Improving emergency medicine resident confidence in diagnosing and managing hidradenitis suppurativa through educational intervention: a multicenter study
摘要
Patients with hidradenitis suppurativa (HS) often go undiagnosed for years, with patients frequently presenting in acute care settings such as the emergency department (ED). This diagnostic delay may lead to unnecessary healthcare utilization. Limited training on the diagnosis and management of HS amongst emergency medicine (EM) providers may contribute to this issue. This study aims to analyze the benefit of a dermatologist-led HS focused educational intervention on EM resident physician confidence in appropriately diagnosing and managing HS. EM residents were provided with an educational HS lecture and evidence-based treatment algorithm at three sites. EM residents in attendance were asked to complete an anonymous survey examining confidence in appropriately diagnosing and managing HS before, immediately after, and three months after the intervention. EM resident confidence in appropriately diagnosing and managing HS improved immediately after and three months post intervention compared to baseline (p < 0.05). In addition, there was no significant change in EM resident confidence between the immediate post-survey and the three-month post-survey, indicating a durable response. This study demonstrates that a dermatology-led educational intervention, including a treatment algorithm, can enhance and sustain EM resident confidence in diagnosing and managing HS; closer collaboration between dermatologists and emergency providers may further improve patient care and outcomes.