We determine whether a subset of internists exist who are better at diagnosing skin disease and therefore select themselves to treat the majority of patients with dermatologic disorders.
A survey was conducted in which internists reported their self-perception regarding their abilities in dermatology, the amount of dermatology training they had received, and the percentage of patients they encounter with and treat for skin diseases.
This was correlated with results from an objective photographic (Kodachrome) examination assessing their diagnostic abilities in dermatology.
The setting was university and private practices in Miami, Fla, and New Haven, Conn.
The participants were general internists, medical subspecialists, and medical residents.
After completing a self-administered questionnaire, each physician then participated in an examination where they were shown 20 color photographs of common skin disorders.
We correlate the relationship between the survey variables and the results of the photographic examination.
Eighty-four internists diagnosed 50.5% of the diseases correctly.
Internists perceive themselves as mediocre in dermatology (2.6, on a scale of 1-5,5 being the best), which correlated with their poor performance on the photographic evaluation (P=04).
Internists reported having limited education or training in dermatology (>85% having<1 month of training in or after medical school). (...)
Mots-clés Pascal : Soin intégré, Dermatologie, Etude statistique, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Managed care, Dermatology, Statistical study, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0510920
Code Inist : 002B08J. Création : 13/02/1998.