在训练期间临床接触不同肤色是否会提高诊断能力?
Yusra Shammoon1, Anna Coulson1, Bethan Trigg1
1Imperial College School of Medicine, Imperial College London, London, UK.
Medical education
|December 12, 2025
概括
医学专业的学生在诊断有色皮肤 (SOC) 病情方面表现比白皮肤 (WS) 病情更差,而不管患者的暴露情况如何. 改善医疗教育的多样性对于解决国家医疗中心的诊断差异至关重要.
科学领域:
- 医学教育 医学教育
- 皮肤病学 皮肤病学
- 健康 公平 卫生 公平
背景情况:
- 医学学生显示,与白皮肤 (WS) 相比,有色皮肤 (SOC) 的诊断准确性较低.
- 这种诊断差异可能会延续医疗保健中现有的种族不平等.
- 了解这种差异的原因至关重要.
研究的目的:
- 调查是否临床暴露于患者主要的皮肤颜色会影响WS和SOC的诊断能力.
- 为了比较不同占主导地位的患者人口统计学群体之间的诊断性能.
主要方法:
- 国际医学毕业生和学生根据主要的患者皮肤颜色暴露 (白人患者与非白人患者) 被划分为两组.
- 参与者完成了一项皮肤病问卷,其中包含22个基于图像的片段 (11个条件,每一个在WS和SOC中).
- 在两个暴露组之间比较了WS和SOC的诊断能力.
主要成果:
- 分析了411名参与者;187人主要是白人患者 (WP),224人主要是非白人患者 (NWP).
- 这两组在诊断WS病理方面表现明显好于SOC病理 (p < 0.01).
- 在暴露于WP和暴露于NWP的组之间,没有发现WS或SOC诊断能力的显著差异 (p = 0.731).
结论:
- 临床医生在诊断SOC的病理方面不那么熟练,无论他们的患者的人口暴露程度如何.
- 仅仅临床暴露并不能提高SOC的诊断能力.
- 医学教育资源需要更多的肤色多样性,以提高对SOC病理学的熟悉度,并减少误诊风险.
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