C. Hatzis1, D. Lerner2, S. Paget3, M. Cutolo4, V. Smith5, R. Spiera6, J. Gordon7
2017 Vol.35, N°5 - PI 0850, PF 0852
This study evaluates a novel, three-part nailfold capillaroscopy training curriculum for adult and paediatric rheumatology fellows.
All rheumatology fellows training at an academic medical centre took part in the three-part nailfold capillaroscopy curriculum. Tests of fellows’ usage, interest, confidence, and ability in nailfold capillaroscopy were taken at multiple time-points throughout the curriculum.
Fellows self-reported high levels of interest, increased confidence in delineating normal and abnormal nailfold capillaries (p=0.03) and increased usage of nailfold capillaroscopy (p=0.09). The ability of fellows to identify normal nailfold capillaries (p=0.03) and systemic sclerosis-specific nailfold capillary changes, such as neoangiogenesis (p<0.001), also increased.
The curriculum was feasible and led to improved ability of learners to distinguish normal from abnormal and to recognise and describe systemic sclerosis-specific nailfold capillary changes. This curriculum also led to improved confidence in examining nailfold capillaries and increased usage of this skill in rheumatologic consultation.
PMID: 28229821 [PubMed]
Received: 29/05/2016 - Accepted : 28/11/2016 - In Press: 10/02/2017 - Published: 15/09/2017