Formation des internes en médecine générale en dermatologie par la téléexpertise (notice n° 2209680)
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| fixed length control field | 04685cam a2200325 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260412000345.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Mittelstadt, Marine |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Formation des internes en médecine générale en dermatologie par la téléexpertise |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2026.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 46 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Contexte : La pénurie de dermatologues au niveau national impose désormais aux patients de consulter uniquement leur médecin traitant. Ce dernier, acteur majeur du système de santé, se retrouve alors confronté à de nombreuses difficultés de prise en charge en dermatologie impliquant le recours à divers outils diagnostiques dont la téléexpertise. L’objectif de notre étude consistait à définir les besoins en télédermatologie des internes en médecine générale en SASPAS en Aquitaine via l’utilisation de la plateforme Alliance Gironde. Méthode : Il s’agissait d’une étude observationnelle descriptive durant laquelle les internes en SASPAS en Aquitaine de mai à octobre 2024 ont pu solliciter la plateforme en cas de difficultés en lien avec des lésions dermatologiques. Résultats : Au sein d’une population de 14 internes, le nombre moyen de demandes de téléexpertise par interne était de 4,5 demandes. Les principales pathologies ayant occasionné une téléexpertise étaient : les pathologies inflammatoires (35 %), infectieuses (21 %) et les lésions tumorales bénignes (17 %). Les difficultés diagnostiques intéressaient les dermatoses inflammatoires (31 %), les pathologies tumorales bénignes (21 %) et les autres dermatoses (17 %). Les difficultés thérapeutiques émanaient des pathologies tumorales bénignes (33 %). 82 % des internes rapportaient une amélioration de la prise en charge de leur patient et 65 % de leurs connaissances après utilisation de la plateforme Alliance Gironde. Conclusion : La télédermatologie a offert un accès rapide aux avis spécialisés, réduisant les consultations en présentiel tout en optimisant le parcours de soins. Son intégration dans la formation, avec des supports pédagogiques complémentaires, constitue un levier pédagogique et clinique dans un contexte de pénurie dermatologique. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Background: In France, the national shortage of dermatologists now requires patients to consult primarily with their general practitioner (GP). As key actors in the health care system, GPs are therefore faced with numerous challenges in providing dermatological care, often requiring the use of various diagnostic tools, including tele-expertise. The aim of our study was to define the teledermatology needs of general medical residents on SASPAS placements (supervised autonomous primary care placements) in Aquitaine, using the Alliance Gironde platform, a regional digital health portal. Method: This was a descriptive observational study conducted from May to October 2024, during which general medical residents on SASPAS placements in Aquitaine could contact the platform when encountering difficulties related to dermatological lesions. Results: Among the 14 residents studied, the average number of tele-expertise requests per resident was 4.5. The main pathologies for which remote expertise was requested were: inflammatory diseases (35%), infectious diseases (21%), and benign tumor lesions (17%). Diagnostic difficulties primarily concerned inflammatory dermatoses (31%), benign tumor pathologies (21%), and other dermatoses (17%). Therapeutic difficulties were most frequent for benign tumor pathologies (33%). After using the Alliance Gironde platform, 82% of residents reported an improvement in their patient management and 65% reported an improvement in their dermatological knowledge. Conclusion: Teledermatology provides rapid access to specialist opinions, reducing the need for face-to-face consultations while optimizing the care pathway. Its integration into training, complemented by educational resources, represents a pedagogical and clinical asset in a context of dermatology workforce shortages. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dermatologie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | internes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | médecine générale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | outil pédagogique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | téléexpertise |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dermatology |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | educational tool |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | general medicine |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | residents |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | telemedicine |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Beylot-Barry, Marie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Joseph, Jean-Philippe |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Dorizy-Vuong, Valérie |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Médecine | 22 | 1 | 2026-04-09 | p. 37-43 | 1777-2044 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-medecine-2026-1-page-37?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-medecine-2026-1-page-37?lang=fr&redirect-ssocas=7080</a> |
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