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A National Survey

Robert P. Dellavalle, MD, PhD; Deborah L. Stegner, MD; Ann M. Deas, MSPH; Eric J. Hester, MD; Michael H. McCeney, MD; Lori A. Crane, MPH, PhD; Lisa M. Schilling, MD

Arch Dermatol. 2003;139:369-372.

Objectives  To examine attitudes toward evidence-based medicine and evidence-based dermatology and to assess evidence-based training in US internal medicine and dermatology residency programs.

Methods  A 1-page self-administered questionnaire was mailed to residency training directors and chief residents at 104 dermatology and 103 internal medicine residency programs from the same or affiliated medical centers.

Results  Questionnaires were returned by respondents from 70 (68%) of 103 internal medicine programs and 86 (83%) of 104 dermatology programs. Most respondents (91% internal medicine and 70% dermatology) strongly agreed or agreed that evidence-based internal medicine/dermatology is valuable and should be included in residency training (93% internal medicine and 70% dermatology). Respondents from internal medicine programs agreed more strongly with both statements than respondents from dermatology programs (P = .001). Dedicated evidence-based curricula were in place at significantly more internal medicine programs (50 [71%] of 70) than dermatology programs (20 [23%] of 86) (P<.001). Curricula at internal medicine programs offered significantly more evidence-based medicine training sessions (24 vs 6; P<.001) and biostatistics sessions (10 vs 2.3; P = .03), and internal medicine programs more frequently evaluated the curricula using clinical question applications (56% vs 30%; P = .04).

Conclusion  Despite favorable attitudes toward evidence-based dermatology, compared with internal medicine programs, dedicated evidence-based training is underdeveloped in dermatology programs.

From the Veterans Affairs Medical Center (Dr Dellavalle); the Departments of Dermatology (Drs Dellavalle, Stegner, Hester, and McCeney), Preventive Medicine and Biometrics (Drs Dellavalle and Crane and Ms Deas), and Internal Medicine (Dr Schilling), University of Colorado School of Medicine; and the Clinical Science Program, University of Colorado Health Sciences Center (Dr Hester), Denver, Colo. The authors have no relevant financial interest in this article.

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