November 8, 2014
Notes: Rakers, Sebastian
Research Support, Non-U.S. Gov’t
J Invest Dermatol. 2013 May;133(5):1140-9. doi: 10.1038/jid.2012.503. Epub 2013 Feb 14.
Author Address: Aquatic Cell Technology, Fraunhofer Research Institution for Marine Biotechnology, Luebeck, Germany. firstname.lastname@example.org
Reference Type: Journal Article
Record Number: 4557Author: Ramirez-Fort, M. K., Lastra-Vicente, R., Levitt, J. O., Sanchez, J. L. and Reizner, G. T.
Title: Organizing a dermatology service mission
Journal: Int J Dermatol
Short Title: Organizing a dermatology service mission
Alternate Journal: International journal of dermatology
ISSN: 1365-4632 (Electronic)
Accession Number: 23113920
Keywords: Community Health Services/economics/organization & administration
Delivery of Health Care/economics/*organization & administration
Dermatology/economics/*organization & administration
Medical Missions, Official/economics/*organization & administration
Patient Education as Topic
Abstract: BACKGROUND: There are few published guidelines that describe the forethought and logistical considerations needed to create a dermatology-specific medical mission. OBJECTIVE: To report the experience of planning and executing a successful medical mission to an underserved community in Puerto Rico. METHODS: We identified an area of need and projected the volume of patients and diseases to be treated. After recruiting medical staff, pharmaceutical and surgical supplies were collected. Important concerns included establishing the scope of medical and educational services to be rendered, advertising the clinic, arranging for biopsy processing, ensuring follow-up, and selecting a method for medical documentation. We tracked the number of patients seen, diagnoses made, and materials used to prepare for future missions. RESULTS: We recruited 12 physicians and 25 ancillary (i.e. nonlicensed physician) staff members, including: six dermatologists, four internists, one pathologist, one psychiatrist, 23 medical students, and two medical assistants. We secured 12 examination rooms in an existing medical facility. Two pharmaceutical companies and two pathology companies provided the medications and surgical supplies with the remainder coming from the volunteer physicians’ offices. Three thousand dollars were raised and used toward purchasing additional supplies. Advertising via public announcements resulted in the attendance of 166 patients during the 1-day clinic. A total of 41 procedures were performed, including 14 biopsies, five excisions, three incisions and drainage, and 19 electrodessications and curettage. CONCLUSION: Proper planning is critical in creating a successful dermatology mission. Documenting the care given and supplies used helps to identify needs and optimize limited resources for future missions. The goal of a self-sustaining public health service starts with patient education and coordination with the local healthcare providers.