Oregon primary care providers as a frontline defense in the War on Melanoma™: improving access to melanoma education
Melanoma is one of the deadliest forms of skin cancer but is typically cured with surgical excision when detected early. As an access point to medical care, primary care providers (PCP) play an integral role in early skin cancer detection. However, limited time for examinations and dermatologic training may present barriers to effective skin examination in the primary care setting. As a facet of Oregon Health & Science University's War on Melanoma™ (WoM), our multi-pronged outreach initiative aims to provide PCPs across Oregon with free, convenient, and effective melanoma education. The WoM PCP education campaign was disseminated starting in May 2019 through primary care networks throughout the state of Oregon to 12,792 PCPs, and education was delivered across several platforms: online multimedia tools, large group didactics, individualized practice-based sessions, and in-person distribution of materials to clinics. To date, 829 PCPs have participated in the online Melanoma Toolkit for Early Detection curriculum, 1,874 providers have attended CME didactics, and 9 clinics have received facilitated meetings by Oregon Rural Practice-based Research Network. Eighty-three clinics (comprising 770 providers) were visited on-site and provided educational materials, and more than 150 PCPs have received a free smartphone dermatoscope to aid in skin examination and e-consultation. OHSU's WoM has successfully implemented a multifaceted approach to provide accessible melanoma education to PCPs across the state of Oregon. As a result, we hope to encourage appropriate skin examination in the primary care setting and improve PCPs' diagnostic accuracy and confidence in pigmented lesion evaluation.
Authors
- Emilie A. Foltz (ORCID: https://orcid.org/0000-0003-2182-3551)
- Daniel Chisholm (ORCID: https://orcid.org/0000-0002-4114-0961)
- Martin A. Weinstock (ORCID: https://orcid.org/0000-0001-5445-142X)
- Kevin P. White (ORCID: https://orcid.org/0000-0001-6934-5793)
- Victoria E. Orfaly (ORCID: https://orcid.org/0000-0001-6438-2384)
- Shuai Xu (ORCID: https://orcid.org/0000-0003-3560-6945)
- Heidi Jacobe (ORCID: https://orcid.org/0000-0001-5205-990X)
- Alyssa L. Becker (ORCID: https://orcid.org/0000-0002-5302-3885)
- Michael Babcock
- Alan C. Geller (ORCID: https://orcid.org/0000-0003-3060-5513)
- Kelly C. Nelson (ORCID: https://orcid.org/0000-0002-5042-7366)
- Justin J. Leitenberger (ORCID: https://orcid.org/0000-0001-6836-671X)
- Ryan C. Petering
- Emile Latour (ORCID: https://orcid.org/0000-0002-7749-7217)
- Sancy Ann Leachman (ORCID: https://orcid.org/0000-0001-9140-0648)
- Alexander Witkowski (ORCID: https://orcid.org/0000-0001-5860-7532)
- Oliver J. Wisco (ORCID: https://orcid.org/0000-0002-7813-9999)
- Stephanie Savory (ORCID: https://orcid.org/0000-0002-8585-3605)
- Kyra Diehl (ORCID: https://orcid.org/0009-0001-2243-6484)
- Elizabeth Berry (ORCID: https://orcid.org/0000-0002-7574-6718)
- Mariah Johnson
- Jessica Tran (ORCID: https://orcid.org/0000-0001-9992-5190)
- Smriti Prasad (ORCID: https://orcid.org/0000-0002-4679-8412)
- Danielle R. McClanahan (ORCID: https://orcid.org/0000-0002-9887-4253)
- CY Chan
- Mirna Becevic (ORCID: https://orcid.org/0000-0001-6520-1581)
- Susan M. Swetter (ORCID: https://orcid.org/0000-0003-2098-2948)
- Elizabeth Stoos (ORCID: https://orcid.org/0000-0003-3574-0802)
- Stephanie Mengden‐Koon
- Vikram N. Sahni (ORCID: https://orcid.org/0000-0001-8126-1736)
- Anna Bar
- Karen Edison (ORCID: https://orcid.org/0000-0003-3498-3896)
- Joanna Łudzik (ORCID: https://orcid.org/0000-0003-3089-8109)
- Laura K. Ferris
- Emily H. Smith (ORCID: https://orcid.org/0000-0002-8993-439X)
- Susan Tofte
- Jacob H. Nelson
- Adam D Roscher
- Patrick Kinghorn
- Alex Verdieck-Devlaeminck
Institutions
- Northwestern University (US)
- University of Hawaiʻi at Mānoa (US)
- Jagiellonian University (PL)
- The University of Texas MD Anderson Cancer Center (US)
- Harvard University (US)
- Oregon Health & Science University (US)
- Washington State University Spokane (US)
- Providence College (US)
- Brown University (US)
- Cancer Institute (WIA) (IN)
- Providence VA Medical Center (US)
- University Medical Center (US)
- University Hospital and Clinics (US)
- University of Pittsburgh Medical Center (US)
- Stanford Medicine (US)
- Dermatology Specialists (US)
- Drexel University (US)
- Washington State University (US)
- University of Missouri (US)
- The University of Texas Southwestern Medical Center (US)
- Stanford University (US)
- Georgia Highlands College (US)
Publication Details
- Journal
- Frontiers in Medicine
- Published
- 2025-03-14
- DOI
- https://doi.org/10.3389/fmed.2025.1427136
- Citations
- 1
- Primary Topic
- Cutaneous Melanoma Detection and Management
- Type
- article
- Field-Weighted Citation Impact
- 1.05
Funders
- Oregon Health and Science University
- Quest Diagnostics
- Castle Biosciences
- Knight Cancer Institute, Oregon Health and Science University
- National Cancer Institute
- Cancer Early Detection Advanced Research Center, Knight Cancer Institute, Oregon Health and Science University