Evidence map›Paper›PMID 29404948›Full record

Trial reportJournal of general internal medicine2018

A Randomized Trial on the Efficacy of Mastery Learning for Primary Care Provider Melanoma Opportunistic Screening Skills and Practice.

June K Robinson, Namita Jain, Ashfaq A Marghoob, William McGaghie, Michael MacLean, Pedram Gerami, Brittney Hultgren, Rob Turrisi, Kimberly Mallett, Gary J Martin

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02385253 (Training Primary Care Physicians to Perform Melanoma Opportunistic Surveillance), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02385253 nacompletednot on this map

Training Primary Care Physicians to Perform Melanoma Opportunistic Surveillance

TypeinterventionalSponsorNorthwestern UniversityRan2015 to 2017Enrolled89ConditionsMelanoma, Nevi, Skin MolesArmsEducational training program
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Educational Interventions to Support Primary Care Provider Performance of Diagnostic Skin Cancer Examinations: A Systematic Literature Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Educational Interventions to Reduce Cancer Diagnostic Delays in Primary Care: A Scoping Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Review
  6. A Primary Care Intervention to Improve Melanoma Detection and Management.Journal of the American Board of Family Medicine : JABFM · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Reliable test of clinicians' mastery in skin cancer diagnostics.Archives of dermatological research · 2021
    Article
  15. Article
  16. Article
  17. Training Primary Care Physicians in Dermoscopy for Skin Cancer Detection: a Scoping Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

June K RobinsonDepartment of Dermatology , Northwestern University Feinberg School of Medicine, Chicago, IL, USA. june-robinson@northwestern.edu.
Namita JainDepartment of Dermatology , Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Ashfaq A MarghoobDepartment of Dermatology, Memorial Sloan-Kettering Cancer Center, Hauppauge, NY, USA.
William McGaghieDepartment of Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Michael MacLeanDepartment of Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Pedram GeramiDepartment of Dermatology , Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Brittney HultgrenBiobehavioral Health and Prevention Research Center, The Pennsylvania State University, University Park, PA, USA.
Rob TurrisiBiobehavioral Health and Prevention Research Center, The Pennsylvania State University, University Park, PA, USA.
Kimberly MallettBiobehavioral Health and Prevention Research Center, The Pennsylvania State University, University Park, PA, USA.
Gary J MartinDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Northwestern University · USPennsylvania State University · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Training primary care physicians to perform melanoma opportunistic surveillanceR21CA182725 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ROBINSON, JUNE K · 2015 to 2016
$350k
NCI NIH HHS P30 CA008748NCI NIH HHS R21 CA182725
6 · The paper itself

Abstract

backgroundEarly detection of melanoma represents an opportunity to reduce the burden of disease among people at increased risk for melanoma.

objectiveTo develop and demonstrate the efficacy of online training.

designRandomized educational trial.

participantsPrimary care providers (PCPs).

interventionMastery learning course with visual and dermoscopic assessment, diagnosis and management, and deliberate practice with feedback to reach a minimum passing standard. MAIN MEASURES: Pre-test/post-test diagnostic accuracy. Referral of concerning lesions for 3 months before and after the educational intervention. KEY

resultsAmong the 89 PCPs, 89.8% were internal medicine physicians, and the remainder were physician assistants embedded in internists' practices. There were no differences between control and intervention groups regarding gender, age, race, or percentage of full-time PCPs. The control group had more PCPs who reported less than 5 years of practice (n = 18) than the intervention group (n = 6) (χ

conclusionsMastery learning improved PCPs' ability to detect melanoma on a standardized post-test and may improve referral of patients with suspected melanoma. Further studies are needed to confirm this finding. ClinicalTrials.gov NCT02385253.

Indexed as

AdultClinical CompetenceEarly Detection of CancerFemaleHumansLearningMaleMelanomaMiddle AgedPhysician AssistantsPhysicians, Primary CareSkin Neoplasms

Identifiers

PMID29404948
PMCPMC5975143
OpenAlexW2790209513

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.