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The importance of the number of lesions analysed, the percentage of melanoma lesions, the instrument used, and dermoscopic criteria used in each study could not be proved. This limited evidence suggests that, for experienced users, dermoscopy was more accurate than clinical examination for the diagnosis of melanoma pigmented skin lesions. This hypothesis needs further testing in a multicentre study.

An Australian RCT evaluated the effectiveness of a postgraduate skin cancer training programme for improving doctors' knowledge and clinical practice in skin examinations and diagnosis. Forty-one of 59 family doctors agreed to take part in the training programme. Half were allocated to the intervention group (those that took part in the programme) and others were allocated to the "waiting list status" control group. Data were collected before and after the programme to assess doctors' change in knowledge, perceived confidence and clinical practice. The training programme involved three sessions including information and education, a practical session at the local melanoma clinic and a practical surgical procedure.46

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