Melanoma Early Detection Provider Training

Online version of the Melanoma Early Detection Provider Training

Welcome to the online version of the Melanoma Early Detection Provider Training. This training will consist of a pre-test, a series of video and image recognition modules, a set of didactic modules, and provide resources for patient education and advocacy. The training is broken into 6 sections:

  1. Pre-test - measuring changes in knowledge or confidence, and instructions for how to use the course
  2. Screening and Biopsies - video demonstration of risk assessment, screening guidelines, and biopsies
  3. Visual Identification of Melanoma vs. Benign - a visual perception training developed at Northwestern University
  4. INFORMED Case Based Skin Cancer Education - an e-curriculum for melanoma early detection developed by Martin Weinstock, M.D., Ph.D.
  5. Resources for Patient Education, Additional Learning - learning about available patient education resources and additional methods to learn more about melanoma
  6. Final Evaluation - completion of online training and qualifying for CME credit. Please note: Online CME certificates are issued quarterly. If you have an urgent CME request, please contact waronmelanoma@ohsu.eduand we'll attempt to expedite.

Please watch the video below for instructions on how to navigate through each section of the training and qualify for CME credit:

Section 1 of the Melanoma Early Detection Provider Training

Pre-test

A thumbnail of the pre-test for the War on Melanoma Early Detection training.

This first section contains a pre-test that will allow us to measure changes in knowledge or confidence.

This pre-test also acts as a survey, as part of the IRB-approved War on Melanoma™ education campaign. We will use it to evaluate the impact of increased education and awareness on melanoma incidence and mortality. An information sheet will be provided.

Launch Melanoma Early Detection Provider Training Pre-test (Note: we recommend opening links as a new tab, as it will be easier to navigate back to this page).

 Section 2 of the Melanoma Early Detection Provider Training

Screenings and biopsies

Section 2 of the training: screening and biopsy

This section consists of a series of video demonstrations and information regarding skin cancer screenings and biopsies.

Learning objectives for this section include:

  • Applying screening recommendation for high-risk patients
  • Performing rapid, standardized screenings
  • Identifying best-practices for biopsies
  • Educating patients on early detection and self-exams

Launch Screenings and Biopsies Module (Note: we recommend opening links as a new tab, as it will be easier to navigate back to this page).

Section 3 of the Melanoma Early Detection Provider Training

Visual identification of melanoma vs. benign lesions

Section 3 of the training: visual identification of melanoma

This section is a visual perception training developed at Northwestern University. Rather than focusing on only rule-based criteria for detecting melanoma, this module provides visual practice in identifying skin lesions.

There are four modules total, followed by image quizzes. The results are immediately available so that you can see if you correctly identified each image. In each section, learners enter their e-mail address, so that the next section is automatically sent. 

Achieving a score of 85% is required in each module before progression can be made. Subsequent modules include all images in the previous modules. Complete all four modules before moving on to the next section.

(Note: we recommend opening links as a new tab, as it will be easier to navigate back to this page).

Launch Module 1

Launch Module 2

Launch Module 3

Launch Module 4

Section 4 of the Melanoma Early Detection Provider Training

INFORMED case based skin cancer education

Section 4 of the training: INFORMED case based modules

INFORMED (INternet curriculum FOR Melanoma Early Detection) is a set of engaging e-learning modules. There are nine case modules in total, that can be completed at your own pace. Once you have completed a case, return to this page and move to the next case.

(Note: we recommend opening links as a new tab, as it will be easier to navigate back to this page).

Learn and apply the ABCD-E criteria for melanoma detection. Learn about superficial spreading melanoma (SSM).

Launch Case 1

Learn and apply the "Ugly Duckling" sign for melanoma detection. Learn about atypical (dysplastic) nevus.

Launch Case 2

Learn about seborrheic keratosis (SK). Learn how to differentiate sebhorrhic keratoses from nevi and melanoma.

Launch Case 3

Learn about nodular melanoma (NM), blue nevus, hemangioma, and dermatofibroma.

Launch Case 4

Learn about lentigo maligna melanoma (LMM), acral lentiginous melanoma (ALM), amelanotic melanoma (AM).

Launch Case 5

Learn about the risk factors of melanoma, components of a full body skin exam and skin self exam, and the principles of effective skin cancer primary prevention and counseling.

Launch Case 6

Learn about basal cell carcinoma (BCC), sabaceous hyperplasia, and anglofibroma (fibrous papules).

Launch Case 7

Learn about squamous cell caracinoma (SCC) and actinic keratosis (AK).

Launch Case 8

Learn about and understand key features of an effective office that facilitates skin cancer detection.

Launch Case 9

INFORMED was created by a diverse team, from multiple institutions, with expertise in melanoma early detection, medical education for cancer prevention, clinician interventions including large health systems, screening, and Web-based instruction.With a grant from the Melanoma Research Alliance (MRA) the INFORMED (INternet Curriculum FOR Melanoma Early Detection) group set to create an educational course targeted toward primary care physicians.

