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本文引用的文献

1
Recent advances in dermoscopy.皮肤镜检查的最新进展
F1000Res. 2016 Feb 17;5. doi: 10.12688/f1000research.7597.1. eCollection 2016.
2
Enhancement of Customary Dermoscopy Education With Spaced Education e-Learning: A Prospective Controlled Trial.常规皮肤镜教学与间隔式皮肤镜教学电子学习相结合的效果提升：一项前瞻性对照试验。
JAMA Dermatol. 2015 Aug;151(8):847-53. doi: 10.1001/jamadermatol.2015.0214.
3
A short dermoscopy training increases diagnostic performance in both inexperienced and experienced dermatologists.简短的皮肤镜检查培训可提高经验不足和经验丰富的皮肤科医生的诊断能力。
Australas J Dermatol. 2015 Feb;56(1):52-5. doi: 10.1111/ajd.12203. Epub 2014 Oct 10.
4
Dermoscopy in general dermatology: practical tips for the clinician.皮肤科的皮肤镜检查：临床医生的实用技巧。
Br J Dermatol. 2014 Mar;170(3):514-26. doi: 10.1111/bjd.12685.
5
Dermoscopy use in the next generation: a survey of Australian dermatology trainees.下一代皮肤镜的应用：澳大利亚皮肤科住院医师调查
Australas J Dermatol. 2014 Feb;55(1):49-52. doi: 10.1111/ajd.12061. Epub 2013 May 29.
6
The importance of dedicated dermoscopy training during residency: a survey of US dermatology chief residents.皮肤科住院医师规范化培训中专门的皮肤镜检查培训的重要性：对美国皮肤科住院总医师的调查。
J Am Acad Dermatol. 2013 Jun;68(6):1000-5. doi: 10.1016/j.jaad.2012.11.032. Epub 2013 Jan 29.
7
The diagnostic accuracy of dermoscopy for scabies.皮肤镜检查疥疮的诊断准确性。
Ann Dermatol. 2012 May;24(2):194-9. doi: 10.5021/ad.2012.24.2.194. Epub 2012 Apr 26.
8
Trichoscopy update 2011.2011年毛发镜检查进展
J Dermatol Case Rep. 2011 Dec 12;5(4):82-8. doi: 10.3315/jdcr.2011.1083.
9
A scientometric analysis of dermoscopy literature over the past 25 years.25 年来皮肤镜检查文献的科学计量分析。
J Eur Acad Dermatol Venereol. 2012 Sep;26(9):1142-8. doi: 10.1111/j.1468-3083.2011.04262.x. Epub 2011 Oct 19.
10
Dermatoscopy: alternative uses in daily clinical practice.皮肤镜检查：日常临床实践中的其他用途。
J Am Acad Dermatol. 2011 Jun;64(6):1135-46. doi: 10.1016/j.jaad.2010.03.010. Epub 2011 Feb 3.

住院医师规范化培训中改进皮肤镜检查培训的必要性：对美国皮肤科住院医师和项目主任的一项调查。

The need for improved dermoscopy training in residency: a survey of US dermatology residents and program directors.

作者信息

Patel Parth, Khanna Sarika, McLellan Beth, Krishnamurthy Karthik

机构信息

Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine, Bronx, NY, USA.

Department of Dermatology, Nova Southeastern University, Fort Lauderdale, FL, USA.

出版信息

Dermatol Pract Concept. 2017 Apr 30;7(2):17-22. doi: 10.5826/dpc.0702a03. eCollection 2017 Apr.

DOI:10.5826/dpc.0702a03
PMID:28515987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5424656/
Abstract

BACKGROUND

Inadequate dermoscopy training represents a major barrier to proper dermoscopy use.

OBJECTIVE

To better understand the status of dermoscopy training in US residency programs.

METHODS

A survey was sent to 417 dermatology residents and 118 program directors of dermatology residency programs.

RESULTS

Comparing different training times for the same training type, residents with 1-10 hours of dedicated training had similar confidence using dermoscopy in general (p = 1.000) and satisfaction with training (p = .3224) than residents with >10 hours of dedicated training. Comparing similar training times for different training types, residents with 1-10 hours of dedicated training had significantly increased confidence using dermoscopy in general (p = .0105) and satisfaction with training (p = .0066) than residents with 1-10 hours of only bedside training. Lastly, residents with 1-10 hours of dedicated training and >10 hours of dedicated training had significantly increased confidence using dermoscopy in general (p = .0002, p = .2471) and satisfaction with training (p <.0001, p < .0001) than residents with no dermoscopy training at all.

CONCLUSIONS

Dermoscopy training in residency should include formal dermoscopy training that is overseen by the program director and is possibly supplemented by outside dermoscopy training.

摘要

背景

皮肤镜检查培训不足是正确使用皮肤镜的主要障碍。

目的

更好地了解美国住院医师培训项目中皮肤镜检查培训的现状。

方法

向417名皮肤科住院医师和118名皮肤科住院医师培训项目主任发送了一份调查问卷。

结果

对于相同的培训类型，比较不同的培训时长，接受1 - 10小时专门培训的住院医师在使用皮肤镜检查方面的总体信心（p = 1.000）和对培训的满意度（p = 0.3224）与接受超过10小时专门培训的住院医师相似。对于不同的培训类型，比较相似的培训时长，接受1 - 10小时专门培训的住院医师在使用皮肤镜检查方面的总体信心（p = 0.0105）和对培训的满意度（p = 0.0066）显著高于仅接受1 - 10小时床边培训的住院医师。最后，接受1 - 10小时专门培训和超过10小时专门培训的住院医师在使用皮肤镜检查方面的总体信心（p = 0.0002，p = 0.2471）和对培训的满意度（p < 0.0001，p < 0.0001）显著高于完全没有接受皮肤镜检查培训的住院医师。

结论

住院医师培训中的皮肤镜检查培训应包括由项目主任监督的正规皮肤镜检查培训，并可能辅以外部皮肤镜检查培训。