A National Survey: Desire of Dermatology Residents to Train in Cosmetic Dermatology and Its Association With Learning Medical Dermatology
The main challenge for training in cosmetic dermatology is the difference in the attitudes of residency programs and residents about the necessity and amount of education during the residency period. A national online survey conducted between September 6th and November 21st, 2017. Residents, members of the Iranian Board of Dermatology, faculty members and program directors (PDs) were asked to participate in the survey.174 participants from 12 residency programs participated in this study and the response rate of residents, professors, and Dermatology Board Directory Members (Boardmans) and PDs was 89.8%, 61.7%, and 81.8%, respectively. Residents declared greater tendency towards practicing medical dermatology (mean score, 5.165±0.8335) over the five years after graduation than that of was perceived by professors (4.043±1.2988), and Boardmans and PDs (4.059±1.0290) (P˂0.001). The first residents’ priority was practicing in medical dermatology (5.165±0.8335) during 5-years after graduation. However, professors (5.261±0.8282) and Boardmans and PDs (5.176±0.7276) predicted residents' first priority would be practicing cosmetic dermatology (P˂0.001). Forty one (60.3%) of the professors, Boardmans, and PDs agreed or strongly agreed that residents’ desire to learn more about cosmetic procedures resulted in their decreased interest in learning medical procedures (P=0.18). Medical dermatology is still clearly the basis for training in residency programs,and even for residents who have a high tendency to practice cosmetic dermatology, there is a strong tendency to work in the field of medical dermatology as well.
Kirby JS, Adgerson CN, Anderson BE. A survey of dermatology resident education in cosmetic procedures. J Am Acad Dermatol. 2013 Feb;68(2):e23-8.
Bauer B, Williams E, Stratman EJ. Stratman. Cosmetic Dermatologic Surgical Training in US dermatology Residency Programs Identifying and Overcoming Barriers. JAMA Dermatol. 2014 Feb;150(2):125-9.
Schleichert R, Hostetler SG, Zirwas M. The perceived influence of cosmetic dermatology on dermatology resident education. J Am Acad Dermatol. 2010 Aug;63(2):352-3.
Group A, Philips R, Kelly E. Cosmetic Dermatology Training in Residency: Results of a Survey from the Residents' Perspective. Dermatol Surg. 2012 Dec;38(12):1975-80.
Kostecki J. American Academy of Dermatology Association Dermatology Practice Profile Survey 2009. Department of Science and Research October 2009. www.aad.org/.../Practice%20management%20resources/2009
Freiman A, Barzilai DA, Barankin B, Natsheh A, Shear NH. National appraisal of dermatology residency training: a Canadian study. Arch Dermatol. 2005 Sep;141(9):1100-4.