title: What should primary care providers know about pediatric skin conditions? A modified Delphi technique for curriculum development.
abstract: BACKGROUND
  There is limited access to pediatric dermatology in the United States, resulting in inadequate education and patient care.
  
  
  OBJECTIVE
  This Delphi study aimed to identify important objectives for a pediatric dermatology curriculum for general practitioners.
  
  
  METHODS
  A modified, 2-round Delphi technique was used to develop consensus on objectives developed by expert pediatric dermatologists. A panel of 20 experts (pediatric dermatologists, family practitioners, and general pediatricians) rated objectives using a 5-point Likert-type scale. Items with group medians 4.0 or greater with at least 70% agreement reached consensus.
  
  
  RESULTS
  In round 1, the expert panel rated 231 objectives from 16 categories for inclusion in an online curriculum. In round 2, experts were given group feedback and rated 235 objectives. A total of 170 items met consensus. Generally, objectives surrounding common conditions including acne, molluscum, warts, atopic dermatitis, and newborn skin met consensus whereas objectives on rare growths, birthmarks, and inherited conditions failed to meet consensus.
  
  
  CONCLUSIONS
  The Delphi panel consisted of US-based physicians, most in urban areas with a dedicated pediatric specialist at their institution.
  
  
  CONCLUSIONS
  The accepted objectives encompass management of common conditions and referral of potentially dangerous diseases and can be used to develop a pediatric dermatology curriculum for primary care providers.
authors.affiliation: School of Medicine, University of California, San Diego, La Jolla, California.
authors.forename: Dana F
authors.initials: DF
authors.lastname: Feigenbaum
authors.affiliation: Department of Medicine, University of California, San Francisco, California.
authors.forename: Christy K
authors.initials: CK
authors.lastname: Boscardin
authors.affiliation: Department of Dermatology, University of California, San Francisco, California; Department of Pediatrics, University of California, San Francisco, California.
authors.forename: Ilona J
authors.initials: IJ
authors.lastname: Frieden
authors.affiliation: Department of Dermatology, University of California, San Francisco, California; Department of Pediatrics, University of California, San Francisco, California. Electronic address: mathese@derm.ucsf.edu.
authors.forename: Erin F D
authors.initials: EF
authors.lastname: Mathes
mesh_terms: D002648:Child; D002983:Clinical Competence; D032921:Consensus; D003479:Curriculum; D003697:Delphi Technique; D003880:Dermatology / Q000193:education*; D005260:Female; D058005:General Practitioners / Q000193:education*; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D020380:Needs Assessment; D010372:Pediatrics / Q000193:education*; D012871:Skin Diseases / Q000175:diagnosis / Q000628:therapy; D014481:United States
keywords: Delphi; consensus; curriculum development; dermatology education; educational objectives; pediatric dermatology; primary care education