Professionalism: Informal Consultations about Skin Diseases
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Abstract
Method: A 13-item questionnaire-based study was conducted in 2020, involving a convenience sample of doctors from a district general hospital. Doctors working in the dermatology department were excluded from the questionnaire. The numerical data derived from the questionnaire were analysed using descriptive statistics, and free text data were analysed using content analysis.
Results: The questionnaire response rate was 29/33 (88%), consisting of 27 doctors-in-training and two medical consultants. Twenty-four of 29 (83%) respondents reported that they were asked to provide dermatological advice outside of healthcare settings. The main source of self-referrals was first-degree relatives, as reported by 23/29 (79%) respondents. Twenty-five of 29 (86%) did not document the advice provided.
Conclusions: Non-dermatology doctors encounter informal consultations on skin diseases. These requests put a burden on the work–life balance of clinicians involved, and there are risks associated with mismanaging such requests. Doctors in training would benefit from support and guidance from their supervisors on how to navigate this professionalism issue safely.
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References
Ashique, K. T. 2017. Curbside (Corridor to the E-corridor) consultants and the dermatologists. Indian Dermatology Online Journal, 8(3):211-214.
Braun, V. and Clarke, V., 2006. Using thematic analysis in psychology. Qualitative Research in Psychology, 3:2, pp. 77-101
Evans, J., Ziebland, S. and McPherson, A., 2007. Minimizing delays in ovarian cancer diagnosis: an expansion of Andersen’s Model of ‘total patient delay’. Family Practice, 24(1), pp.48–55.
General Medical Council, 2013. Good medical practice. pp.8-9
Hirst, M., 2005. Carer distress: a prospective population-based study. Social Science & Medicine, 61(3):697-708.
Khorsand, K. and Sidbury, R., 2019. The shadow clinic: Emails, "curbsides," and "quick peeks" in pediatric dermatology. Pediatric Dermatology, 36(5), pp. 607-610.
La Puma, J., Stocking, C.B., La Voie, D.M. and Darkubg, C.A., 1991. When physicians treat members of their own families. Practices in a community hospital. New England Journal of Medicine, 325(18), pp. 1290-1294.
Leavitt, F., Peleg, R. and Peleg, A., 2005. Informal medicine: ethical analysis. Journal of Medical Ethics, 31(12), pp. 689–692.
Olick, R. S., and Bergus, G. R. 2003. Malpractice liability for information consultations. Family Medicine, 35(7):476-481.
Teasdale, E., Muller, I., Abdullah Sani, A., Thomas, K.S., Stuart, B. and Santer, M., 2018. Views and experiences of seeking information and help for vitiligo: a qualitative study of written accounts. BMJ Open, 8(1). pp. e018652.
Schofield, J.K., Fleming, D., Grindlay, D., and Williams, H. Skin conditions are the commonest new reason people resent to general practitioners in England and Wales. British Journal of Dermatology, 165(5):1044-1050.
Thompson, A.E., Anisimowicz, Y., Miedema, B., Hogg, W., Wodchis, W.P. and Aubrey-Bassler, K., 2016. The influence of gender and other patient characteristics on health care-seeking behavior: a QUALICOPC study. BMC Family Practice, 17, pp. 38
Tso, S., and Yousuf, A. 2016. Student giving health advice to family and friends. Clinical Teacher, 13(3), pp. 219-222.