[Dermatology and venereology in Italy 100 years ago. Relations with american and german dermatology and venereology. II: Venereology].
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In a review of the organisation of higher medical training in Britain leading to accreditation for those intending to specialize in venereology within the National Health Service suggestions are made for improving the present system. These include the enrollment of trainees in general medicine as well as in venereology to ensure a broad general experience of medicine. The establishment of an agreed curriculum in venereology for trainees is thought desirable. Improvement in undergraduate education in venereology is necessary if recruitment of trainees to the specialty is to be increased. The diploma courses in venereology are mainly attended by foreign graduates; the numbers are likely to be reduced by the recent heavy increases in fees. Although adequate practical experience of the tropical venereal diseases cannot be provided, these courses give a good general experience of venereology as ideally practised, much of which is relevant to the conditions under which the overseas trainees will have to work on return to their own countries. Secondment of our own trainees work in centres in developing countries as an approved part of their training would benefit both them and their hosts.
The development of venereology as a medical specialty began in 1979-1981 with the formation of multidisciplinary venereology societies in each state, followed by annual convention of an advocacy body, the National Venereology Council of Australia, which also included governmental representatives. In 1988 the Australian College of Venereologists was incorporated as a professional training body, and in 1992, the first Chair in Sexual Medicine was established by the Universities of Sydney and New South Wales. In parallel, the role of the nursing profession as active participants evolved dramatically: nurses work within the context of the health care team, with clinical, teaching, and outreach responsibilities, and by collaborating or initiating research. Sexual and Reproductive Health nursing is recognised as a specialist area, and the Australian Sexual Health Nurses Association (ASHNA) was inaugurated in 1991. Sexual Health Counselors come from a range of disciplines which represent the shift in focus from disease control to education and prevention, and which encompass sexual dysfunction, gender identity issues, sexual assault, and the empowerment of clients. Within the repertoire of many health care workers in sexually transmissable disease services are skills in the ¿new¿ public health (particularly health promotion), and an understanding of cultural influences on sexuality. ¿Sexual Health¿ has become the preferred name for such services.
The financing of STD outpatient clinics in The Netherlands is currently undergoing structural changes. Because these changes also have implications for the infrastructure of STD care as a whole, the STD committee of the Dutch Society for Dermatology and Venereology (STD committee NVDV) and the National Society of Municipal Health Services (GGD-Nederland) are currently exploring the possibilities and feasibility of intensified regional collaboration between Municipal Health Services (MHSs) and dermatologists. However, for fruitful collaboration it is essential that a substantial number of dermatologists has an interest in STD care. Therefore, the STD committee NVDV has conducted a structured survey in order to study the support of Dutch dermatologists for such a regional collaboration. In this paper, the results of the survey are presented. It appears that the majority of Dutch dermatologists is (still) interested in STD, and although a minority currently collaborates with local MHSs on a regular basis, a large group is willing to do so in the future. We conclude that the majority of dermatologists in the Netherlands (still) cares for venereology and that there is a sound basis for a fruitful cooperation with MHSs.
The report gives an overview on the history and the development of clinical dermatology and venereology from a small department at the medical clinic of the city-hospital "Magdeburg-Altstadt" (1906) to the University Department of dermatology and venereology at the Medical Faculty of the "Otto von Guericke"-University (1997).
Medical school graduates are required to deal with complex situations in their future work which require profound theoretical knowledge as well as many practical skills. The University of Hamburg used a new educational law (AappO 2002) as catalyst to define learning objectives relevant for practice and to guarantee a close connection between theory and practice. A newly founded curriculum committee with twelve members developed a strategy and structure for the new clinical curriculum (KliniCuM) in weekly sessions. The subject dermatology and venereology is taught in the thematic block "The Internal and External Human Being" in integrated courses with the subjects internal medicine, pathology and pharmacology. The teaching modules (introductory lectures, symptom-oriented lectures, problem-based tutorials and bedside-teaching) are practice oriented and teach diseases and skills of dermatology which are important for "general medicine". Written and practical exams take place at the end of the block. Although there is more required attendance and increased demands on students' time, dermatology has received very positive evaluation results. Students consider their gain in knowledge and skills as very high. The new curriculum in Hamburg could provide helpful orientation for other medical faculties in changing their curricula for the subject "dermatology and venereology" according to the new educational law.
The Chair for Dermatology and Venereology at the Central Institute for Advanced Medical Training has developed a new universal programme for advanced training of physicians in this field; this programme is the sole document regulating continuous education of dermatologists and venereologists. It was approved by the Head Administration of Educating Institutions of the USSR Ministry of Health. The programme structure is based on a block system. Of the 8 blocks (courses) one deals with organizational aspects of dermatological and venereological care, five with dermatology, one with syphilis, one with gonorrhea and nongonorrheal diseases. The Programme includes curricula for two cycles of general and eight cycles of topical continuous education, defines the purposes of these cycles, and specifies who should be admitted for these cycles. The Universal Programme may be used parallel with other forms of continuous education (workshops, ten-day courses, etc.) and for individual education.
