TY - JOUR
T1 - Teaching dermatoscopy of pigmented skin tumours to novices
T2 - Comparison of analytic vs. heuristic approach
AU - Tschandl, P.
AU - Kittler, H.
AU - Schmid, K.
AU - Zalaudek, I.
AU - Argenziano, G.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Background There are two strategies to approach the dermatoscopic diagnosis of pigmented skin tumours, namely the verbal-based analytic and the more visual-global heuristic method. It is not known if one or the other is more efficient in teaching dermatoscopy. Objective To compare two teaching methods in short-term training of dermatoscopy to medical students. Methods Fifty-seven medical students in the last year of the curriculum were given a 1-h lecture of either the heuristic- or the analytic-based teaching of dermatoscopy. Before and after this session, they were shown the same 50 lesions and asked to diagnose them and rate for chance of malignancy. Test lesions consisted of melanomas, basal cell carcinomas, nevi, seborrhoeic keratoses, benign vascular tumours and dermatofibromas. Performance measures were diagnostic accuracy regarding malignancy as measured by the area under the curves of receiver operating curves (range: 0-1), as well as per cent correct diagnoses (range: 0-100%). Results Diagnostic accuracy as well as per cent correct diagnoses increased by +0.21 and +32.9% (heuristic teaching) and +0.19 and +35.7% (analytic teaching) respectively (P for all
AB - Background There are two strategies to approach the dermatoscopic diagnosis of pigmented skin tumours, namely the verbal-based analytic and the more visual-global heuristic method. It is not known if one or the other is more efficient in teaching dermatoscopy. Objective To compare two teaching methods in short-term training of dermatoscopy to medical students. Methods Fifty-seven medical students in the last year of the curriculum were given a 1-h lecture of either the heuristic- or the analytic-based teaching of dermatoscopy. Before and after this session, they were shown the same 50 lesions and asked to diagnose them and rate for chance of malignancy. Test lesions consisted of melanomas, basal cell carcinomas, nevi, seborrhoeic keratoses, benign vascular tumours and dermatofibromas. Performance measures were diagnostic accuracy regarding malignancy as measured by the area under the curves of receiver operating curves (range: 0-1), as well as per cent correct diagnoses (range: 0-100%). Results Diagnostic accuracy as well as per cent correct diagnoses increased by +0.21 and +32.9% (heuristic teaching) and +0.19 and +35.7% (analytic teaching) respectively (P for all
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U2 - 10.1111/jdv.12790
DO - 10.1111/jdv.12790
M3 - Article
C2 - 25370214
AN - SCOPUS:84929610505
VL - 29
SP - 1198
EP - 1204
JO - Journal of the European Academy of Dermatology and Venereology
JF - Journal of the European Academy of Dermatology and Venereology
SN - 0926-9959
IS - 6
ER -