General practice registrars' use of dermoscopy: Prevalence, associations and influence on diagnosis and confidence

Whiting, Georgina, Stocks, Nigel, Morgan, Simon, Tapley, Amanda, Henderson, Kim, Holliday, Elizabeth, Ball, Jean, van Driel, Mieke, Spike, Neil, McArthur, Lawrie, Davey, Andrew, and Magin, Parker (2019) General practice registrars' use of dermoscopy: Prevalence, associations and influence on diagnosis and confidence. Australian Journal of General Practice, 48 (8). pp. 547-553.

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Background and objective Dermoscopy increases accuracy for melanoma diagnosis by trained primary care physicians. We aimed to establish prevalence of dermatoscope use by general practice registrars, and identify factors associated with dermatoscope use and the implications of dermatoscope use for diagnosis and confidence in diagnosis.

Methods This was a cross-sectional study nested within the Registrar Clinical Encounters in Training (ReCEnT) project, an ongoing multi-site cohort study of general practice registrars’ consultations. The study was conducted during two six-monthly rounds of ReCEnT data collection in four regional training providers in 2014.

Results Forty-nine per cent of registrars reported having dermoscopy training. Dermoscopy was used in 61% of consultations involving skin or pigmented lesion checks. Dermatoscope use changed provisional diagnosis in 22% of instances and increased diagnostic confidence in 55%.

Discussion Dermoscopy is performed by general practice registrars in a modest proportion of skin and pigmented lesion checks. Its use influences registrars’ diagnoses and increases their confidence in their diagnoses.

Item ID: 75240
Item Type: Article (Research - C1)
ISSN: 2208-7958
Copyright Information: © The Royal Australian College of General Practitioners 2019
Date Deposited: 18 Aug 2022 00:30
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420304 General practice @ 80%
39 EDUCATION > 3901 Curriculum and pedagogy > 390110 Medicine, nursing and health curriculum and pedagogy @ 20%
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