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Clin Dermatol ; 36(3): 399-419, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29908582


The plant and mushroom kingdoms have species used for intoxication, inebriation, or recreation. Some of these species are toxic. Given that many of these plants or substances are illegal and have histories of abuse, much of the research regarding therapeutic application is based on basic science, animal studies, and traditional use. This review examines Cannabis, Euphorbia, Ricinus, Podophyllum, Veratrum, mushrooms, and nightshades, along with resveratrol and cocaine as they relate to dermatology.

Agaricales , Cannabis , Fitoterapia , Preparações de Plantas/uso terapêutico , Dermatopatias/tratamento farmacológico , Pele/patologia , Solanum , Animais , Canabinoides/uso terapêutico , Dermatologia , Dermatomicoses/tratamento farmacológico , Dronabinol/uso terapêutico , Etanolaminas/uso terapêutico , Euphorbia , Fibrose , Humanos , Inflamação/tratamento farmacológico , Ácidos Palmíticos/uso terapêutico , Preparações de Plantas/farmacologia , Podophyllum peltatum , Resveratrol , Ricinus , Envelhecimento da Pele/efeitos dos fármacos , Neoplasias Cutâneas/tratamento farmacológico , Neoplasias Cutâneas/prevenção & controle , Estilbenos/uso terapêutico , Veratrum
Arch Dermatol ; 145(10): 1131-6, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19841400


OBJECTIVE: To determine factors related to residents' self-reported skill level for the skin cancer examination (SCE). DESIGN: Survey of residents in November 2003. SETTING: Four US residency programs. PARTICIPANTS: Medical residents in family medicine, pediatrics, obstetrics and gynecology, and internal medicine and specialists. MAIN OUTCOME MEASURE: Proportion of residents reporting their current skill level for the performance of the SCE. RESULTS: Of 454 surveys distributed, 342 residents completed the survey (75.3% response rate). Clinical training for the SCE during residency was infrequent. During residency, 75.8% were never trained in the SCE, 55.3% never observed an SCE, and 57.4% never practiced the examination. Only 15.9% of residents reported being skilled in the SCE. However, the conduct of 4 SCEs (or slightly more than 1 per each year of residency) was associated with manifold increases in self-reported skill levels. CONCLUSIONS: Information now collected from 7 medical schools and 4 residency programs underscores the need for more supervised opportunities to enable physicians in training to perform an SCE during routine patient examinations.

Competência Clínica , Dermatologia/educação , Programas de Rastreamento/normas , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/prevenção & controle , Adulto , Currículo/normas , Educação de Pós-Graduação em Medicina , Feminino , Pesquisas sobre Serviços de Saúde , Humanos , Internato e Residência , Masculino , Programas de Rastreamento/tendências , Determinação de Necessidades de Cuidados de Saúde , Exame Físico/métodos , Exame Físico/normas , Prevenção Primária/métodos , Prevenção Primária/normas , Inquéritos e Questionários , Estados Unidos
Int J Radiat Oncol Biol Phys ; 73(4): 1003-8; quiz 1008.e1-1008.e2, 2009 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-19251088


PURPOSE: The Oncology Education Initiative was created to advance oncology and radiation oncology education by integrating structured didactics into the existing core radiology clerkship. We set out to determine whether the addition of structured didactics could lead to a significant increase in overall medical student knowledge about radiation oncology. METHODS AND MATERIALS: We conducted a pre- and posttest examining concepts in general radiation oncology, breast cancer, and prostate cancer. The 15-question, multiple-choice exam was administered before and after a 1.5-hour didactic lecture by an attending physician in radiation oncology. Individual question changes, overall student changes, and overall categorical changes were analyzed. All hypothesis tests were two-tailed (significance level 0.05). RESULTS: Of the 153 fourth-year students, 137 (90%) took the pre- and posttest and were present for the didactic lecture. The average test grade improved from 59% to 70% (p = 0.011). Improvement was seen in all questions except clinical vignettes involving correct identification of TNM staging. Statistically significant improvement (p

Competência Clínica , Radioterapia (Especialidade)/educação , Estudantes de Medicina , Feminino , Humanos , Masculino
J Am Coll Radiol ; 4(10): 711-5, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17903756


PURPOSE: Multidisciplinary cancer care requires the integration of teaching across established educational boundaries. Because exposure to oncology and radiation oncology is limited in the undergraduate medical curriculum, the authors introduced an oncology education initiative at their institution. They report on the addition of structured multidisciplinary oncology education to the required radiology core clerkship. METHODS: An institutional-based cohort study of fourth-year medical students rotating through a required clerkship in radiology at Boston University School of Medicine was conducted, beginning with the class of 2007. An educational questionnaire measuring the perceived quality of oncology education before and after exposure to a structured didactic program was administered. RESULTS: Of the 149 fourth-year students, 121 (81%) have completed the didactics of the initiative. Although 68 of 121 (56%) students reported having limited exposure to cancer care in the clinical years, 107 of 121 (88%) were motivated to learn more about the subject, and 100 of 121 (83%) reported a better understanding of the multidisciplinary nature of cancer care after this oncology education initiative. One hundred ten of 121 (91%) felt that the radiology clerkship was an opportune time to receive oncology and radiation oncology teaching. As a result of the initiative, 32% of the students pursued advanced training in radiation oncology. Of students who before the initiative were not planning on taking oncology electives, 70 of 99 (71%) agreed or strongly agreed that the lecture motivated them to learn more about the subject, and 43 of 99 (43%) agreed or strongly agreed that the lecture motivated them to take oncology electives. CONCLUSIONS: Systematic exposure to multidisciplinary oncology education as part of a radiology core clerkship provides an excellent opportunity for the integrated teaching of oncologic principles and patient management. This type of experience addresses an important yet underrepresented component of undergraduate medical education.

Estágio Clínico/métodos , Estágio Clínico/organização & administração , Currículo , Avaliação Educacional , Radioterapia (Especialidade)/educação , Estudantes de Medicina , Massachusetts , Projetos Piloto