Introduction: General practitioner (GP) confidence in management and diagnosis across the range of dermatological conditions has not been
well-explored.
Objectives: This study aimed to document Australian GPs’ confidence and its associations in diagnosing and managing dermatological
presentations.
Methods: A cross-sectional questionnaire-based study of Australian GPs. Recruitment was through the restricted Facebook group (‘GPs Down
Under’) and 2022 Royal Australian College of General Practice conference attendees. Items elicited practitioner and practice demographics,
dermatology educational experience, and confidence levels in diagnosing and managing 28 dermatological curriculum areas.
Results: Respondents (n = 278) were most confident in managing eczema, bacterial skin infections, acne, contact dermatitis, and fungal skin
diseases. They reported lower confidence for nail disease, connective tissue diseases, vasculitis, vascular tumours and malformations, and cutaneous manifestations of internal diseases. GPs reported greater confidence in managing, as opposed to diagnosing, melanoma and melanocytic lesions, premalignant and malignant keratinocyte skin cancers, sexually transmitted infections, and the skin and viral exanthems. Melanoma and melanocytic lesions, premalignant and malignant keratinocyte skin cancers were perceived as the greatest learning priorities.
Conclusions: While Australian GPs report high confidence in diagnosing and managing common dermatological conditions, confidence declines
for rarer, more complex presentations. Notably, GPs feel more confident in managing skin cancers than diagnosing them, indicating a need for
enhanced training in diagnostic skills, particularly dermoscopy. These findings have implications for education delivery.
Details
Title
Australian General practitioners’ confidence in dermatology diagnosis and management: cross-sectional survey
Creators
Anneliese Willems - Skin Health Institute
Alvin H Chong - Skin Health Institute
Amanda Tapley - University of Newcastle Australia
Sandra Grace - Southern Cross University
Parker Magin - University of Newcastle Australia
Publication Details
Family practice, Vol.42(4), pp.1-8
Publisher
Oxford University Press; OXFORD
Grant note
Funding for data analysis for the study was from the Skin Health Institute.