Family physicians' knowledge of malignant melanoma

• Published in: Journal of the American Academy of Dermatology Vol. 37; no. 6; pp. 953 - 957
• Main Authors: Stephenson, Anne, From, Lynn, Cohen, Adrianne, Tipping, Jane
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.12.1997; Elsevier
• Subjects: Adult; Attitude of Health Personnel; Biological and medical sciences; Clinical Competence; Dermatology; Dermatology - education; Education, Medical, Continuing; Family Practice - education; Female; Humans; Incidence; Male; Medical History Taking; Medical sciences; Melanoma - diagnosis; Patient Education as Topic; Physical Examination; Physicians, Family; Prognosis; Referral and Consultation; Risk Factors; Self Concept; Skin Neoplasms - diagnosis; Surveys and Questionnaires; Survival Rate; Teaching - methods; Tumors of the skin and soft tissue. Premalignant lesions; Canada; North America; America; Human; Skin disease; Survey; Malignant melanoma; Family environment; Physician; Malignant tumor; Health education; Knowledge
• ISSN: 0190-9622; 1097-6787
• DOI: 10.1016/S0190-9622(97)70071-9

Background: The incidence and mortality of melanoma have been increasing during the past two decades. Melanoma is relatively easy to detect and, when diagnosed early, is curable. Objective: Our purpose was to assess the baseline knowledge of malignant melanoma among family practitioners and to identify their preferred method of learning new information about the skin. Methods: The design was a randomized survey by mailed questionnaire. Results: More than 50% of physicians stated they lacked confidence in being able to recognize melanoma. Family physicians were well informed on factors affecting prognosis, but knowledge deficits were identified on history, physical examination, and risk factors. The most effective method of learning new information about the skin was hands-on teaching demonstration. Conclusion: Many family physicians are not confident in their ability to recognize melanoma, and knowledge deficits were identified. In addition, some important risk factors were not well recognized. Thus, those at highest risk may not be receiving education on early detection that may help decrease the incidence and mortality of melanoma. (J Am Acad Dermatol 1997;37:953-7.)