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. 2021 Feb 1:8:2382120521989983.
doi: 10.1177/2382120521989983. eCollection 2021 Jan-Dec.

Dermoscopic Lotus of Learning: Implementation and Dissemination of a Multimodal Dermoscopy Curriculum for Primary Care

Elizabeth Seiverling  1 , Hadjh Ahrns  2 , Kathryn Stevens  3 , Lindsay Ayers  4 , Tyler Nussinow  3 , Gregory Dorr  5 , Peggy Cyr  6
Affiliations

Dermoscopic Lotus of Learning: Implementation and Dissemination of a Multimodal Dermoscopy Curriculum for Primary Care

Elizabeth Seiverling et al. J Med Educ Curric Dev. .

Abstract

Dermoscopy is a cost-effective tool for detection of skin cancers yet there is limited training available for primary care. The goal of this project was to develop, implement, and disseminate a multimodal curriculum for primary care across a health system based on a previously validated algorithm (Triage Amalgamated Dermoscopic Algorithm; TADA). This cross-sectional study analyzes the dermoscopy workshop intervention of a dermoscopy multimodal curriculum. Volunteers attended one 120-minute dermoscopy workshop on benign and malignant growths using a validated algorithm. Participants took a 30-image pre- and posttest. Survey questions on dermoscopy use, preferences for learning, and skin biopsy performance were included to enhance curriculum development. About 96 participants completed both pre- and postintervention tests. The mean preintervention score (out of 30) was 18.6 and increased to 24.4 on the postintervention evaluation. There was a statistically significant improvement in scores for both benign and malignant skin growths after the intervention (P < .05). Short dermoscopy workshops have a positive intervention effect when training primary care providers to identify images of benign and malignant dermoscopic skin lesions. A multimodal dermoscopy curriculum allows learners to build on initial training using spaced review and blended learning strategies. The "Dermoscopic Lotus of Learning" has the potential to be a model for other primary care residency programs. A healthy partnership between dermatologists and primary care is essential.

Keywords: Dermoscopy; curriculum; medical education; primary care; resident education; skin cancer.

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Conflict of interest statement

Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Dermoscopic Lotus of Learning. Abbreviations: ECHO indicates Extension for Community Health Outcomes.
Figure 2.
Figure 2.
Pre/posttest scores. There were 30 total questions for both the pre- and posttest.
Figure 3.
Figure 3.
Benign versus malignant lesion scores. There was a total of 16 test questions on benign lesions and 14 test questions on malignant lesions.
See this image and copyright information in PMC

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