Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
E-pub ahead of print

Reliable test of clinicians' mastery in skin cancer diagnostics

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Factors affecting quality of life in patients with hidradenitis suppurativa

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Determinants of disease severity among patients with atopic dermatitis: association with components of the atopic march

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. S100A8/A9 is an important host defence mediator in neuropathic foot ulcers in patients with type 2 diabetes mellitus

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

Differentiating between benign and malignant skin lesions can be very difficult and should only be done by sufficiently trained and skilled clinicians. To our knowledge there are no validated tests for reliable assessments of clinicians' ability to perform skin cancer diagnostics. To develop and gather validity evidence for a test in skin cancer diagnostics, a multiple-choice questionnaire (MCQ) was developed based on informal interviews with seven content experts from five skin cancer centers in Denmark. Validity evidence for the test was gathered from May until July 2019 using Messick's validity framework (content, response process, internal structure, relationship to other variables and consequences). Item content was revised through a Delphi-like review process and then piloted on 36 medical students and 136 doctors using a standardized response process. Results enabled an analysis of the internal structure and relationship to other variables of the test. Finally, the contrasting groups method was used to investigate the test's consequences (pass-fail standard). The initial 90-item MCQ was reduced to 40 items during the Delphi-like review process. Item analysis revealed that 25 of the 40 selected items were level I-III quality items with a high internal consistency (Cronbach's α = 0.83) and highly significant (P ≤ 0.0001) differences in test scores between participants with different occupations or levels of experience. A pass-fail standard of 12 (48%) correct answers was established using the contrasting groups' method. The skin cancer diagnostics MCQ developed in this study can be used for reliable assessments of clinicians' competencies.

Original languageEnglish
JournalArchives of Dermatological Research
ISSN0340-3696
DOIs
Publication statusE-pub ahead of print - 28 Jun 2020

ID: 61227423