Appleton, Alton

Oumou, Keita

Rowan University

Rowan University Rowan Digital Works Cooper Medical School of Rowan University Capstone Projects Cooper Medical School of Rowan University 2018 Does disparity in educational material contributing to melanoma mortality? (Poster) Alton Appleton Cooper Medical School of Rowan University Keita Oumou Cooper Medical School of Rowan University Follow this and additional works at: https://rdw.rowan.edu/cmsru_capstones Let us know how access to this document benefits you - share your thoughts on our feedback form. Recommended Citation Appleton, Alton and Oumou, Keita, "Does disparity in educational material contributing to melanoma mortality? (Poster)" (2018). Cooper Medical School of Rowan University Capstone Projects. 15. https://rdw.rowan.edu/cmsru_capstones/15 This Poster is brought to you for free and open access by the Cooper Medical School of Rowan University at Rowan Digital Works. It has been accepted for inclusion in Cooper Medical School of Rowan University Capstone Projects by an authorized administrator of Rowan Digital Works. For more information, please contact rdw@rowan.edu. HypothesisThe lack of diversity in images in medical textbooks related to cutaneous melanoma may contribute to this disparity.Method• This study evaluated pictorial representation of melanoma in commonly used medical educational material in dermatology and oncology.• Three reviewers each evaluated 129 images of melanoma from 7 textbooks.• The reviewers rated the skin tone of each image according to The Fitzpatrick Skin Tone Scale. • Each reviewer was blinded to the other reviewers results.• The 6 Skin Types were grouped into 3 Categories; Type 1 and 2 were Group A, type 3 and 4 were Group B and  type 5 and 6 were Group C.IntroductionCutaneous Melanoma is a Fatal Skin Cancer with an increasing incidence. Data found on this disease in the SEERs Database demonstrates: In the Caucasian Population, 83.9% are diagnosed at the localized stage and the combination of regional spread and distant metastasis accounts for only 12.5% of the disease. In Hispanic and African American Populations localized disease accounts for 72.5% and 56% respectively. Also the combination of regional spread and distant metastasis represents 22.3% in the Hispanic population and 35.8% in African Americans.The stage of the disease at the time of diagnosis significantly impacts survival rate with 98.4% survival if diagnosed at the local stage and only 18% survival if  diagnosed with distant metastasis.ResultsA total of 387 Images Reviewed by Reviewers   | 327 Images Classified as Group A,  | 51 as Group B  | 9 as Group CDistribution of Images in Skin Tone The Average Scores of Images For Each of The ReviewersReviewer N Mean Fitzpatrick Score1 129 1.872 129 1.653 129 1.88Total 387 1.8ConclusionThe results of this pilot study demonstrate that  there there is a significant tendency toward lighter                       skinned images to portray skin pathology, specifically cutaneous melanoma.DiscussionThe lack of diversity in medical images of cutaneous melanoma raises the question of whether this contributes to the noted disparity in the stage at diagnosis in the African American and Hispanic population. If the medical community is not adequately trained to identify lesions in darker skinned individuals, it’s likely harder to diagnose and often found at a later time and stage.  Other factors may contribute to disparity in diagnosis including issues around access to care, awareness of illness, genetic variations or location and type of melanoma. However the data presented here in conjunction with disparity in advanced stages of cutaneous melanoma at the time of diagnosis requires further examination of the diversity in images of dermatologic conditions in medical education materials.  The next step in this process more comprehensive research that includes more educational materials and more graders.Additionally, other pathology should be evaluated. Image Assignment by GradersGroup A Group B Group CGroupsThe Fitzpatrick Skin Type ScaleReferences3. Hosler, Gregory A., and Kathleen M. Murphy. Molecular Diagnostics for Dermatology Practical Applications of Molecular Testing for the Diagnosis and Management of the Dermatology Patient. Springer Berlin, 2016.4. ABC of Dermatology, edited by Rachael Morris-Jones, John Wiley & Sons, Incorporated, 2014. ProQuest Ebook Central, https://ebookcentral.proquest.com/lib/rowan/detail.action?docID=1658808.1. Md Z, Shamsuddin K, Bukhary N, et al. The Reliability of Fitzpatrick Skin Type Chart Comparing to Mexameter               (Mx 18) in Measuring Skin Color among First Trimester Pregnant Mothers in Petaling District, Malaysia. Vol 16.; 2016.2. Doody Health Science Book Review http://www.doody.com/dej/ etail.action?docID=1658808.Alton J. Appleton,  B.S., Oumou Keita, B.S., Natali Franzblau, MD, MBA,   |  Cooper Medical School of Rowan University, Camden, NJ, 08103

Does disparity in educational material contributing to melanoma mortality? (Poster)

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Does disparity in educational material contributing to melanoma mortality? (Poster)

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