The importance of dedicated dermoscopy training during residency: A survey of US dermatology chief residents

BackgroundStudies have shown low satisfaction levels among dermatology residents with respect to dermoscopy training. Many desire additional instruction.ObjectiveWe surveyed graduating chief residents to assess current education practices among US dermatology training programs with respect to the role of dermoscopy as an aid in the management of pigmented lesions.MethodsAn online survey was sent to 139 chief residents of US dermatology training programs.ResultsA 59% response rate was achieved. Of responding chief residents, 94% use dermoscopy. Although 92% of chief residents received dermoscopy training, only 48% trained with a pigmented lesion specialist. Among those training without a specialist, less than half received classroom or bedside teaching compared with 77% of those who trained with a specialist. Of those who trained with a specialist, 77% were satisfied with their training compared with only 30% who trained without a specialist (P < .0001). Those who trained with a specialist were more likely to agree that dermoscopy can help differentiate melanoma from benign lesions (77% vs 47%; P = .0065).LimitationsResponse bias and limiting the survey to chief residents potentially limits our ability to generalize these results to all US dermatology trainees.ConclusionAlthough many residents use dermoscopy as a diagnostic tool, the lack of dedicated dermoscopy training remains a potential barrier to increasing residents’ diagnostic confidence in the management of pigmented lesions. Increasing the amount of dedicated instruction on this topic is one possible approach to enhance resident satisfaction, potentially increasing their competency in the management of atypical nevi.