Document Detail


The eDerm online curriculum: A randomized study of effective skin cancer teaching to medical students.
MedLine Citation:
PMID:  21112668     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: With the incidence of skin cancers continuing to increase, traditional clerkships may not be sufficient to teach medical students important detection and management skills. OBJECTIVE: We performed a randomized study to determine the efficacy of the online curriculum, eDerm. METHOD: Students were randomized to complete eDerm before or after clerkship (arm 1 vs 2) and were tested at 3 time points, including at baseline. The crossover design examined eDerm and clerkship, and the sequential effect of both. RESULTS: In all, 252 participants completed all interventions and testing. Diagnosis and management scores significantly improved in both arms (P < .001; P < .001), reflecting increased scores after taking both eDerm and clerkship. eDerm after clerkship resulted in the highest improvement in diagnosis (P = .005), and eDerm improved the detection of melanoma significantly better than clerkship (malignant, P < .001; pigmented, P < .001). LIMITATIONS: We did not perform delayed testing of medical students for learning retention. CONCLUSION: eDerm significantly improves the diagnosis and management of nonpigmented and pigmented skin lesions by medical students. It can be used as an alternative to a traditional 2-week clerkship if one is not available. Importantly, melanoma detection improved significantly more after eDerm than clerkship. When used as a supplement, eDerm administered after a clerkship will result in the highest level of overall learning.
Authors:
Jacqueline C Dolev; Patricia O'Sullivan; Timothy Berger
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-11-26
Journal Detail:
Title:  Journal of the American Academy of Dermatology     Volume:  -     ISSN:  1097-6787     ISO Abbreviation:  J. Am. Acad. Dermatol.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7907132     Medline TA:  J Am Acad Dermatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2010 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Dermatology, University of California, San Francisco, California.
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