Dermatology hospitalists: a multicenter survey study characterizing the infrastructure of consultative dermatology in select American hospitals

Ko, Lauren N.; Kroshinsky, Daniela

doi:10.1111/ijd.13939

Cited by 16 publications

(24 citation statements)

References 21 publications

(55 reference statements)

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“…Surveys in the United States indicate that few dermatologists (14%) spend more than 1 hour in the hospital per week. 13 A recent study of dermatology in Ontario revealed a decrease in the number of dermatologists 17 Community dermatologists operating on fee-for-service model and managing operational costs of a business face greater challenges providing hospital consultations that are more time consuming and poorly remunerated. Another important factor contributing to limited in patient dermatology coverage is a shortage of board-certified dermatologists in Canada and an unbalanced geographic distribution of dermatologists.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Suspension of Dermatology On-Call Services

Langley

Kirchhof

2020

J Cutan Med Surg

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Background Dermatological conditions are commonly seen in the emergency department and inpatient wards. The ability to access dermatology on-call services improves the accuracy of diagnosis and management of common and sometimes life-threatening conditions. Limitations of dermatologist availability led to the suspension of the dermatology on-call service for 3 months in Ottawa, Canada. Objectives Our objective was to assess the impact of this call suspension on patient care and the need for a dermatology on-call service at our hospital, as perceived by nondermatologist physicians at our center. Methods A survey was sent to all departments at The Ottawa Hospital, addressed to staff physicians and residents. Participation was entirely voluntary. Descriptive statistics were used to analyze survey responses. Results A total of 105 physicians completed the survey including staff physicians (85%) and resident trainees (15%). The most represented specialties were emergency medicine ( N = 21), general internal medicine ( N = 19), nephrology ( N = 17), neurology ( N = 13), and plastic surgery ( N = 13). Over half of the respondents felt that the lack of dermatology on-call service impacted the care of their patients by a moderate or great extent. Over half reported performing dermatology-related clinical work during the call suspension and two-thirds of these individuals reported feeling uncomfortable or very uncomfortable doing so. Most (94%) participants felt that an on-call dermatology service was useful and 57% deemed it essential. Conclusion Our survey results demonstrate a significant impact of the suspension of a dermatology on-call service, as perceived by nondermatologist physicians. Hospitals need to recognize the importance of on-call dermatology consultations and provide support for divisions to enable this service to continue.

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Section: Discussionmentioning

confidence: 99%

The Impact of Suspension of Dermatology On-Call Services

Langley

Kirchhof

2020

J Cutan Med Surg

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“…7 Furthermore, dermatology may also contribute with educational support to non-dermatology residents and other healthcare professionals. 7,34 Hu et al 14 argue that dermatologists could also contribute to nurse education about wounds and bandages.…”

Section: Dermatology Contributions In Hospitals and Its Challengesmentioning

confidence: 99%

“…Regarding medical education in dermatology, general practitioners and non-dermatology specialists frequently struggle to properly diagnose and treat skin diseases, which leads to inaccurate diagnoses and inappropriate therapies, as well as references with poor descriptions of skin lesions. 7,14,34,35 This difficulty may be related to the variability in the Dermatology curriculum amongst medical schools, which in some cases may not offer suitable curriculum time to this specialty. 1,35 For this reason, Beshay et al 36 stress the importance of structuring hospital dermatology services and referral and counter-referral processes as stimulators of dermatology education.…”

Section: Dermatology Contributions In Hospitals and Its Challengesmentioning

confidence: 99%

O Impacto das Doenças Dermatológicas no Cuidado Hospitalar e as Contribuições da Dermatologia

Ferreira

Weber

Bulcão

et al. 2021

SPDV

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Introdução: As doenças de pele apresentam alta prevalência em ambientes hospitalares. Pacientes hospitalizados com dermatoses associadas apresentam maior risco de mortalidade do que indivíduos sem doenças de pele, reforçando a importância do diagnóstico e tratamento precoces. Métodos: Foi realizada uma revisão sistemática em cinco bases de dados Medline, SciELO, LILACS, Web of Science e Scopus, utilizando as palavras- chave “Inpatients” AND “Dermatology”, abrangendo o período de 2010 a 2020. Em seguida, foi realizada uma revisão narrativa por meio dos autores 'seleção de referências relevantes sobre dermatologia hospitalar, incluindo artigos de revisão, livros e outras publicações. Resultados: Com base na estratégia de busca, foram encontradas 166 publicações, das quais 26 estudos foram elegíveis para inclusão no estudo. A partir desta revisão da literatura, analisamos as frequências de dermatoses em pacientes hospitalizados e os tipos de cuidados dermatológicos. As doenças dermatológicas constituem patologias importantes nos hospitais, sendo as erupções infecciosas e medicamentosas as dermatoses mais prevalentes. Conclusão: Este estudo demonstra que as doenças dermatológicas são altamente frequentes entre os pacientes hospitalizados. A maioria dos estudos corrobora a contribuição da dermatologia para a assistência hospitalar.

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“…1,4 Inpatient dermatology consultations emerged and continue to have profound effects on hospitalized patients regardless of their reason for admission. [1][2][3][4][5][6][7][8][9][10][11] Inpatient dermatologists supply knowledge in areas primary medical teams lack, and there is evidence that dermatology consultations improve the quality of care while decreasing cost. 2,[5][6][7] Establishing correct diagnoses, preventing exposure to unnecessary medications, and reducing hospitalization duration and readmission rates are a few ways dermatology consultations positively impact hospitalized patients.…”

mentioning

confidence: 99%