Harvard Medical School, Boston, MA, USA.
Department of Dermatology, Massachusetts General Hospital, Boston, MA, USA.
Int J Dermatol. 2018 May;57(5):553-558. doi: 10.1111/ijd.13939. Epub 2018 Feb 22.
Although considered an outpatient specialty, dermatology plays an important role in inpatient medicine. We characterized the activity and structure of dermatology consultation services in select U.S. hospitals.
In this cross sectional study, a 31-question survey was distributed in person to 32 board-certified dermatologists at the 2017 Society of Dermatology Hospitalists meeting.
Thirty participants completed the survey (yield 93.8%). Most dermatology hospitalists spend 41-52 weeks on service (50%), with 37% spending between 11 and 30 weeks. Coverage was organized by continuous weeks (68%) or months (21%). While on service, hospitalists staffed an average of 4 outpatient clinics per week. Consultative teams also included internal medicine residents (43%), medical students (47%), pediatric residents (10%), and fellows from other specialties (27%). Consultation services saw approximately 3.7 new inpatients and 4.2 follow-up inpatients per day, with daily rounds lasting approximately 2.6 hours.
The results suggest that hospital dermatologists in the U.S. consider inpatient care their niche and devote a majority of their time staffing consults over clinic. The diverse composition of inpatient teams and the number of academic duties held by these physicians suggests they play an important role in medical education.
皮肤科虽然被认为是一门门诊专业，但在住院医学中也起着重要作用。我们描述了美国部分医院皮肤科咨询服务的活动和结构。
在这项横断面研究中，我们向 2017 年皮肤科住院医师学会会议的 32 名认证皮肤科医生现场分发了一份包含 31 个问题的调查问卷。
30 名参与者完成了调查（参与率为 93.8%）。大多数皮肤科住院医师在服务上花费 41-52 周（50%），37%的人花费 11-30 周。覆盖范围是通过连续数周（68%）或连续数月（21%）来组织的。住院医师每周平均管理 4 个门诊诊所。咨询团队还包括内科住院医师（43%）、医学生（47%）、儿科住院医师（10%）和其他专科的研究员（27%）。咨询服务每天大约接待 3.7 名新住院患者和 4.2 名随访住院患者，每天的查房大约持续 2.6 小时。
结果表明，美国的住院皮肤科医生认为住院患者护理是他们的专长，并且将大部分时间用于管理咨询服务而不是诊所。住院医师团队的多样性以及这些医生承担的学术职责数量表明他们在医学教育中发挥着重要作用。
