array:24 [
  "pii" => "S1578219021000603"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2020.11.007"
  "estado" => "S300"
  "fechaPublicacion" => "2021-06-01"
  "aid" => "2518"
  "copyright" => "AEDV"
  "copyrightAnyo" => "2021"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "cor"
  "cita" => "Actas Dermosifiliogr. 2021;112:568-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:20 [
      "pii" => "S0001731020304610"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2020.11.001"
      "estado" => "S300"
      "fechaPublicacion" => "2021-06-01"
      "aid" => "2518"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "cor"
      "cita" => "Actas Dermosifiliogr. 2021;112:568-9"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">CARTA AL DIRECTOR</span>"
        "titulo" => "El d&#237;a despu&#233;s&#58; el impacto de la pandemia COVID-19 en la residencia de Dermatolog&#237;a"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "568"
            "paginaFinal" => "569"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "The day after&#58; the impact of COVID-19 pandemic on dermatology residency"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "I&#46;G&#46; Ferreira, M&#46;B&#46; Weber"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "I&#46;G&#46;"
                "apellidos" => "Ferreira"
              ]
              1 => array:2 [
                "nombre" => "M&#46;B&#46;"
                "apellidos" => "Weber"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219021000603"
          "doi" => "10.1016/j.adengl.2020.11.007"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219021000603?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020304610?idApp=UINPBA000044"
      "url" => "/00017310/0000011200000006/v1_202106081644/S0001731020304610/v1_202106081644/es/main.assets"
    ]
  ]
  "itemAnterior" => array:20 [
    "pii" => "S1578219021001529"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2021.03.015"
    "estado" => "S300"
    "fechaPublicacion" => "2021-06-01"
    "aid" => "2558"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2021;112:565-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>"
      "titulo" => "Erythrodermic Lichen Planus"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "565"
          "paginaFinal" => "567"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Liquen plano eritrod&#233;rmico"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1634
              "Ancho" => 1674
              "Tamanyo" => 467187
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Top left and right&#44; Extensive erythematous-violaceous Dermatitis with lichenoid sheen&#46; Bottom right&#44; Erythematous-violaceous papules with a lichenoid sheen on the backs of the hands and fingers&#46; Bottom left&#44; Shiny palmar keratoderma&#46;</p>"
          ]
        ]
      ]
      "autores" => array:3 [
        0 => array:2 [
          "autoresLista" => "P&#46;J&#46; G&#243;mez Arias"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "P&#46;J&#46;"
              "apellidos" => "G&#243;mez Arias"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "F&#46; Leiva Cepas"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Leiva Cepas"
            ]
          ]
        ]
        2 => array:2 [
          "autoresLista" => "M&#46; Gal&#225;n Guti&#233;rrez, A&#46;J&#46; V&#233;lez Garc&#237;a-Nieto"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Gal&#225;n Guti&#233;rrez"
            ]
            1 => array:2 [
              "nombre" => "A&#46;J&#46;"
              "apellidos" => "V&#233;lez Garc&#237;a-Nieto"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731020305299"
        "doi" => "10.1016/j.ad.2019.11.010"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020305299?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219021001529?idApp=UINPBA000044"
    "url" => "/15782190/0000011200000006/v1_202106020933/S1578219021001529/v1_202106020933/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "El d&#237;a despu&#233;s&#58; el impacto de la pandemia COVID-19 en la residencia de Dermatolog&#237;a"
    "tieneTextoCompleto" => true
    "saludo" => "To the editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "568"
        "paginaFinal" => "569"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "I&#46; Gon&#231;alves Ferreira, M&#46; Blessmann Weber"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "I&#46;"
            "apellidos" => "Gon&#231;alves Ferreira"
            "email" => array:1 [
              0 => "iagof@ufcspa.edu.br"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "M&#46;"
            "apellidos" => "Blessmann Weber"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Universidad Federal de Ciencias de la Salud de Puerto Alegre Puerto&#44; Alegre&#44; Brasil"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "The day after&#58; the impact of COVID-19 pandemic on dermatology residency"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In December 2019&#44; cases of atypical pneumonia emerged in the city Wuhan in China&#44; revealing as the etiologic agent a new coronavirus strain &#40;Sars-CoV-2&#41;&#46; The disease was denominated as Covid-19&#44; being declared a Public Health Emergency of International Concern by the World Health Organization on January 30&#44; 2020&#46; Since then&#44; it has spread to several countries and continents&#44; causing immeasurable impacts&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In face of