Department of Dermatology, University Medical Center, Jena, Germany, Declaration on non-financial interests:, Organization:, Medical Center, Jena, Position in this organization:, Clinic Director, Membership and position in scientific Companies/professional associations/associations:, DDG, BWDD.
J Dtsch Dermatol Ges. 2019 Aug;17(8):810-823. doi: 10.1111/ddg.13915.
Apart from their medical responsibilities relating to the diagnosis, treatment and prevention of skin diseases, dermatologists may also be asked to provide expert medical opinions. In their role as medical experts, dermatologists provide their services not only to public institutions and courts but also to private clients. Expert dermatological opinions involve the application of medical knowledge and experience to an individual case as regards a specific legal question. The dermatological expert thus becomes an "assistant" to administrative and public agencies or courts. In addition to providing the required expert knowledge, the expert must maintain strict neutrality and avoid any bias. Expert opinions play a significant role in the field of occupational dermatology. In this context, it is important to make a distinction between scientific expert opinions - commissioned to determine whether the criteria for an occupational skin disease are met or to assess the degree of reduction in earning capacity - and the much more common "small expert opinions" relating to disease prevention ("dermatologist's procedure"). Moreover, expert medical opinions have become increasingly important with respect to medical malpractice issues, both in court proceedings and for investigations conducted by State Medical Chambers. For quality assurance of expert dermatological opinions, the Working Group for Occupational and Environmental Dermatology in particular offers certification courses. The same group also provides guidelines for expert opinions in occupational dermatology (Bamberg Recommendations).
除了诊断、治疗和预防皮肤病方面的医疗职责外，皮肤科医生还可能被要求提供专业的医学意见。作为医学专家，皮肤科医生不仅向公共机构和法院提供服务，也向私人客户提供服务。皮肤科专家的意见涉及将医学知识和经验应用于针对特定法律问题的个别案例。因此，皮肤科专家成为行政和公共机构或法院的“助手”。除了提供必要的专业知识外，专家还必须保持严格的中立性并避免任何偏见。专家意见在职业皮肤科领域发挥着重要作用。在这种情况下，有必要区分科学专家意见（委托确定是否符合职业性皮肤病的标准或评估收入能力的降低程度）和更常见的与疾病预防有关的“小专家意见”（“皮肤科医生程序”）。此外，医疗事故问题方面的专家医疗意见变得越来越重要，无论是在法庭程序中还是在国家医疗委员会进行的调查中。为了保证专家皮肤科意见的质量，特别是职业和环境皮肤科工作组提供认证课程。该工作组还为职业性皮肤病的专家意见提供了指南（班贝格建议）。
