The ability of primary care physicians to recognize the common dermatoses

Ramsay, D. L.

doi:10.1001/archderm.117.10.620

Cited by 37 publications

(11 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2 The diagnosis of skin disease is not straightforward for primary caregivers, and diagnoses made by dermatologists are twice as accurate as those made by non-dermatologists. 9 , 10 Consequently, many soldiers are referred to dermatologists who are located a long way from their bases to have their skin conditions diagnosed, even though the complaints may not be serious. Since this causes poor morale and combat ineffectiveness, 2 a variety of ways to reduce unnecessary evacuations from military units have been considered.…”

Section: Discussionmentioning

confidence: 99%

Teledermatology consultation using a smartphone multimedia messaging service for common skin diseases in the Korean army: a clinical evaluation of its diagnostic accuracy

et al. 2014

View full text Add to dashboard Cite

We evaluated the diagnostic accuracy of teleconsultations for skin diseases common in the army using a smartphone multimedia messaging service (MMS). Images of skin lesions were obtained from 100 army patients using digital cameras built into smartphones. Three remotely located dermatologists received the dermatology images and associated clinical information via the MMS. The teledermatologists' diagnoses were compared with those obtained from face-to-face examinations. The three most common diagnoses made at the dermatology clinics were eczema, viral warts and fungal infections. The mean diagnostic agreement between face-to-face and teledermatology consultations was 71% (SD 2). The mean kappa coefficient was 0.73 (SD 0.06) for the three most common diagnostic categories. The mean values for sensitivity were 78% (SD 0), 88% (SD 21) and 61% (SD 11) for eczema, viral warts and fungal infections, respectively, and the specificity values were above 90% for these skin diseases. Teledermatology consultation using smartphones is simple. Although diagnoses using telemedicine do not perfectly match diagnoses from face-to-face consultations the diagnostic accuracy using smartphones is superior to that of clinicians who are not specialized in dermatology.

show abstract

Section: Discussionmentioning

confidence: 99%

Teledermatology consultation using a smartphone multimedia messaging service for common skin diseases in the Korean army: a clinical evaluation of its diagnostic accuracy

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Ramsay and Fox [9]investigated the ability of primary care physicians to recognize the common dermatoses, and they emphasized the need for reevaluation of the training of medical students and primary care physicians. In our study, 15.7% (n = 273) of the cases had cutaneous manifestations of systemic disorders.…”

Section: Discussionmentioning

confidence: 99%

Teaching Effects of Dermatological Consultations on Nondermatologists in the Field of Internal Medicine

Antic

Conen²,

Itin³

2004

Dermatology

View full text Add to dashboard Cite

Background: Scarce data exist concerning dermatological consultations within departments of internal medicine. To date, no survey has been carried out in Switzerland to elucidate this issue. The aim of this study was to analyze the spectrum of skin diseases internists are confronted with and to study their diagnostic accuracy in cutaneous diseases. In addition, we wanted to evaluate the motivation for dermatologists to cooperate closely with internists. Patients and Methods: The study included patients with dermatological problems treated at the Department of Internal Medicine at the Kantonsspital Aarau, Switzerland. All patients had been referred to the Department of Dermatology for examination between 1999 and 2001. Patient data were analyzed demographically, by referral modus, diagnoses and therapy. To evaluate the knowledge of internists and dermatologists in cutaneous medicine, 15 clinical slides of common dermatoses with a patient history were shown and asked for diagnostic suggestions to 32 internists of the Kantonsspital Aarau and to 13 dermatologists of the University Hospital Basel, Switzerland. Results: 1,290 patients were referred to the Department of Dermatology. 1,737 dermatological diagnoses were made including 348 different dermatoses. Eczema was the single most common diagnosis (12.6%), followed by actinic and bowenoid precancerosis (6.2%), drug eruption (4.2%), verrucae (4%) and mycosis (3.8%). The top ten diagnoses accounted for 41.7% of all skin-related diagnoses. Infection-related dermatoses were most common (20.5%) followed by different types of eczema (12.6%), malignant cutaneous tumors and malignant visceral conditions (11.2%). Local therapy was prescribed in 64.2% and systemic therapy in 22.6% of the patients. 15.9% did not receive specific therapy because the consultation request was only a diagnostic one. 146 skin biopsies were performed (11.3%). Systemic diseases with cutaneous manifestations accounted for 15.7%. In general, these conditions were not commonly seen by dermatologists in daily practice. The internists recognized 51.1% of the cutaneous manifestations during examination and 49% when presented with slides. Conclusions: Internists are confronted with a different spectrum of cutaneous diseases compared with dermatologists. Due to the broad spectrum of skin diseases, it is a challenging task for internists to recognize dermatoses. Our study elucidates that patients, internists and dermatologists may profit from a close cooperation.

show abstract

“…Past studies suggest that many primary care physicians are not able to perform at a level equivalent to dermatologists when diagnosing and making evaluation plans for all forms of skin cancer. 10–16 Literature reviews recognized a need for increased training by primary care physicians in the diagnosis of skin diseases. 11,17 Marked differences exist in the abilities of dermatologists versus other physicians to correctly diagnose skin conditions and ultimately dermatologists’ diagnostic skills were superior in comparison.…”

Section: Discussionmentioning

confidence: 99%

Assessment of postgraduate skin lesion education among Iowa family physicians

et al. 2017

View full text Add to dashboard Cite

Background:Family medicine physicians play a pivotal role in the prevention and early detection of skin cancer. Our objective was to evaluate how family physicians believe their postgraduate training in skin cancer screening and prevention has prepared them for independent practice and to assess the need for enhanced skin lesion teaching in a family medicine residency setting.Methods:A descriptive, cross-sectional survey investigating provider demographics, confidence in providing dermatological care, residency training, current medical practice, and skin cancer prevention beliefs was mailed to all family medicine physicians in the state of Iowa as listed in the Iowa Academy of Family Physicians annual directory in 2006 (N = 1069).Results:A total of 575 family medicine physicians completed the survey for an overall response rate of 53.8%. Overall, family medicine physicians reported feeling confident in their ability to diagnose skin lesions (83.2%), differentiate between benign and malignant lesions (85.3%), and perform a biopsy of a lesion (94.3%). Only 65% of surveyed physicians felt that their residency program adequately trained them in diagnosing skin lesions and 65.7% of physicians agree that they could have benefited from additional training on skin lesions during residency training. Nearly 90% of clinicians surveyed believe that skin cancer screenings are the standard of care; however, only 51.8% perform skin cancer screening examinations during adult health maintenance visits more than 75% of the time. The primary reason listed by respondents who said they do not routinely perform skin cancer screenings was inadequate time (68.2%).Conclusion:Family medicine physicians in the state of Iowa are confident in evaluating skin lesions. However, they reported a need for additional enhanced, targeted skin lesion education in family medicine residency training programs. Physicians believe that skin cancer screening examination is the standard of care, but find that inadequate time increasingly hinders skin cancer screening during routine health maintenance examinations.

show abstract

The ability of primary care physicians to recognize the common dermatoses

Cited by 37 publications

References 0 publications

Teledermatology consultation using a smartphone multimedia messaging service for common skin diseases in the Korean army: a clinical evaluation of its diagnostic accuracy

Teledermatology consultation using a smartphone multimedia messaging service for common skin diseases in the Korean army: a clinical evaluation of its diagnostic accuracy

Teaching Effects of Dermatological Consultations on Nondermatologists in the Field of Internal Medicine

Assessment of postgraduate skin lesion education among Iowa family physicians

Contact Info

Product

Resources

About