Dana F Feigenbaum1, Christy K Boscardin2, Ilona J Frieden3, Erin F D Mathes4. 1. School of Medicine, University of California, San Diego, La Jolla, California. 2. Department of Medicine, University of California, San Francisco, California. 3. Department of Dermatology, University of California, San Francisco, California; Department of Pediatrics, University of California, San Francisco, California. 4. Department of Dermatology, University of California, San Francisco, California; Department of Pediatrics, University of California, San Francisco, California. Electronic address: mathese@derm.ucsf.edu.
Abstract
BACKGROUND: There is limited access to pediatric dermatology in the United States, resulting in inadequate education and patient care. OBJECTIVE: This Delphi study aimed to identify important objectives for a pediatric dermatology curriculum for general practitioners. METHODS: A modified, 2-round Delphi technique was used to develop consensus on objectives developed by expert pediatric dermatologists. A panel of 20 experts (pediatric dermatologists, family practitioners, and general pediatricians) rated objectives using a 5-point Likert-type scale. Items with group medians 4.0 or greater with at least 70% agreement reached consensus. RESULTS: In round 1, the expert panel rated 231 objectives from 16 categories for inclusion in an online curriculum. In round 2, experts were given group feedback and rated 235 objectives. A total of 170 items met consensus. Generally, objectives surrounding common conditions including acne, molluscum, warts, atopic dermatitis, and newborn skin met consensus whereas objectives on rare growths, birthmarks, and inherited conditions failed to meet consensus. LIMITATIONS: The Delphi panel consisted of US-based physicians, most in urban areas with a dedicated pediatric specialist at their institution. CONCLUSIONS: The accepted objectives encompass management of common conditions and referral of potentially dangerous diseases and can be used to develop a pediatric dermatology curriculum for primary care providers.
BACKGROUND: There is limited access to pediatric dermatology in the United States, resulting in inadequate education and patient care. OBJECTIVE: This Delphi study aimed to identify important objectives for a pediatric dermatology curriculum for general practitioners. METHODS: A modified, 2-round Delphi technique was used to develop consensus on objectives developed by expert pediatric dermatologists. A panel of 20 experts (pediatric dermatologists, family practitioners, and general pediatricians) rated objectives using a 5-point Likert-type scale. Items with group medians 4.0 or greater with at least 70% agreement reached consensus. RESULTS: In round 1, the expert panel rated 231 objectives from 16 categories for inclusion in an online curriculum. In round 2, experts were given group feedback and rated 235 objectives. A total of 170 items met consensus. Generally, objectives surrounding common conditions including acne, molluscum, warts, atopic dermatitis, and newborn skin met consensus whereas objectives on rare growths, birthmarks, and inherited conditions failed to meet consensus. LIMITATIONS: The Delphi panel consisted of US-based physicians, most in urban areas with a dedicated pediatric specialist at their institution. CONCLUSIONS: The accepted objectives encompass management of common conditions and referral of potentially dangerous diseases and can be used to develop a pediatric dermatology curriculum for primary care providers.
Authors: Margaret Sanborn; Lawrence Grierson; Ross Upshur; Lynn Marshall; Cathy Vakil; Lauren Griffith; Fran Scott; Mike Benusic; Donald Cole Journal: Can Fam Physician Date: 2019-06 Impact factor: 3.275
Authors: Megan F Craddock; Heather M Blondin; Molly J Youssef; Megha M Tollefson; Lauren F Hill; Janice L Hanson; Anna L Bruckner Journal: Pediatr Dermatol Date: 2017-11-29 Impact factor: 1.588