Skin Cancer Screening Education Study

Association of Dermatological Prevention, Germany113 enrolled

Overview

The overall aim of this population-based screening study is to assess whether the skin cancer screening training of family physicians and dermatologists leads to improved screening outcomes. The training course aims to increase the accuracy of detecting early stages of skin cancer. Screening outcomes of an intervention region (Calgary, Canada) in which physicians receive training will be compared with screening outcomes of a control region (Edmonton, Canada) where no physician training is administered. The investigators will determine whether: * clinical screening outcomes are more favorable in the group of trained physicians compared to non trained physicians * there is an increase of knowledge about skin cancer screening among trained physicians, compared to non trained physicians * skin cancer screenings are associated with psycho-social harms * population-based screening has an effect on the overall incidence and stage-specific-incidence of skin cancer in Alberta The investigators are aiming to recruit 100 physicians per region (total of 200 physicians) who will screen 40,000 to 80,000 individuals over a period of 20 months.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SCREENING

Masking

NONE

Enrollment

113

Conditions

Skin Tumors Melanoma

Interventions

Skin Cancer Screening TrainingOTHER

Topics of the 5.5-hour in-class course include: the screening test, types of skin cancer (signs and symptoms), case history taking, epidemiology of skin cancer, etiology, risk factors and risk groups, communicative aspects of primary and secondary preventive measures, and benefits and harms of cancer screenings.

Eligibility

Sex: ALLMin age: 20 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Screenees * Male and female residents of Alberta mainly living and receiving care in Edmonton or in Calgary * Age 20+ * English-speaking * Individuals who consent to participate 2. Physicians * Registered dermatologists and family physicians administering care either in Edmonton or in Calgary * English-speaking * Physicians who consent to participate Exclusion Criteria: Physicians who have undergone special training in skin cancer screening within the last 2 years

Outcomes

Primary Outcomes

Change in the diagnostic accuracy including knowledge on skin cancer screening

Educational outcomes of physicians will be measured pre- and post-training using knowledge tests in the intervention and control region

Time frame: month 1 pre-training (intervention and control region), month 1 post-training (intervention region only), and month 12 (both regions)

Number needed to screen (NNS) to identify 1 skin tumor and number needed to excise (NNE) to identify 1 skin tumor

Case report forms will be analyzed to determine clinical screening outcomes such as the NNS, NNE and tumor thickness.

Time frame: 20 months

Patient-rated well-being

A patient questionnaire will be used to assess psycho-social harms of skin cancer screenings.