Dermoscopy in Selected Latin American Countries: A Preliminary Look into Current Trends and Future Opportunities Among Dermatology Residency Programs
Citation: Perez M, Williams NM, Avila AM, et al. Dermoscopy in Selected Latin American Countries: A Preliminary Look into Current Trends and Future Opportunities among Dermatology Residency Programs. Dermatol Pract Concept. 2023;13(2):e2023093. DOI: https://doi.org/10.5826/dpc.1302a93
Accepted: October 19, 2022; Published: April 2023
Copyright: ©2023 Perez et al. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original authors and source are credited.
Funding: None.
Competing interests: None.
Authorship: All authors have contributed significantly to this publication.
Corresponding author: Natalia Jaimes, MD, Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, Sylvester Comprehensive Cancer Center, Miami, FL. University of Miami Miller School of Medicine, Dermatology Research Clinic 1600 NW 10th Ave. RSMB 2023A, Miami, FL 33136 Phone: 305-243-6735 Email: njaimes@med.miami.edu
Abstract
Introduction: Dermoscopy is a useful technique that aids in early detection of skin cancer by increasing diagnostic accuracy with adequate training. However, dermoscopy is not uniformly taught to residents worldwide. Dermoscopy training in Latin American dermatology residency programs has not been explored.
Objectives: To assess current dermoscopy training among dermatology residency programs in Latin America (e.g. training modalities, preferred/most effective modalities per residents, diseases/pathologies taught).
Methods: Cross-sectional survey distributed via email between March and May 2021. Chief residents from Argentina, Brazil, Colombia, Costa Rica, Chile, Ecuador, Guatemala, Mexico, Panama, and Uruguay were invited to participate.
Results: 81 chief residents completed the questionnaire (81/126, 64.2%). 72% of programs had an established dermoscopy curriculum, with dedicated hours of training varying greatly by program. Institutions commonly utilized sessions with “unknown” dermoscopy images and direct teaching by experts in the clinical setting as supplements to lectures, also described by residents as most effective. The most commonly taught methods included pattern analysis (74.1%), the two-step algorithm (61.7%), and the ABCD rule (59.3%). Almost all respondents reported desiring additional training during residency and believe that dermoscopy training should be a requirement to graduate from residency.
Conclusion: This study highlights the current landscape in dermoscopy training among dermatology residency programs in Latin America, demonstrating room for improvement and standardization in dermoscopic education and training. Our results serve as a baseline reference and provide valuable information to guide future educational initiatives incorporating successful teaching strategies (e.g. spaced education/repetition, flipped classroom model) used in dermatology and other fields.
Keywords : Dermoscopy, Dermatology Residency, Latin America, Medical Education

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