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本文引用的文献

1
Graduate Medical Education, 2018-2019.毕业后医学教育,2018 - 2019年
JAMA. 2019 Sep 10;322(10):996-1016. doi: 10.1001/jama.2019.10155.
2
Academic dermatology leadership in the United States -- Addressing the gender gap.美国学术性皮肤病学领域的领导力——应对性别差距。
Int J Womens Dermatol. 2018 Jun 29;4(4):236-237. doi: 10.1016/j.ijwd.2018.05.003. eCollection 2018 Dec.
3
Web-based education about vulvodynia and its care among student healthcare staff: A quasi-experimental study.基于网络的外阴痛教育及其在学生医护人员中的护理:一项准实验研究。
Nurse Educ Pract. 2018 Jul;31:194-199. doi: 10.1016/j.nepr.2018.06.008. Epub 2018 Jun 20.
4
Vulvovaginal Disease Education in Canadian and American Gynecology Residency Programs: A Survey of Program Directors.加拿大和美国妇科住院医师培训项目中的外阴阴道疾病教育:项目主任调查。
J Low Genit Tract Dis. 2018 Jul;22(3):242-250. doi: 10.1097/LGT.0000000000000390.
5
Quality of Life and Sexual Distress in Women With Erosive Vulvovaginal Lichen Planus.糜烂性外阴阴道扁平苔藓女性的生活质量与性困扰
J Low Genit Tract Dis. 2017 Apr;21(2):145-149. doi: 10.1097/LGT.0000000000000282.
6
Subspecialty and gender of obstetrics and gynecology faculty in department-based leadership roles.担任科室领导职务的妇产科教员的亚专业和性别情况。
Obstet Gynecol. 2015 Feb;125(2):471-476. doi: 10.1097/AOG.0000000000000628.
7
Practice gaps: Practice gaps "down there": failures in education, physical examination, recognition, diagnosis, therapy, follow-up care, and cancer surveillance in lichen sclerosus.实践差距:“那里”的实践差距:硬化性苔藓在教育、体格检查、识别、诊断、治疗、随访护理和癌症监测方面的不足。
JAMA Dermatol. 2013 Oct;149(10):1203. doi: 10.1001/jamadermatol.2013.4895.
8
Identifying competencies in vulvar disorder management for medical students and residents: a survey of US vulvar disorder experts.识别医学生和住院医师在管理外阴疾病方面的能力:对美国外阴疾病专家的调查。
J Low Genit Tract Dis. 2012 Oct;16(4):398-402. doi: 10.1097/LGT.0b013e318245152b.
9
Practice gaps. Missing genital lichen sclerosus in patients with morphea: don't ask? Don't tell?: comment on "High frequency of genital lichen sclerosus in a prospective series of 76 patients with morphea".实践差距。硬斑病患者中漏诊生殖器硬化性苔藓:不问?不说?:对“76例硬斑病患者前瞻性系列研究中生殖器硬化性苔藓的高发病率”的评论
Arch Dermatol. 2012 Jan;148(1):28-9. doi: 10.1001/archdermatol.2011.2097.

皮肤科和妇产科研究生医学教育对炎性外阴阴道皮肤病的适用性:一项全国性需求评估调查。

Adequacy of dermatology and ob-gyn graduate medical education for inflammatory vulvovaginal skin disease: A nationwide needs assessment survey.

作者信息

Comstock Jeanette R, Endo Justin O, Kornik Rachel I

机构信息

University of Wisconsin School of Medicine & Public Health, Madison, WI, United States.

Department of Dermatology, University of Wisconsin, Madison, WI, United States.

出版信息

Int J Womens Dermatol. 2020 Feb 22;6(3):182-185. doi: 10.1016/j.ijwd.2020.01.008. eCollection 2020 Jun.

DOI:10.1016/j.ijwd.2020.01.008
PMID:32637541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7330429/
Abstract

BACKGROUND

Many patients with inflammatory vulvovaginal skin diseases, such as lichen planus and lichen sclerosus, experience a delay in diagnosis and lack of appropriate treatment. Unfortunately, patients experience significant morbidity with these conditions.

OBJECTIVE

The aim of this study was to assess the adequacy of training in vulvar dermatoses for dermatology and obstetrics-gynecology residents (in the United States), with a secondary goal of identifying the most ideal modality to broadly reach these residents with high quality instruction.

METHODS

We created a survey with questions relating to attitudes about training in vulvovaginal disease, quantity of current education on the subject, and opinions on ways to improve training. The survey was distributed to obstetrics-gynecology and dermatology residents and program directors nationwide.

RESULTS

Most respondents reported that training was not adequate in this area and that additional education was needed.

CONCLUSION

We propose that online, interactive, case-based learning modules, created by vulvovaginal experts, could help improve graduate medical education and lead to better patient outcomes.

摘要

背景

许多患有炎症性外阴阴道皮肤病(如扁平苔藓和硬化性苔藓)的患者在诊断上存在延迟,且缺乏适当的治疗。不幸的是,这些疾病给患者带来了严重的发病率。

目的

本研究的目的是评估(美国)皮肤科和妇产科住院医师在外阴皮肤病方面的培训是否充足,其次要目标是确定以高质量教学广泛覆盖这些住院医师的最理想方式。

方法

我们创建了一项调查问卷,内容涉及对外阴阴道疾病培训的态度、当前关于该主题的教育量以及对改进培训方法的意见。该调查问卷分发给了全国的妇产科和皮肤科住院医师及项目主任。

结果

大多数受访者表示该领域的培训不足,需要更多教育。

结论

我们建议由外阴阴道专家创建的在线、交互式、基于病例的学习模块有助于改善毕业后医学教育,并带来更好的患者治疗结果。