Specialty Certificate Examination Research Articles

Specialty Certificate Examination case for formulation & systemic therapy.

This Athena details the case of a 34-year-old male who develops a new pruritic rash four weeks after commencing a biologic medication for psoriasis.

Dermatological Knowledge and Image Analysis Performance of Large Language Models Based on Specialty Certificate Examination in Dermatology

Large language models (LLMs) are trained using large datasets and may be applied to language-based tasks. Studies have demonstrated their ability to perform and pass postgraduate medical examinations, and with the increasingly sophisticated deep learning algorithms and incorporation of image-analysis capabilities, they may also be applied to the Specialty Certificate Examination (SCE) in Dermatology. The Dermatology SCE sample questions were used to assess the performance of five freely available and high-performance LLMs. The LLMs’ performances were recorded by comparing their output on multiple-choice questions against the sample answers. One hundred questions, four of which included photographs, were entered into the LLMs. The responses were recorded and analysed, with the pass mark set at 77%. The accuracies for Claude-3.5 Sonnet, Copilot, Gemini, ChatGPT-4o, and Perplexity were 87, 88, 75, 90, and 87, respectively (p = 0.023). The LLMs were generally capable of interpreting and providing reasoned responses to clinical scenarios and clinical data. This continues to demonstrate the potential of LLMs in both medical education and clinical settings.

Dermatopathology.

A 33-year-old woman presented with a 2-year history of coalescing reticular macular erythema on her bilateral chest and abdomen, which occurred after radiotherapy to her right chest for BRCA1-related breast carcinoma.

Specialty Certifications and Their Place Within the Practice of Athletic Training

Context Athletic training has evolved dramatically in the last decade. Professional education has changed to the graduate level. Advanced training has manifested itself in doctoral and residency programs. Clinical practice settings have also evolved along with the knowledge and skills required to care for the diverse patients in these settings. Athletic training specialties are accompanying these changes, and now athletic training has specialty certifications to formally validate a specialty and recognize the athletic trainer (AT) specialist. Objective This article conveys key information about credentialing, highlights historical events in the development of AT specialty certifications, and examines the concept of general practice. The purpose of conveying this information is to better understand and explore specialties and certifications in athletic training, which requires also conceptualizing athletic training as a general practice. Background One of the earliest documents mentioning specialty certifications within athletic training was published in 1997. In 2018, the Board of Certification formed the Specialty Council to validate athletic training specialties and oversee specialty certifications. Synthesis Earning a specialty certification is a rigorous process requiring the credentialed AT to gain, as well as maintain, postprofessional education and experience in a focused practice area. This education and training can come from an accredited residency program but also from on-the-job training and professional development. Results Practitioners of a validated athletic training specialty can become board-certified specialists with advanced clinical experience or after completing postprofessional education and training and passing the respective specialty certification examination. Recommendations We recommend conceptualizing athletic training as general practice so that we can differentiate the relationships of general, advanced, and specialty practices. Conclusions Athletic trainer specialty certifications are part of athletic training. Growing existing and creating new specialties and specialty certifications requires conceptualizing athletic training as general, advanced, and specialized practices.

Performance of Chat GPT on Equilibrium Field of the Otorhinolaryngology Head and Neck Surgery Specialty Certificate Examinations

Performance of Chat GPT on Equilibrium Field of the Otorhinolaryngology Head and Neck Surgery Specialty Certificate Examinations

Specialty Certificate Examination case for general dermatology and dermatology in primary health care.

A 53-year-old male patient was referred from the nephrology department with a 5-week history of an intensely pruritic rash affecting his trunk and the extensor surfaces of his arms and legs.

Athena: Specialty Certificate Examination case for generaldermatology.

This Athena concerns a 45-year-old man who presented with a 1-year history of recurrent tense fluid-filled lesions over his forearms, hands, feet and face associated with scarring and pigmentary changes. He had a history of regular alcohol intake (> 3 units daily). Lesion biopsy revealed a thick granular deposition of IgG along the basement membrane with thick homogeneous positivity of papillary dermal vessels for various immunoreactants (IgG, IgA, C3, IgM).

Athena: Specialty Certificate Examination case for cutaneous oncology.

This is a case of Kaposi sarcoma, and the Athena question focuses on its management.

ChatGPT-3.5 and ChatGPT-4 dermatological knowledge level based on the Specialty Certificate Examination in Dermatology.

