Pope Elena, Lara-Corrales Irene, Rehmus Wingfield, Ramien Michele, Spring Shanna, McCuaig Catherine, Fiorillo Loretta, Sibbald Cathryn, Bergman James
Division of Dermatology, Toronto, ON, Canada, The Hospital for Sick Children, Toronto, and Temerty Faculty of Medicine, University of Toronto.
Division of Dermatology, BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
J Cutan Med Surg. 2023 Nov;27(6):621-627. doi: 10.1177/12034754231204865. Epub 2023 Oct 12.
The need for pediatric dermatology services is increasing across Canada. In parallel, the complexity of treatment with novel targeted therapeutics has increased. Currently, there is no accredited and limited non-accredited fellowship training access to pediatric dermatology in Canada.
Understanding the current state of pediatric dermatology training in Canada will provide insight into opportunities for strategic improvement.
A survey was distributed to 44 pediatric dermatology providers. In addition, a review of the burden of pediatric skin disease and education/training in Canada was performed.
Thirty-four specialists responded to the survey (77% response rate). One third of current pediatric dermatology providers are over 50 years old and half of these (15%) plan to retire within the next 5 years. Half of respondents were dermatologists, 35% were pediatricians, and 11% were double boarded. Almost all respondents practiced in an academic setting (94%). Most had further fellowship training in pediatric dermatology (82.4%) but only 57% achieved this training in Canada, due to lack of accredited or non-accredited funded fellowship positions.
There is a high and growing need for pediatric dermatology specialty care in a diverse range of settings. The current provider population and training programs are insufficient to meet current and future demands. We highlighted solutions to close this gap between supply and demand including increased double board certification in Pediatrics and Dermatology, a protected pediatric stream within existing Dermatology residency training programs and accredited fellowships in Pediatric Dermatology for both dermatologists and pediatricians.
在加拿大，对儿科皮肤科服务的需求正在增加。与此同时，新型靶向治疗的复杂性也在增加。目前，加拿大没有经认可的儿科皮肤科培训项目，且获得非认可培训项目的机会有限。
了解加拿大儿科皮肤科培训的现状将有助于洞察战略改进的机会。
向44名儿科皮肤科从业者发放了调查问卷。此外，还对加拿大儿科皮肤病的负担以及教育/培训情况进行了审查。
34名专家回复了调查问卷（回复率为77%）。目前三分之一的儿科皮肤科从业者年龄超过50岁，其中一半（15%）计划在未来5年内退休。一半的受访者是皮肤科医生，35%是儿科医生，11%是双认证医生。几乎所有受访者都在学术机构执业（94%）。大多数人接受过儿科皮肤科的进一步培训（82.4%），但由于缺乏经认可或非认可的资助培训名额，只有57%的人在加拿大接受了该培训。
在各种环境中，对儿科皮肤科专科护理的需求都很高且在不断增长。目前的从业者数量和培训项目不足以满足当前和未来的需求。我们强调了缩小供需差距的解决方案，包括增加儿科和皮肤科的双认证、在现有皮肤科住院医师培训项目中设立专门的儿科方向，以及为皮肤科医生和儿科医生提供经认可的儿科皮肤科培训项目。
