{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T08:25:12Z","timestamp":1787646312214,"version":"build-2736575974"},"reference-count":15,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Skin pathology is among the commonest reasons for South African primary care consultations, yet the dermatology workforce is small and unevenly distributed. Only 264 dermatologists serve a population of over 60 million, at 20.1 per million in the private sector and 1.2 per million in the public sector. Most patients with skin-related concerns usually present to general practitioners or family physicians first, who largely work with naked-eye examination alone. Dermoscopy is an evidence-based tool that significantly improves the accuracy of skin lesion assessment and is becoming routinely used in primary care in countries such as the United Kingdom and Australia.\nContribution:\u00a0This article argues that dermoscopy should be reconsidered as a possible primary care skill in South Africa, keeping in mind that implementation is dependent on necessary equipment and training.<\/jats:p>","DOI":"10.4102\/safp.v68i1.6367","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T07:32:02Z","timestamp":1787643122000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["From naked eye to dermoscopy: Closing a diagnostic gap in South African primary care"],"prefix":"10.4102","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8672-5004","authenticated-orcid":false,"given":"Magrietha","family":"Swart","sequence":"first","affiliation":[{"name":"Dr AP Swart Inc., Molteno Anaesthetics"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Tiwari R, Amien A, Visser WI, Chikte U. 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J Clin Oncol. 2006;24(12):1877\u20131882. https:\/\/doi.org\/10.1200\/JCO.2005.05.0864","DOI":"10.1200\/JCO.2005.05.0864"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Carli P, De Giorgi V, Crocetti E, et al. Improvement of malignant\/benign ratio in excised melanocytic lesions in the \u2018dermoscopy era\u2019: A retrospective study 1997\u20132001. Br J Dermatol. 2004;150(4):687\u2013692. https:\/\/doi.org\/10.1111\/j.0007-0963.2004.05860.x","DOI":"10.1111\/j.0007-0963.2004.05860.x"},{"key":"ref7","unstructured":"National Institute for Health and Care Excellence. Suspected cancer: Recognition and referral (NG12) [homepage on the Internet]. London: NICE; 2015. [cited 2026 May 19]. Available from: https:\/\/www.nice.org.uk\/guidance\/ng12"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Nguyen TA, Friedman BJ, Yoon J, et al. Diagnostic tools used for melanoma: A survey of Australian general practitioners and dermatologists. 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S Afr Fam Pract. 2021;63(1):a5200. https:\/\/doi.org\/10.4102\/safp.v63i1.5200","DOI":"10.4102\/safp.v63i1.5200"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Augustsson A, Paoli J. Effects of a 1-day training course in dermoscopy among general practitioners. Dermatol Pract Concept. 2019;9(3):195\u2013199. https:\/\/doi.org\/10.5826\/dpc.0903a06","DOI":"10.5826\/dpc.0903a04"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Middleton HT, Swanson DL, Sartori-Valinotti JC, et al. Impact of dermoscopy training on diagnostic accuracy, and its association with biopsy and referral patterns among primary care providers: A retrospective and prospective educational intervention study. J Prim Care Community Health. 2024;5:21501319241296625. https:\/\/doi.org\/10.1177\/21501319241296625","DOI":"10.1177\/21501319241296625"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Amien A, Visser WI, Mahomed H. 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Br J Dermatol. 2025;193(5):1017\u20131019. https:\/\/doi.org\/10.1093\/bjd\/ljaf293","DOI":"10.1093\/bjd\/ljaf289"}],"container-title":["South African Family Practice"],"original-title":[],"link":[{"URL":"https:\/\/safpj.co.za\/index.php\/safpj\/article\/view\/6367\/10674","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T07:32:05Z","timestamp":1787643125000},"score":1,"resource":{"primary":{"URL":"https:\/\/safpj.co.za\/index.php\/safpj\/article\/view\/6367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,28]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,7,1]]}},"URL":"https:\/\/doi.org\/10.4102\/safp.v68i1.6367","relation":{},"ISSN":["2078-6190","2078-6204"],"issn-type":[{"value":"2078-6190","type":"print"},{"value":"2078-6204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,28]]},"article-number":"a6367"}}