التفاصيل البيبلوغرافية
| العنوان: |
A national survey comparing practice patterns and residency training satisfaction for categorical dermatology versus combined internal medicine and dermatology trained physicians. |
| المؤلفون: |
Han, Joohee, Ronkainen, Sanna D., Jacobsen, Audrey, Bohjanen, Kimberly A., Merola, Joseph F., Colavincenzo, Maria L., DeWitt, Christine A., Fett, Nicole M., Haemel, Anna, Rosenbach, Misha, Werth, Victoria P., Lunos, Scott, Goldfarb, Noah |
| المصدر: |
Dermatology Online Journal; May/Jun2023, Vol. 29 Issue 3, preceding p1-10, 11p |
| مصطلحات موضوعية: |
PATIENT satisfaction, DERMATOLOGY, INTERNAL medicine, PHYSICIANS, IMMUNOSUPPRESSIVE agents |
| مستخلص: |
Combined internal medicine and dermatology (medderm) training programs were created to advance complex medical dermatology and inpatient dermatology care. A prior study demonstrated that compared to categorical dermatology residents, med-derm residents had less program satisfaction, yet indicated a stronger desire to pursue careers in academia. No follow-up data on practice patterns after training has been reported. We aimed to characterize differences in residency program satisfaction and practice patterns between physicians trained in categorical dermatology compared to med-derm residency programs. We surveyed physicians who graduated from combined med-derm programs along with their counterparts, from six institutions, that either currently or historically had a combined med-derm training, from 2008-2017. Fifty-five percent of med-derm and fortyone percent of categorical-trained physicians responded. The practice patterns between the two groups were similar. A quarter of med-derm physicians continued to provide general internal medicine services. Categorical trained physicians were significantly more satisfied with their training (P=0.03) and performed more excisions on the head/neck (P=0.02). The combined graduates had significantly greater confidence in multidisciplinary care (P=0.003), prescribed more biologic (P<0.001) and non-biologic immunosuppressive agents (P=0.002), and volunteered more for the underserved patients in their communities (P=0.04). Although few differences in overall practice patterns between categorical and med-derm trained graduates were appreciated, med-derm graduates seem more comfortable with multidisciplinary care and may care for more medically complex patients requiring immunosuppression. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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