Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Albert Einstein College of Medicine, Bronx, New York, USA.
Pediatr Dermatol. 2024 Mar-Apr;41(2):270-274. doi: 10.1111/pde.15520. Epub 2024 Jan 18.
The rate of pediatric hospitalization for cutaneous pathology has been increasing in recent years, often requiring the expertise of consulting pediatric dermatologists; however, the infrastructure of inpatient pediatric dermatology consultative services remains poorly characterized. We sought to assess the structure, consult volume, physician compensation, and utilization of teledermatology in pediatric dermatology inpatient services to better understand the current care model. Our survey of 118 pediatric dermatologists revealed that 89% of respondents see between 1 and 10 new consults per week, 39% perform all inpatient consults including evening and weekends without assistance from other providers, 71% do not have protected time during the week to provide inpatient consultations, and only 10% receive financial compensation via stipend. By highlighting both the high demand for pediatric consultative dermatology as well as the significant burden placed on these providers by existing practice models, we hope to encourage a reappraisal of the current infrastructure of pediatric inpatient dermatology to increase structural and financial support for this vital service.
近年来，儿科皮肤病住院治疗率呈上升趋势，往往需要咨询儿科皮肤科医生的专业知识；然而，住院儿科皮肤科咨询服务的基础设施仍未得到充分描述。我们试图评估儿科皮肤科住院服务中远程皮肤病学的结构、咨询量、医生薪酬和利用情况，以更好地了解当前的护理模式。我们对 118 名儿科皮肤科医生的调查显示，89%的受访者每周看 1 到 10 个新的咨询，39%的人在没有其他提供者协助的情况下进行所有住院咨询，包括晚上和周末，71%的人在一周内没有时间提供住院咨询，只有 10%的人通过津贴获得经济补偿。通过强调儿科皮肤科咨询的高需求以及现有实践模式给这些提供者带来的巨大负担，我们希望鼓励重新评估儿科住院皮肤科的现有基础设施，以增加对这项重要服务的结构和财政支持。
