Dermatology – a compulsory part of the UK medical school curriculum?

Shah, Hemal; Pozo-Garcia, Lucia; Koulouroudias, Marinos

doi:10.3402/meo.v20.30212

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…Improving GPs’ education in skin cancer may increase the level of trust between physicians, and that of patients, and may therefore reduce the perceived need to keep patients under dermatological follow‐up . A first step to improve the skin cancer knowledge of GPs is to improve the exposure to dermatology in the medical curriculum, as it is currently underexposed not only in the Netherlands, but also internationally . However, it is also important to note that specialists and patients in secondary care are more likely to be negatively biased towards GPs due to selection bias.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing current low‐value follow‐up care after basal cell carcinoma and suggested strategies for de‐adoption: a qualitative study

Egmond

Wakkee

Rengen³

et al. 2019

Br J Dermatol

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SummaryBackgroundProviding follow‐up to patients with low‐risk basal cell carcinoma (BCC) can be considered as low‐value care. However, dermatologists still provide substantial follow‐up care to this patient group, for reasons not well understood.ObjectivesTo identify factors influencing current BCC follow‐up practices among dermatologists and suggested strategies to de‐adopt this low‐value care. In addition, views of patients regarding follow‐up care were explored.MethodsA qualitative study was conducted consisting of 18 semistructured interviews with dermatologists and three focus groups with a total of 17 patients with low‐risk BCC who had received dermatological care. The interviews focused on current follow‐up practices, influencing factors and suggested strategies to de‐adopt the follow‐up care. The focus groups discussed preferred follow‐up schedules and providers, as well as the content of follow‐up. All (group) interviews were transcribed verbatim and analysed by two researchers using ATLAS.ti software.ResultsFactors influencing current follow‐up care practices among dermatologists included complying with patients’ preferences, lack of trust in general practitioners (GPs), financial incentives and force of habit. Patients reported varying needs regarding periodic follow‐up visits, preferred to be seen by a dermatologist and indicated a need for improved information provision. Suggested strategies by dermatologists to de‐adopt the low‐value care encompassed educating patients with improved information, educating GPs to increase trust of dermatologists, realizing appropriate financial reimbursement and informing dermatologists about the low value of care.ConclusionsA mixture of factors appear to contribute to current follow‐up practices after low‐risk BCC. In order to de‐adopt this low‐value care, strategies should be aimed at dermatologists and GPs, and also patients.

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Section: Discussionmentioning

confidence: 99%

Factors influencing current low‐value follow‐up care after basal cell carcinoma and suggested strategies for de‐adoption: a qualitative study

Egmond

Wakkee

Rengen³

et al. 2019

Br J Dermatol

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“…Reported challenges included lack of dermatology departments to assist, difficulty incorporating substantial dermatologic education into existing courses, and limited time in the schedule [ 7 ]. There is a similar need to improve the standards of dermatology teaching, learning, and assessment for Australian medical schools [ 8 ]. Although certain core learning outcomes were addressed in their medical school curricula, there is a lack of education on common problems like dermatophyte infections, drug reactions, and dermatologic emergencies [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…There is a similar need to improve the standards of dermatology teaching, learning, and assessment for Australian medical schools [ 8 ]. Although certain core learning outcomes were addressed in their medical school curricula, there is a lack of education on common problems like dermatophyte infections, drug reactions, and dermatologic emergencies [ 8 ]. In the United Kingdom, there is no mandatory dermatological component in medical school curricula despite its high prevalence of skin diseases (12.4%) in the primary setting [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Beyond Skin Deep: case-based online modules to teach multidisciplinary care in dermatology among clerkship students

et al. 2023

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Background Canadian medical schools offer limited clinical dermatology training. In addition, there is a lack of educational resources that are designed specifically for clerkship students that focus on the multidisciplinary nature of dermatology. Objectives After developing case-based educational resources to address the lack of clinical exposure and learning of multidisciplinary care in dermatology, this study aimed to evaluate the educational intervention and gather feedback for future module development. Methods Ten online interactive dermatology case-based modules involving 14 other disciplines were created. Medical students (n = 89) from two Canadian schools were surveyed regarding perceptions of the existing dermatology curriculum. Among 89 students, 46 voluntarily completed the modules, and a survey (a five-point Likert scale ratings) including narrative feedback was provided to determine an improvement in dermatology knowledge and understanding of multidisciplinary care. Results Among 89 surveyed students, only 17.1% agreed that their pre-clerkship dermatology education was sufficient and 10.2% felt comfortable managing patients with skin conditions in a clinical setting. Among 46 students, 95.7% of students agreed that the modules fit their learning style (4.17 ± 0.73 on Likert scale) with positive narrative feedback. 91.3% agreed or strongly agreed that the modules enhanced their dermatology knowledge (4.26 ± 0.61). 79.6% of students agreed that the modules helped with understanding the multidisciplinary nature of dermatological cases (3.98 ± 0.81). Student comfort to manage skin conditions increased 7.7 times from 10.2% to 78.3% post-module. Conclusions Clerkship students had limited knowledge of dermatologic conditions; the case-based modules were able to successfully address these deficits and assist students in understanding the multidisciplinary nature of dermatology.

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“…Medical students have unique needs in the context of dermatology. They are relatively new to a specialty that has been historically under‐represented and not taught or assessed uniformly within the undergraduate curriculum . There is a positive correlation between exposure to dermatology as a medical student and self‐confidence in managing skin conditions as a junior doctor .…”

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confidence: 99%

BJD Medical Student Editors: reaching out to undergraduates in a rapidly evolving world of digital dermatology publishing

2019

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Dermatology – a compulsory part of the UK medical school curriculum?

Cited by 3 publications

References 7 publications

Factors influencing current low‐value follow‐up care after basal cell carcinoma and suggested strategies for de‐adoption: a qualitative study

Factors influencing current low‐value follow‐up care after basal cell carcinoma and suggested strategies for de‐adoption: a qualitative study

Beyond Skin Deep: case-based online modules to teach multidisciplinary care in dermatology among clerkship students

BJD Medical Student Editors: reaching out to undergraduates in a rapidly evolving world of digital dermatology publishing

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