FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3176082503> ?p ?o ?g. }

• W3176082503 endingPage "169" @default.
• W3176082503 startingPage "167" @default.
• W3176082503 abstract "To the Editor: Skin of color (SoC) is under-represented in dermatology text and clinical images. In 1 analysis of medical textbooks, only 4.5% of images showed darker skin types.1Louie P. Wilkes R. Representations of race and skin tone in medical textbook imagery.Soc Sci Med. 2018; 202: 38-42Crossref PubMed Scopus (67) Google Scholar Additionally, 47% of dermatologists and dermatology residents in the United States surveyed thought that their training was inadequate for preparing them to identify and treat skin conditions in dark skin.2Buster K.J. Stevens E.I. Elmets C.A. Dermatologic health disparities.Dermatol Clin. 2012; 30: 53-59Abstract Full Text Full Text PDF PubMed Scopus (100) Google Scholar SoC patients are often misdiagnosed or diagnosed later in disease progression and have poorer outcomes compounded by other health disparities.2Buster K.J. Stevens E.I. Elmets C.A. Dermatologic health disparities.Dermatol Clin. 2012; 30: 53-59Abstract Full Text Full Text PDF PubMed Scopus (100) Google Scholar We sought to assess potential SoC differences in diagnostic accuracy among medical trainees. A 22-question diagnosis quiz depicting 11 top Global Burden of Disease3Karimkhani C. Dellavalle R.P. Coffeng L.E. et al.Global skin disease morbidity and mortality: an update from the global burden of disease study 2013.JAMA Dermatol. 2017; 153: 406-412Crossref PubMed Scopus (286) Google Scholar dermatologic conditions in non-SoC (Fitzpatrick skin phototype I-III) and SoC (Fitzpatrick skin phototype IV-VI) was compiled using clinical photographs (VisualDx.com, DermNetNZ.org, and patient photos, with permission from all the sources) and approved by 2 board-certified dermatologists. The University of Colorado's medical students took the emailed quiz only once, without outside resources. The current medical school year, prior dermatology experience, and Fitzpatrick skin type were self-reported to examine whether the students' own experiences could contribute to accurate diagnoses. No students were excluded from this study. In total, 144 (n = 144/540, 26.7% response rate) students were enrolled, and 121 (n = 121/144, 84.0% completion rate) completed the study. All had participated in didactic dermatology lectures and had the option of participating in elective dermatology rotations. Preclinical students (years 1 + 2) scored an average of 68.5% for correct diagnosis, whereas clinical students (years 3 + 4) scored an average of 77.6%. The conditions with the greatest disparities in accurate visual diagnosis were atopic dermatitis (79.3% correct in non-SoC vs 58.7% correct in SoC), psoriasis (87.6% vs 16.5%), malignant melanoma (92.6% vs 71.9%), impetigo (71.9% vs 50.4%), and basal cell carcinoma (95.0% vs 47.9%) (statistics in Table I). Even after considering the students' self-reported Fitzpatrick skin phototype, both non-SoC (n = 92) and SoC (n = 29) students (who were at comparable levels of training overall, with non-SoC at 56.5% [52/92] and SoC at 55.1% [16/29] in the clinical years) correctly diagnosed psoriasis, basal cell carcinoma, and malignant melanoma more frequently in non-SoC patient photographs than in SoC patient photographs (Table II). No single condition was diagnosed more accurately in SoC than in non-SoC.Table IDermatologic conditions with the greatest disparities in correct visual diagnosis based on FS phototypeConditionFS phototype I-III % correctFS phototype IV-VI % correctχ2P valueAtopic dermatitis96/121 = 79.3%71/121 = 58.7%12.0758.0000511Psoriasis106/121 = 87.6%20/121 = 16.5%122.457<.00001Malignant melanoma112/121 = 92.6%87/121 = 71.9%17.6757.000026Impetigo87/121 = 