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• W1990030920 abstract "On December 6, 2003, the first Certifying Examination in Dermatopathology (Diploma of Dermatopathology), organized by the International Board of Dermatopathology under the auspices of the International Committee for Dermatopathology, has been held in Frankfurt/Main, Germany. The examination was sponsored by the International Society of Dermatopathology, the European Society for Dermatopathology, and the Ibero-Latin-American Society of Dermatopathology and was open to dermatologists and pathologists from all countries in the world. The International Board of Dermatopathology (Fig. 1) was chaired by Helmut Kerl (Graz, Austria; President, International Committee for Dermatopathology), and included Günter Burg (Zurich, Switzerland; General Secretary, International Committee for Dermatopathology), Rino Cerio (London, United Kingdom; President, European Society for Dermatopathology), Lorenzo Cerroni (Graz, Austria; President, International Society of Dermatopathology), Bernard Cribier (Strasbourg, France; Secretary, European Society for Dermatopathology), Harald Gollnick [Magdeburg, Germany; President, Union Européenne des Médecins Spécialistes (UEMS)-Section of Dermatology and Venereology; President, German Society of Dermatology], Philip E. LeBoit (San Francisco, USA; Editor-in-Chief, American Journal of Dermatopathology), Omar Sangueza (Winston-Salem, USA; President, Ibero-Latin-American Society of Dermatopathology; Secretary, International Society of Dermatopathology), and Bruce R. Smoller (Little Rock, USA; President, American Society of Dermatopathology; Editor-in-Chief, Journal of Cutaneous Pathology). Roland Kaufmann and especially Manfred Wolter took care of the local organization at the University of Frankfurt providing the venue, the microscopes, and particularly the special atmosphere which characterized this important event. Members of the International Board of Dermatopathology: Bruce R. Smoller, Helmut Kerl, Günter Burg, Lorenzo Cerroni, and Harald Gollnick (from left to right). Fourteen candidates (Fig. 2) from seven different countries (Germany: 2; Italy: 1; Japan: 1; the Netherlands: 1; Slovenia: 1; Spain: 4; Switzerland: 4) gathered in Frankfurt to sit for the examination, which was structured in three main parts. The first consisted of 62 written questions, followed by the second part in which 25 pictures (histological, immunohistological, and clinical pictures) were projected on a screen. In the third part, 70 histopathologic sections of inflammatory and neoplastic skin diseases were reviewed. The examination was based on multiple-choice or short-answer questions and lasted the whole day. First Certifying Examination in Dermatopathology. Candidates from Europe and Asia who came to Frankfurt. All candidates were asked for feedback and received a questionnaire after the examination, including queries on not only facilities such as comfort of the examination site but also the relevance of multiple-choice questions, and difficulty of histopathologic slide specimens among others. Thirteen of 14 (93%) liked the examination, found the location in Frankfurt good and easy to reach, and praised the quality of microscopes, glass slides, and pictures used during the examination. All candidates agreed that the multiple-choice questions were relevant to the field of dermatopathology. The most difficult part of the examination was identified in the multiple-choice questions by two candidates (14%), the section with clinical and immunohistological pictures (part 2) by another two (14%), and the evaluation of the histopathologic specimens (part 3) by 10 (72%). All but one of the candidates agreed that the examination should be held on a single day. The need for a formal Certifying Examination in Dermatopathology in Europe (or, more generally, outside the United States) was felt for a long time by all serious students of this discipline. In the United States, a Board Examination of Dermatopathology was initiated in the 1970s with both dermatologists and pathologists sitting for it. The introduction of this examination has risen dramatically the standards of dermatopathology in that country. We also applaud the Royal College of Pathologists for having introduced a similar certificate for pathologists and dermatologists in 1991 in the United Kingdom. In many parts of the world, unfortunately, the practice of dermatopathology was (and still is) very variegated, depending on the country and sometimes even the city or a single institution. In fact, in some countries like Germany both dermatologists and pathologists worked together to establish criteria for special qualification in dermatopathology; in other countries, like Italy or Scandinavia for example, only pathologists are practicing dermatopathology in most instances, but many dermatologists are reading slides in University centers. In short, there are no regulations valid for most parts in the world. At the same time, and much more important, the absence of standards for who is entitled to practice dermatopathology in Europe and many other areas should concern us as it surely would concern patients if they were aware of it. Two important aspects can be especially underlined: Among those practicing dermatopathology, many dermatologists are not trained in general pathology, and pathologists are usually unschooled in clinical dermatology. The training programs in dermatopathology (both of Dermatology and Pathology Societies) are, at the least, in many countries of the world chaotic without uniformity and special training centers are not identified. All this results in a low level of competence. The examination in Frankfurt was a milestone in the history of dermatopathology in Europe and, indeed, worldwide. For the first time, the examination was not limited to members of a specific Medical Society and/or of a given country but was open to every dermatologist and pathologist (with the proviso that specific requirements concerning training in dermatopathology were fulfilled). In other words, the examination not only represented recognition of competency in dermatopathology after passing, but also was organized without boundaries, thus being one of the first attempts of an ‘International Certification’ in the history of medicine. This was also reflected in the composition of the Examination Committee (International Board of Dermatopathology), which included the leading persons of most International Societies for Dermatopathology worldwide. To date, although there is no legal background yet to the certificate issued by the International Committee for Dermatopathology, we believe that, as with the United States, it will provide physicians, who have successfully passed it, with increasing recognition of their expertise in the field of dermatopathology. The future of dermatopathology is intrinsically bound to the experience, qualifications, and knowledge of those practicing it, as well as it is based on the passion and commitment of those caring for it. The examination organized by the International Committee for Dermatopathology paved the way for a future of high standards in this discipline also outside the United States and the United Kingdom, allowing verification and certification of specific expertise. In the future, the identification of training centers and the definition of criteria for a special training curriculum in dermatopathology will implement the examination itself, based not on national rules, but rather on internationally recognized syllabus and standards. We strongly believe that dermatology, dermatopathology, and pathology will all profit from it, on both an academic and a practical level, and we are looking for harmonization and a collegial collaboration between dermatologists and pathologists. Much more important, we are profoundly convinced that those who will profit most from it will be our patients, who will benefit from higher standards in a crucial diagnostic field. This is, in the end, the goal of our efforts, which counts in medicine. The second Board Certification in Dermatopathology will be organized on December 11, 2004, in Frankfurt/Main, Germany (http://www.icdpath.org)." @default.
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• W1990030920 date "2004-10-15" @default.
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• W1990030920 title "International Board Certification in Dermatopathology: paving the way for the future" @default.
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