Evaluation of a training course for general practitioners within the melanoma multimedia education programme of the Italian Melanoma Intergroup: a study protocol
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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 programme 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 analysed methods.
Forsea AM. Melanoma epidemiology and early detection in Europe: diversity and disparities. Dermatol Pract Concept 2020;10:e2020033.
European Parliament and the Council. Europe beating cancer plan. Available from: https://health.ec.europa.eu/system/files/2022-02/eu_cancer-plan_en_0.pdf
Garbe C, Amaral T, Peris K, et al. European consensus-based interdisciplinary guideline for melanoma. Part 1: diagnostics. Update 2022. Eur J Cancer 2022;170:236-55.
Garbe C, Amaral T, Peris K, et al. European consensus-based interdisciplinary guideline for melanoma. Part 2: treatment. Update 2022. Eur J Cancer 2022;170:256-84.
AIOM. Linee guida. Melanoma. 2022. Available from: https://www.iss.it/documents/20126/8403839/Addendum-LG_127_AIOM_Melanoma_ed2021
SIAPeC. Linee Guida. 2022. Available from: https://www.siapec.it/2022/07/18/lg-snlg-lesioni-melanocitarie/
Brown AE, Najmi M, Duke T, et al. Skin cancer education interventions for primary care providers: a scoping review. J Gen Intern Med 2022;37:2267-79.
Ministero della Salute Italiano. PON: documento pdf Piano Oncologico Nazionale: documento di pianificazione e indirizzo per la prevenzione e il contrasto del cancro 2023-2027. Available from: 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.
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;24:1877-82.
IMI. MelaMEd platform. Available from: https://www.imi-melamed.it/
Bucchi L, Mancini S, Zamagni F, 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 2023;37:293-302.
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 2023:1-10.
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;32:234-9.
Friedman RJ, Rigel DS, Kopf AW. Early detection of malignant melanoma: the role of physician examination and self-examination of the skin. CA Cancer J Clin 1985;35:130-51.
Arrington E, Clyne B, Wesseling N, et al. Diagnosing malignant melanoma in ambulatory care: a systematic review of clinical prediction rules. BMJ Open 2017;7.
Kelly JW, Chamberlain AJ, Staples MP, McAvoy B. Nodular melanoma. No longer as simple as ABC. Aust Fam Physician 2003;32:706-9.
Grob JJ, Bonerandi J. The 'ugly duckling' sign: identification of the common characteristics of nevi in an individual as a basis for melanoma screening. Arch Dermatol 1998;134:103-4.
Gaudy-Marqueste C, Wazaefi Y, Bruneu Y, et al. ugly duckling sign as a major factor of efficiency in melanoma detection. JAMA Dermatol 2017;153:279-84.
Batterton KA, Hale KN. The Likert Scale. What it is and how to use it. Phalanx 2017;50:32-9.
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;170:123-9.
Anders MP, Fengler S, Volkmer B, et al. Nationwide skin cancer screening in Germany: evaluation of the training program. Int J Dermatol 2017;56:1046-51.
Tourangeau R, Rips LJ, Rasinski K. The psychology of survey response. Cambridge, UK: Cambridge University Press, 2000.
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