71.9%61/121 = 50.4%11.7591.000605Basal cell carcinoma115/121 = 95.0%58/121 = 47.9%65.8673<.00001FS, Fitzpatrick skin. Open table in a new tab Table IIDisparities in the correct visual diagnosis of dermatologic conditions based on FS phototype and students' self-reported FS typeClinical photographsStudents' self-reported FS type I-III (n = 92) # correct/totalStudents' self-reported FS type IV-VI (n = 29) # correct/totalχ2P valuePsoriasis on FS I-III77/92 = 83.7%17/29 = 58.6%7.9976.004684Psoriasis on FS IV-VI16/92 = 17.4%6/29 = 20.7%0.1613.68806Basal cell carcinoma on FS I-III83/92 = 90.2%22/29 = 75.9%3.9599.046596Basal cell carcinoma on FS IV-VI43/92 = 46.7%14/29 = 48.3%0.0209.885065Malignant melanoma on FS I-III86/92 = 93.4%26/29 = 89.7%0.4681.493862Malignant melanoma on FS IV-VI71/92 = 77.2%16/29 = 55.2%5.283.021535FS, Fitzpatrick skin. Open table in a new tab FS, Fitzpatrick skin. FS, Fitzpatrick skin. Our findings emphasize the need for a greater diversity of patient representation in comprehensive dermatology curricula. Similar work at Tulane and the University of Oklahoma revealed that medical students diagnosed squamous cell carcinoma and atopic dermatitis less accurately in SoC.4Fenton A. Elliott E. Shahbandi A. et al.Medical students' ability to diagnose common dermatologic conditions in skin of color.J Am Acad Dermatol. 2020; 83: 957-958Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar We improved upon the previous study by accounting for potential confounding variables, including the measurement of prior dermatology experience and within-subject analysis, because each student was required to identify all skin conditions in both light skin tones and SoC. Future work could survey a greater number of trainees, especially those who identify as SoC (given that only 29 SoC students were surveyed compared with 92 non-SoC students), and examine a wider variety of conditions to further elucidate diagnostic disparities. Studies of residents have emphasized insufficient SoC exposure while training in less diverse areas.5Nijhawan R.I. Jacob S.E. Woolery-Lloyd H. Skin of color education in dermatology residency programs: does residency training reflect the changing demographics of the United States?.J Am Acad Dermatol. 2008; 59: 615-618Abstract Full Text Full Text PDF PubMed Scopus (44) Google Scholar SoC-focused, problem-based learning, didactics, and resources (VisualDx featuring SoC photographs as well as textbooks, eg, Malone Mukwende's “Mind the Gap,” describing clinical signs and presentations in darker skin types) could potentially improve dermatology training and care.5Nijhawan R.I. Jacob S.E. Woolery-Lloyd H. Skin of color education in dermatology residency programs: does residency training reflect the changing demographics of the United States?.J Am Acad Dermatol. 2008; 59: 615-618Abstract Full Text Full Text PDF PubMed Scopus (44) Google Scholar Dr Dellavalle is a joint coordinating editor for Cochrane Skin, a dermatology section editor for UpToDate, a social media editor for the Journal of the American Academy of Dermatology (JAAD), and a podcast editor for the Journal of Investigative Dermatology (JID). He is also a coordinating editor representative for Cochrane Council. Dr Dunnick is a clinical trial investigator for Pfizer, Abbvie, Amgen, Kyowa, and Target Derm. Dr Dellavalle receives editorial stipends from JAAD and JID, royalties from UpToDate, and expense reimbursement from Cochrane Skin. Authors Mamo, Szeto, Rietcheck, Yu, Burrows, Olayinka, and Anand have no conflicts of interest to declare. We gratefully acknowledge the University of Colorado Biostatistics Core for their support with the analysis." @default.
• W3176082503 created "2021-07-05" @default.
• W3176082503 creator A5004084920 @default.
• W3176082503 creator A5005334263 @default.
