早期莱姆病在医学教育资源中的皮肤色调表现:对公平的差距和影响
Nathaniel Baffoe-Mensah1,2, Jules B Lipoff3, Christine M Forke2,4,5,6
1Penn Medicine Lancaster General Hospital, Family Health Residency Program, Lancaster, PA, USA.
Journal of medical education and curricular development
|January 19, 2026
概括
医学培训材料很少在黑色皮肤上显示莱姆病,这可能导致诊断延迟和健康不平等. 最近的基于网络的资源开始包括这些关键的图像.
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:
- 皮肤莱姆病的表现因肤色而异.
- 莱姆病的延迟诊断会加剧病情的严重程度.
- 在培训中,黑色皮肤表现不足可能导致健康不平等.
研究的目的:
- 在美国医学院皮肤病学资源中,评估红血在明亮与黑色皮肤上的表现.
- 通知医疗课程的潜在更新,以提高诊断准确度和减少健康差异.
主要方法:
- 来自美国顶尖医学院的皮肤病培训资源的横截面内容分析.
- 根据菲茨帕特里克皮肤类型 (I-III与IV-VI) 进行分类的红疹移徙图像.
- 将图像比例与美国人口统计数据,资源格式和出版日期进行比较.
主要成果:
- 16个资源包含了47个红血病移民图像;只有2个 (12.5%) 包含了黑皮肤图像.
- 黑皮肤的图像仅在2020年后发布的基于网络的资源中.
- 白皮肤 (93.6%) 与黑皮肤 (6.4%) 的比例与美国人口统计数据 (p=.03) 有显著差异.
结论:
- 很少有医学学生资源在黑色皮肤上描绘莱姆病 (红斑).
- 黑皮肤图像的稀缺性,特别是在旧的或印刷材料中,可能会导致诊断不平等.
- 在教育材料中包含多种肤色对于公平的患者护理至关重要.
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