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南非约翰内斯堡一家地区医院的皮肤科医生基础医学教育。

Fundamental dermatology education of medical doctors at a regional hospital in Johannesburg, South Africa.

机构信息

Emergency Department, Thelle Mogoerane Regional Hospital, Johannesburg, South Africa.

Division of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

出版信息

Pan Afr Med J. 2024 Apr 9;47:178. doi: 10.11604/pamj.2024.47.178.40779. eCollection 2024.

DOI:10.11604/pamj.2024.47.178.40779
PMID:39036029
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11260053/
Abstract

INTRODUCTION

dermatology is a prevalent field of global health and dermatological conditions are amongst the most frequent complaints affecting communities, yet dermatology has become an overlooked aspect of the medical school curricula and many medical schools have failed to provide doctors with training to manage these conditions confidently and adequately. This study aimed to determine the baseline dermatological knowledge of medical doctors and determine the influence of fundamental dermatology education on hospital medical staff at a regional hospital in Johannesburg, South Africa.

METHODS

the knowledge and confidence of 33 medical doctors were tested using a pre-test and post-test quasi-experimental design. Participants completed an online questionnaire followed by an image-based test consisting of 20 questions to determine their level of confidence in diagnosing and managing common dermatological conditions. The participants then attended a sixty-minute educational session based on common dermatological conditions. Following this, their level of confidence and knowledge on the subject was re-assessed using the same online test. Pre and post-intervention confidence and test scores were compared.

RESULTS

the pre-intervention test mean score was 67.11%. The post-intervention mean score was 92.50%. The difference between means (post-intervention - pre-intervention) ± SEM was 25.39 ± 4.81. The intervention significantly improved overall test scores (p-value < 0.0001). Many participants felt that their undergraduate training was insufficient in preparing them for the management of common dermatological conditions.

CONCLUSION

the baseline knowledge and confidence of medical doctors in managing common dermatological conditions was poor and such educational interventions have significant value in improving the ability of medical doctors in managing common dermatological conditions. More time should be dedicated to dermatology training at an undergraduate level.

摘要

简介

皮肤病学是全球健康领域中的一个常见领域,皮肤病是影响社区人群的最常见疾病之一,但皮肤病学已成为医学院课程中被忽视的一个方面,许多医学院未能为医生提供自信和充分地管理这些疾病的培训。本研究旨在确定医生的皮肤病学基础知识,并确定在南非约翰内斯堡的一家地区医院中,基础皮肤病学教育对医院医务人员的影响。

方法

采用预测试和后测试准实验设计,测试了 33 名医生的知识和信心。参与者完成了在线问卷,然后进行了基于图像的测试,该测试包含 20 个问题,以确定他们诊断和管理常见皮肤病的信心水平。然后,参与者参加了一个基于常见皮肤病的 60 分钟教育课程。在此之后,使用相同的在线测试重新评估他们对该主题的信心和知识水平。比较干预前后的信心和测试分数。

结果

干预前的测试平均得分为 67.11%。干预后的平均得分为 92.50%。平均值之间的差异(干预后-干预前)±SEM 为 25.39±4.81。干预显著提高了总体测试分数(p 值<0.0001)。许多参与者认为他们的本科培训不足以使他们能够管理常见的皮肤病。

结论

医生管理常见皮肤病的基础知识和信心较差,这种教育干预在提高医生管理常见皮肤病的能力方面具有重要价值。在本科阶段应投入更多时间进行皮肤病学培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa0a/11260053/82b3f40f67e7/PAMJ-47-178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa0a/11260053/4ff6dc10cb1d/PAMJ-47-178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa0a/11260053/3450fd00cf46/PAMJ-47-178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa0a/11260053/82b3f40f67e7/PAMJ-47-178-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa0a/11260053/4ff6dc10cb1d/PAMJ-47-178-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa0a/11260053/3450fd00cf46/PAMJ-47-178-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa0a/11260053/82b3f40f67e7/PAMJ-47-178-g003.jpg

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