Perceptions of expertise in cutaneous surgery and cosmetic procedures: What primary care physicians think

Omar A. Ibrahimi, Haider Bangash, Lawrence Green, Murad Alam, April W. Armstrong, Daniel B Eisen

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background Primary care physician (PCP) perceptions regarding expertise in cutaneous surgery and cosmetic procedures are unknown. Methods An internet-based survey was administered to physicians in primary care medicine residency programs in the United States. Respondents were asked to select the specialist most qualified to perform different cutaneous cosmetic and surgical procedures. Results Five hundred sixty-one PCPs undertook the survey. Dermatologists were identified as the most qualified specialist to evaluate and biopsy worrisome lesions on the face (95%), perform skin cancer surgery (56%), inject botulinum toxin (61%), inject fillers (55%), and perform laser procedures (75%). Seventy percent of respondents correctly defined Mohs micrographic surgery (MMS), and 60% of respondents selected a fellowship-trained dermatologist as the best physician to perform MMS. U.S. medical school graduates were more likely than foreign medical school graduates to select a Mohs fellowship-trained dermatologist as the most qualified physician to perform MMS (adjusted odds ratio (AOR) = 1.52, 95% confidence interval (CI) = 1.05-2.21). PCPs without exposure to dermatology in medical school were about half as likely those with exposure to correctly define MMS (AOR = 0.51, 95% CI = 0.30-0.89). Conclusions Dermatologists are recognized as the most qualified specialist to perform a variety of cutaneous cosmetic and surgical procedures, including skin cancer surgery, botulinum toxin injections, filler injections, and laser procedures. Mohs fellowship-trained dermatologists were viewed as more qualified to perform MMS than other dermatologists, plastic surgeons, otolaryngologists, or ophthalmologists.

Original languageEnglish (US)
Pages (from-to)1645-1651
Number of pages7
JournalDermatologic Surgery
Volume38
Issue number10
DOIs
StatePublished - Oct 2012

Fingerprint

Dermatologic Surgical Procedures
Mohs Surgery
Primary Care Physicians
Cosmetics
Medical Schools
Botulinum Toxins
Skin Neoplasms
Lasers
Foreign Medical Graduates
Odds Ratio
Confidence Intervals
Physicians
Injections
Internship and Residency
Dermatology
Internet
Dermatologists
Medicine
Surveys and Questionnaires
Biopsy

ASJC Scopus subject areas

  • Dermatology
  • Surgery

Cite this

Perceptions of expertise in cutaneous surgery and cosmetic procedures : What primary care physicians think. / Ibrahimi, Omar A.; Bangash, Haider; Green, Lawrence; Alam, Murad; Armstrong, April W.; Eisen, Daniel B.

In: Dermatologic Surgery, Vol. 38, No. 10, 10.2012, p. 1645-1651.

Research output: Contribution to journalArticle

Ibrahimi, Omar A. ; Bangash, Haider ; Green, Lawrence ; Alam, Murad ; Armstrong, April W. ; Eisen, Daniel B. / Perceptions of expertise in cutaneous surgery and cosmetic procedures : What primary care physicians think. In: Dermatologic Surgery. 2012 ; Vol. 38, No. 10. pp. 1645-1651.
@article{cdadaee3227f4a3fa5fcfe39f436e2d1,
title = "Perceptions of expertise in cutaneous surgery and cosmetic procedures: What primary care physicians think",
abstract = "Background Primary care physician (PCP) perceptions regarding expertise in cutaneous surgery and cosmetic procedures are unknown. Methods An internet-based survey was administered to physicians in primary care medicine residency programs in the United States. Respondents were asked to select the specialist most qualified to perform different cutaneous cosmetic and surgical procedures. Results Five hundred sixty-one PCPs undertook the survey. Dermatologists were identified as the most qualified specialist to evaluate and biopsy worrisome lesions on the face (95{\%}), perform skin cancer surgery (56{\%}), inject botulinum toxin (61{\%}), inject fillers (55{\%}), and perform laser procedures (75{\%}). Seventy percent of respondents correctly defined Mohs micrographic surgery (MMS), and 60{\%} of respondents selected a fellowship-trained dermatologist as the best physician to perform MMS. U.S. medical school graduates were more likely than foreign medical school graduates to select a Mohs fellowship-trained dermatologist as the most qualified physician to perform MMS (adjusted odds ratio (AOR) = 1.52, 95{\%} confidence interval (CI) = 1.05-2.21). PCPs without exposure to dermatology in medical school were about half as likely those with exposure to correctly define MMS (AOR = 0.51, 95{\%} CI = 0.30-0.89). Conclusions Dermatologists are recognized as the most qualified specialist to perform a variety of cutaneous cosmetic and surgical procedures, including skin cancer surgery, botulinum toxin injections, filler injections, and laser procedures. Mohs fellowship-trained dermatologists were viewed as more qualified to perform MMS than other dermatologists, plastic surgeons, otolaryngologists, or ophthalmologists.",
author = "Ibrahimi, {Omar A.} and Haider Bangash and Lawrence Green and Murad Alam and Armstrong, {April W.} and Eisen, {Daniel B}",
year = "2012",
month = "10",
doi = "10.1111/j.1524-4725.2012.02577.x",
language = "English (US)",
volume = "38",
pages = "1645--1651",
journal = "Dermatologic Surgery",
issn = "1076-0512",
publisher = "Wiley-Blackwell",
number = "10",

