Abstract
Midwest dermatologists minimally initiate or carry on in-depth genealogical investigations of patients with the cancer associated genodermatosis, the familial atypical multiple mole melanoma (FAMMM) syndrome. Their conceptualizations of the FAMMM syndrome varies over a wide spectrum and results in a range of clinical behaviour patterns in the care of these patients. If the clinical behavior of physicians with respect to patients with the FAMMM syndrome is a valid model for deducing patterns of clinical behavior in their practices then medical schools' curricula and continuation educational programs need significant revisions to correct these deficiencies in the delivery of health care.