Inpatient Dermatology Best Practice Strategies for Educating and Relaying Findings to Colleagues
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HOSPITAL-BASED DERMATOLOGY (L GUGGINA AND C NGUYEN, SECTION EDITORS)
Inpatient Dermatology Best Practice Strategies for Educating and Relaying Findings to Colleagues Adam Faletsky 1,2
&
Jane J. Han 1,3 & Arash Mostaghimi 1
Accepted: 16 October 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose of Review This review examines the role of education and relaying findings to non-dermatologist colleagues when performing inpatient dermatology consults. We highlight best practices for communication and education. Recent Findings Non-dermatologists receive minimal training on the diagnosis and the management of skin conditions. Efforts to teach dermatology in the inpatient setting via traditional didactics have been met with limited success, and hospitalists have indicated a desire to learn from specialists. Incorporating education into standard consultation practices including the note, oneon-one communication, and bedside rounds can efficiently improve teaching and patient care. Summary Our key principles of consultation emphasize communication, use of pre-existing components of a consultation to teach, and close follow-up. Inpatient dermatologists can implement these simple but effective measures to encourage education and communication with primary teams for both in-person and telehealth consults. Keywords Inpatient dermatology . Dermatology consults . Dermatology education . Dermatology communication . Relaying findings . Teledermatology
Introduction Inpatient consultation by board-certified dermatologists has been shown to improve outcomes in patients with a range of dermatologic illness, with 58–96% of consults leading to changes in patient treatment plans [1]. In addition to supporting patient care, inpatient dermatology consultants play an essential role in educating the primary team. Although not explicitly a part of the dermatology curricula, the ability to teach while relaying information to our colleagues is a core competency of any inpatient consultative
service. This education is often informal and is commonly integrated into the consultant’s daily responsibilities. Non-dermatologists’ training in skin pathology is limited, and the measures to teach common dermatologic conditions through traditional didactics have been limited in efficacy [2, 3]. In contrast, point-of-care teaching at the bedside has been demonstrated to improve educational outcomes and patient satisfaction [4, 5]. In this review, we examine the best practices in inpatient dermatology for educating and relaying findings to colleagues.
Communication Adam Faletsky and Jane J. Han contributed equally to this work. This article is part of the Topical Collection on Hospital-Based Dermatology * Arash Mostaghimi [email protected] 1
Department of Dermatology, Brigham and Women’s Hospital, 221 Longwood Avenue, Boston, MA 02115, USA
2
School of Medicine, Tufts University, Boston, MA, USA
3
Stritch School of Medicine, Loyola University Chicago, Maywood, IL, USA
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