Zamagni Federica, Falcini Fabio, Magi Serena, Bucchi Lauro, Mancini Silvia, Vattiato Rosa, Crocetti Emanuele, Falcinelli Stefano, Feliciani Claudio, Lombardo Maurizio, Melandri Davide, Pizzichetta Maria Antonietta, Re Patrizia, Ricci Francesco, Satta Rosanna Rita, Gandini Sara, Stanganelli Ignazio
Emilia-Romagna Cancer Registry, Romagna Cancer Institute, IRCCS Istituto Romagnolo per lo Studio dei Tumori Dino Amadori, Meldola.
Cancer Prevention Unit, ASL Forlì, Forlì-Cesena.
Dermatol Reports. 2023 Sep 12;16(3):9920. doi: 10.4081/dr.2024.9920. eCollection 2024 Sep 2.
According to the National Oncological Plan 2023-2027 on the importance of multidisciplinary and interactive e-learning training, the Italian Melanoma Intergroup (IMI) has developed MelaMEd (Melanoma Multimedia Education), a national project for general practitioners (GPs) on the prevention and detection of cutaneous melanoma through an online platform and an online course. MelaMEd enables participants to i) recognize skin lesions that require specialist dermatological assessment, ii) select patients at high risk of melanoma and iii) be informed of the diagnosis and treatment pathway of patients with melanoma. A free online platform and online course were developed and launched in June 2022. Before starting the course, enrolled participants fill out a pre-training questionnaire concerning the basic knowledge of the disease and the recognition and management of suspicious lesions. After the course, participants will fill out the same questionnaire again. The online course will end in December 2023. Here we present a preliminary analysis of the pre-training results (January 2023-July 2023). The data have been analyzed descriptively. So far, five healthcare centers have participated in the project for a total of 1320 participants. Of these, 298 compiled the pre-training questionnaire. Forty-seven percent of them were aged <40 years. Respondents were almost divided between GPs (47%) and resident GPs (48%). Among the theoretical questions, the rule and sign are well known (96% and 91% of correct answers, respectively), but a lower percentage (68%) of respondents knows the rule for the recognition of nodular melanomas and the statement of Breslow thickness (29%). Regarding the series of clinical images of pigmented skin lesions and their management, the percentages rate of accuracy varied from 33% to 87%: melanoma (5 cases) ranges from 36% to 71%, melanocytic nevi (3 cases) from 33% to 84%, whereas the percentages rate of referral for dermatological evaluation varied from 44% to 99%. Melanoma cases referred to dermatologist ranges from 67% to 99%. This preliminary analysis on pre-train-ing questionnaire mainly showed a lack of knowledge of the two major points of melanoma diagnosis () and management (Breslow thickness), as well as a low rate of participants. We will compare the proportions of correct answers to the questionnaires before and after the course once available.
根据《2023 - 2027年国家肿瘤计划》中关于多学科互动电子学习培训的重要性，意大利黑色素瘤协作组（IMI）开发了MelaMEd（黑色素瘤多媒体教育），这是一个面向全科医生（GPs）的国家项目，旨在通过在线平台和在线课程进行皮肤黑色素瘤的预防与检测。MelaMEd使参与者能够：i）识别需要皮肤科专家评估的皮肤病变；ii）挑选出黑色素瘤高风险患者；iii）了解黑色素瘤患者的诊断和治疗途径。一个免费的在线平台和在线课程于2022年6月开发并推出。在开始课程之前，已注册的参与者需填写一份关于该疾病基础知识以及可疑病变识别与管理的预培训问卷。课程结束后，参与者将再次填写相同问卷。该在线课程将于2023年12月结束。在此，我们展示对预培训结果（2023年1月 - 2023年7月）的初步分析。数据已进行描述性分析。到目前为止，五个医疗中心参与了该项目，共有1320名参与者。其中，298人填写了预培训问卷。他们中47%的人年龄小于40岁。受访者几乎在全科医生（47%）和住院全科医生（48%）之间平均分布。在理论问题中，“规则”和“体征”广为人知（正确答案分别为96%和91%），但知晓结节性黑色素瘤识别“规则”和Breslow厚度描述的受访者比例较低（68%和29%）。关于色素沉着性皮肤病变及其管理的一系列临床图像，准确率从33%到87%不等：黑色素瘤（5例）为36%至71%，黑素细胞痣（3例）为33%至84%，而转介进行皮肤科评估的比例从44%到99%不等。转介给皮肤科医生的黑色素瘤病例为67%至99%。这份关于预培训问卷的初步分析主要显示，在黑色素瘤诊断（）和管理（Breslow厚度）的两个要点方面存在知识欠缺，以及参与者比例较低情况。一旦课程结束后问卷的正确答案比例数据可得，我们将进行比较。
