Anogenital examination practices among United States dermatology residents

Abstract

relationship between the studied case report characteristics and number of citations. However, 3 characteristics trended toward being associated with a greater number of citations: inclusion of multiple patients (ie, case series), inclusion of before-after photographs, and discussion of new treatment modalities. Some findings trended against their expected outcome. For example, case reports with images averaged approximately 6 fewer citations than those without images, and case reports with dermatopathology averaged approximately 0.5 fewer citations than those without it. This may suggest that although the presence of clinical and dermatopathology images enhances article readability (at least in our opinion), it does not affect citations.Our findings suggest that no single case report characteristic can necessarily predict its influence. Additionally, case series and descriptions of new treatment modalities may be most likely to affect subsequent research endeavors as measured by citations. The number of citations may belie a case report's true influence. Ultimately, even as case reports are transitioned into case-report-only journals, they are essential in advancing the field of dermatology. Therefore, we encourage JAAD readers to share their findings in JAAD Case Reports to promote the advancement of our field.

The Genital Examination in Dermatologic Practice

“…If a patient declines this examination, the dermatologist should ensure that another physician-be it a gynecologist, primary care provider, or other specialist-is routinely examining the area. 6,7…”

“…6 Similar findings were reported in a survey of US dermatology residents. 7 Why is the genital area routinely omitted from the dermatologic TBSE? Based on the surveys of dermatologists and dermatology residents, the most common reason cited for not examining these sites was patient discomfort, but there also was a dominant belief that other specialties, such as gynecologists, urologists, or primary care providers, routinely examine these areas.…”

“…Based on the surveys of dermatologists and dermatology residents, the most common reason cited for not examining these sites was patient discomfort, but there also was a dominant belief that other specialties, such as gynecologists, urologists, or primary care providers, routinely examine these areas. 5,7 Time constraints also were a concern.…”