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      Theory-Based Approaches to Support Dermoscopic Image Interpretation Education: A Review of the Literature

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          Abstract

          Introduction

          Efficient interpretation of dermoscopic images relies on pattern recognition, and the development of expert-level proficiency typically requires extensive training and years of practice. While traditional methods of transferring knowledge have proven effective, technological advances may significantly improve upon these strategies and better equip dermoscopy learners with the pattern recognition skills required for real-world practice.

          Objectives

          A narrative review of the literature was performed to explore emerging directions in medical image interpretation education that may enhance dermoscopy education. This article represents the first of a two-part review series on this topic.

          Methods

          To promote innovation in dermoscopy education, the International Skin Imaging Collaborative (ISIC) assembled a 12-member Education Working Group that comprises international dermoscopy experts and educational scientists. Based on a preliminary literature review and their experiences as educators, the group developed and refined a list of innovative approaches through multiple rounds of discussion and feedback. For each approach, literature searches were performed for relevant articles.

          Results

          Through a consensus-based approach, the group identified a number of emerging directions in image interpretation education. The following theory-based approaches will be discussed in this first part: whole-task learning, microlearning, perceptual learning, and adaptive learning.

          Conclusions

          Compared to traditional methods, these theory-based approaches may enhance dermoscopy education by making learning more engaging and interactive and reducing the amount of time required to develop expert-level pattern recognition skills. Further exploration is needed to determine how these approaches can be seamlessly and successfully integrated to optimize dermoscopy education.

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          Most cited references38

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          Metaphors We Live By

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            Outcomes of treatment for hepatitis C virus infection by primary care providers.

            The Extension for Community Healthcare Outcomes (ECHO) model was developed to improve access to care for underserved populations with complex health problems such as hepatitis C virus (HCV) infection. With the use of video-conferencing technology, the ECHO program trains primary care providers to treat complex diseases. We conducted a prospective cohort study comparing treatment for HCV infection at the University of New Mexico (UNM) HCV clinic with treatment by primary care clinicians at 21 ECHO sites in rural areas and prisons in New Mexico. A total of 407 patients with chronic HCV infection who had received no previous treatment for the infection were enrolled. The primary end point was a sustained virologic response. A total of 57.5% of the patients treated at the UNM HCV clinic (84 of 146 patients) and 58.2% of those treated at ECHO sites (152 of 261 patients) had a sustained viral response (difference in rates between sites, 0.7 percentage points; 95% confidence interval, -9.2 to 10.7; P=0.89). Among patients with HCV genotype 1 infection, the rate of sustained viral response was 45.8% (38 of 83 patients) at the UNM HCV clinic and 49.7% (73 of 147 patients) at ECHO sites (P=0.57). Serious adverse events occurred in 13.7% of the patients at the UNM HCV clinic and in 6.9% of the patients at ECHO sites. The results of this study show that the ECHO model is an effective way to treat HCV infection in underserved communities. Implementation of this model would allow other states and nations to treat a greater number of patients infected with HCV than they are currently able to treat. (Funded by the Agency for Healthcare Research and Quality and others.).
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              Cognitive Load Theory

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                Author and article information

                Journal
                Dermatol Pract Concept
                Dermatol Pract Concept
                DP
                Dermatology Practical & Conceptual
                Mattioli 1885
                2160-9381
                November 2022
                01 October 2022
                : 12
                : 4
                : e2022188
                Affiliations
                [1 ]Department of Dermatology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
                [2 ]Department of Plastic Surgery, Herlev Hospital, Herlev, Denmark
                [3 ]Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA
                [4 ]Institute for Systems and Robotics; Instituto Superior Técnico, University of Lisbon, Lisbon, Portugal
                [5 ]Department of Dermatology, Oregon Health & Science University, Portland, OR, USA
                [6 ]Division of Dermatology, Maine Medical Center, Portland, ME, USA; Department of Dermatology, Tufts University School of Medicine, Boston, MA,USA
                [7 ]Department of Biology, Davidson College, Davidson, NC, USA
                [8 ]The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, NY, USA
                [9 ]Copenhagen Academy for Medical Education and Simulation; Department of Obstetrics, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark
                [10 ]Department of Dermatology, University Hospital of Zürich, University of Zürich, Zürich, Switzerland
                Author notes
                Corresponding Author: Kelly C. Nelson, MD, Department of Dermatology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1452, Houston, TX 77030, USA, Telephone: 713-745-1113, Fax: 713-745-3597, E-mail: kcnelson1@ 123456mdanderson.org
                Article
                dp1204a188
                10.5826/dpc.1204a188
                9681177
                274c453d-bb78-4fa0-954c-26eaa0133534
                ©2022 Tran 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.

                History
                : 01 February 2022
                Categories
                Review

                dermoscopy education,image interpretation education,pattern recognition,educational theory,container model

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