Andre Nicolas, Muallem Liezl, Yahav Lior, Golan-Tripto Inbal, Shmuel Atar Ben, Horev Amir
Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Pediatrics Department, Soroka University Medical Center, Beer Sheva, Israel.
Front Med (Lausanne). 2023 Sep 20;10:1250271. doi: 10.3389/fmed.2023.1250271. eCollection 2023.
Pediatricians daily see large numbers of patients with skin disorders. However, they encounter limited guidance as a result of a marked deficiency in pediatric dermatologists. Hence, reevaluation of training opportunities during pediatric residency has become essential. Our aim was to evaluate the confidence level of pediatric residents and specialists in diagnosing and treating skin disorders in children and to determine career and training-related characteristics that influence it.
Conducted as a cross-sectional study, we administered a questionnaire to 171 pediatricians across Israel. We assessed respondents' self-efficacy about their ability to diagnose and treat skin disorders and collected data regarding their previous dermatology training and preferred training methods.
77.8% of respondents reported below or average self-efficacy scores in diagnosing and managing children with skin disorders. Older age (>40 years old; OR = 5.51, = 0.019), treating a higher number of patients with skin disorders (OR = 2.96, = 0.032), and having any training in dermatology, either during medical school or residency (OR = 7.16, = 0.031, OR = 11.14, = 0.003 respectively), were all significant parameters involved in pediatricians reporting high self-efficacy in skin disorder management.
Most pediatric residents and pediatricians have average or below-average confidence in managing pediatric skin disorders. We suggest incorporating dermatology rotations during pediatric residency to improve young pediatricians' self-efficacy in managing skin disorders and ultimately help pediatricians provide better care for patients presenting with dermatological conditions. These findings can ultimately help refine a pilot program in dermatology that might be implemented during pediatric residency.
儿科医生每天会诊治大量患有皮肤疾病的患者。然而，由于儿科皮肤科医生严重短缺，他们得到的指导有限。因此，重新评估儿科住院医师培训机会变得至关重要。我们的目的是评估儿科住院医师和专科医生诊断和治疗儿童皮肤疾病的信心水平，并确定影响该信心水平的职业及培训相关特征。
本研究为横断面研究，我们对以色列各地的171名儿科医生进行了问卷调查。我们评估了受访者对诊断和治疗皮肤疾病能力的自我效能感，并收集了他们以前的皮肤科培训及偏好的培训方法的数据。
77.8%的受访者表示，在诊断和管理患有皮肤疾病的儿童方面，其自我效能感得分低于或处于平均水平。年龄较大（>40岁；OR = 5.51，P = 0.019）、诊治的皮肤疾病患者数量较多（OR = 2.96，P = 0.032）以及在医学院或住院医师培训期间接受过任何皮肤科培训（分别为OR = 7.16，P = 0.031；OR = 11.14，P = 0.003），都是儿科医生在皮肤疾病管理方面自我效能感较高的重要相关因素。
大多数儿科住院医师和儿科医生在管理儿童皮肤疾病方面的信心处于平均水平或低于平均水平。我们建议在儿科住院医师培训期间纳入皮肤科轮转，以提高年轻儿科医生管理皮肤疾病的自我效能感，并最终帮助儿科医生为患有皮肤病的患者提供更好的护理。这些研究结果最终有助于完善可能在儿科住院医师培训期间实施的皮肤科试点项目。
