医学生皮肤病学教育:评估临床皮肤病学选修课的参与率

Ashima Agarwal, Lauryn M. Falcone, Emily D. Cai, Alaina J. James
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摘要

导言:全世界有 19 亿人受到皮肤病的影响,皮肤病是患者寻求医疗服务的常见原因1。由于皮肤病的发病率很高,医科学生必须接受识别和治疗皮肤病的临床教育。匹兹堡大学医学院(UPSoM)目前为三年级或四年级医学生开设了为期 4 周的临床皮肤病学选修课。然而,在临床课程日益拥挤的情况下,很多学生并没有选修皮肤病学选修课。方法:我们评估了完成皮肤病学选修课的 UPSoM 学生比例,并分析了这些学生在 2012 至 2022 学年期间的住院医师选择情况。我们还通过美国医学协会的 FREIDA 数据库,调查了全美设有皮肤病学住院医师培训项目的医学院的皮肤病学选修课程,并调查了提供缩短选修课程的学校数量。结果:在 2012 至 2022 学年期间,共有 1579 名学生在 UPSOM 就读。在此期间,有 205 名学生(13.0%)参加了选修课程。在这205名学生中,31人(15.1%)选择了皮肤科住院医师培训,105人(51.2%)选择了初级保健,22人(10.7%)选择了外科亚专科。在 142 个皮肤科住院医师培训项目中,只有 19 个项目(17.0%)提供缩短的选修课。讨论:许多医学生在医学院毕业时几乎没有接受过皮肤病学培训,尽管他们在未来的职业生涯中很有可能会遇到皮肤病。提供缩短的临床皮肤病学选修课可以让更多学生参加皮肤病学实践培训。
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Dermatology Education for Medical Students: Assessing Participation Rates in Clinical Dermatology Electives
Introduction: Skin conditions affect 1.9 billion people worldwide and are a common reason for patients to seek health care1. With the high prevalence of skin disease, it is vital that medical students should receive clinic-based education in recognizing and treating skin disorders. University of Pittsburgh School of Medicine (UPSoM) currently offers a 4-week clinical dermatology elective to third or fourth year medical students. However, in an increasingly crowded clinical curricula, the dermatology elective is not taken by many students. Methods: We assessed the percentage of UPSoM students who completed the dermatology elective and analyzed the residency selection of these students between academic years 2012 to 2022. We also explored dermatology elective offerings of medical schools across the United Sates that have a dermatology residency program and investigated the number of schools offering a shortened elective through the American Medical Association’s FREIDA database. Results: During academic years (AY) 2012 to 2022, 1579 students were enrolled at UPSOM. In this time period, 205(13.0%) students participated in the elective course. Of these 205 students, 31(15.1%) pursued dermatology residency, 105(51.2%) pursued primary care and 22(10.7%) students pursued surgical subspecialties. Of the 142 dermatology residency programs, only nineteen programs (17.0%) offer a shortened elective. Discussion: Many medical students graduate medical school with little to no dermatology training, despite a high likelihood of encountering skin disease in their future careers. Offering a shortened clinical dermatology elective may allow for more students to participate in hands-on dermatology training.
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