When Are Circular Lesions Square? A National Clinical Education Skin Lesion Audit and Study
Archives of Plastic Surgery
;
: 500-504, 2014.
Artículo
en Inglés
| WPRIM
| ID: wpr-25702
ABSTRACT
BACKGROUND:
Skin cancer is the most prevalent cancer by organ type and referral accuracy is vital for diagnosis and management. The British Association of Dermatologists (BAD) and literature highlight the importance of accurate skin lesion examination, diagnosis and educationally-relevant studies.METHODS:
We undertook a review of the relevant literature, a national audit of skin lesion description standards and a study of speciality training influences on these descriptions. Questionnaires (n=200), with pictures of a circular and an oval lesion, were distributed to UK dermatology/plastic surgery consultants and speciality trainees (ST), general practitioners (GP), and medical students (MS). The following variables were analysed against a pre-defined 95% inclusion accuracy standard site, shape, size, skin/colour, and presence of associated scars.RESULTS:
There were 250 lesion descriptions provided by 125 consultants, STs, GPs, and MSs. Inclusion accuracy was greatest for consultants over STs (80% vs. 68%; P<0.001), GPs (57%) and MSs (46%) (P<0.0001), for STs over GPs (P<0.010) and MSs (P<0.0001) and for GPs over MSs (P<0.010), all falling below audit standard. Size description accuracy sub-analysis according to circular/oval dimensions was as follows consultants (94%), GPs (80%), STs (73%), MSs (37%), with the most common error implying a quadrilateral shape (66%). Addressing BAD guidelines and published requirements for more empirical performance data to improve teaching methods, we performed a national audit and studied skin lesion descriptions. To improve diagnostic and referral accuracy for patients, healthcare professionals must strive towards accuracy (a circle is not a square).CONCLUSIONS:
We provide supportive evidence that increased speciality training improves this process and propose that greater focus is placed on such training early on during medical training, and maintained throughout clinical practice.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Derivación y Consulta
/
Piel
/
Neoplasias Cutáneas
/
Estudiantes de Medicina
/
Cirugía Plástica
/
Enseñanza
/
Encuestas y Cuestionarios
/
Cicatriz
/
Consultores
/
Atención a la Salud
Tipo de estudio:
Estudio diagnóstico
/
Guía de Práctica Clínica
/
Investigación cualitativa
Límite:
Humanos
Idioma:
Inglés
Revista:
Archives of Plastic Surgery
Año:
2014
Tipo del documento:
Artículo
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