Mid Western Regional Hospital, Dooradoyle Road, Limerick, Ireland.
Ir J Med Sci. 2009 Mar;178(1):69-71. doi: 10.1007/s11845-008-0251-y. Epub 2008 Nov 11.
To analyse inpatient consultation referrals to the Dermatology Department and to identify the educational needs of junior/trainee doctors.
Consultation data of inpatients referred to the Dermatology Department between 2001 and 2006 was reviewed.
There were 703 referrals identified. Patients were referred from all wards in the hospital. There were a total of 113 different dermatological diagnoses in the group. One-fifth (22%) consultations were for skin infections, 12% had atopic dermatitis, 8% had psoriasis and 8% had clear or suspected drug cause for their rash. In 391 cases, the Consultant Dermatologist's diagnosis was different to the inpatient referral diagnosis on the consultation referral form.
Our results emphasise the need for junior dermatology trainees to undertake extra training in both the dermatologic conditions. This data supports the need for expansion of service provision of dermatology in the region.
分析皮肤科住院患者会诊转诊情况,并确定初级/实习医生的教育需求。
回顾 2001 年至 2006 年间皮肤科住院患者的会诊数据。
共确定 703 例转诊。患者来自医院的所有病房。该组共有 113 种不同的皮肤科诊断。五分之一(22%)的会诊是皮肤感染,12%有特应性皮炎,8%有银屑病,8%有明确或疑似药物引起的皮疹。在 391 例中,顾问皮肤科医生的诊断与会诊转诊表上的住院患者转诊诊断不同。
我们的结果强调初级皮肤科受训者需要在皮肤科疾病方面进行额外培训。该数据支持该地区扩大皮肤科服务提供的需求。