What should undergraduate medical students know about psoriasis? Invol
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《英国医生杂志》
1 Department of Dermatology, Churchill Hospital, Oxford OX3 9LJ
Correspondence to: S Burge sue.burge@ndm.ox.ac.uk
Objective To identify the content of a psoriasis curriculum for medical students.
Design Literature review and modified Delphi technique.
Setting Primary and secondary care in Oxfordshire and Buckinghamshire.
Subjects 19 dermatologists (7 teaching hospital consultants; 6 consultants in district general hospitals; 6 registrars); 2 general practitioner senior house officers working in dermatology, 5 dermatology nurses, 7 rheumatologists, 25 general practitioner tutors, and 25 patients with chronic psoriasis.
Main outcome measures Percentage of agreement by participants to items derived from literature and our existing psoriasis syllabus.
Results 71 (84.5%) of 84 questionnaires were returned. A 75% level of consensus was reached on key items that focused on the common presentations of psoriasis, impact, management, and communication skills. Students should be aware of the psychosocial impact of psoriasis, examine the skin while showing sensitivity, and be able to explain psoriasis to patients in a way that enables patients to explain the condition to others.
Conclusions The panels identified the important items for a psoriasis curriculum. The views of patients were particularly helpful, and we encourage educators to involve patients with chronic diseases in developing curriculums in the future. The method and results could be generalised to curriculum development in chronic disease.
The General Medical Council Education Committee. Tomorrow's doctors. Recommendations on undergraduate medical education. London: GMC, 2002.
Burge SM. Curriculum planning in dermatology. Clin Exp Dermatol 2004;29: 100-4.
Williams PL, Webb C. The Delphi technique: a methodological discussion. J Adv Nurs 1994;19: 180-6.
Boath E, Mucklow J, Black P. Consulting the oracle: a Delphi study to determine the content of a postgraduate distance learning course in therapeutics. Br J Clin Pharmacol 1997;43: 643-7.
Walley T, Webb DJ. Developing a core curriculum in clinical pharmacology and therapeutics: a Delphi study. Br J Clin Pharmacol 1997;44: 167-70.
Stewart J, O'Halloran C, Harrigan P, Spencer JA, Barton JR, Singleton SJ. Identifying appropriate tasks for the preregistration year: modified Delphi technique. BMJ 1999;319: 224-9.
Milman U, Alperin M, Reis S, Van-Ralte R, Hermoni D. Determining teaching objectives for the family medicine clerkship in medical school—an Israeli national Delphi survey. Isr Med Assoc J 2001;3: 978-81.
British Association of University Teachers of Dermatology. Teaching recommendations for undergraduate dermatology in the UK. London: British Association of Dermatologists, 2000.
Finlay AY, Coles EC. The effect of severe psoriasis on the quality of life of 369 patients. Br J Dermatol 1995;132: 236-44.
Clark NM, Gong M. Management of chronic disease by practitioners and patients: are we teaching the wrong things? BMJ 2000;320: 572-5.
Harden RM. Approaches to curriculum planning. Med Educ 1986;20: 458-66.
Neufeld VR, Maudsley RF, Pickering RJ, Turnbull JM, Weston WW, Brown MG, et al. Educating future physicians for Ontario. Acad Med 1998;73: 1133-48.
Neufeld VR, Maudsley RF, Pickering RJ, Walters BC, Turnbull JM, Spasoff RA, et al. Demand-side medical education: educating future physicians for Ontario. CMAJ 1993;148: 1471-7.
Spencer J, Blackmore D, Heard S, McCrorie P, McHaffie D, Scherpbier A, et al. Patient-oriented learning: a review of the role of the patient in the education of medical students. Med Educ 2000;34: 851-7.
Howe A, Anderson J. Involving patients in medical education. BMJ 2003;327: 326-8.
Shaw S. Expertise and chronicity: How are patients presented in the curriculum. Focus Health Profess Educ 2002;4: 33-46.
Holsinger L. A battle with my skin. J Am Acad Dermatol 2004;51(suppl 1): S41-2.
McKenna SP, Cook SA, Whalley D, Doward LC, Richards HL, Griffiths CE, et al. Development of the PSORIQoL, a psoriasis-specific measure of quality of life designed for use in clinical practice and trials. Br J Dermatol 2003;149: 323-31.
