Wilmer Erin N, Gustafson Cheryl J, Ahn Christine S, Davis Scott A, Feldman Steven R, Huang William W
Department of Dermatology, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1071, USA.
Cutis. 2014 Dec;94(6):285-92.
The dermatologic conditions that are most commonly encountered by nondermatologists are not well characterized, which can hamper efforts to train them in skin disease management. The purpose of this study was to identify the 20 most common dermatologic conditions encountered by nondermatologic specialties (ie, emergency medicine, family practice, general surgery, internal medicine, otolaryngology, pediatrics). Data from the National Ambulatory Medical Care Survey from 2001 to 2010 were analyzed to evaluate the dermatologic diagnoses made by each specialty during this time period. The most common skin conditions reported by dermatologists were compared to those reported by nondermatologists. Nondermatologists evaluated 52.9% of cutaneous diseases that presented in the outpatient setting. Among each nondermatologic specialty included in the study, only 6 to 10 of the top 20 conditions overlapped with the top 20 conditions reported by dermatologists. This study is a retrospective review of a large database and only included skin conditions that were diagnosed in an outpatient setting. The skin conditions that most frequently presented to nondermatologists differed considerably from those most commonly seen by dermatologists. Because dermatologists often are responsible for training nondermatologists in the diagnosis and management of skin disease, curriculum content should reflect these differences to enhance the efficacy of such training opportunities.
非皮肤科医生最常遇到的皮肤病状况尚未得到充分描述，这可能会妨碍对他们进行皮肤病管理培训的工作。本研究的目的是确定非皮肤科专业（即急诊医学、家庭医学、普通外科、内科、耳鼻喉科、儿科）最常遇到的20种皮肤病状况。分析了2001年至2010年美国国家门诊医疗调查的数据，以评估在此期间各专业做出的皮肤病诊断。将皮肤科医生报告的最常见皮肤状况与非皮肤科医生报告的状况进行了比较。非皮肤科医生评估了门诊出现的52.9%的皮肤病。在该研究纳入的每个非皮肤科专业中，前20种状况中只有6至10种与皮肤科医生报告的前20种状况重叠。本研究是对一个大型数据库的回顾性分析，且仅纳入了在门诊诊断的皮肤状况。非皮肤科医生最常遇到的皮肤状况与皮肤科医生最常看到的状况有很大差异。由于皮肤科医生通常负责培训非皮肤科医生进行皮肤病的诊断和管理，课程内容应反映这些差异，以提高此类培训机会的效果。
