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Type: Journal article
Title: General practice registrars' use of dermoscopy Prevalence, associations and influence on diagnosis and confidence
Author: Whiting, G.
Stocks, N.
Morgan, S.
Tapley, A.
Henderson, K.
Holliday, E.
Ball, J.
van Driel, M.
Spike, N.
McArthur, L.
Davey, A.
Magin, P.
Citation: Australian Journal of General Practice, 2019; 48(8):547-553
Publisher: AJGP
Issue Date: 2019
ISSN: 2208-794X
Statement of
Georgina Whiting, Nigel Stocks, Simon Morgan, Amanda Tapley, Kim Henderson, Elizabeth Holliday, Jean Ball, Mieke L van Driel, Neil Spike, Lawrie McArthur, Andrew R Davey, Parker Magin
Abstract: BACKGROUND AND OBJECTIVES: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. METHOD: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.
Keywords: Humans; Dermoscopy; Prevalence; Cohort Studies; Cross-Sectional Studies; Self Efficacy; Education, Medical, Continuing; Adolescent; Adult; Aged; Middle Aged; Child; Child, Preschool; Infant; Medical Staff, Hospital; Australia; General Practice
Rights: © The Royal Australian College of General Practitioners 2019.
RMID: 0030132467
DOI: 10.31128/AJGP-11-18-4773
Appears in Collections:Medicine publications

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