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Summary   Background  The rising incidence rates of skin cancer ( SC ) lead to an enormous burden on healthcare systems. General practitioners ( GP s) might play an important part in  SC  care, but research has shown poor clinical recognition of  SC , leading to a high rate of potentially unnecessary referrals.    Objectives  The aim of this study was to evaluate if a dermato‐oncological training programme ( DOTP ) for  GP s improved their diagnostic skills and quality of referrals.    Methods  Out of 194  GP s in the Nijmegen area, 83 (42·8%) followed a  DOTP  on  SC . Referrals from both a trained cohort ( TC ) and two cohorts of untrained  GP s [untrained present cohort ( UPC ) and untrained historical cohort ( UHC )] were included. Data on diagnostic skills, quality of referrals and the number of potentially unnecessary referrals were evaluated.    Results  A total number of 1662 referrals were analysed. The referral diagnosis was correct more often in the  TC  (70·3%) compared with the  UPC  (56·2%;  P  < 0·001) and the  UHC  (51·6%;  P  < 0·001). Furthermore, the  TC  also provided a better lesion description, mentioned a diagnosis more often in their referral letters and more often performed diagnostics before referral. In addition, fewer potentially unnecessary referrals were identified in the  TC  compared with the  UPC  (62·7% vs. 73·7%;  P  < 0·001) and the  UHC  (75·2%;  P  < 0·001).    Conclusions   GP s who followed a  DOTP  had better diagnostic skills and quality of referrals than untrained  GP s, leading to fewer potentially unnecessary referrals. This might enhance a more efficient use of the limited capacity in secondary dermatological care and consequently lead to lower healthcare costs.

british journal of dermatology

The effect of a dermato‐oncological training programme on the diagnostic skills and quality of referrals for suspicious skin lesions by general practitioners *