学生和初级医生对有色人种皮肤诊断的信心调查。

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Danish medical journal Pub Date : 2023-09-18
Nasra Ashur, Janne Sorensen, Simon Francis Thomsen, Ditte Marie Saunte, Jacob P Thyssen, Marie Norredam
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引用次数: 0

摘要

引言:为了消除健康方面的种族不平等,医学生应该做好治疗所有患者的准备。丹麦已经成为一个日益多样化的社会,因此需要一个反映人口构成变化的医学课程。本研究旨在评估丹麦的皮肤病课程是否为医学生诊断有色人种患者的皮肤病(SoC)做好了准备。方法:从2022年9月20日至10月12日,向2010-2022年间在丹麦一所医学院完成皮肤病课程的医学生和初级医生分发了一份调查。参与者主要通过Facebook招募。统计数据在STATA中进行分析,自由文本回复使用主题分析进行分析。结果:共有592名医学生(n=285)和初级医生(n=307)完成了调查。在SoC中,43.9%和32.6%的人对诊断皮肤病的信心很差或很差,而在白色皮肤中,这一比例分别为5.9%和2.5%。除此之外,受访者建议在课程中增加视觉示例,并在考试中整合SoC,以提高他们在SoC诊断时的信心水平。结论:丹麦医学生和初级医生在SoC中诊断皮肤病时的信心明显低于在白皮肤中诊断。需要修订皮肤科课程,以提高学生对SoC的信心水平和知识,为他们治疗所有患者做好准备,最终减少健康方面的种族不平等。资助:无。试验注册:不相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A survey of students' and junior doctors' confidence in diagnosing in skin of colour.

Introduction: To combat ethnic inequalities in health, medical students should be prepared to treat all patients. Denmark has become an increasingly diverse society and therefore needs a medical curriculum that reflects the change in population composition. This study aimed to assess if the dermatology curriculum in Denmark prepared medical students to diagnose dermatological diseases in patients with skin of colour (SoC).

Methods: From 20 September to 12 October 2022, a survey was distributed to medical students and junior doctors who had completed the dermatology curriculum at one of the medical schools in Denmark between 2010-2022. The participants were recruited mainly via Facebook. The statistical data were analysed in STATA, and free-text responses were analysed using thematic analysis.

Results: A total of 592 medical students (n = 285) and junior doctors (n = 307) completed the survey. In SoC, 43.9% and 32.6% felt confident to a poor or very poor degree in diagnosing dermatological diseases versus 5.9% and 2.5% in white skin. Among others, the respondents suggested to increase visual examples in the curriculum and integrate SoC in exams to increase their confidence level when diagnosing in SoC.

Conclusion: Danish medical students and junior doctors are significantly less confident when diagnosing dermatological diseases in SoC than in white skin. Revision of the dermatology curriculum is needed to increase the students' confidence level and knowledge of SoC to prepare them to treat all patients, ultimately reducing ethnic inequalities in health.

Funding: None.

Trial registration: Not relevant.

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来源期刊
Danish medical journal
Danish medical journal MEDICINE, GENERAL & INTERNAL-
CiteScore
2.30
自引率
6.20%
发文量
78
审稿时长
3-8 weeks
期刊介绍: The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.
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