Department of Health. The expert patient: a new approach to chronic disease management for the twenty-first century. London: DoH, 2001. www.ohn.gov.uk/ohn/people/expert.htm (accessed 22 Feb 2005).(Abdelaziz Alahlafi, research fellow1, Su)
Correspondence to: S Burge sue.burge@ndm.ox.ac.uk
Objective To identify the content of a psoriasis curriculum for medical students.
Design Literature review and modified Delphi technique.
Setting Primary and secondary care in Oxfordshire and Buckinghamshire.
Subjects 19 dermatologists (7 teaching hospital consultants; 6 consultants in district general hospitals; 6 registrars); 2 general practitioner senior house officers working in dermatology, 5 dermatology nurses, 7 rheumatologists, 25 general practitioner tutors, and 25 patients with chronic psoriasis.
Main outcome measures Percentage of agreement by participants to items derived from literature and our existing psoriasis syllabus.
Results 71 (84.5%) of 84 questionnaires were returned. A 75% level of consensus was reached on key items that focused on the common presentations of psoriasis, impact, management, and communication skills. Students should be aware of the psychosocial impact of psoriasis, examine the skin while showing sensitivity, and be able to explain psoriasis to patients in a way that enables patients to explain the condition to others.
Conclusions The panels identified the important items for a psoriasis curriculum. The views of patients were particularly helpful, and we encourage educators to involve patients with chronic diseases in developing curriculums in the future. The method and results could be generalised to curriculum development in chronic disease.
The General Medical Council Education Committee. Tomorrow's doctors. Recommendations on undergraduate medical education. London: GMC, 2002.
Burge SM. Curriculum planning in dermatology. Clin Exp Dermatol 2004;29: 100-4.
Williams PL, Webb C. The Delphi technique: a methodological discussion. J Adv Nurs 1994;19: 180-6.
Boath E, Mucklow J, Black P. Consulting the oracle: a Delphi study to determine the content of a postgraduate distance learning course in therapeutics. Br J Clin Pharmacol 1997;43: 643-7.
Walley T, Webb DJ. Developing a core curriculum in clinical pharmacology and therapeutics: a Delphi study. Br J Clin Pharmacol 1997;44: 167-70.
Stewart J, O'Halloran C, Harrigan P, Spencer JA, Barton JR, Singleton SJ. Identifying appropriate tasks for the preregistration year: modified Delphi technique. BMJ 1999;319: 224-9.
Milman U, Alperin M, Reis S, Van-Ralte R, Hermoni D. Determining teaching objectives for the family medicine clerkship in medical school—an Israeli national Delphi survey. Isr Med Assoc J 2001;3: 978-81.
British Association of University Teachers of Dermatology. Teaching recommendations for undergraduate dermatology in the UK. London: British Association of Dermatologists, 2000.
Finlay AY, Coles EC. The effect of severe psoriasis on the quality of life of 369 patients. Br J Dermatol 1995;132: 236-44.
Clark NM, Gong M. Management of chronic disease by practitioners and patients: are we teaching the wrong things? BMJ 2000;320: 572-5.
Harden RM. Approaches to curriculum planning. Med Educ 1986;20: 458-66.
Neufeld VR, Maudsley RF, Pickering RJ, Turnbull JM, Weston WW, Brown MG, et al. Educating future physicians for Ontario. Acad Med 1998;73: 1133-48.
Neufeld VR, Maudsley RF, Pickering RJ, Walters BC, Turnbull JM, Spasoff RA, et al. Demand-side medical education: educating future physicians for Ontario. CMAJ 1993;148: 1471-7.
Spencer J, Blackmore D, Heard S, McCrorie P, McHaffie D, Scherpbier A, et al. Patient-oriented learning: a review of the role of the patient in the education of medical students. Med Educ 2000;34: 851-7.
Howe A, Anderson J. Involving patients in medical education. BMJ 2003;327: 326-8.
Shaw S. Expertise and chronicity: How are patients presented in the curriculum. Focus Health Profess Educ 2002;4: 33-46.
Holsinger L. A battle with my skin. J Am Acad Dermatol 2004;51(suppl 1): S41-2.
McKenna SP, Cook SA, Whalley D, Doward LC, Richards HL, Griffiths CE, et al. Development of the PSORIQoL, a psoriasis-specific measure of quality of life designed for use in clinical practice and trials. Br J Dermatol 2003;149: 323-31.
Department of Health. The expert patient: a new approach to chronic disease management for the twenty-first century. London: DoH, 2001. www.ohn.gov.uk/ohn/people/expert.htm (accessed 22 Feb 2005).(Abdelaziz Alahlafi, research fellow1, Su)