}

TY - JOUR

T1 - Perceptions of expertise in cutaneous surgery and cosmetic procedures

T2 - What primary care physicians think

AU - Ibrahimi, Omar A.

AU - Bangash, Haider

AU - Green, Lawrence

AU - Alam, Murad

AU - Armstrong, April W.

AU - Eisen, Daniel B

PY - 2012/10

Y1 - 2012/10

N2 - Background Primary care physician (PCP) perceptions regarding expertise in cutaneous surgery and cosmetic procedures are unknown. Methods An internet-based survey was administered to physicians in primary care medicine residency programs in the United States. Respondents were asked to select the specialist most qualified to perform different cutaneous cosmetic and surgical procedures. Results Five hundred sixty-one PCPs undertook the survey. Dermatologists were identified as the most qualified specialist to evaluate and biopsy worrisome lesions on the face (95%), perform skin cancer surgery (56%), inject botulinum toxin (61%), inject fillers (55%), and perform laser procedures (75%). Seventy percent of respondents correctly defined Mohs micrographic surgery (MMS), and 60% of respondents selected a fellowship-trained dermatologist as the best physician to perform MMS. U.S. medical school graduates were more likely than foreign medical school graduates to select a Mohs fellowship-trained dermatologist as the most qualified physician to perform MMS (adjusted odds ratio (AOR) = 1.52, 95% confidence interval (CI) = 1.05-2.21). PCPs without exposure to dermatology in medical school were about half as likely those with exposure to correctly define MMS (AOR = 0.51, 95% CI = 0.30-0.89). Conclusions Dermatologists are recognized as the most qualified specialist to perform a variety of cutaneous cosmetic and surgical procedures, including skin cancer surgery, botulinum toxin injections, filler injections, and laser procedures. Mohs fellowship-trained dermatologists were viewed as more qualified to perform MMS than other dermatologists, plastic surgeons, otolaryngologists, or ophthalmologists.

AB - Background Primary care physician (PCP) perceptions regarding expertise in cutaneous surgery and cosmetic procedures are unknown. Methods An internet-based survey was administered to physicians in primary care medicine residency programs in the United States. Respondents were asked to select the specialist most qualified to perform different cutaneous cosmetic and surgical procedures. Results Five hundred sixty-one PCPs undertook the survey. Dermatologists were identified as the most qualified specialist to evaluate and biopsy worrisome lesions on the face (95%), perform skin cancer surgery (56%), inject botulinum toxin (61%), inject fillers (55%), and perform laser procedures (75%). Seventy percent of respondents correctly defined Mohs micrographic surgery (MMS), and 60% of respondents selected a fellowship-trained dermatologist as the best physician to perform MMS. U.S. medical school graduates were more likely than foreign medical school graduates to select a Mohs fellowship-trained dermatologist as the most qualified physician to perform MMS (adjusted odds ratio (AOR) = 1.52, 95% confidence interval (CI) = 1.05-2.21). PCPs without exposure to dermatology in medical school were about half as likely those with exposure to correctly define MMS (AOR = 0.51, 95% CI = 0.30-0.89). Conclusions Dermatologists are recognized as the most qualified specialist to perform a variety of cutaneous cosmetic and surgical procedures, including skin cancer surgery, botulinum toxin injections, filler injections, and laser procedures. Mohs fellowship-trained dermatologists were viewed as more qualified to perform MMS than other dermatologists, plastic surgeons, otolaryngologists, or ophthalmologists.

UR - http://www.scopus.com/inward/record.url?scp=84867096313&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867096313&partnerID=8YFLogxK

U2 - 10.1111/j.1524-4725.2012.02577.x

DO - 10.1111/j.1524-4725.2012.02577.x

M3 - Article

C2 - 22958115

AN - SCOPUS:84867096313

VL - 38

SP - 1645

EP - 1651

JO - Dermatologic Surgery

JF - Dermatologic Surgery

SN - 1076-0512

IS - 10

ER -