Evaluation of a training course for general practitioners within the melanoma multimedia education program of the Italian melanoma intergroup: study protocol
https://doi.org/10.4081/dr.2024.9919
SUPPLEMENTARY MATERIAL: 10
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The text discusses the role of general practitioners (GPs) in the prevention and early diagnosis of melanoma, a type of skin cancer. It highlights the need for GPs to be able to recognize suspicious skin lesions and refer patients to specialist dermatology centers. However, many GPs lack comprehensive training in diagnosing melanoma. The text mentions that various training courses have been conducted for GPs, but their impact on clinical practice has been limited. The "MelaMEd Programme" is an e-learning course developed by the Italian Melanoma Intergroup (IMI). The program aims to provide GPs with comprehensive knowledge of melanoma prevention, diagnosis, and treatment. It includes an e-learning section and a dedicated platform called MelaMEd platform, which offers a multimedia atlas of melanoma. The objective of the study is to evaluate the impact of the MelaMEd programme on GPs' diagnostic accuracy, knowledge of melanoma, and management of suspicious lesions. The methodology involves administering pre-training and post-training questionnaires to participants, assessing their diagnostic skills and evaluating the training course's effectiveness. The study aims to demonstrate the effectiveness of the MelaMEd programme in improving GPs' ability to recognize and manage melanoma. It also seeks to identify areas for improvement and recommend interventions to enhance diagnostic accuracy. The results will be analyzed statistically using descriptive, univariate, and multivariate analysis methods.
AM Forsea. Melanoma Epidemiology and Early Detection in Europe: Diversity and Disparities. Dermatol Pract Concept. 2020 Jul;10(3):e2020033. DOI: https://doi.org/10.5826/dpc.1003a33
Europe Beating Cancer Plan: website
https://health.ec.europa.eu/system/files/2022-02/eu_cancer-plan_en_0.pdf
Garbe C, Amaral T, Peris K, et al; European Dermatology Forum (EDF), the European Association of Dermato-Oncology (EADO), and the European Organization for Research and Treatment of Cancer (EORTC). European consensus- based interdisciplinary guideline for melanoma. Part 1: Diagnostics: Update 2022. Eur J Cancer. 2022 Jul;170:236-255. DOI: https://doi.org/10.1016/j.ejca.2022.03.008
Garbe C, Amaral T, Peris K, et al; European Dermatology Forum (EDF), the European Association of Dermato-Oncology (EADO), and the European Organization for Research and Treatment of Cancer (EORTC). European consensus- based interdisciplinary guideline for melanoma. Part 2: Treatment - Update 2022. Eur J Cancer. 2022 Jul;170:256-284. DOI: https://doi.org/10.1016/j.ejca.2022.04.018
Linee guida Aiom accreditated by ISS: website https://www.iss.it/documents/20126/8403839/Addendum-LG_127_AIOM_Melanoma_ed2021
Linee Guida Siapec accreditated by ISS - Società Italiana di Anatomia Patologica: website https://www.siapec.it/2022/07/18/lg-snlg-lesioni-melanocitarie/
AE Brown, M Najmi, T Duke et al. Skin Cancer Education Interventions for Primary Care Providers: A Scoping Review. J Gen Intern Med. 2022 Jul;37(9):2267-2279. DOI: https://doi.org/10.1007/s11606-022-07501-9
PON: documento pdf Piano Oncologico Nazionale: documento di pianificazione e indirizzo per la prevenzione e il contrasto del cancro 2023-2027: website https://www.salute.gov.it/imgs/C_17_pubblicazioni_3291_allegato.pdf
Carli P, De Giorgi V, Crocetti E, et al. Diagnostic and referral accuracy of family doctors in melanoma screening: effect of a short formal training. Eur J Cancer Prev 2005;14:51–5. DOI: https://doi.org/10.1097/00008469-200502000-00007
Argenziano G, Puig S, Zalaudek I et al. Dermoscopy improves accuracy of primary care physicians to triage lesions suggestive of skin cancer. J Clin Oncol. 2006 Apr 20;24(12):1877-82. DOI: https://doi.org/10.1200/JCO.2005.05.0864
MelaMEd platform: website https://www.imi-melamed.it/
L Bucchi, S Mancini, F Zamagni et al. Patient presentation, skin biopsy utilization and cutaneous malignant melanoma incidence and mortality in northern Italy: Trends and correlations. J Eur Acad Dermatol Venereol. 2022 Sep 30. DOI: https://doi.org/10.1111/jdv.18635
Grewal R, Jones R, Peters J, et al. Providing telemedicine services to persons living with HIV in an urban community: a demonstration project. AIDS Care. 2023 Apr 3:1-10. DOI: https://doi.org/10.1080/09540121.2023.2195606
Mai V, Flood A, Peters U, et al. Dietary fibre and risk of colorectal cancer in the Breast Cancer Detection Demonstration Project (BCDDP) follow-up cohort. Int J Epidemiol. 2003 Apr;32(2):234-9. DOI: https://doi.org/10.1093/ije/dyg052
R J Friedman, D S Rigel, A W Kopf. Early detection of malignant melanoma: the role of physician examination and self-examination of the skin. CA Cancer J Clin. 1985 May-Jun;35(3):130-51.). DOI: https://doi.org/10.3322/canjclin.35.3.130
Arrington E, Clyne B, Wesseling N, et al. Diagnosing malignant melanoma in ambulatory care: a systematic review of clinical prediction rules. BMJ Open. 2017 Mar 6;7(3). DOI: https://doi.org/10.1136/bmjopen-2016-014096
Kelly JW, Chamberlain AJ, Staples MP, McAvoy B. Nodular melanoma. No longer as simple as ABC. Aust Fam Physician 2003 Sep;32(9):706-9.
JJ Grob, J Bonerandi. The 'ugly duckling' sign: identification of the common characteristics of nevi in an individual as a basis for melanoma screening. Arch Dermatol. 1998 Jan;134(1):103-4. DOI: https://doi.org/10.1001/archderm.134.1.103-a
Gaudy-Marqueste C, Wazaefi Y, Bruneu Y, et al. Ugly Duckling Sign as a Major Factor of Efficiency in Melanoma Detection. JAMA Dermatol. 2017 Apr 1;153(4):279-284. DOI: https://doi.org/10.1001/jamadermatol.2016.5500
Batterton, K. A., & Hale, K. N. (2017). The Likert Scale What It Is and How To Use It. Phalanx, 50(2), 32–39.
Grange F, Woronoff AS, Bera R, et al. Efficacy of a general practitioner training campaign for early detection of melanoma in France. Br J Dermatol. 2014;170(1):123-129. DOI: https://doi.org/10.1111/bjd.12585
Anders MP, Fengler S, Volkmer B, Greinert R, Breitbart EW. Nationwide skin cancer screening in Germany: Evaluation of the training program. Int J Dermatol. 2017;56(10):1046-1051. DOI: https://doi.org/10.1111/ijd.13688
Tourangeau R, Rips LJ, Rasinski K. The Psychology of Survey Response (Book). Cambridge. U.K.: Cambridge University Press, 2000. ISBN 0-5215-7246-0. DOI: https://doi.org/10.1017/CBO9780511819322
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