The integrated skin exam film: An educational intervention to promote early detection of melanoma by medical students
Background Knowledge of the skin cancer examination (SCE) and its practice remain relevant competency gaps among medical students. Objective We elaborate on a method of SCE known as the Integrated Skin Exam and discuss the development of an instructional film that illustrates its principles. We assess the tool's effect on knowledge, attitudes, and perceptions related to the SCE. Methods Second-year students among 8 randomized schools viewed the film and completed pre-post questionnaires. Results After viewing The Integrated Skin Exam film, students demonstrated improved melanoma knowledge, including identification of high-risk demographic groups (61% vs 42.9%, P <.001), high-risk anatomic sites in women (88.6% vs 46.5%, P <.001) and men (92.1% vs 34.8%, P <.001), and the ABCDEs of melanoma (98.4% vs 91.2%, P <.001). Students demonstrated increased confidence in the SCE (66.93% vs 16.40%, P <.001) and augmented intentions to practice it (99.05% vs 13.9%, P <.001). A greater proportion (70.4% vs 41.9%, P <.001) of students thought less than 3 minutes were required to integrate SCE into the routine examination. Limitations Longitudinal impact of the film was not assessed. Conclusion The Integrated Skin Exam film introduces an integrated approach to the SCE that addresses knowledge gaps, mitigates perceived barriers, and augments intention related to practice of the SCE. © 2013 by the American Academy of Dermatology, Inc.
Garg, A; Wang, J; Reddy, SB; Powers, J; Jacob, R; Powers, M; Biello, K; Cayce, R; Savory, S; Belazarian, L; Domingues, E; Korzenko, A; Wilson, L; Grant-Kels, JM; George, P; Robinson-Bostom, L; Trotter, SC; Geller, AC
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