Goyal Kavita, Nguyen Michael O, Reynolds Rachel V, Mostaghimi Arash, Joyce Cara, Cohen Jeffrey M, Buzney Elizabeth A
Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia, PA, USA.
Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Photodermatol Photoimmunol Photomed. 2017 Nov;33(6):321-325. doi: 10.1111/phpp.12347. Epub 2017 Sep 25.
BACKGROUND/PURPOSE: Phototherapy utilization has declined over the last 20 years despite its efficacy and cost-effectiveness. Adequacy of phototherapy training in residency may be a contributing factor. The purpose of this study was to evaluate perceptions of U.S. dermatology residency program directors (PDs) regarding the effectiveness of their programs' phototherapy training and what constitutes adequate phototherapy education.
A questionnaire was sent to PDs to assess phototherapy training within their program; aspects such as dedicated time, exposure to different modalities, and barriers to resident education were surveyed. We assessed the statistical association between these aspects and the perception by PDs that a program's training was adequate. Statistical testing was reported using Fisher's exact tests.
A total of 42 PDs responded. Residency training in oral psoralen and ultraviolet A therapy (PUVA), home phototherapy, and excimer laser, respectively, is not provided in 19.0%, 31.0%, and 47.6% of programs. 38.1% of programs provide ≤5 hours of phototherapy training over 3 years of training. 59.5% of PDs cited lack of curriculum time as the most common barrier to phototherapy education. 19.0% of PDs reported completely adequate phototherapy training, which was significantly associated with inclusion of faculty-led didactics, assigned reading, or hands-on clinical training in the curriculum.
There is a mismatch between the resources devoted to phototherapy education and the need for dedicated training reported by PDs. Limited time is allocated to phototherapy training during dermatology residency, and a large majority of PDs do not feel that the phototherapy training offered is completely adequate.
背景/目的：尽管光疗具有疗效和成本效益，但在过去20年中其使用率有所下降。住院医师培训中光疗培训的充分性可能是一个促成因素。本研究的目的是评估美国皮肤科住院医师培训项目主任（PDs）对其项目光疗培训效果的看法以及什么构成充分的光疗教育。
向PDs发送问卷以评估其项目内的光疗培训；调查了专用时间、接触不同模式以及住院医师教育障碍等方面。我们评估了这些方面与PDs认为项目培训充分之间的统计关联。使用Fisher精确检验报告统计测试结果。
共有42名PDs回复。分别有19.0%、31.0%和47.6%的项目未提供口服补骨脂素和紫外线A疗法（PUVA）、家庭光疗以及准分子激光的住院医师培训。38.1%的项目在3年培训期间提供的光疗培训时间≤5小时。59.5%的PDs指出课程时间不足是光疗教育最常见的障碍。19.0%的PDs报告光疗培训完全充分，这与课程中纳入教师主导的教学、指定阅读或实践临床培训显著相关。
用于光疗教育的资源与PDs报告的专门培训需求之间存在不匹配。皮肤科住院医师培训期间分配给光疗培训的时间有限，并且绝大多数PDs认为所提供的光疗培训并不完全充分。
