Department of Dermatology, Emory University School of Medicine, Atlanta, GA, USA.
Departments of Dermatology and Pathology, Stanford University, Stanford, CA, USA.
Int J Dermatol. 2018 Nov;57(11):1358-1362. doi: 10.1111/ijd.14014. Epub 2018 Apr 24.
Teledermatology may improve dermatologic care access in underserved areas and expand the clinical experience of dermatologists-in-training. The potential for teledermatology to supplement global health curricula in dermatology residency education has not been explored.
An international virtual grand rounds (VGR) curriculum was created based on teledermatology cases from Kabul, Afghanistan. The learning objectives included understanding the diagnosis and management of skin diseases in unfamiliar resource-limited settings and highlighting socioeconomic, cross-cultural, and ethical issues. A 17-item, Likert scale questionnaire was used to assess the effectiveness of the curriculum, including specific Accreditation Council for Graduate Medical Education (ACGME) competencies, as well as interest in global health and teledermatology.
The survey was completed by 85 of 118 VGR attendees (72% response rate). Most respondents considered the curriculum valuable to their education (mean 4.5 on a 5-point Likert scale; standard deviation, 0.5), learned more about diagnosis and treatment of skin diseases in international settings (4.5; 0.6) and in the US (4.1; 0.8), and learned more about socioeconomic, cultural, and ethical issues in skin health (4.6; 0.5). The majority also reported being more interested in global dermatology (4.1; 0.8) and would recommend VGR to a colleague (4.5; 0.6).
This pilot curriculum provided an innovative platform to enhance undergraduate and graduate medical education in international dermatology. International teledermatology education may be used to address multiple ACGME core competencies and increase resident awareness of sociocultural determinants of skin health.
远程皮肤病学可以改善服务不足地区的皮肤病学护理获取途径，并扩大皮肤科住院医师培训的临床经验。远程皮肤病学在皮肤科住院医师教育中的全球卫生课程补充方面的潜力尚未得到探索。
根据阿富汗喀布尔的远程皮肤病学病例，创建了一个国际虚拟大查房（VGR）课程。学习目标包括了解在资源有限的陌生环境中诊断和管理皮肤病，并强调社会经济、跨文化和伦理问题。使用 17 项李克特量表问卷评估课程的有效性，包括特定的研究生医学教育认证委员会（ACGME）的能力，以及对全球卫生和远程皮肤病学的兴趣。
118 名 VGR 参加者中有 85 名（72%的回复率）完成了调查。大多数受访者认为该课程对他们的教育有价值（5 分制平均 4.5；标准差 0.5），更多地了解了国际环境（4.5；0.6）和美国（4.1；0.8）中皮肤病的诊断和治疗，更多地了解了皮肤健康中的社会经济、文化和伦理问题（4.6；0.5）。大多数人还表示对全球皮肤病学更感兴趣（4.1；0.8），并会向同事推荐 VGR（4.5；0.6）。
该试点课程为加强国际皮肤病学的本科和研究生医学教育提供了一个创新平台。国际远程皮肤病学教育可以用来解决多个 ACGME 核心能力，并提高住院医师对皮肤健康社会文化决定因素的认识。
