在为期一天的家庭医学住院医师研讨会后使用皮肤镜

Dylan Maldonado, K. O'Hanlon
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引用次数: 0

摘要

癌症是美国最常见的癌症。本研究的目的是确定一次大型研讨会是否会影响皮肤镜检查在家庭医学住院培训项目中的使用。皮肤镜是一种非侵入性工具,可以对皮肤损伤进行更高的放大,从而提高评估肉眼无法看到的质量的能力。这项研究使用了研讨会前后的调查问卷来评估参与者在评估、诊断和管理皮肤损伤方面的做法。18名居民在大圆桌研讨会之前完成了调查。9名居民在研讨会后三个月完成了后续调查。结果显示,工作后使用皮肤镜检查的频率增加(Pearson’s Chi Square=8.83,p=0.012;Fischer’s Exact=0.008),居民认为皮肤镜检查减少了提及皮肤病变的需要(Pearson's Chi Square=9.11,p=0.028;Fischer‘s Exact=0.023)。然而,在使用皮肤镜检查的教育后研讨会时,住院医师的舒适度没有显著变化(Pearson’s Chi Square=5.34,p=0.255;Fischer’s Exact=0.272)。
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The use of Dermoscopy Following a one-day Workshop Among Family Medicine Residents
Skin cancer is the most common form of cancer in the United States. The purpose of this study is to determine if a single grand rounds workshop impacts the use of dermoscopy in a family medicine residency training program. Dermoscopy is a non-invasive tool to allow for higher magnification of skin lesions thereby increasing the ability to assess qualities which are unable to be seen by the naked eye. This study utilized a preand post-workshop survey questionnaire to assess participant practices in evaluation, diagnosis, and management of skin lesions. Eighteen residents completed the survey prior to the grand rounds workshop. Nine residents completed the follow-up survey three-months post-workshop. The results showed that the frequency of dermoscopy use increased post-workshop (Pearson’s Chi Square=8.83, p=0.012; Fischer’s Exact=0.008) and residents felt dermoscopy decreased the need to refer skin lesions (Pearson’s Chi Square=9.11, p=0.028; Fischer’s Exact=0.023). However, there was no significant change in resident comfort level when using dermoscopy post-educational workshop (Pearson’s Chi Square=5.34, p=0.255; Fischer’s Exact=0.272).
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