ABSTRACT: The increasing presence of nurse-practitioners (NPs) in dermatology has been attributed to an increased demand for care and changes in the workforce. It was anticipated that, by 2010, 36% of dermatology practices would employ nonphysician clinicians. Currently, there is no standardized curriculum for the educational preparation of dermatology NPs. The purpose of this study was to obtain a consensus and compare the opinions of dermatology NPs and dermatologists regarding important content for a core curriculum. Using Delphi technique, data were collected using a Likert scale of importance on 91 curricular items. Results showed a high level of agreement between dermatology NPs (n = 77) and board-certified dermatologists (n = 22) as both groups reached consensus to include 57 (63%) and exclude 3 (3%) items for the core curriculum. The groups’ highest-ranked items focused on general dermatology, and the lowest-ranked items included advanced surgical skills, cosmetics, and scholarly roles. The groups showed significant differences on 14 items (15%). Data were self-reported by respondents and may be biased to medical dermatology practices. Results can be used to guide the development of dermatology NP education.
Margaret A. Bobonich, DNP, FNP-C, DCNP, FAANP, Department of Dermatology, Case Western Reserve University, and University Hospitals Case Medical Center, Cleveland, Ohio.
Kevin D. Cooper, MD, Department of Dermatology, Case Western Reserve University, University Hospitals Case Medical Center, and VA Medical Center, Cleveland, Ohio.
This study was supported in part by NIH NIAMS Skin Diseases Research Center Grant Number P30AR039750 and Case Western Reserve University/Cleveland Clinic CTSA Grant UL1 RR024989. The sponsors had no role in the design and conduct of the study; in the collection, analysis, and interpretation of data; or in the preparation, review, or approval of the manuscript.
Conflicts of Interest and Financial Disclosures: Dr Bobonich is employed by Case Western Reserve University and University Hospitals Case Medical Center and receives honoraria from the American Academy of Nurse Practitioners. She is the cochair of the Professional Development Committee of the Nurse Practitioners Society of the Dermatology Nurses’ Association. Dr Cooper is employed by Case Western Reserve University, University Hospitals Case Medical Center, and VA Medical Center, Cleveland, Ohio. Dr Cooper is a consultant for ANACOR, Johnson & Johnson, Lilly, Bolt, Eisai, Galderma, Otsuka Pharm., Fluence Therapeutics, Pfizer, Astellas, University of Michigan, Schering Plough, Estee Lauder, and Genentek.
Presented: Preliminary data were presented at the Dermatology Teachers Exchange Group, Miami, Florida, 2010.
Correspondence concerning this article should be addressed to Margaret A. Bobonich, DNP, FNP-C, DCNP, FAANP, University Hospitals Case Medical Center, 11100 Euclid Ave., Lakeside Suite 3100, Cleveland, OH 44106. E-mail: firstname.lastname@example.org