LaMonica Lauren C, Hester Thomas, Thomas Reinie, Wang Frank
Department of Dermatology, University of Michigan, Ann Arbor, MI, USA.
Skin Health Dis. 2025 Jan 23;5(1):9-13. doi: 10.1093/skinhd/vzae001. eCollection 2025 Feb.
Physicians-in-training report inadequate education in skin of colour (SOC) dermatology during residency. Although dermatology programmes have made progress in teaching SOC dermatology, the status of SOC dermatology education in primary care residency programmes remains unclear.
To characterize SOC didactic and clinical training opportunities available to primary care residents, laying the groundwork for future curriculum development of SOC dermatology.
This cross-sectional study consisted of a nationwide 16-question survey disseminated by email between October 2022 and February 2023 to US primary care residency programmes identified using the Accreditation Council for Graduate Medical Education (ACGME) database.
Of responding programmes ( = 49/1224, 4.0%), 29/49 offered SOC didactic training, most often through integration of content within general dermatology lectures ( = 29/49, 59.2%) and board review sessions ( = 13/49, 26.5%). Over half of programmes ( = 35/49, 71.4%) offered SOC clinical training through rotation in a general dermatology clinic ( = 33/49, 67.3%) and skin-related chief concerns in primary care clinics ( = 29/49, 59.2%). Programmes with directors indicating that they planned to incorporate SOC education into future curricula ( = 20/49, 40.8%) were more likely to already have SOC didactic and clinical training opportunities ( = 0.01 and = 0.02, respectively). Regarding future directions, programme directors were most interested in integrating SOC topics within dermatology lectures ( = 31/49, 63.3%); identifying an expert ( = 31/49, 63.3%) and allocating lecture time ( = 10/49, 20.4%) were the most frequently cited barriers.
Some primary care programmes provide SOC dermatology didactic and clinical training opportunities, which are influenced by programme directors' willingness to incorporate such training into curricula, and present opportunities for dermatologists to educate primary care residents.
正在接受培训的医生报告称，住院医师培训期间关于有色人种皮肤（SOC）皮肤病学的教育不足。尽管皮肤科项目在SOC皮肤病学教学方面取得了进展，但初级保健住院医师培训项目中SOC皮肤病学教育的现状仍不明确。
描述初级保健住院医师可获得的SOC理论和临床培训机会，为未来SOC皮肤病学课程开发奠定基础。
这项横断面研究包括一项在2022年10月至2023年2月期间通过电子邮件向使用毕业后医学教育认证委员会（ACGME）数据库确定的美国初级保健住院医师培训项目发放的包含16个问题的全国性调查。
在做出回应的项目中（n = 49/1224，4.0%），29/49提供了SOC理论培训，最常见的方式是将内容整合到普通皮肤科讲座中（n = 29/49，59.2%）和委员会复习课程中（n = 13/49，26.5%）。超过一半的项目（n = 35/49，71.4%）通过在普通皮肤科诊所轮转（n = 33/49，67.3%）和初级保健诊所中与皮肤相关的主要问题提供SOC临床培训（n = 29/49，59.2%）。项目主任表示他们计划将SOC教育纳入未来课程的项目（n = 20/49，40.8%）更有可能已经有SOC理论和临床培训机会（分别为P = 0.01和P = 0.02）。关于未来方向，项目主任最感兴趣的是将SOC主题整合到皮肤科讲座中（n = 31/49，63.3%）；确定专家（n = 31/49，63.3%）和分配讲座时间（n = 10/49，20.4%）是最常被提及的障碍。
一些初级保健项目提供了SOC皮肤病学理论和临床培训机会，这受到项目主任将此类培训纳入课程意愿的影响，并为皮肤科医生教育初级保健住院医师提供了机会。
