Department of Medicine, University of Toronto, Toronto, Canada.
J Cutan Med Surg. 2013 Jan-Feb;17(1):39-45. doi: 10.2310/7750.2012.12016.
Internal medicine trainees receive limited teaching and training in dermatology and may feel inadequately prepared to assess and manage patients with dermatologic complaints. No study to date has assessed the needs of internal medicine trainees in Canada with regard to dermatology teaching.
To determine internal medicine residents' comfort in assessing and managing dermatologic issues and their educational needs in dermatology.
An electronic survey was conducted of first-, second-, and third-year internal medicine residents at the University of Toronto.
Fifty-four of 186 internal medicine trainees responded to our survey (response rate = 29%). Each respondent did not answer every question. Residents were generally uncomfortable or very uncomfortable assessing and managing dermatologic issues in the emergency department (40 of 47, 85%), ward or intensive care unit (39 of 47, 83%), and ambulatory clinic (40 of 47, 85%). Residents thought that various clinical and didactic dermatology exposures would be useful to their training as internists. Case-based teaching and ambulatory clinical rotations were felt to be particularly valuable. Additionally, 38 of 46 (83%) respondents wanted to learn how to perform punch biopsies.
An effort should be made to increase the availability of relevant dermatology teaching and clinical exposures for internal medicine residents.
内科受训者在皮肤科方面接受的教学和培训有限，可能觉得自己在评估和处理皮肤科患者方面准备不足。迄今为止，尚无研究评估加拿大内科受训者在皮肤科教学方面的需求。
确定内科住院医师评估和处理皮肤科问题的舒适度以及他们在皮肤科方面的教育需求。
对多伦多大学的第一年、第二年和第三年的内科住院医师进行了电子调查。
186 名内科受训者中有 54 名（应答率为 29%）对我们的调查做出了回应。每位受访者并非都回答了每个问题。住院医师在急诊科（47 人中的 40 人，85%）、病房或重症监护病房（47 人中的 39 人，83%）和门诊诊所（47 人中的 40 人，85%）评估和处理皮肤科问题时通常感到不舒服或非常不舒服。住院医师认为各种临床和理论皮肤科暴露对他们作为内科医生的培训将是有用的。基于案例的教学和门诊临床轮转被认为特别有价值。此外，46 名受访者中的 38 名（83%）希望学习如何进行皮肤活检。
应努力增加内科住院医师获得相关皮肤科教学和临床暴露的机会。
