训显著减少了检测黑色素瘤所需的活检痣数量。
