Do Health Care System Factors Affect Skin Tumor Detection in Skin of Color?


Health care system factors have long been suspected to play a role in the development of health disparities. Melanoma, the cancer with the fastest rising incidence rate in the United States, is often diagnosed at later stages among minorities, who therefore suffer higher mortality rates than whites. This project will provide data regarding regarding physician skills in skin cancer detection, improve understanding of potential sources of diagnostic error and test an intervention for improving detection.

Funding Agency

National Cancer Institute of the National Institutes of Health (Grant No. R21CA176534)

Principal investigator
Claudia Hernandez, MD

Fred A. Zar, MD

Start date
End date
Total award

Related publications

See publications supported by this grant on this PubMed list. 

Wang S, Seelaus R, Rea CA, Hernandez C. Use of a melanoma simulation model in a dermatology objective structured clinical examination station. Med Teach. 2015 Feb;37(2):202-3. [See abstract.]

Lim HW, Agbai ON, Bhushan R, Buster KJ, Sanchez MR, Hernandez C, Kundu RV, Chiu M, Roberts WE, Draelos ZD, Taylor SC. Reply to 'skin cancer, photoprotection, and skin of color'. J Am Acad Dermatol. 2014 Sep;71(3):587-8. [See abstract.]

Agbai ON, Buster K, Sanchez M, Hernandez C, Kundu RV, Chiu M, et al. Skin cancer and photoprotection in people of color: a review and recommendations for physicians and the public. J Am Acad Dermatol. 2014 Apr;70(4):748-62. [See abstract.]

Hernandez C, Mermelstein R, Robinson JK, Yudkowsky R. Assessing students' ability to detect melanomas using standardized patients and moulage. J Am Acad Dermatol. 2013 Mar;68(3):e83-8. [See abstract.]

Robinson JK, Lio P, Hernandez C, Kim NN, Lee KC, Wickless H, McGaghie W, Chang CH. Medical student detection of melanoma: clinical skills. Arch Dermatol. 2010 Oct;146(10):1175-7. [See abstract.]