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At least 955 records · Page 53Linked to original sources
PubMed1979

Malpractice--in dermatology.

Among twenty-three types of physicians, dermatologists rate sixth lowest in malpractice risk. With dermatology, the risk of a suit is general; no one doctor or type of dermatologic practice has been shown to bear unusual risk--everyone is susceptible. However, dermatologist who give x-ray therapy or limit their work to cosmetic procedures rate higher. Patients sue because of facial burns or scars, negligent diagnosis, drug reaction, falls in the office, wart removal, and treatment that exceeds the patient's desire at the moment. Care must be exercised in the use of problem drugs such as antineoplastic agents, corticosteroids, oral contraceptives, sulfones, vitamin A acid, liquid nitrogen, cantharidin, podophyllin, and fluorescent dyes. Dermatologists are urged to obtain consultation for the benefit of patient and doctor, to maintain good relations with fellow physicians, and to avoid inappropriate criticism of other physicians. Lengthy lists of "do's" and "don'ts" in patient care are included, and some possible changes in the malpractice situation are listed.

California↗
PubMed1979

[Trends in some treatment-criteria of patients of a dermatological children-ward (author's transl)].

In comparative studies on some treatment-criteria of patients of a dermatological children-ward between 1967, 1969, 1971, 1973, 1975 and 1977 we found a tendency to increased out-patient-treatment, a reduction in period of clinical sojourn and a significant increase in patients drug consumption. Most important reasons of this development are the following: Temporary decrease of birth rate in GDR; increased capacity of out-patient-treatment in the Leipzig-area; application of more effective drugs; improvements in management of clinical treatment. About 50% of treated in-patients are 0 to 3 years old. The great importance of a qualified dermatological treatment for success of clinical sojourn on a children-ward is underlined.

Adolescent↗
PubMed1984

Dermatologic surgery in an ambulatory surgery center: ten years' experience.

A ten-year practice has shown the value of ambulatory dermatologic surgery centers for the dermatologist. Treatment for extensive and resistant warts, especially condylomata acuminata and molluscum contagiosum, advanced excisional surgery in the sterile setting, and general anesthesia for children and apprehensive adults are all offered by the well-organized ambulatory surgical center. The increasing development of laser dermatologic surgery has also made for increasing use of the well-equipped ambulatory multidisciplinary laser surgical division of the center at a considerable economic saving for the dermatologist. In the ambulatory surgical center there is also opportunity for increased cooperative efforts by the dermatologist working with the plastic surgeon as an associate for mutual benefit, not as a competitor.

Adult↗
PubMed1978

A study of the practice of dermatology in the United States. Initial findings.

A nationwide study of the practice activities of dermatologists reports that dermatology is a predominantly outpatient specialty, with 97% of patient encounter occurring outside of the hospital. The average dermatologist cares for approximately 7,000 patients a year and functions almost exclusively as a specialist, with only 2.2% of his cases related to nondermatologic problems. The dermatologist performs a type of primary care, however, with seven out of ten patients being self-referred. Eighty-seven percent of dermatologic encounters can be categorized into 25 disease conditions. This study serves to increase the understanding of how the dermatologist cares for his patients.

Adolescent↗
PubMed1994

Better dermatologic office photography: taking the photograph.

In a previous article we reviewed the questions every medical photographer must ask when looking through the viewfinder, as well as the difference between plastic surgical and dermatologic photography. We conclude by offering a mnemonic for the three views necessary in dermatologic photography: Location, Scan, and Detail, and by suggesting a technique for preadjusting the camera, lens setting, and flash that will guarantee consistent, high-quality clinical photos.

Dermatology↗
PubMed1994

Managing the 'difficult' patient in the dermatology office.

Certain dermatology patients present management problems. It is important for dermatology nurses to understand and implement strategies to facilitate interaction between these difficult patients and help to create a therapeutic environment.

Adaptation, Psychological↗
PubMed1994

On teaching dermatology to nondermatologists.

