Learning-by-Concordance in Dermatology: A Continuing Medical Education Model for Family Physicians

<ns3:p>Introduction Dermatologic conditions are frequently encountered in primary care, yet family physicians often lack confidence and up-to-date knowledge in dermatology. Traditional continuing medical education (CME) methods struggle to meet the practical needs of busy clinicians. We aim to describe the development, implementation, and impact of an innovative online dermatology CME program based on Learning-by-Concordance (LbC) for family physicians in Quebec. Methods Eight online modules were created using LbC methodology, presenting clinical vignettes with expert feedback to stimulate clinical reasoning. Modules were accessed asynchronously. Participant feedback was collected through post-module surveys. Results 322 primary care physicians across Quebec completed at least one module. Learners reported increased knowledge, improved diagnostic reasoning, and high satisfaction with the format. Participants noted greater diagnostic confidence and described concrete changes in their patient management. 89% found the content applicable to their practice, and 84% recommended the program for broader use. Discussion This study supports the effectiveness of LbC as a CME format in dermatology. By integrating clinical vignettes, expert feedback, and structured reflection, LbC fosters clinical reasoning in a format that mimics real-life clinical decision making by integrating diagnostic uncertainty. Conclusion The LbC-based dermatology CME program effectively enhances dermatologic competency among family physicians, offering a flexible and clinically relevant educational model.</ns3:p>