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面向医学专业人员的被忽视热带病的皮肤病学模拟

Dermatologic Simulation of Neglected Tropical Diseases for Medical Professionals.

作者信息

Mankbadi Michael, Goyack Laura, Thiel Bryan, Weinstein David, Simms-Cendan Judith, Hernandez Caridad

机构信息

Medical Student, University of Central Florida College of Medicine.

Assistant Professor of Dermatology, University of Central Florida College of Medicine.

出版信息

MedEdPORTAL. 2016 Dec 31;12:10525. doi: 10.15766/mep_2374-8265.10525.

DOI:10.15766/mep_2374-8265.10525
PMID:30984867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6440398/
Abstract

INTRODUCTION

While patients with neglected tropical diseases may present for care in the United States, they are encountered so infrequently that medical professionals may have little chance of being exposed to these illnesses during training. This simulation on dermatological presentations of neglected tropical diseases was used as a teaching tool for multifaceted topics including disease management, interdisciplinary collaboration, and sociocultural issues. To achieve this goal, we created four cases with patients demonstrating clinical and dermatological presentations.

METHODS

Through the use of a moulage kit, this simulation portrayed four common neglected tropical diseases that are rarely encountered in the United States: dengue fever, cutaneous leishmaniasis, lepromatous leprosy, and yaws. Following the clinical experience, a debrief session discussing sociocultural and dermatological factors of neglected tropical diseases occurred.

RESULTS

The feedback obtained regarding the simulation was exceptionally positive. The participants indicated that the simulation improved their medical knowledge of neglected tropical diseases, diagnostic abilities, and interprofessional communication skills.

DISCUSSION

This simulation can easily be adapted for use in conferences, health professional education, and patient advocacy, making it relevant for training in a wide variety of settings. Through the application of this simulation, greater progress can be made in the education of medical professionals on neglected tropical diseases and dermatology. Not only will the application of realistic workshops increase medical competency regarding these rarely encountered diseases, it will also provide opportunities to engage with these diseases, which can cultivate interest in the future pursuit of global health.

摘要

引言

虽然被忽视的热带病患者可能会在美国就医,但这类病例极为罕见,以至于医学专业人员在培训期间几乎没有机会接触到这些疾病。本次关于被忽视热带病皮肤病表现的模拟被用作教学工具,用于涵盖疾病管理、跨学科协作和社会文化问题等多方面主题。为实现这一目标,我们创建了四个病例,患者呈现出临床和皮肤方面的表现。

方法

通过使用人体模型道具套装,本次模拟展现了四种在美国很少见的常见被忽视热带病:登革热、皮肤利什曼病、瘤型麻风病和雅司病。临床体验结束后,进行了一场关于被忽视热带病社会文化和皮肤因素的总结讨论。

结果

关于该模拟获得的反馈非常积极。参与者表示,该模拟提高了他们对被忽视热带病的医学知识、诊断能力和跨专业沟通技巧。

讨论

这个模拟可以很容易地改编用于会议、卫生专业教育和患者宣传,使其适用于各种环境下的培训。通过应用这个模拟,在医学专业人员关于被忽视热带病和皮肤病学的教育方面可以取得更大进展。逼真工作坊的应用不仅会提高对这些罕见疾病的医疗能力,还会提供接触这些疾病的机会,这可以培养对未来从事全球健康事业的兴趣。

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本文引用的文献

1
Rescuing the bottom billion through control of neglected tropical diseases.通过控制被忽视的热带病拯救最底层的十亿人。
Lancet. 2009 May 2;373(9674):1570-5. doi: 10.1016/S0140-6736(09)60233-6.
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The new medical "missionaries"--grooming the next generation of global health workers.新一代医学“传教士”——培养下一代全球卫生工作者。
N Engl J Med. 2006 Apr 27;354(17):1771-3. doi: 10.1056/NEJMp068035.