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 asse...

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Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2014-01, Vol.70 (1), p.115-119
Main Authors: Garg, Amit, MD, Wang, Joyce, BA, Reddy, Shalini B., MD, Powers, Jennifer, MD, Jacob, Reza, MD, Powers, Michael, BA, Biello, Katie, PhD, MPH, Cayce, Rachael, MD, Savory, Stephanie, MD, Belazarian, Leah, MD, Domingues, Erik, MD, Korzenko, Adam, MD, Wilson, Lindsay, MD, Grant-Kels, Jane M., MD, George, Paul, MD, Robinson-Bostom, Leslie, MD, Trotter, Shannon C., DO, Geller, Alan C., MPH, RN
Format: Article
Language:English
Subjects:
Attitude of Health Personnel
Dermatology
Dermatology - education
Early Detection of Cancer - methods
Education, Medical
Female
Health Knowledge, Attitudes, Practice
Humans
integrated skin cancer examination
Male
medical education
medical students
melanoma
Melanoma - diagnosis
Motion Pictures
Self Efficacy
Skin Neoplasms - diagnosis
Students, Medical - psychology
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Summary: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  
ISSN:0190-9622
1097-6787
DOI:10.1016/j.jaad.2013.09.028