The average patient would have difficulty understanding this educational material. According to the US Department of Education and the National Institute of Literacy, 32 million adults cannot read, or 14% of the population. 21% of adults in the United States read below the fifth grade level (www.huffingtonpost.com, 2014). While the average reading level of American adults is around 5th grade, I have found that this educational material is not comprehensible to the average American. This patient information material (PEM) should be written at a 5th grade reading level. Name 2 changes you would make if you could. This PEM uses some abbreviations such as UV, SPF, melanoma, dermatologist etc., which may be difficult for the public to understand. It should explain what UV is like ultraviolet light from the sun. SPF, which is the sun protection factor and its range from 10 to 30. Best explanation of skin cancer as, Skin cancer is a disease in which malignant (cancer) cells form in the skin tissues. Nomelanoma skin cancer is the most common cancer in the United States. Exposure to ultraviolet radiation can increase the risk of skin cancer. People are at greater risk of getting skin cancer such as fair skin that has freckles and burns easily, does not tan or tans poorly, blue or green eyes, or other light colors. Red or blonde hair etc. Use some images to lament what skin cancer looks like and what to compare it to. Therefore, the patient can visualize the differences and become aware of them. This learning material touched on and covered some information but not all. Only by reading can you receive some information, perhaps not all. You can add the lesson plan with pictures and diagram of how sunlight affects the skin