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Journal of the American Academy of Dermatology
Volume 63, n° 3
page 412 (septembre 2010)
Doi : 10.1016/j.jaad.2009.09.050
accepted : 23 September 2009
Original Articles

Dermatoscopy use by US dermatologists: A cross-sectional survey

Holly C. Engasser, BA, MS a, , Erin M. Warshaw, MD, MS b
a Center for Chronic Disease Outcomes Research, Minneapolis Department of Veterans Affairs Medical Center, Minneapolis, Minnesota 
b Universtiy of Minnesota Department of Dermatology, Minneapolis, Minnesota 

Correspondence to: Holly C. Engasser, BA, MS, 7000 Dakota Ave, Chanhassen, MN 55317.

Although dermatoscopy is widely used in Europe and Australia, little is known about dermatoscopy use by US dermatologists.


We sought to estimate the prevalence of dermatoscopy use by US dermatologists and examine associations with practice characteristics.


We conducted a cross-sectional survey of all US fellows of the American Academy of Dermatology.


Of 8501 eligible recipients, 3238 (38.1%) surveys were completed and returned. Of respondents, 48% used dermatoscopy (n = 1555). Dermatoscopy use was associated with the following characteristics: age younger than 50 years (P < .0001), female sex (P  = .0001), practice location in the Northeast (P < .0001), involvement in resident teaching (P < .0001), and dermatoscopy training (P < .0001). The main reasons for not using dermatoscopy included: lack of training (39.7%), lack of interest (32.5%), time required for dermatoscopic examination (27.6%), and belief dermatoscopy would not affect clinical decisions (15.2%).


Low response rate and potential response bias were limitations.


Approximately half of respondents used dermatoscopy in their practice. Not surprisingly, dermatoscopy users were more likely to be younger, involved in resident teaching, or have training in dermatoscopy.

The full text of this article is available in PDF format.

Key words : dermatology, dermatoscopy, dermoscopy, epiluminescence microscopy, medical practice, questionnaire, skin surface microscopy, survey

 This material is the result of work supported with resources and the use of facilities at the Minneapolis Department of Veterans Affairs Medical Center.
 Conflicts of interest: None declared.
 The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government.
 Reprints not available from the authors.

© 2009  American Academy of Dermatology, Inc.@@#104156@@