Heelan K, McKenna D
University College London Hospital, 250 Euston Road, London, NW1 2PG.
Sligo General Hospital, Sligo, Ireland.
Br Dent J. 2016 Jan 15;220(1):17-20. doi: 10.1038/sj.bdj.2016.23.
Oral mucocutaneous diseases are common and patients with these conditions are frequently assessed by dermatologists. An accurate and comprehensive oral examination is important for a complete dermatological assessment.
The aim of this study was to assess education and training, knowledge, and clinical practice of oral medicine among dermatologists in the United Kingdom (UK) and Ireland.
A cross-sectional survey was conducted by means of an internet-based survey tool. This was available to British Association of Dermatology (BAD) members in UK and Ireland on the association's website. Members were asked to respond to a 10-part questionnaire that enquired about their knowledge of oral diseases, training in oral medicine, performing an oral examination and oral biopsy.
Completed responses were received from 95 dermatologists. The majority of respondents were consultant dermatologists (72%) who were university based. While the majority reported that knowledge of oral diseases was important, only 52% were confident in recognising the normal variants of the oral cavity. Just 55% were confident in recognising oral malignancy and even less (42%) the different forms of oral ulceration. Over three-quarters had never attended an oral medicine clinic or attended an external oral medicine course as part of their training. Two thirds had not been taught normal oral anatomy or how to perform an oral examination. The majority reported that their training in oral medicine was not adequate to perform their job.
This study shows that in this, albeit small, group of dermatology specialists and trainees most appear ill-equipped to recognise and diagnose diseases of the oral cavity due to a lack of training in oral medicine.
口腔黏膜皮肤疾病很常见，皮肤科医生经常对患有这些疾病的患者进行评估。准确而全面的口腔检查对于完整的皮肤科评估很重要。
本研究的目的是评估英国和爱尔兰皮肤科医生在口腔医学方面的教育与培训、知识水平及临床实践情况。
通过基于互联网的调查工具进行横断面调查。英国和爱尔兰的英国皮肤科协会（BAD）成员可在该协会网站上获取此调查。成员们被要求回答一份包含10个部分的问卷，该问卷询问了他们对口腔疾病的了解、口腔医学培训、进行口腔检查和口腔活检的情况。
共收到95位皮肤科医生的完整回复。大多数受访者是大学附属医院的皮肤科顾问医生（72%）。虽然大多数人报告说口腔疾病知识很重要，但只有52%的人有信心识别口腔的正常变异情况。只有55%的人有信心识别口腔恶性肿瘤，而能识别不同形式口腔溃疡的人更少（42%）。超过四分之三的人从未参加过口腔医学门诊或作为培训的一部分参加过外部口腔医学课程。三分之二的人没有学习过正常口腔解剖学或如何进行口腔检查。大多数人报告说他们在口腔医学方面的培训不足以胜任工作。
本研究表明，在这一小群皮肤科专家和实习生中，由于缺乏口腔医学培训，大多数人似乎没有足够的能力识别和诊断口腔疾病。
