Melanoma: Does It Present Differently in Darker Skin Tones?

MedEdPORTAL. 2023 May 9:19:11311. doi: 10.15766/mep_2374-8265.11311. eCollection 2023.


Introduction: There are vast differences in clinical presentations of melanoma across skin tones. Individuals with darker skin tones tend to have a higher prevalence of advanced-stage melanoma, which correlates with increased mortality. We designed this interactive workshop to increase nursing and medical trainees' awareness of the epidemiology, prevention, and treatment of melanoma in individuals of darker skin tones.

Methods: The Kern model was used in the design, implementation, and evaluation of the workshop. The 75-minute workshop consisted of a PowerPoint presentation, video-based reflection activities, and case studies. Evaluation consisted of pre- and postworkshop questionnaires. The workshop was implemented two times among 63 nursing students, 11 medical students/residents, and six medical faculty.

Results: Seventy-one participants completed the pre- and postworkshop evaluations. A comparison of pre- and postworkshop responses utilizing the Wilcoxon matched-pair signed rank test showed a statistically significant increase in learners' confidence to address each learning objective.

Discussion: Through this interactive educational presentation, medical and nursing trainees can gain heightened awareness of melanoma across various skin tones, especially unique presentations in darker skin tones.

Keywords: Anti-racism; Case-Based Learning; Cultural Competence; Dermatology; Diversity; Equity; Inclusion; Melanoma; Skin Tone.

MeSH terms

  • Humans
  • Learning
  • Melanoma* / diagnosis
  • Melanoma* / epidemiology
  • Melanoma* / therapy
  • Skin Pigmentation
  • Students, Medical*