Kearney Nicola, Joy Aislinn
Dermatology Registrar, Health Service Executive, Dublin, Ireland.
Medical Education Unit, School of Medicine, University College Cork, Cork, Ireland.
Ir J Med Sci. 2025 Feb;194(1):107-115. doi: 10.1007/s11845-024-03842-y. Epub 2024 Nov 22.
Dermatological conditions are the fourth most common of all diseases affecting humans, and affect almost one third of the world's population, necessitating effective undergraduate dermatology education.
A mixed-methods survey on undergraduate dermatology education and self-perceived confidence levels of interns in relation to dermatological conditions was distributed to interns working within two Irish intern networks. Mann-Whitney U testing was used to test for differences between those who had a dermatology placement versus those who did not. Qualitative thematic analysis was used to analyse reflections and comments.
Fifty-seven interns completed our survey. A total of 60% of respondents were female (n = 34). The median age range of respondents was 25-29 years. Fifty-eight percent of interns had a clinical dermatology undergraduate placement (n = 33). Forty-nine percent of interns were dissatisfied with their undergraduate dermatology education (n = 28), while 26% (n = 15) were satisfied and 25% (n = 14) indicated neutral feelings. Confidence levels reported were reasonable where inflammatory and malignant dermatoses were concerned. Statistical significance was established across several areas in dermatology between those who had a dermatology placement versus those who did not. Thematic analysis revealed themes of ineffective dermatology education, of a basic knowledge of dermatology, and of dermatology knowledge via other specialties.
This study demonstrates that undergraduate dermatology education is not standardised across various universities in Ireland. It also revealed several areas within dermatology within which there was a statistically significant difference in confidence levels between those who had a clinical undergraduate dermatology placement versus those who did not. This raises the question: "Would mandating a dermatology clerkship may be beneficial to interns?".
皮肤病是影响人类的第四大常见疾病，几乎影响全球三分之一的人口，因此有必要开展有效的本科皮肤病学教育。
对本科皮肤病学教育以及实习生在皮肤病方面的自我感知信心水平进行了一项混合方法调查，并分发给在两个爱尔兰实习医生网络中工作的实习生。使用曼-惠特尼U检验来测试有皮肤科实习经历的人与没有皮肤科实习经历的人之间的差异。采用定性主题分析来分析反馈意见和评论。
57名实习生完成了我们的调查。共有60%的受访者为女性（n = 34）。受访者的年龄中位数范围为25 - 29岁。58%的实习生有临床皮肤科本科实习经历（n = 33）。49%的实习生对其本科皮肤病学教育不满意（n = 28），而26%（n = 15）表示满意，25%（n = 14）表示中立。在炎症性和恶性皮肤病方面，报告的信心水平较为合理。在皮肤科的几个领域，有皮肤科实习经历的人与没有皮肤科实习经历的人之间存在统计学差异。主题分析揭示了皮肤病学教育无效、皮肤病基础知识以及通过其他专科获得的皮肤病学知识等主题。
本研究表明，爱尔兰各大学的本科皮肤病学教育并不标准化。研究还揭示了在皮肤病学的几个领域，有临床本科皮肤科实习经历的人与没有该经历的人在信心水平上存在统计学显著差异。这就提出了一个问题：“强制要求进行皮肤科实习对实习生是否有益？”
