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Wound care education is underrepresented in medical students' curricula. This scoping review aims to provide an overview of the published literature on educational methods and interventions used for chronic wound care education, specifically for medical students. A five-step framework for scoping reviews was used and includes a specific research question, identification of relevant literature, selection of studies, extraction of data and synthesis of the results. In total, six electronic databases (PubMed, Cochrane Library, Embase (Ovid), Web of Science, Scopus and APA PsychInfo) were searched with pre-defined search terms. The selection and evaluation of studies were conducted in a blinded review by three independent reviewers. The review was carried out in accordance with the PRISMA-ScR checklist for scoping reviews. We identified nine suitable studies regarding educational interventions for medical students in wound care. The included papers showed a broad variety of educational approaches, such as online learning tools or hands-on skills training. The implemented interventions had a positive effect on the students' wound care knowledge and their ability to perform wound care-related clinical skills. There is no comparison of the effectiveness of the different interventions, and it is not evaluated how effective they are compared to traditional lectures. There remains a need for more wound care education with a focus on the needs of medical students.
This study aimed to gain insights into wound care education for medical students in Germany. An exploratory study with an online survey was conducted among wound experts of different professions, requesting details about educational programmes concerning teaching content, methodology, integration into current curricula and teaching faculty. The analysis included 118 datasets gathered from 17 doctors, 93 nurses and eight other health professionals. In 48.9% of cases, wound management was taught by different health care professionals, with doctors and nurses building a teaching team most frequently (68.2%). In about half of the cases, the medical students were learning together with trainees from other health professions. The teaching team was interdisciplinary in 40.4% of the courses. The large range of medical disciplines in which wound care was taught shows how variably this topic can be used in medical teaching. Nevertheless, the results from this survey also show that the topic is still clearly underrepresented in medical training, even though there is a high level of interest among medical students and a clear relevance for everyday practice as a physician. The medical teachers in this survey suggest more practical sessions on causal therapy, wound pain, quality of life and local wound care in the regular medical curriculum.
Pyoderma gangrenosum (PG) is a non-infectious, neutrophilic dermatosis that was difficult to diagnose in clinical practice. Today, the PARACELSUS score is a validated tool for diagnostics. Based on this score, patients with clearly diagnosed PG were examined with regard to predilection sites. In this retrospective study, the data of patients from the University Hospitals of Essen and Erlangen were analysed in whom the diagnosis of PG could be clearly confirmed using the PARACELSUS score. A total of 170 patients, 49 men (29%) and 121 women (71%) with an average age at first manifestation of 55.5 years, could be included in the analysis. The predilection sites were identified as the lower legs in 80.6% of the patients and the extensor sides in 75.2%. Other localisations of PG were the thighs in 14.1%, mammae and abdomen in 10.0% each, back and gluteal in 7.1% each, feet in 5.9%, arms in 4.7%, genital in 3.5% and head in 2.9%. This retrospective study is the first to identify a collective of PG patients with the highest data quality using the PARACELSUS score. It could be shown that PG can basically occur on the entire integument. However, the predilection sites of PG, which have now been reliably identified for the first time, are the lower legs and in particular the extensor sides.
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