Department of Dermatology and Allergology, University Hospital Augsburg, Augsburg, Germany.
Institute of Mathematics, University of Augsburg, Augsburg, Germany.
J Dtsch Dermatol Ges. 2023 Aug;21(8):872-879. doi: 10.1111/ddg.15115. Epub 2023 May 26.
To date, there is no structured program for dermatoscopy training during residency in Germany. Whether and how much dermatoscopy training is acquired is left to the initiative of each resident, although dermatoscopy is one of the core competencies of dermatological training and daily practice. The aim of the study was to establish a structured dermatoscopy curriculum during residency at the University Hospital Augsburg.
An online platform with dermatoscopy modules was created, accessible regardless of time and place. Practical skills were acquired under the personal guidance of a dermatoscopy expert. Participants were tested on their level of knowledge before and after completing the modules. Test scores on management decisions and correct dermatoscopic diagnosis were analyzed.
Results of 28 participants showed improvements in management decisions from pre- to posttest (74.0% vs. 89.4%) and in dermatoscopic accuracy (65.0% vs. 85.6%). Pre- vs. posttest differences in test score (7.05/10 vs. 8.94/10 points) and correct diagnosis were significant (p < 0.001).
The dermatoscopy curriculum increases the number of correct management decisions and dermatoscopy diagnoses. This will result in more skin cancers being detected, and fewer benign lesions being excised. The curriculum can be offered to other dermatology training centers and medical professionals.
迄今为止，德国住院医师培训中尚无皮肤科镜检培训计划。皮肤科镜检培训的获取情况以及获取程度取决于每位住院医师的积极性，尽管皮肤科镜检是皮肤科培训和日常实践的核心能力之一。本研究旨在奥格斯堡大学医院建立住院医师皮肤科镜检培训课程。
创建了一个具有皮肤科镜检模块的在线平台，无论时间和地点如何均可访问。在皮肤科镜检专家的个人指导下获得实践技能。在完成模块前后对参与者的知识水平进行测试。分析管理决策和正确皮肤科镜检诊断的测试分数。
28 名参与者的结果显示，管理决策从测试前到测试后有所提高（74.0%对 89.4%），皮肤科镜检准确性也有所提高（65.0%对 85.6%）。测试分数（7.05/10 对 8.94/10 分）和正确诊断的测试前与测试后差异具有统计学意义（p<0.001）。
皮肤科镜检课程增加了正确管理决策和皮肤科镜检诊断的数量。这将导致更多的皮肤癌被发现，更少的良性病变被切除。该课程可以提供给其他皮肤科培训中心和医疗专业人员。