The global use of artificial intelligence (AI) has the potential to revolutionize the healthcare industry. Despite the fact that AI is becoming more popular, there is still a lack of evidence on its use in dermatology. To determine the capacity of ChatGPT-3.5 and ChatGPT-4 to support dermatology knowledge and clinical decision-making in medical practice. Three Specialty Certificate Examination in Dermatology tests, in English and Polish, consisting of 120 single-best-answer, multiple-choice questions each, were used to assess the performance of ChatGPT-3.5 and ChatGPT-4. ChatGPT-4 exceeded the 60% pass rate in every performed test, with a minimum of 80% and 70% correct answers for the English and Polish versions, respectively. ChatGPT-4 performed significantly better on each exam (P < 0.01), regardless of language, compared with ChatGPT-3.5. Furthermore, ChatGPT-4 answered clinical picture-type questions with an average accuracy of 93.0% and 84.2% for questions in English and Polish, respectively. The difference between the tests in Polish and English were not significant; however, ChatGPT-3.5 and ChatGPT-4 performed better overall in English than in Polish by an average of 8 percentage points for each test. Incorrect ChatGPT answers were highly correlated with a lower difficulty index, denoting questions of higher difficulty in most of the tests (P < 0.05). The dermatology knowledge level of ChatGPT was high, and ChatGPT-4 performed significantly better than ChatGPT-3.5. Although the use of ChatGPT will not replace a doctor's final decision, physicians should support the development of AI in dermatology to raise the standards of medical care.

Athena: Specialty Certificate Examination case fordermatopathology.

A 48-year-old woman presented with a 2-year history of a lesion arising from the umbilicus. The lesion exuded a cyclical serosanguinous fluid with menses. Histology demonstrated a dermal lesion of glandular structures lined by endometrial-type epithelial cells.

Athena Specialty Certificate Examination case for Paediatrics and Genetics.

This is an Athena Specialty Certificate Examination case of a child who presented with marked ichthyosis at birth, alongside clinical features including rhizomelic limb shortening, bilateral cataracts and conductive hearing loss. We discuss the diagnosis, along with potential causes of congenital ichthyoses, highlighting distinguishing features among them.

Athena: Specialty Certificate Examination case for general dermatology and dermatology in primary healthcare.

A 75-year-old woman presented to the dermatology clinic with a 6-month history of painful oral erosions. Clinical examination of the oral cavity revealed two intact tense bullae at the right retromolar trigone, the features of which were accentuated by white light illumination using a dermoscope. We discuss further assays, diagnosis and treatment.

Athena: Specialty Certificate Examination case for infectious disease.

A 63-year-old man presented with an extensive pruritic and painful rash on his arm that had gradually progressed over 8 years after pricking his wrist on a bush, despite treatment with antifungals and antibiotics. Physical examination showed numerous erythematous, coalescing verrucous plaques in a sporotrichoid distribution on the arm with crust and scale. We discuss further tests, diagnosis and treatment.

Performance of ChatGPT on dermatology Specialty Certificate Examination multiple choice questions.

ChatGPT is a large language model trained on increasingly large datasets by OpenAI to perform language-based tasks. It is capable of answering multiple-choice questions, such as those posed by the dermatology SCE examination. We asked two iterations of ChatGPT: ChatGPT-3.5 and ChatGPT-4 84 multiple-choice sample questions from the sample dermatology SCE question bank. ChatGPT-3.5 achieved an overall score of 63.1%, and ChatGPT-4 scored 90.5% (a significant improvement in performance (p<0.001)). The typical pass mark for the dermatology SCE is 70-72%. ChatGPT-4 is therefore capable of answering clinical questions and achieving a passing grade in these sample questions. There are many possible educational and clinical implications for increasingly advanced artificial intelligence (AI) and its use in medicine, including in the diagnosis of dermatological conditions. Such advances should be embraced provided that patient safety is a core tenet, and the limitations of AI in the nuances of complex clinical cases are recognised.

Athena: Specialty Certificate Examination case for general dermatology and dermatology in primary healthcare.

An Athena case of a 16-year-old teenager with patchy hair loss.

Athena: Specialty Certificate Examination case for cutaneous allergy.

This is an Athena case highlighting a patient with dermatitis affecting the back with sparing of the lumbar area. We discuss common allergens and highlight important distinguishing features among them.

Athena: Specialty Certificate Examination Case for general dermatology and dermatology in primary healthcare.

Concurrent use of a mineral sunscreen can potentiate allergic contact dermatitis to gold. Prolonged avoidance of this allergen, up to several months, is necessary to assess for improvement.

Athena: Specialty Certificate Examination case forpaediatrics and genetics.

A 13-year-old female patient presented with a 1-year history of irritation, dryness and wrinkling of her palms after 5 min of immersion in water. Her medical history included acne and she was currently taking doxycycline and using topical retinoid.

Athena: Specialty Certificate Examination case for paediatrics and genetics.

This Athena case describes a young girl with a history of a mildly tender flesh-coloured papule on her parietal scalp with surrounding poliosis.

Athena: Specialty Certificate Examination case for skin surgery and cosmetic dermatology.

A 62-year-old woman presented with a mass over the dorsal aspect of her left index finger distal interphalangeal joint that she reported had been present for at least 6 months. A 62-year-old woman presents with a mass over the dorsal aspect of her left index finger distal interphalangeal joint (DIPJ), which she reports has been present for at least 6 months and is slowly growing in size and causing pain and changes to the nail. On examination, there is a smooth, firm and relatively immobile dome-shaped mass overlying the DIPJ that is mildly tender on palpation (Figure 1).