12365 Division of Dermatology, Department of Medicine, University of Ottawa and The Ottawa Hospital, ON, Canada.
J Cutan Med Surg. 2020 Jul/Aug;24(4):380-385. doi: 10.1177/1203475420926987. Epub 2020 May 13.
Dermatological conditions are commonly seen in the emergency department and inpatient wards. The ability to access dermatology on-call services improves the accuracy of diagnosis and management of common and sometimes life-threatening conditions. Limitations of dermatologist availability led to the suspension of the dermatology on-call service for 3 months in Ottawa, Canada.
Our objective was to assess the impact of this call suspension on patient care and the need for a dermatology on-call service at our hospital, as perceived by nondermatologist physicians at our center.
A survey was sent to all departments at The Ottawa Hospital, addressed to staff physicians and residents. Participation was entirely voluntary. Descriptive statistics were used to analyze survey responses.
A total of 105 physicians completed the survey including staff physicians (85%) and resident trainees (15%). The most represented specialties were emergency medicine ( = 21), general internal medicine ( = 19), nephrology ( = 17), neurology ( = 13), and plastic surgery ( = 13). Over half of the respondents felt that the lack of dermatology on-call service impacted the care of their patients by a moderate or great extent. Over half reported performing dermatology-related clinical work during the call suspension and two-thirds of these individuals reported feeling uncomfortable or very uncomfortable doing so. Most (94%) participants felt that an on-call dermatology service was useful and 57% deemed it essential.
Our survey results demonstrate a significant impact of the suspension of a dermatology on-call service, as perceived by nondermatologist physicians. Hospitals need to recognize the importance of on-call dermatology consultations and provide support for divisions to enable this service to continue.
皮肤科疾病在急诊科和住院病房中较为常见。能够获得皮肤科随叫随到服务可提高常见疾病（有时甚至危及生命的疾病）诊断和治疗的准确性。由于皮肤科医生的数量有限，加拿大渥太华暂停了皮肤科随叫随到服务 3 个月。
我们的目的是评估该呼叫暂停对患者护理的影响，以及我们医院的非皮肤科医生认为是否需要皮肤科随叫随到服务。
我们向渥太华医院的所有科室发送了一份针对工作人员医生和住院医生的调查。参与完全是自愿的。我们使用描述性统计来分析调查结果。
共有 105 名医生完成了调查，其中包括工作人员医生（85%）和住院医生（15%）。代表科室最多的是急诊医学科（=21）、普通内科（=19）、肾病科（=17）、神经科（=13）和整形外科学科（=13）。超过一半的受访者认为缺乏皮肤科随叫随到服务在一定程度上影响了他们的患者护理。超过一半的人报告在呼叫暂停期间进行了皮肤科相关的临床工作，其中三分之二的人报告说他们在这样做时感到不舒服或非常不舒服。大多数（94%）参与者认为随叫随到的皮肤科服务是有用的，57%的人认为这是必不可少的。
我们的调查结果表明，非皮肤科医生认为皮肤科随叫随到服务的暂停产生了重大影响。医院需要认识到随叫随到的皮肤科咨询的重要性，并为各科室提供支持，以使这项服务能够继续下去。
