Giesey Rachel, Narively Doria, Mostow Eliot, Mullen Chanda
Ohio University Heritage College of Osteopathic Medicine, Athens, OH.
Cleveland Clinic Akron General, Akron, OH.
Fam Med. 2018 Jul;50(7):539-543. doi: 10.22454/FamMed.2018.504756.
Dermatology is often an overlooked and underemphasized area of training in postgraduate primary care medical education, with an abundance of dermatological educational resources available, but no clear guidelines on how to best take advantage of them. The objective of this study was to develop a dermatology digital tool kit designed to describe, evaluate, recognize, and manage (DERM) common dermatological conditions in primary care residency education and to evaluate potential improvement in clinical confidence.
A total of 14 family medicine (FM) and 33 internal medicine (IM) residents were given the DERM tool kit to complete over 7 weeks. Effects on residents' self-reported comfort with dermatology and resources used were measured by voluntary anonymous surveys distributed before and after DERM completion.
A response rate of 100% (14/14) for FM residents and 52% (17/33) for IM residents was achieved. The majority of residents (61%) recalled minimal dermatology education-less than 2 weeks-in medical school and 71% agreed that there is not enough dermatology in their residency curriculum. A statistically significant increase in resident comfort with describing (P=0.002), recognizing and diagnosing (P<0.001), and managing (P=0.001) dermatologic conditions was observed postcompletion. Residents reported they would recommend this tool to other primary care residents.
Implementing the DERM digital tool kit is feasible with primary care residents and appears to improve comfort with describing, recognizing and diagnosing, and managing dermatologic conditions.
在研究生初级保健医学教育中，皮肤病学常常是一个被忽视且未得到充分重视的培训领域。虽然有大量的皮肤病学教育资源，但对于如何最佳利用这些资源却没有明确的指导方针。本研究的目的是开发一种皮肤病学数字工具包，旨在描述、评估、识别和管理（DERM）初级保健住院医师教育中常见的皮肤病，并评估临床信心的潜在提升。
总共14名家庭医学（FM）住院医师和33名内科（IM）住院医师被给予DERM工具包，在7周内完成。通过在完成DERM前后分发的自愿匿名调查来衡量对住院医师自我报告的皮肤病舒适度和所使用资源的影响。
FM住院医师的回复率为100%（14/14），IM住院医师的回复率为52%（17/33）。大多数住院医师（61%）回忆起在医学院接受的皮肤病学教育极少——不到两周，71%的人同意他们的住院医师培训课程中皮肤病学内容不足。完成后观察到住院医师在描述（P = 0.002）、识别和诊断（P < 0.001）以及管理（P = 0.001）皮肤病方面的舒适度有统计学显著提高。住院医师报告他们会向其他初级保健住院医师推荐这个工具。
对初级保健住院医师实施DERM数字工具包是可行的，并且似乎能提高在描述、识别和诊断以及管理皮肤病方面的舒适度。
