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Rates of skin cancer screening and prevention counseling by US medical residents.
Arch Dermatol ; 145(10): 1131-6, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19841400
ABSTRACT

OBJECTIVE:

To determine factors related to residents' self-reported skill level for the skin cancer examination (SCE).

DESIGN:

Survey of residents in November 2003.

SETTING:

Four US residency programs.

PARTICIPANTS:

Medical residents in family medicine, pediatrics, obstetrics and gynecology, and internal medicine and specialists. MAIN OUTCOME

MEASURE:

Proportion of residents reporting their current skill level for the performance of the SCE.

RESULTS:

Of 454 surveys distributed, 342 residents completed the survey (75.3% response rate). Clinical training for the SCE during residency was infrequent. During residency, 75.8% were never trained in the SCE, 55.3% never observed an SCE, and 57.4% never practiced the examination. Only 15.9% of residents reported being skilled in the SCE. However, the conduct of 4 SCEs (or slightly more than 1 per each year of residency) was associated with manifold increases in self-reported skill levels.

CONCLUSIONS:

Information now collected from 7 medical schools and 4 residency programs underscores the need for more supervised opportunities to enable physicians in training to perform an SCE during routine patient examinations.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Neoplasias Cutâneas / Programas de Rastreamento / Competência Clínica / Dermatologia Tipo de estudo: Screening_studies Aspecto clínico: Diagnóstico / Prognóstico Limite: Adulto / Feminino / Humanos / Masculino País/Região como assunto: América do Norte Idioma: Inglês Revista: Arch Dermatol Ano de publicação: 2009 Tipo de documento: Artigo País de afiliação: Estados Unidos