Data Sheet 7_Oregon primary care providers as a frontline defense in the War on Melanoma™: improving access to melanoma education.pdf

Melanoma is one of the deadliest forms of skin cancer but is typically cured with surgical excision when detected early. As an access point to medical care, primary care providers (PCP) play an integral role in early skin cancer detection. However, limited time for examinations and dermatologic training may present barriers to effective skin examination in the primary care setting. As a facet of Oregon Health & Science University’s War on Melanoma™ (WoM), our multi-pronged outreach initiative aims to provide PCPs across Oregon with free, convenient, and effective melanoma education. The WoM PCP education campaign was disseminated starting in May 2019 through primary care networks throughout the state of Oregon to 12,792 PCPs, and education was delivered across several platforms: online multimedia tools, large group didactics, individualized practice-based sessions, and in-person distribution of materials to clinics. To date, 829 PCPs have participated in the online Melanoma Toolkit for Early Detection curriculum, 1,874 providers have attended CME didactics, and 9 clinics have received facilitated meetings by Oregon Rural Practice-based Research Network. Eighty-three clinics (comprising 770 providers) were visited on-site and provided educational materials, and more than 150 PCPs have received a free smartphone dermatoscope to aid in skin examination and e-consultation. OHSU’s WoM has successfully implemented a multifaceted approach to provide accessible melanoma education to PCPs across the state of Oregon. As a result, we hope to encourage appropriate skin examination in the primary care setting and improve PCPs’ diagnostic accuracy and confidence in pigmented lesion evaluation.

黑色素瘤（Melanoma）是致死性最高的皮肤癌类型之一，但若能早期发现，通常可通过手术切除实现治愈。作为医疗保健的核心接入点，初级保健医师（primary care providers, PCP）在皮肤癌早期筛查中发挥着不可或缺的作用。然而，诊疗时间有限以及皮肤科相关培训的缺失，可能会成为初级医疗环境下开展有效皮肤检查的阻碍。作为俄勒冈健康与科学大学“对抗黑色素瘤运动（War on Melanoma™, WoM）”的组成部分，我们的多维度推广项目旨在为俄勒冈州全体初级保健医师提供免费、便捷且高效的黑色素瘤教育。该针对初级保健医师的WoM教育项目于2019年5月启动，通过俄勒冈州全境的初级保健网络面向12792名初级保健医师推广，教育内容通过多种渠道交付：在线多媒体工具、大型群体授课、基于执业场景的个性化培训，以及面向诊所的线下资料发放。截至目前，已有829名初级保健医师参与了线上《黑色素瘤早期筛查工具包》课程，1874名医师参加了继续医学教育（Continuing Medical Education, CME）授课，另有9家诊所通过俄勒冈乡村执业研究网络获得了协助组织的培训会议。共有83家诊所（涵盖770名执业医师）接受了现场走访并获赠教育资料，超过150名初级保健医师获得了免费的智能手机式皮肤镜（dermatoscope），用于辅助皮肤检查与电子会诊。俄勒冈健康与科学大学的“对抗黑色素瘤运动”已成功落地多维度方案，为俄勒冈州全境的初级保健医师提供可及性强的黑色素瘤教育。借此，我们期望推动初级医疗环境下规范开展皮肤检查，并提升初级保健医师对色素性皮损（pigmented lesion）评估的诊断准确性与信心。