Perceptions of Expertise in Cutaneous Surgery and Cosmetic Procedures: What Primary Care Physicians Think

Ibrahimi, Omar A.; Bangash, Haider Khan; Green, Lawrence; Alam, Murad; Armstrong, April W.; Eisen, Daniel B.

doi:10.1111/j.1524-4725.2012.02577.x

Cited by 29 publications

(28 citation statements)

References 15 publications

(26 reference statements)

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“…7 A 2012 survey of 561 primary care physicians identified dermatologists as the most qualified specialists to inject botulinum toxin and fillers and to perform laser procedures. 8 To continue as innovators and leaders in the safe performance of cosmetic dermatology procedures, future dermatologists must be properly trained. Regardless of prevailing PD attitudes toward the value and necessity of cosmetic dermatology training, the results of this survey demonstrate that almost every program provides hands-on cosmetic dermatology training during dermatology residency.…”

Section: Discussionmentioning

confidence: 99%

Cosmetic Dermatologic Surgical Training in US Dermatology Residency Programs

2014

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Section: Discussionmentioning

confidence: 99%

Cosmetic Dermatologic Surgical Training in US Dermatology Residency Programs

2014

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“…Recommendation We recommend that the health care provider should possess competence required to diagnose the patient's cutaneous vascular disorder, establish and explain his/her treatment needs, recognize and manage risks and deliver safe and appropriate laser/IPL treatment to remove or reduce vascular lesions in accordance with current standards of care and patient's expectations (GRADE 1C) …”

Section: Qualification Of Providers Of Laser And/or Ipl Treatmentmentioning

confidence: 99%

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Adamič¹,

Pavlović

Rubin

et al. 2015

Acad Dermatol Venereol

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Aim Lasers and non-coherent intense pulse light sources (IPLS) are based on the principle of selective photothermolysis and can be used for the treatment of many vascular skin lesions. A variety of lasers has been developed for the treatment of congenital and acquired vascular lesions which incorporate these concepts into their design. Although laser and light sources are very popular due to their non-invasive nature, caution should be considered by practitioners and patients to avoid permanent side-effects. The aim of these guidelines is to give evidence-based recommendations for the use of lasers and IPLS in the treatment of vascular lesions. Results Lasers and IPLS are very useful and sometimes the only available method to treat various vascular lesions. It is of a paramount importance that the type of laser or IPLS and their specific parameters are adapted to the indication but also that the treating physician is familiar with the device to be used. The crucial issue in treating vascular lesions is to recognize the immediate end-point after laser treatment. This is the single most important factor to ensure both the efficacy of the treatment and avoidance of serious side-effects. Methods Conflicts of interestNone declared. Funding sourceNone.Since the publication of previous European Society of Laser Dermatology (ESLD) guidelines in 2007, there have been significant advances in the field of laser treatment of common vascular lesions.1 These guidelines have been updated by the Consensus Panel under the auspices of the ESLD. Methodology, search strategy and recommendation formulation are described in Appendix II. A brief overview of vascular lasersStandard vascular lasers include pulsed dye lasers (585 and 595 nm), and KTP-lasers (532 nm), followed by longer wavelength lasers such as alexandrite lasers (755 nm), diode lasers (800-900 nm) and millisecond Nd:YAG lasers (1064 nm). New developments include a non-uniform pulse sequence or a dual-wavelength modality (combined dual wavelength 595 and 1064 nm-pulsed dye and Nd:YAG laser) and microsecond Nd: YAG lasers. [2][3][4][5][6] Even fractional photothermolysis has begun to be used for selected vascular lesions. Lasers' and intense pulse light sources (IPLS) effects are based on the principle of selective photothermolysis. In general, they deliver a precisely graded aliquot of energy to a defined area of the skin in a reproducible, standardized manner that almost always involves addition or evacuation of heat. The greatestThe first two authors have contributed equally to the manuscript.

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“…Substantial headway has been made in establishing the expertise of dermatologists within the medical community. For instance, a survey of 561 primary care physicians found that 56 % believe dermatologists to be the most qualified to perform surgery for skin cancer [17]. Significant strides have been made by the dermatology community to maintain perceptions such as these among fellow physicians.…”

Section: Discussionmentioning

confidence: 99%

Key Issues in Surgical Training of Residents and Fellows

Burnett

Lee

2015

Curr Derm Rep

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Dermatologic surgery is a major component of dermatology practice in the USA. The skill set required to perform surgical procedures is developed during the residency period and augmented through surgery-specific fellowships. In recent years, the breadth and scope of surgical procedures provided by dermatologists has increased exponentially. A commensurate expansion in the training requirements of residents and fellows has occurred to meet these demands. Concurrently, evaluation systems to assess competency have been broadened to ensure adequate training and safe delivery of care. However, the provision of surgical training to residents and fellows continues to be met with a number of challenges which are discussed herein.

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Perceptions of Expertise in Cutaneous Surgery and Cosmetic Procedures: What Primary Care Physicians Think

Cited by 29 publications

References 15 publications

Cosmetic Dermatologic Surgical Training in US Dermatology Residency Programs

Cosmetic Dermatologic Surgical Training in US Dermatology Residency Programs

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Key Issues in Surgical Training of Residents and Fellows

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