Teaching and scientific activities were discussed of the outstanding surgeons and internists lecturing on dermatology and venereology at the Academic Faculty of Medicine existing in the years 1809-1816 and at the Faculty of Medicine of The Warsaw University closed by the tsarist authorities after the November Insurrection in 1831. The academic school of medicine could begin its work after a pause of 25 years in 1857 as The Medical-Surgical Academy transformed in 1862 into The Medical Faculty of The Central School closed definitely in 1869 when a Russian university was founded in its place. Those who rendered the greatest services in the development of dermatology and venereology in Warsaw were, among others, Józef Czekierski, Andrzej Janikowski, Antoni Le Brun, and Polikarp Girsztowt, and in the first place Bronisław Chojnowski who raised it to the rank of a clinical discipline. After closing of The Central School the main center for the Polish dermatologists and venereologists was The St. Lazarus Hospital.
A history of venereology in Vienna from the first manifestations of the French disease in 1498 until the first half of the twentieth century is described. Notable events were the founding of the old Vienna School by van Swieten in the years after 1745, followed by the revival one hundred years later by von Hebra of the scientific basis for dermatovenereology. An account is given of teachers and discoverers of venereological importance after von Hebra and Sigmund to Arzt. The importance of Landsteiner's and Wagner von Jauregg's contributions finalise the historical account.
BACKGROUND: Most Spanish dermatologists are members of the Spanish Academy of Dermatology and Venereology (AEDV). Their development and history can be considered to parallel each other. The aim of our study is to determine the role women have played in the AEDV throughout its history, both in number and as officers or directors. MATERIAL AND METHODS: To obtain our data, we consulted AEDV's files from the time it was founded until the year 2002. We also asked other medical associations, obtaining a response from three of them. RESULTS: No women joined the AEDV until 1964. After that date, the percentage rose slowly (1975, 5.5 %), until the last decade when it increased more sharply, reaching 41.34 % in 2001. There are only 11 women on the boards of directors, all in non-presidential roles. The percentages of women in Pediatrics, Ophthalmology and Pathology are similar. CONCLUSIONS: The number of female dermatologists in the AEDV has increased gradually, although not steadily, reaching a maximum in the last decade. Women are rarely officers or directors, and there are no female presidents. The data shows that women have gradually become more prevalent in the medical profession, the same as in the rest of society as a whole.
BASIS: The Spanish Academy of Dermatology and Venereology (SADV) consists of a large majority of Spanish dermatologists. Their track record and history can be considered as parallel to that of female dermatologists. The aim of this study is to determine the role of women in the SADV throughout its history, both in terms of their involvement and their positions of responsibility. MATERIALS AND METHODS: To obtain data, we consulted the SADV archives from the year of its foundation until 2001. We also consulted other Spanish medical societies, receiving responses from three of them. RESULTS: Until 1964, no woman had ever become a member of the SADV. Since then, the percentage began to increase slowly (5.5% in 1975). Over the last decade, their involvement has increased rapidly, reaching 41.34% in 2001. During this time, only 11 women have held positions on the Board of Directors, and in all cases in nonpresidential positions. The percentage of women in paediatrics, ophthalmology and pathologic anatomy is similar. CONCLUSIONS: During this time, the number of female dermatologists in the SADV has gradually increased. This increase is, nonetheless, not uniform, with the greatest growth being seen during the last decade. Women in positions of responsibility have been scarce and, to date, there has been no female national president. These results coincide with statistics revealed in other areas of the medical society.
BACKGROUND: Most of the many computer resources used in clinical teaching of dermatology and venereology for medical undergraduates are information-oriented and focus mostly on finding a "correct" multiple-choice alternative or free-text answer. We wanted to create an interactive computer program, which facilitates not only factual recall but also clinical reasoning. METHODS: Through continuous interaction with students, a new computerised interactive case simulation system, NUDOV, was developed. It is based on authentic cases and contains images of real patients, actors and healthcare providers. The student selects a patient and proposes questions for medical history, examines the skin, and suggests investigations, diagnosis, differential diagnoses and further management. Feedback is given by comparing the user's own suggestions with those of a specialist. In addition, a log file of the student's actions is recorded. The program includes a large number of images, video clips and Internet links. It was evaluated with a student questionnaire and by randomising medical students to conventional teaching (n = 85) or conventional teaching plus NUDOV (n = 31) and comparing the results of the two groups in a final written examination. RESULTS: The questionnaire showed that 90% of the NUDOV students stated that the program facilitated their learning to a large/very large extent, and 71% reported that extensive working with authentic computerised cases made it easier to understand and learn about diseases and their management. The layout, user-friendliness and feedback concept were judged as good/very good by 87%, 97%, and 100%, respectively. Log files revealed that the students, in general, worked with each case for 60-90 min. However, the intervention group did not score significantly better than the control group in the written examination. CONCLUSION: We created a computerised case simulation program allowing students to manage patients in a non-linear format supporting the clinical reasoning process. The student gets feedback through comparison with a specialist, eliminating the need for external scoring or correction. The model also permits discussion of case processing, since all transactions are stored in a log file. The program was highly appreciated by the students, but did not significantly improve their performance in the written final examination.
Poor organization of medical expert evaluation results in unjustified labor time loss and waste of social insurance money. Test controls and check-ups of the activities of outpatient prophylactic centers have revealed inadequate theoretical knowledge of the basic aspects of medical expert evaluation of the working capacity and poor practical skills of physicians in keeping files and records. Analysis of the status of medical expert evaluation of the working capacity of dermatological and venereological patients and analysis of physicians' scope of knowledge in this field help outline a comprehensive program for elimination of the shortcomings in this work.
Three colored photo tests are given to a student at the examination in dermatology and venereology. Practical skills of the students are checked up at bedside. Such an examination is remarkable for its practical trend; it involves elements of diagnostic search and develops clinical thinking.