Skin cancer screening in the medically underserved population: A unique opportunity for APNs to make a difference.

Abstract

To implement and evaluate the feasibility of an annual skin cancer screening program for the medically underserved at a free clinic in Marion, Indiana. Clinical initiative with descriptive analysis of results. IRB approval was obtained and the project was found to be exempted. The participation rate of 65% supported the feasibility of the skin screening program in a free clinic. The skin screening program allowed for detection of 17 worrisome lesions and all of these patients were referred to either the small procedure clinic, general surgeon, or dermatologist for definitive treatment. The project affirmed that clients in this setting are interested in total body skin exams and will participate in the screening program. Furthermore, there were a significant number of worrisome lesions discovered, which underscores the importance of this screening exam and the need for healthcare providers to either perform or refer patients for skin cancer screening on a regular basis. This area of screening is a unique opportunity for advanced practice nurses to make a difference in the medically underserved population who often lack skin cancer screening.