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Integration of capillary microscopy and dermoscopy into the rheumatology fellow curriculum

1, 2, 3, 4, 5, 6, 7

  1. Department of Rheumatology, Hospital for Special Surgery, New York, USA. chris.m.hatzis@gmail.com
  2. Department of Rheumatology, Hospital for Special Surgery, New York, USA.
  3. Department of Rheumatology, Hospital for Special Surgery, New York, USA.
  4. Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, Italy.
  5. Department of Internal Medicine, Faculty of Medicine and Health Sciences, Ghent University, and Department of Rheumatology, Ghent University Hospital, Ghent, Belgium.
  6. Department of Rheumatology, Hospital for Special Surgery, New York, USA.
  7. Department of Rheumatology, Hospital for Special Surgery, New York, USA.

CER9622 Submission on line
2017 Vol.35, N°5 - PI 0850, PF 0852
Brief Papers

Rheumatology Article

 

Abstract

OBJECTIVES:
This study evaluates a novel, three-part nailfold capillaroscopy training curriculum for adult and paediatric rheumatology fellows.
METHODS:
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.
RESULTS:
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.
CONCLUSIONS:
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