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There were significant improvements in accurate diagnosis when lesions were presented on colour slides with accompanying case history, and the correct management was identified. Doctors felt very or extremely confident in their ability to advise patients on screening frequency, to advise on signs of skin cancer and to decide whether changes in lesions were malignant. Significant improvements in clinical practice were found by recording pathology request forms. The study suggested that it was easy to bring about improvement in knowledge through training but more difficult to change clinical practice. This was essentially a pilot study and could be a useful marker for training in general practice.

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