在皮肤颜色平衡的皮肤病学课程中减轻诊断绩效偏差
Jori Hardin1, Ahmed Mourad1, Janeve Desy2
1Division of Dermatology, Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
The clinical teacher
|August 31, 2023
概括
医学学生在平衡的皮肤病学课程后,改善了皮肤颜色 (SoC) 的诊断技能. 联合培训 (CT) 有效地减少了SoC病例的诊断性能偏差.
科学领域:
- 皮肤病学 皮肤病学
- 医学教育 医学教育
- 健康 公平 卫生 公平
背景情况:
- 皮肤有色 (SoC) 的人通常面临着延迟诊断和皮肤病的较差结果,与皮肤浅 (LS) 的人相比.
- 皮肤病学中的诊断性能偏差可能会对不同人群的患者护理产生负面影响.
- 需要包容性的医疗培训,以解决皮肤病诊断方面的差异.
研究的目的:
- 评估皮肤色平衡的皮肤病学课程是否可以减轻医学学生的诊断绩效偏差.
- 评估非分析培训 (NAT) 和综合培训 (CT) 对SoC的诊断准确性的影响.
- 确定修订后的课程在改善所有肤色皮肤病诊断技能的有效性.
主要方法:
- 一项前性随机干预研究,涉及加拿大医学院的一年级医学学生 (n=167).
- 第1周:参与者在SoC或LS病例中使用在线患者"卡"获得NAT.
- 第二周:所有参与者都接受了CT,包括NAT和分析培训,通过所有肤色的诊断规则研讨会进行了分析培训.
主要成果:
- 1周后,两组 SoC 病例的诊断性能都较低 (p<0.002).
- 在第二周CT后,在两组训练组中都观察到平均皮肤色调差异的显著下降 (p<0.007和p<0.0001).
- 一项研究后的调查表明,所有参与者都觉得课程提高了他们对SoC的诊断技能.
结论:
- 医学学生中与皮肤颜色相关的诊断绩效偏差在联合培训后被消除.
- 皮肤色平衡的皮肤病学课程有效地提高了不同肤色的诊断准确度.
- 实施包容性课程对于公平的皮肤病护理至关重要.
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