Clin Exp Dermatol. 2025 Aug 2:llaf370. doi: 10.1093/ced/llaf370. Online ahead of print.
ABSTRACT
Objective Structured Clinical Examinations (OSCEs) using real dermatology patients are challenging to standardise due to condition variability and urgent removal of cancerous lesions. Simulated patients alongside photographs offer standardisation but lack authenticity and disrupt consultation flow. Instructional Dermatology Surface Models (IDSMs) offer a realistic alternative, replicating dermatoses as temporary 3D transfers. This project evaluated medical student experiences using an IDSM depicting malignant melanoma within a OSCE involving 263 students. Post-exam, 80 students completed an online questionnaire assessing realism, utility, and communication. Data was analysed using descriptive statistics and sentiment analysis. Students found the IDSM realistic and beneficial for enhancing consultation skills. Positive sentiments dominated; the net sentiment ratio was 5.3%, and ‘realistic’ was the most common descriptor. 91% of students preferred IDSMs over photographs. Findings suggest IDSMs benefit dermatology examinations by better simulating clinical practice. The increased cost of IDSMs compared to photographs, is an important consideration for their use.
PMID:40751439 | DOI:10.1093/ced/llaf370
