Breaking Barriers: Providing Skin Cancer Education to the Homeless and Uninsured

  • Jaclyn Altshuler University of Texas Health Science Center at San Antonio School of Medicine
  • Luke Wallis University of Texas Health Science Center at San Antonio School of Medicine
  • Alexis Tracy University of Texas Health Science Center at San Antonio School of Medicine
  • Margaret Brown University of Texas Health Science Center at San Antonio School of Medicine
  • Faryal Siddiqui University of Texas Health Science Center at San Antonio School of Medicine
  • Michelle A. Nguyen MD University of Texas Health Science Center at San Antonio School of Medicine
  • John Browning MD University of Texas Health Science Center at San Antonio School of Medicine

Abstract

Background: One in five Americans will develop skin cancer with an even higher rate presumed for the homeless and uninsured patient population. Travis Park Dermatology Clinic (TPDC) is a medical student-run free clinic in San Antonio, Texas that serves the homeless and uninsured patient population.

Objective: The purpose of this study was to investigate the level of knowledge regarding basal cell carcinoma (BCC) and skin cancer prevention in the TPDC patient population and to determine if education can improve patient knowledge, with the hope of preventing future cases of skin cancer.

Methods: Patients at TPDC were surveyed to assess demographics, including age, ethnicity, sun protection behaviors, sun exposure, and occupation. They also completed a “pre-education†quiz to assess their baseline knowledge of BCC. Students then educated patients on identifying BCC and preventative measures and also supplied them with appropriate sunscreen. Afterwards, patients completed the “post-education†quiz, identical to the “pre-education†quiz for purposes of assessing the efficacy of this educational project.

Results: Fifty-seven of these patients (80%) had never heard of BCC. The average time spent outdoors was 2.93 hours per day; however the majority of patients (57%) reported not using any sunscreen. The average pre-education quiz score was 60.1% and the average post-education quiz score was 70.5% showing an increase of 10.4% (p<0.05).

Conclusion: The results indicate that the TPDC patient population’s knowledge of BCC and sun protection increased during the course of the project.  Data indicate a need for the continuation of education regarding BCC and its prevention in the homeless and uninsured population of San Antonio.

Author Biographies

Jaclyn Altshuler, University of Texas Health Science Center at San Antonio School of Medicine
Jaclyn Altshuler is a medical student at the University of Texas Health Science Center at San Antonio. She has been involved in community service projects benefitting the medically underserved population in San Antonio.
Luke Wallis, University of Texas Health Science Center at San Antonio School of Medicine

Luke Wallis is a member of the University of Texas Health Science Center at San Antonio Class of 2018. He graduated with honors from Texas A&M University with a B.S. in Biological Sciences. He currently serves as a clinic coordinator at the Student Run Free Clinic for Dermatology. Luke also enjoys mentoring undergraduate students interested in medicine and is a team leader for the global health elective, for which he traveled to Panama last year.

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Published
2015-12-30
How to Cite
Altshuler, J., Wallis, L., Tracy, A., Brown, M., Siddiqui, F., Nguyen MD, M., & Browning MD, J. (2015). Breaking Barriers: Providing Skin Cancer Education to the Homeless and Uninsured. Free Clinic Research Collective, 1, 5-11. Retrieved from https://www.themspress.org/journal/index.php/freeclinic/article/view/119