Khorsand Kate, Brandling-Bennett Heather A
Division of Dermatology, Department of Medicine, University of Washington, Seattle, Washington.
Division of Dermatology, Department of Pediatrics, Seattle Children's Hospital, Seattle, Washington.
Pediatr Dermatol. 2015 Nov-Dec;32(6):819-24. doi: 10.1111/pde.12662. Epub 2015 Sep 3.
BACKGROUND/OBJECTIVES: Children with skin-related problems commonly present to general pediatricians, and dermatology is among the top specialty areas that pediatricians have identified as having inadequate training to support their practice. This study was designed to document current opportunities for dermatologic training during pediatric residency and provides suggestions for improvement.
Pediatric residency program directors were contacted to participate in an online survey focusing on dermatologic training during pediatric residency. The survey was sent to 199 programs, from which 78 responses were received (response rate 39.2%). Required or elective rotations, other educational opportunities, and adequacy of dermatology training during pediatric residency were assessed and compared between institutions with zero, one, or two or more affiliated pediatric dermatologists.
Eighty-four percent of pediatric residency programs offer clinical training in dermatology. This training is required in only 19% of programs and is elective in 73%. Fewer than one-quarter of eligible residents participate in the elective option. Didactic dermatology lectures are available at all of the programs. Overall, only 6% of residency program directors felt that their graduating residents received very adequate training in dermatology and 26% felt their residents received inadequate training.
Exposure to dermatology clinics was perceived to be the most desirable training modality for pediatric residents, but a minority of residents receive this exposure. Many pediatric residency program directors felt that residents receive inadequate dermatology training, which indicates a need to address educational deficiencies. Supporting a pediatric dermatologist on staff and requiring a rotation in pediatric dermatology could improve dermatologic curricula for pediatric residents.
背景/目的：患有皮肤相关问题的儿童通常会去看普通儿科医生，而皮肤科是儿科医生认为自身培训不足、难以支持其临床工作的主要专业领域之一。本研究旨在记录儿科住院医师培训期间当前的皮肤科培训机会，并提出改进建议。
联系儿科住院医师培训项目主任参与一项关于儿科住院医师培训期间皮肤科培训的在线调查。该调查发送至199个项目，共收到78份回复（回复率39.2%）。评估并比较了设有零名、一名或两名及以上附属儿科皮肤科医生的机构在儿科住院医师培训期间所需或选修的轮转、其他教育机会以及皮肤科培训的充分性。
84%的儿科住院医师培训项目提供皮肤科临床培训。其中只有19%的项目要求进行此项培训，73%为选修。不到四分之一符合条件的住院医师选择参加选修课程。所有项目都有皮肤科理论讲座。总体而言，只有6%的住院医师培训项目主任认为其毕业住院医师接受了非常充分的皮肤科培训，26%的主任认为其住院医师培训不足。
接触皮肤科门诊被认为是儿科住院医师最理想的培训方式，但只有少数住院医师有此机会。许多儿科住院医师培训项目主任认为住院医师接受的皮肤科培训不足，这表明有必要解决教育方面的缺陷。配备一名儿科皮肤科医生并要求进行儿科皮肤科轮转，可能会改善儿科住院医师的皮肤科课程。
