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    Use of Imaging Technology Up in Dermatology Residencies

    Use of dermatoscopy has increased, but lack of training persists as barrier to use in practice

    THURSDAY, May 20 (HealthDay News) -- In the last decade, use of dermatoscopy in U.S. dermatology residency programs has increased significantly, and there has been a nonsignificant increase in the use of total body photography (TBP), with barriers to imaging use including logistics and insufficient training, according to research published in the May issue of the Journal of the American Academy of Dermatology.

    Vitaly Terushkin, of the Memorial Sloan-Kettering Cancer Center in New York City, and colleagues sent surveys to all 111 directors and 109 chief residents of U.S. dermatology training programs to ascertain use, training, logistics and beliefs about TBP and dermatoscopy, and to assess changes over 10 years.

    Of the 83 attendings who responded, 59 (71.1 percent) reported using TBP, up 11.9 percent (P = .2484) from a decade earlier; 70 (84.3 percent) reported using dermatoscopy, an increase of 40 percent (P = .0001) in that time period. Reasons given for using TBP and dermatoscopy included: to detect early melanoma, reduce patient anxiety, and perform fewer biopsies. Reasons for not using TBP included logistical and financial constraints, and the most common reason for not using dermatoscopy was lack of training. Of the 92 residents who completed the survey, 41 (44.6 percent) and 81 (88 percent) reported using TBP and dermatoscopy, respectively. The majority of respondents said they would prefer additional training in both imaging techniques.

    "There is broad appreciation of the potential use of these techniques among attending dermatologists and residents, but significant barriers to their implementation persist. The greatest barriers to diffusion of TBP relate to logistics, and the greatest barriers to dermatoscopy relate to insufficient training," the authors write.

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