{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:24:24Z","timestamp":1790810664650,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The literature highlights the role of Australian general practitioners (GP) in the management of skin cancers. With melanoma incidences on the rise, there have been discussions into whether lower\u2010risk stage IA patients could safely be followed up by their GPs for annual surveillance full skin examinations (FSE). This study explores the level of confidence of South Australian (SA) GPs in undertaking FSEs including factors that could support discussions around shared care between GPs and dermatology units for lower\u2010risk patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online survey was designed and distributed to SA GPs via email, newsletters and social media between 5 December 2021 and 30 January 2022. Descriptive statistics were used to describe survey responses. Pearson's Chi\u2010squared analysis was used to investigate associations between key variables of interest and explanatory variables. Logistic regression analysis was used to model odds ratios for associations between the dependent variable and independent variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 135 responses were obtained. Forty\u2010four per cent of GPs were comfortable undertaking annual FSEs, 41% were uncomfortable and 15% were unsure. Scope of work, &gt;20\u2009years experience and additional training had statistically significant relationships (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Dermoscopy and detecting melanoma recurrences were reported to be skills with lower levels of confidence. With regards to shared care, 77% indicated that they would feel supported undertaking FSEs if rapid access referral pathways were allocated for patients who developed suspicious lesions. Preferred upskilling modalities included, face\u2010to\u2010face sessions in a dermatology unit (39%), dermatologist run webinars (25%) and certificate courses (20%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>At present, there is a subset of SA GPs who are comfortable undertaking FSEs and therefore could be engaged in shared care with specialists. Further considerations have to be made in the areas of upskilling and supporting the workforce to enhance engagement in shared care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.14026","type":"journal-article","created":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T07:38:31Z","timestamp":1680334711000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Stage <scp>IA<\/scp> melanoma follow\u2010up: Exploring the level of confidence of South Australian general practitioners in undertaking surveillance skin checks including considerations for shared care"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8925-6464","authenticated-orcid":false,"given":"Thomas","family":"Mathew","sequence":"first","affiliation":[{"name":"Royal Adelaide Hospital, SA Health  Adelaide South Australia Australia"},{"name":"Royal Australian College of General Practitioners  North Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7498-1532","authenticated-orcid":false,"given":"Damian J.","family":"Ianno","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital, Melbourne Health  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shireen K.","family":"Sidhu","sequence":"additional","affiliation":[{"name":"Royal Adelaide Hospital, SA Health  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Melanoma of the skin statistics","author":"Cancer Australia","year":"2021"},{"key":"e_1_2_10_3_1","volume-title":"National cancer stage at diagnosis data","author":"Cancer Australia","year":"2021"},{"key":"e_1_2_10_4_1","volume-title":"Relative survival by stage at diagnosis (melanoma)","author":"Cancer Australia","year":"2019"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6347"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2010.09.772"},{"key":"e_1_2_10_7_1","unstructured":"FranckenAB.Primary and metastatic melanoma: aspects of follow\u2010up and staging.2007.224."},{"key":"e_1_2_10_8_1","volume-title":"Cancer council Australia melanoma guidelines working party. 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