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JCOM Abstract


J Clin Outcomes Manage 
2005 Oct;12(10):523-536
Prevention and detection of melanoma in the primary care setting
Swetter SM, Geller AC

Program Audience Primary care physicians Educational Needs Addressed More than 75% of all skin cancer deaths are attributed to melanoma, and worldwide incidence of melanoma has dramatically increased over the past 50 years. Despite recent trends showing improved survival, melanoma incidence and mortality continue to rise in middle-aged and older individuals, particularly in men over age 65 years. Routine examinations by primary care physicians provide an excellent opportunity for melanoma detection—nearly 80% of Americans will never see a dermatologist, whereas 85% of Americans see a physician every 2 years. Moreover, physician detection as opposed to the more common self-detection is associated with thinner and more curable melanoma. Efforts at early clinical detection of melanoma should take into account the differences in melanoma subtypes and should focus on both public and professional education regarding melanoma warning signs and recommendations for routine primary care skin examinations for melanoma screening. Educational Objectives After participating in this CME activity, primary care physicians should be able to: 1. Understand their unique role in melanoma detection; 2. State the major risk factors for melanoma; 3. Know the demographic groups at higher risk of advanced but potentially preventable melanoma; 4. Distinguish normal moles from atypical (dyplastic) nevi and melanoma; 5. Be familiar with current management principles for cutaneous melanoma

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