• W3176082503 creator A5017289850 @default.
• W3176082503 creator A5021063885 @default.
• W3176082503 creator A5023618641 @default.
• W3176082503 creator A5047232491 @default.
• W3176082503 creator A5087734526 @default.
• W3176082503 creator A5088501028 @default.
• W3176082503 creator A5090712336 @default.
• W3176082503 date "2022-07-01" @default.
• W3176082503 modified "2023-09-27" @default.
• W3176082503 title "Evaluating medical student assessment of common dermatologic conditions across Fitzpatrick phototypes and skin of color" @default.
• W3176082503 cites W2050864309 @default.
• W3176082503 cites W2142024599 @default.
• W3176082503 cites W2594455611 @default.
• W3176082503 cites W2791924245 @default.
• W3176082503 cites W3004188622 @default.
• W3176082503 doi "https://doi.org/10.1016/j.jaad.2021.06.868" @default.
• W3176082503 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34217806" @default.
• W3176082503 hasPublicationYear "2022" @default.
• W3176082503 type Work @default.
• W3176082503 sameAs 3176082503 @default.
• W3176082503 citedByCount "1" @default.
• W3176082503 countsByYear W31760825032021 @default.
• W3176082503 crossrefType "journal-article" @default.
• W3176082503 hasAuthorship W3176082503A5004084920 @default.
• W3176082503 hasAuthorship W3176082503A5005334263 @default.
• W3176082503 hasAuthorship W3176082503A5017289850 @default.
• W3176082503 hasAuthorship W3176082503A5021063885 @default.
• W3176082503 hasAuthorship W3176082503A5023618641 @default.
• W3176082503 hasAuthorship W3176082503A5047232491 @default.
• W3176082503 hasAuthorship W3176082503A5087734526 @default.
• W3176082503 hasAuthorship W3176082503A5088501028 @default.
• W3176082503 hasAuthorship W3176082503A5090712336 @default.
• W3176082503 hasBestOaLocation W31760825031 @default.
• W3176082503 hasConcept C154945302 @default.
• W3176082503 hasConcept C16005928 @default.
• W3176082503 hasConcept C3018082644 @default.
• W3176082503 hasConcept C3019497199 @default.
• W3176082503 hasConcept C41008148 @default.
• W3176082503 hasConcept C71924100 @default.
• W3176082503 hasConceptScore W3176082503C154945302 @default.
• W3176082503 hasConceptScore W3176082503C16005928 @default.
• W3176082503 hasConceptScore W3176082503C3018082644 @default.
• W3176082503 hasConceptScore W3176082503C3019497199 @default.
• W3176082503 hasConceptScore W3176082503C41008148 @default.
• W3176082503 hasConceptScore W3176082503C71924100 @default.
• W3176082503 hasIssue "1" @default.
• W3176082503 hasLocation W31760825031 @default.
• W3176082503 hasLocation W31760825032 @default.
• W3176082503 hasOpenAccess W3176082503 @default.
• W3176082503 hasPrimaryLocation W31760825031 @default.
• W3176082503 hasRelatedWork W1949819253 @default.
• W3176082503 hasRelatedWork W2005842402 @default.
• W3176082503 hasRelatedWork W2008909117 @default.
• W3176082503 hasRelatedWork W2059064128 @default.
• W3176082503 hasRelatedWork W2507758434 @default.
• W3176082503 hasRelatedWork W2531394916 @default.
• W3176082503 hasRelatedWork W3032067048 @default.
• W3176082503 hasRelatedWork W3102334638 @default.
• W3176082503 hasRelatedWork W3166036062 @default.
• W3176082503 hasRelatedWork W3031749283 @default.
• W3176082503 hasVolume "87" @default.
• W3176082503 isParatext "false" @default.
• W3176082503 isRetracted "false" @default.
• W3176082503 magId "3176082503" @default.
• W3176082503 workType "article" @default.