I am aware that the teaching of dermatology to nondermatologists is an issue of some controversy among dermatologists. In responding to the editor's invitation to write to this issue, I must first admit to a career-long practice of teaching dermatology to nondermatologists: to residents in primary care specialties, to generations of medical students, to nurses here in the United States and elsewhere, and to physician assistants and nurse practitioners.

Dermatology↗
PubMed1993

Photodynamic therapy in dermatology: recent developments.

The application of PDT in dermatology has been limited by technical problems, lack of standardized treatment parameters and controlled clinical trials, and cutaneous photosensitivity. PDT requires specially trained personnel and relies on devices that are expensive and difficult to maintain. In North America, PDT is currently performed at only a few centers on an investigational basis. Although a great deal of anecdotal clinical information is available on PDT for treating non-melanoma skin cancer, controlled trials are still needed in order to compare PDT with the highly effective methods already available. PDT may also be useful for a variety of nononcologic dermatoses. New photosensitizers such as BPD-MA, NPe6, and ALA offer the promise of causing significantly less prolonged photosensitivity than the currently available agents; combined with well-designed clinical studies, this will undoubtedly facilitate the acceptance of PDT into standard dermatologic practice.

Dermatology↗
PubMed1993

Prioritization of health services. The Oregon Basic Health Services Act and its implications for dermatologists and patients with dermatologic disease.

The Oregon Basic Health Services Act was passed by the Oregon Legislature in 1989. This act mandates the provision of and payment for health services to Medicaid recipients based on a prioritized list of diseases and treatments. As a result of this legislation, Oregonians with incomes of 100% or less of the federal poverty level are eligible for Medicaid benefits. At present, families with incomes not exceeding 67% of the federal poverty level qualify for Medicaid in Oregon. The definition of prioritized care, how the prioritization was accomplished, and the potential effect of the implementation of this plan for dermatology and patients with dermatologic disease is discussed.

Dermatology↗
PubMed1996

Learning and teaching in dermatology. A practitioner's guide.

BACKGROUND: The explosion of medical knowledge, the influence of communications technology, and the pressures for health care reform challenge dermatologists to learn efficiently and teach effectively. OBSERVATIONS: The vast body of material on teaching and learning in the education literature contrasts sharply with the limited information on these topics in the dermatology literature. Gaining an understanding of these approaches to learning provides a foundation for the design of personal continuing medical education plans and lesson plans for students. Practical teaching skills are emphasized in this review. CONCLUSIONS: Learning and teaching skills can be improved through study. Successful teaching often produces positive feedback, which can lead to renewed enthusiasm for educating clinicians in the field of dermatology.

Dermatology↗
PubMed1996

Dermatology independent practice associations.

The American health care system is undergoing a profound reorganization and realignment that is primarily driven by a free-market corporatization of health care. Physicians are extremely concerned that these changes will affect their ability to be autonomous, to retain the free use of their clinical judgment, and finally to be paid adequately. In some instances the changes are already affecting the free choice of ancillary specialties such as dermatopathologists. Indeed, in many areas of the country, managed care is quickly becoming the dominant vehicle for health care delivery and appears in many ways to be affecting physician autonomy for both private practice and academic physicians. Independent practice associations (IPAs) have been developed across the country to meet the needs of managed care cost-effectiveness while attempting to preserve both clinical and financial physician autonomy. This article focuses on dermatology-specific IPAs, including functional models, the potential advantages and disadvantages for individual physicians, and for the specialty, antitrust implications, and finally introduces an IPA model that may benefit dermatologists and the dermatologic community as a whole.

Antitrust Laws↗
PubMed1996

Organizational impact in the dermatologic literature.

We revisit our citation data derived from 58,201 articles published between 1981 and 1994 in the 17 top-ranked peer-reviewed international dermatology journals to identify the institutions that house the people who have made the greatest impact on the dermatologic literature during this period. Using these citation data, we estimate an institution's impact in 2 ways. First, institutions are ranked by the gross number of citations to articles from 1981 to 1994 accurred during this same period. To recognize institutions whose articles, on average, have received higher numbers of citations, we also rank institutions by the average number of citations received by each article published by a particular institution (blended impact factor).

