Abstract
A key step in the development of any educational programme is needs assessment. Its importance is illustrated in the context of an educational programme on malignant melanoma for general practitioners. Needs were identified through: in-depth interviews with general practitioners, including a critical-incident study; a questionnaire to elicit general practitioners' views on the required programme content; a study of the indications given by general practitioners for the referral of patients with suspected malignant melanoma; a questionnaire sent to plastic surgeons and dermatologists, to elicit their views on indicators for referral; the views of an advisory group of specialists; a review of the published literature on malignant melanoma, including general textbooks written specifically for general practitioners. For the general practitioner managing a patient with suspected melanoma, the key need is deciding whether to refer that patient to hospital. The educational strategies incorporated in any educational programme developed should reflect this key need.