Confidence of Irish dermatologists in caring for patients with skin of colour

O’Connor, Cathal; Gallagher, Conor J.; Bourke, Jane; Murphy, Michael

doi:10.1111/ced.14897

Cited by 6 publications

(7 citation statements)

References 4 publications

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“…This QIP demonstrates that our cohort of undergraduate and postgraduate trainees have suboptimal confidence levels in recognizing dermatological disease in people with SOC. This is consistent with previous studies showing that only 56% of Australian 3 and 50% of Irish 4 dermatologists were confident in diagnosing common dermatoses in patients with SOC. This lack of confidence is of great significance, as patients with SOC are more likely to have poor skin‐related and psychological outcomes, often attributable to delayed diagnosis and initiation of treatment 5 …”

Section: Reportsupporting

confidence: 93%

Improving recognition among undergraduate and postgraduate trainees of dermatological conditions in skin of colour: a cross-sectional quality improvement project

Peterknecht

Reid

Cheung

et al. 2022

Clinical and Experimental Dermatology

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It is well‐recognized that skin of colour (SOC) is under‐represented in undergraduate and postgraduate curricula in the UK. The primary objective of this Quality Improvement Project (QIP) was to improve the confidence of medical students and junior doctors in recognizing dermatological conditions in SOC. We developed two educational interventions to introduce participants to the clinical presentation of dermatological conditions in SOC. A five‐point Likert scale measured participants' confidence, and an eight‐question assessment quantified differences in knowledge. Results showed that 39% of students and 67% of junior doctors had not received SOC teaching during their undergraduate training. Following the lecture, mean Likert scores for confidence in recognizing conditions in SOC increased in the medical student and junior doctor cohorts by 2.5 and 1.82, respectively (P < 0.001 for both). The mean assessment scores increased by 3.68 and 3.87, respectively (P < 0.001 for both). These results confirm the under‐representation of SOC in medical education and highlight the need to diversify the Dermatology undergraduate and postgraduate curricula.

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Section: Reportsupporting

confidence: 93%

Improving recognition among undergraduate and postgraduate trainees of dermatological conditions in skin of colour: a cross-sectional quality improvement project

Peterknecht

Reid

Cheung

et al. 2022

Clinical and Experimental Dermatology

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“…Approaching atopic dermatitis in people with SOC has been identified as an educational gap in many parts of the world. 1,2 Here, we describe the most pertinent clues and considerations when approaching a child with SOC who might have atopic dermatitis.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis, assessment and management of atopic dermatitis in children with skin of colour

Gan,

Brand,

Foster

et al. 2023

Aust J Gen Pract

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“…The primary theme was around the impact of training, with prior learning being orientated towards light skin tones. Four studies (Buonsenso et al, 2022;O'Connor et al, 2022;Oozageer Gunowa et al, 2020, 2021 reported a perceived or observed lack of training for clinicians in assessing and managing patients with dark skin tones. Buonsenso et al (2022) found that 74% of training sources taught only about white skin when they surveyed a range of specialisms, including paediatrics, emergency medicine, primary care and dermatologists.…”

Section: Englandmentioning

confidence: 99%

A scoping review exploring the confidence of healthcare professionals in assessing all skin tones

Harrison

2023

British Paramedic Journal

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Background: Health inequalities and poorer outcomes have been identified for patients with dark skin tones. The reasons are multi-factorial, but may include delayed treatment due to a lack of recognition of early clinical signs of physiological deterioration. Within the medical literature there is a light skin tone bias, leading to healthcare professionals having insufficient knowledge regarding the assessment of patients with different skin tones, which may result in reduced confidence and create patient safety issues. The aim of this scoping review was to explore the confidence levels of healthcare professionals when assessing patients of different skin tones.Methods: The methodology followed scoping review frameworks set out by Arksey and O’Malley (2005), the Joanna Briggs Institute (Peters et al., 2020) and the PRISMA extension for Scoping Reviews (PRISMA-ScR) (Tricco et al., 2018). Searches for literature were performed between February and June 2022 using electronic databases EBSCO (Academic Search Complete, the Allied Complementary Medicine Database, e-journals, MEDLINE, CINAHL), British Nursing Index (ProQuest), Scopus, Web of Science, Zetoc, UpToDate, Google Scholar, NICE Evidence, ResearchGate, Opengrey and the British Association of Dermatologists. No date range was specified, expanders were left on and the findings were screened using inclusion and exclusion criteria. Included papers were synthesised using narrative synthesis.Results: Thirteen papers were identified, and the extracted data charted by the paper’s origin, sample size, profession and confidence levels. Our synthesis revealed reduced confidence in assessing, managing and diagnosing skin conditions in dark skin tones. A lack of training was cited by different health professionals, but undertaking tailored training and experiential learning increased confidence.Conclusions: There is a safety issue for patients with dark skin tones, as healthcare professionals lack clinical confidence in managing and treating all ethnicities equally. Tangible diversity within healthcare training is required, supported by inclusive skin tone imagery and appropriate terminology within medical literature.

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Confidence of Irish dermatologists in caring for patients with skin of colour

Abstract: Darier's disease in a blaschkoid distribution: two cases of phenotypic mosaicism and a review of mosaic Darier's disease.

Cited by 6 publications

References 4 publications

Improving recognition among undergraduate and postgraduate trainees of dermatological conditions in skin of colour: a cross-sectional quality improvement project

Improving recognition among undergraduate and postgraduate trainees of dermatological conditions in skin of colour: a cross-sectional quality improvement project

Diagnosis, assessment and management of atopic dermatitis in children with skin of colour

A scoping review exploring the confidence of healthcare professionals in assessing all skin tones

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