The immediate goal of the curriculum is to improve the detection of skin cancers by increasing physician clinical knowledge and diagnostic skills. Through this curriculum the ultimate goal is to reduce the skin cancer mortality rate.

The INFORMED team:

Martin A. Weinstock, MD, PhD, Team Leader, Providence VAMC, Brown University
Maryam M. Asgari, MD, MPH, Principal Investigator, Kaiser Permanente Northern California
Melody J. Eide, MD, MPH, Principal Investigator, Henry Ford Health System
Suzanne W. Fletcher, MD, MSc, Principal Investigator, Harvard Pilgrim Health Care Institute, Harvard Medical School
Alan Geller, RN, MPH Principal Investigator, Harvard School of Public Health
Allan Halpern, MD, MSc, Principal Investigator, Memorial Sloan Kettering Cancer Center
Waqas R. Shaikh, BS, Dermatoepidemiology Fellow, Providence VAMC, Brown University

Kimberly Marcolivio, M.Ed,  National Coordinator, Providence VAMC
Lingling Li, PhD, Statistician, Harvard Pilgrim Health Care Institute, Harvard Medical School
Gwen L. Alexander, PhD, MPH, Henry Ford Health System
Andrea Altschuler, PhD, Kaiser Permanente Northern California
Stephen Dusza, DrPH, Memorial Sloan Kettering Cancer Center
Jacqueline Goulart, MD, Memorial Sloan Kettering Cancer Center
Michelle Groesbeck, Henry Ford Health System
Shoshana Landow, MD, Providence VAMC, Brown University
Ashfaq A. Marghoob, MD, Memorial Sloan Kettering Cancer Center
Elizabeth A. Quigley, MD, Memorial Sloan Kettering Cancer Center
Monica Sokil, RD, Kaiser Permanente Northern California
E. Margaret Warton, MPH, Kaiser Permanente Northern California

Section 5 of the Melanoma Early Detection Provider Training

Resources for patient education, additional learning

Section 5 of the training: materials for your clinics and patients

This section provides information for patient education, clinic reference guides, additional learning opportunities, and resources including the MoleMapper iPhone app for self-exam mole tracking.

  1. If you would like to be added to our referral page on the War on Melanoma website as a primary care provider who is accepting new patients for skin exams, we will list you by region.
    1. E-mail your CME certificate to stoos@ohsu.edu to be included in the referral page
  2. Resources, downloads and patient materials:
Section 6 of the Melanoma Early Detection Provider Training

Final evaluation

A screenshot of the melanoma early detection training post-test

To complete the melanoma online training, and qualify for CME credit, please complete the following evaluation.

CME certificates will be sent to your email you used to register for this training. Please note: Online CME certificates are issued quarterly. If you have an urgent CME request, please contact waronmelanoma@ohsu.eduand we'll attempt to expedite.

Launch Melanoma Early Detection Provider Training Final Evaluation (Note: we recommend opening links as a new tab, as it will be easier to navigate back to this page).

Instructor bios

Dr. Elizabeth Berry is a physician and Assistant Professor of Dermatology at Oregon Health and Science University who has dedicated her career to treating patients with melanoma and those who are at high risk for the disease. She chose the field of dermatology because she believes that early detection of skin cancer is the best chance for a cure.

Along with seeing patients, Dr. Berry has research interests in better understanding genetic risk factors for melanoma and future technologies that will better allow clinicians to identify skin cancers. Dr. Berry is part of the Knight Cancer Institute Melanoma Program where she champions projects including annual educational symposia and the melanoma multi-disciplinary clinic at OHSU.

Dr. Mariah Johnson is a physician and Assistant Professor of Dermatology at Oregon Health and Science University who specializes in general dermatology. She has a broad interest in a variety of skin disorders such as acne, eczema, and psoriasis in addition to skin cancers, dermatologic surgery and cosmetic and laser procedures.

Dr. Johnson recently co- authored a paper with Dr. Sancy Leachman from the OHSU Knight Cancer Institute's Melanoma Research Program, where more than 50 leading members of the skin cancer field brought their expertise together to review current screening practice in primary care, as recommended by the US Preventive Service Task Force's (USPSTF) 2016 Draft Recommendation Statement in light of the most recent melanoma epidemiology.

Elizabeth Stoos, M.Ed. is an Instructional Designer and Curriculum Developer specializing in adult learning strategies and online instruction. She has an interest in research related to improving patient outcomes through training and development, and manages the outreach initiatives in the OHSU Dermatology Department, including the War on Melanoma education and public health campaign.

Contact

For any issues or questions regarding the Online Melanoma Early Detection Provider Training, please email:

waronmelanoma@ohsu.edu