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PATIENTS     PHYSICIANS     THIRD PARTY PAYERS     HOME    
THE STATE OF PHOTOTHERAPY EDUCATION IN
U.S. DERMATOLOGY PROGRAMS
Poster presented at American Academy of Dermatology 56th annual convention, Feb 2-6, 2007  Christopher B. Yelverton, MD, MBA1; Vishal C. Khanna, MFA1; Steven R. Feldman, MD, PhD1-3 Departments of Dermatology1, Pathology2, and Public Health Sciences3, Wake Forest University Health Sciences, Winston Salem, NC  <read full poster>

BACKGROUND: A number of dermatologic conditions, including psoriasis, phototherapy education is available in nearly all residency programs, but more time and resources are needed.are responsive to phototherapy with ultraviolet light (UVA or UVB). The Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Dermatology (ABD) guidelines for residency training suggest that resident training in Dermatology should include “...competence in...procedures in…photobiology...”

OBJECTIVES: 

1) To assess the state of training in the use of ultraviolet phototherapy for the treatment of photo-responsive dermatoses within Dermatology residency training programs in the United States.
2) To develop a training course in the usage of phototherapy that would be beneficial to Dermatology residents.

METHODS:  We designed a brief survey that was distributed to residency program directors at accredited Dermatology training programs in the US.

KEY FINDINGS: All responding programs offer some form of phototherapy and train resident in the use and prescription of phototherapy.

  • PUVA and Narrow-Band UVB are most commonly available.
  • The mean number of educational hours devoted to phototherapy over the 3 years of residency is about 8 (mean, 8; median, 4-8).
  • Residents infrequently prescribe home phototherapy
  • All responding program directors reported that additional resident training in phototherapy would be beneficial.

DISCUSSION: Findings suggest that, although phototherapy is offered at most academic dermatology centers, resident exposure to phototherapy may be limited. A successful phototherapy training program should include the [full range of options for] phototherapy delivery; a thorough understanding of the potential benefits and drawbacks of each device type, including discussion of light spectra, radiation dose, coverage area, adverse events, and cost of ownership/use; the value of an experienced phototherapist; and special concerns regarding home phototherapy.  <read full poster>

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Clinical UVA/UVB PhototherapyFoldalite-32 - Houva II - Houva III - Hand/Foot II - TRU-BLU
Phototherapy for home use: Panosol II -- Dermalight80 - Foldalite III - Handisol - Hand/Foot II