在整形外科住院教育课程中探索皮肤色调多样性
Jane Zhu1, Raahulan Rathagirishnan2, Chantal Valiquette1,3
1Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Plastic surgery (Oakville, Ont.)
|January 29, 2025
概括
整形外科教育缺乏图像中的皮肤色调多样性. 大多数图像代表着较浅的皮肤色调 (菲茨帕特里克I-III),而较深的皮肤色调 (IV-VI) 代表性不足,影响了公平的护理.
科学领域:
- 医学教育 医学教育
- 整形外科 整形外科 整形外科
- 健康 公平 卫生 公平
背景情况:
- 外科教育课程往往缺乏在视觉材料中的多样化皮肤色调表示.
- 这种差异可能会阻碍公平的患者护理,并可能导致误诊.
- 确保具有代表性的图像对于整形外科住院医生的未来实践至关重要.
研究的目的:
- 评估加拿大整形外科住院教育材料中皮肤色调多样性的表现.
- 为了比较不同皮肤类型的图像的比例.
- 探索教师和居民对教育摄影中的多样性的看法.
主要方法:
- 从96小时的整形外科住院讲座 (1990图像的分析) (2020年5月-2021年12月).
- 使用菲茨帕特里克皮肤类型系统对图像进行分类.
- 匿名在线调查教师和居民关于摄影的多样性.
主要成果:
- 图像主要以较浅的肤色为特色: 83.2%的菲茨帕特里克I-III,13.1%的IV-V和3.7%的VI.
- 观察到菲茨帕特里克类型IV-V和VI的统计学上显著的不足 (P < .01).
- 虽然大多数教师认为多样性是充足的,但46%的居民希望更多样化的图像.
结论:
- 整形外科教育图片显著低于中等和深色皮肤色调 (菲茨帕特里克IV-VI).
- 多样化的视觉表现对于开发有能力和公平的外科护理至关重要.
- 在整形外科课程中优先考虑皮肤色调多样性是所有程序所必需的.
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