|
KMID : 0381519990110010107
|
|
Korean Journal of Medical Education
1999 Volume.11 No. 1 p.107 ~ p.116
|
|
|
The Evaluation on Medical Knowledge of Physicians About Common Dermatoses
|
|
Seo Koo-Il
Koh Woo-Seok
Eun Hee-Chul
|
|
|
Abstract
|
|
|
Proper education about dermatology in medical college would have physicians appropriately diagnose and treat common dermatoses without referring patients to dermatologists. However, physicians who are not dermatologists have difficulty in
diagnosing and treating common dermatoses. We have made up a questionnaire about treatment and a slide test for clinical diagnosis of common dermatoses in order to evaluate the knowledge of physicians about common dermatoses. This test will indirectly reflect the current status of dermatology in medical education in Korea and can be used as basic data for modifying the direction of education in medical college. A total of 654 physicians answered the questionnaire, including 125 freshly graduated general physicians, 111 general physicians who had just finished their internship and 418 medical specialists. 11 data from dermatologists were analyzed as a control for evaluation. The result showed that 84% (545) of physicians have difficulty in diagnosing dermatologic diseases. The nost probable causes noted are a lack of easy illustrative textbooks for general physicians (48%) and inadequate education of dermatology in their medical colleges (27%), etc. In the field of therapy in the questionnaire, only 53% of them had proper knowledge about indication of topical steroids, 56% about acne therapy, 22% about treatment of tinea pedis, 35% about scabies and 41% about urticaria. The average score was 53%. The score of the family medicine group and the urwas 69% and 66% each, which were significantly higher than that of other major groups, except 98% of the dermatologist group. In the slide test for clinical diagnosis, the average score was 71%. The score of the family medicine group which had received postgraduate education in dermatology during their resident training was 84%. This also significantly higher than that of other major groups, except 100% of the dermatologist group. The percentage of correct responders about tinea faciei was only 13%, tines versicolor 42%, tinea cruris 49%, impetigo 53%, pityriasis rosea 60%, atopic dermatitis 67%, psoriasis 72% and fixed
drug eruption 74%, etc. The average score was 71%. In conclusion, this study showed that physicians who are not dermatologists have difficulty in diagnosing and treating even common dermatoses. We think it is important to put educational stress on the common dermatoses in the field of dermatologic education in medical college. Moreover, we could find the importance and need of postgraduate education in dermatology during the resident training of primary care physicians such as not only family medicine doctors but also internists and pediatricians.
|
|
|
KEYWORD
|
|
|
Dermatology, Education, Evaluation, Common dermatoses
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
 
|
|