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<p>Non-dermatologist physicians see many skin disorders, yet the majority of internal medicine trainees express uncertainty when managing dermatologic conditions. Furthermore, there is no standardized dermatology training for internal medicine residents, which may lead to disparities in physician knowledge and patient care. A didactic curriculum utilizing the most common skin disorders seen at a large urban academic medical center from 2020 to 2021 was developed. All internal medicine residents (<i>n</i> = 81) were advised to complete an anonymized pre-lecture survey containing questions that assessed residents’ knowledge, confidence, and behaviors when managing the most common skin disorders. Participating internal medicine residents (<i>n</i> = 21) were given a one-hour lecture on these dermatologic conditions and completed a post-lecture survey within 24&#xa0;h. A 6-month follow-up survey (<i>n</i> = 10) was administered to track long-term learning from the didactic session and to measure self-reported change in clinic behaviors. Immediate post-lecture scores on confidence-based questions overall increased by an average of 63% (<i>p</i> &lt; 0.001) and knowledge-based questions by an average of 15% (<i>p</i> = 0.02). The specific skin conditions most significantly improved in confidence were basal cell carcinoma (+ 119%, <i>p</i> &lt; 0.001), squamous cell carcinoma (+ 85%, <i>p</i> &lt; 0.001), and actinic keratosis (+ 83%, <i>p</i> &lt; 0.001). After 6 months, there was no statistically significant improvement from baseline dermatology knowledge, but residents reported a higher confidence in managing common skin disorders by an average of 21% (<i>p</i> = 0.04) and reported a lower likelihood to refer to dermatology by an average of 16% (<i>p</i> = 0.045). Implementation of a dermatology-focused didactic session for internal medicine residents highlights a greater need for educational exposure in managing skin conditions to improve physician confidence and minimize unnecessary referrals. Future work will focus on increasing regular dermatology curriculum delivery and tracking long-term dermatology knowledge retention.</p>

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Development and evaluation of a dermatology curriculum for internal medicine residents

  • 期刊论文

  • 发表日期：

    2025年11月1日

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  • Maya R. Navarro,
  • Roopal V. Kundu,
  • Samantha Venkatesh

摘要

Non-dermatologist physicians see many skin disorders, yet the majority of internal medicine trainees express uncertainty when managing dermatologic conditions. Furthermore, there is no standardized dermatology training for internal medicine residents, which may lead to disparities in physician knowledge and patient care. A didactic curriculum utilizing the most common skin disorders seen at a large urban academic medical center from 2020 to 2021 was developed. All internal medicine residents (n = 81) were advised to complete an anonymized pre-lecture survey containing questions that assessed residents’ knowledge, confidence, and behaviors when managing the most common skin disorders. Participating internal medicine residents (n = 21) were given a one-hour lecture on these dermatologic conditions and completed a post-lecture survey within 24 h. A 6-month follow-up survey (n = 10) was administered to track long-term learning from the didactic session and to measure self-reported change in clinic behaviors. Immediate post-lecture scores on confidence-based questions overall increased by an average of 63% (p < 0.001) and knowledge-based questions by an average of 15% (p = 0.02). The specific skin conditions most significantly improved in confidence were basal cell carcinoma (+ 119%, p < 0.001), squamous cell carcinoma (+ 85%, p < 0.001), and actinic keratosis (+ 83%, p < 0.001). After 6 months, there was no statistically significant improvement from baseline dermatology knowledge, but residents reported a higher confidence in managing common skin disorders by an average of 21% (p = 0.04) and reported a lower likelihood to refer to dermatology by an average of 16% (p = 0.045). Implementation of a dermatology-focused didactic session for internal medicine residents highlights a greater need for educational exposure in managing skin conditions to improve physician confidence and minimize unnecessary referrals. Future work will focus on increasing regular dermatology curriculum delivery and tracking long-term dermatology knowledge retention.