Dermatology↗
PubMed1996

The history of photography in dermatology. Milestones from the roots to the 20th century.

From the Middle Ages to the 20th century, talented artists have created illustrations of signs of human diseases. Since the birth of photography in 1840, artists and physicians have used photographic techniques to illustrate the diseases of the skin; dermatology especially relies on these visual signs. In dermatology today, photography is still very important because of the need for adequate illustrations in medical textbooks and journals. From the early days of daguerreotypes to modern times, medical photography was developed in different stages and many physicians have taken part in the development of photographic techniques and chemistry. This historical survey describes the milestones in the development of medical photographic illustration from its beginning to the 20th century.

Dermatology↗
PubMed1996

[Effectiveness of dermatologic minor surgery in the office of the family physician and patient satisfaction in relation with ambulatory surgery].

BACKGROUND: The minor surgery by family physicians increase the primary care competences. The purpose of this work is to prove patients' satisfaction and minor surgery effectiveness practiced by family physicians in health centers with respect to ambulatory's general surgeon. MATERIAL AND METHODS: Case-control retrospective study, comparing dermatological surgical procedures performed by 4 family physicians and 8 3rd-year Family Physician residents with surgical procedures wade made by a surgeon over one a year period. Variables analysed include: descriptive samples homogeneity, surgery effectiveness (waiting time, esthetic results, healing time and number of visits, and histopathologic correlation) and patients' satisfaction (with the waiting time, with the results of surgery and with the physician). RESULTS: Minor surgical procedures carried out by 146 family physicians and 61 general surgeons were compared, in congruence with the analyzed descriptive homogeneity's parameters. Family physicians average waiting time was the lower, with a mean of 45 days less than the surgeon. Patient's satisfaction with the physician was higher when family physician were involved (p < 0.001); the same could be applied for the waiting time (p < 0.001). There were no significant differences over the effectiveness and patients' satisfaction. CONCLUSION: The dermatologic minor surgery by family physician is effective, satisfactory for patients, and has less waiting time. This results justify the introduction of minor surgery in the family physicians office.

Adolescent↗
PubMed1997

Dermatology and the World Wide Web.

The internet is a global network of computer databases. Over the last decade the fastest growing area of the internet has been the World Wide Web. The World Wide Web now offers a vast array of dermatologic resources that can be used to support the delivery of patient care. The purpose of this article is to provide a brief explanation of the World Wide Web, and to list some of the dermatologic resources that are available there.

Computer Communication Networks↗
PubMedDate not supplied

Web-based training modules in dermatology.

With the goal of using the full power of the World Wide Web for computer-based education, we developed an interactive system for training in dermatology with a database of several thousand color images. The system consists of lecture scripts, case reports with recorded sound, an online atlas, and a quiz system--all relying on the underlying image database. The images used have been reviewed and rated by a senior dermatologist. At present, they are described with a hierarchical key system that permits searching for images by their content. We have evaluated our statistics on access and the results of an open user survey based on an adaptive questionnaire. The responses to 200 questionnaires completed in a two-month study period are encouraging. The online resources are being used not only for training in dermatology but also for continuing education and reference.

Computer Communication Networks↗
PubMedDate not supplied

[Retention of knowledge. I--Dermatology and psychiatry programs].

The authors present the results of an education investigation of knowledge retention. The programs of Dermatology and Psychiatry were studied, comparing the marks obtained in the fourth and fifth years. The examinations had the same content but were not identical and the fifth year's examination was applied in the first day of the training program. The losses of knowledge observed (average +/- standard error) were 20.0 +/- 2% for Dermatology and 27.0 +/- 3% for Psychiatry. These losses were not influenced by the time between the two examinations, by student's sex or race (oriental or not), or by the fact that the student had studied the contents of the disciplines out of the University program (hidden curriculum).

Curriculum↗