High Whitney A, Cruz Ponciano D
Department of Dermatology, The University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9069, USA.
Am J Contact Dermat. 2003 Dec;14(4):195-9.
Contact dermatitis accounts for a considerable portion of outpatient clinic visits to dermatologists. The state of education in contact dermatitis at the level of dermatology residency training in the United States has not been examined.
To assess the state of education in contact dermatitis in dermatology residency programs in the United States.
Cross-sectional survey of directors and chief residents of 105 dermatology training programs accredited by the American College of Graduate Medical Education.
Seventy-seven percent of directors and 74% of chief residents responded to the survey. In general, both sets of respondents gave concordant responses although responses from directors were more positive. With respect to didactic education, the vast majority of programs (> 73%) held lecture conferences on contact dermatitis. Less than one-third included contact dermatitis-focused journals in journal club conferences. A bare majority of programs (57% of directors, 53% of chief residents) identified a faculty expert in contact dermatitis, with almost all experts conducting patch-test clinics and providing lectures on contact dermatitis. Seventy-five percent of experts were members of the American Contact Dermatitis Society (ACDS). Although residents in most programs (> 78%) performed patch tests to diagnose contact dermatitis, there were 14 programs in which none of their graduates performed such tests. Moreover, only 27% of programs had rotations dedicated to contact dermatitis and/or patch testing. Finally, directors and chief residents predicted that most graduates will incorporate the TRUE Test and not the more extensive or customized patch tests in their practices.
Several opportunities for improving contact dermatitis education in residency programs were identified, including recruitment or development of more faculty experts in contact dermatitis, creation of rotations dedicated to contact dermatitis, and greater inclusion of contact dermatitis-focused journals in journal club conferences. As the principal interest group for contact dermatitis in the United States, the ACDS is the logical organization to spearhead improvement of contact dermatitis education in residency programs.
接触性皮炎占皮肤科门诊就诊病例的相当一部分。美国皮肤科住院医师培训阶段接触性皮炎的教育状况尚未得到研究。
评估美国皮肤科住院医师培训项目中接触性皮炎的教育状况。
对美国研究生医学教育认证委员会认可的105个皮肤科培训项目的主任和总住院医师进行横断面调查。
77%的主任和74%的总住院医师回复了调查。总体而言，两组受访者的回答一致，尽管主任们的回答更为积极。在理论教育方面，绝大多数项目（>73%）举办了关于接触性皮炎的讲座会议。不到三分之一的项目在期刊俱乐部会议中纳入了以接触性皮炎为重点的期刊。仅有过半数的项目（主任的57%，总住院医师的53%）确定了接触性皮炎方面的教员专家，几乎所有专家都开展斑贴试验门诊并讲授接触性皮炎相关内容。75%的专家是美国接触性皮炎协会（ACDS）的成员。尽管大多数项目中的住院医师（>78%）进行斑贴试验以诊断接触性皮炎，但有14个项目的毕业生无人进行此类试验。此外，只有27%的项目设有专门针对接触性皮炎和/或斑贴试验的轮转。最后，主任和总住院医师预测，大多数毕业生在实践中将采用TRUE试验而非更全面或定制的斑贴试验。
确定了住院医师培训项目中改善接触性皮炎教育的若干机会，包括招聘或培养更多接触性皮炎方面的教员专家、设立专门针对接触性皮炎的轮转，以及在期刊俱乐部会议中更多地纳入以接触性皮炎为重点的期刊。作为美国接触性皮炎的主要利益集团，ACDS是带头改善住院医师培训项目中接触性皮炎教育的合理组织。
