Preventive guidelines for melanoma recommend that patients at high risk of melanoma receive targeted screening; however, this requires careful selection of those at high risk. This study indicates that there is variation in how GPs assess and manage melanoma risk across five clinical process domains, with greatest variation among GP participants on how they estimated overall melanoma risk. Further interventions may be required to standardise these processes such as the implementation of risk-prediction models. If melanoma risk-prediction models are to be used within primary care, it will need to be sensitive to the host setting and the clinical workflow within it. |