Branch W T, Collins M, Wintroub B U
J Med Educ. 1983 Feb;58(2):136-42.
The problems encountered, diagnostic procedures performed, and treatments prescribed in dermatology were studied in a primary care practice and in a dermatology clinic. Referrals from a primary care practice to a dermatology practice were analyzed. It was determined that nine disease categories accounted for more than 75 percent of the problems encountered in both settings. Only one diagnostic procedure was performed commonly in both the primary care and dermatology practices--skin scraping for fungal infection. Approximately 90 percent of the treatments prescribed in both settings fell within 13 categories. It is proposed that these findings be the basis for designing the curriculum in dermatology for residents in primary care medicine. The curriculum also should provide practical experience in dermatology and familiarity with selected, rarely encountered dermatologic conditions that have important therapeutic implications.
在一家初级保健机构和一家皮肤科诊所，对皮肤科中遇到的问题、所执行的诊断程序以及所开的治疗处方进行了研究。分析了从初级保健机构转诊至皮肤科诊所的情况。结果确定，九种疾病类别占两种机构中所遇到问题的75%以上。在初级保健和皮肤科实践中，通常仅执行一种诊断程序——用于真菌感染的皮肤刮片检查。两种机构中所开的治疗处方约90%属于13个类别。建议将这些研究结果作为设计初级保健医学住院医师皮肤科课程的基础。该课程还应提供皮肤科方面的实践经验，并使学员熟悉某些具有重要治疗意义、但很少遇到的皮肤病情况。