this&#44; the healthcare systems needed to adapt to the new reality through the medical assistance reorganization&#44; postponing and &#47; or canceling elective outpatient visits and surgeries&#46; Dermatology was quite affected with a huge demand reduction&#44; which prioritized severe clinical conditions such as malignant skin neoplasms &#8212; basal cell carcinoma&#44; melanoma and squamous cell carcinoma &#8212; and chronic diseases such as psoriasis&#44; atopic dermatitis&#44; pemphigus&#44; among others&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The patient influx decrement represented a deep impact on the practical learning activities for the most Dermatology residency programs&#46; Thus&#44; resident doctors and preceptors needed to adopt innovative teaching and learning strategies&#44; such as the use of digital technologies&#44; through videoconferencing platforms and instant communication applications&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> However&#44; online education is not able to address all residency needs&#44; which presupposes the development of examination and diagnostic skills&#44; clinical decision confidence and expertise in dermatologic surgery&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Furthermore&#44; due to the intense patients flow to hospital services&#44; there was a shortage of both health supplies and health professionals&#46; Thus&#44; in some countries residents doctors were recruited of specialties other than internal medicine&#44; such as Dermatology&#44; to act in care of patients with Covid-19&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;6</span></a> Hence&#44; the current literature has demonstrated an intense worrying&#44; understandable&#44; with the provision of human resources to attend the massive health demand during Covid-19 pandemic&#46; However&#44; some of these studies approach this topic under a shallow and immediatist overview&#44; such as Stoj et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> evoking deontological aspects to justify the idea of resident doctors as a &#8220;cheap labor&#8221;&#44; who need to be always available to health managers and health services&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Nevertheless&#44; it is important to emphasize that medical residency does not consist of an employment or &#8220;compulsory job&#8221;&#44; instead it consists of the gold standard of medical training&#44; being essential to understand and value resident doctors as qualified professionals in specialized training&#46; Furthermore&#44; it is necessary to recognize the personal aspirations&#44; concerns&#44; and fears of Dermatology resident doctors&#44; as well as the intrinsic characteristics of this medical specialty training&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">From this perspective&#44; Adusumilli et al&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> highlight the anxiety level among Dermatology resident doctors in the USA&#44; regarding to the allocation to non-dermatological medical services &#8212; such as emergency units and Covid-19 units &#8212; as well as in relation to the quality of their training and employability after residency completion&#46; This concern is relevant and legitimate&#44; considering that the major objective of Dermatology residency must be the training of dermatologists&#44; and not emergency or intensive care specialists&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Residency curriculum need to be preserved even during the pandemic&#44;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> otherwise the formation of future specialists may be severely impacted&#46; In view of this atypical situation&#44; residency programs and medical entities must think long term&#44; establishing initiatives that rearrange the curriculum and assurance adequate training for dermatology resident doctors&#46; Among the possible strategies we propose the reorganization of residency internship scales with or without the extension of programs&#44; compensating the learning deficits during the pandemic&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">These decisions are fundamental and need to be widely discussed among preceptors&#44; directors and residents&#44; whereas society and health systems will also demand for well-trained dermatologists in the day after post-pandemic&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2020-09-18"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Ferreira IG and Weber MB&#46; El d&#237;a despu&#233;s&#58; el impacto de la pandemia COVID-19 en la residencia de Dermatolog&#237;a&#46; Actas Dermosifiliogr&#46; 2021&#59;112&#58;568&#8211;569&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "COVID-19 pandemic and the skin&#58; what should dermatologists know&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Darlenski"
                            1 => "N&#46; Tsankov"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Clin Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "paginaInicial" => "4"
                        "paginaFinal" => "6"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;clindermatol&#46;2020&#46;03&#46;012"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermatology practices as vectors for COVID-19 transmission&#58; A call for immediate cessation of nonemergent dermatology visits"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;G&#46; Kwatra"
                            1 => "R&#46;J&#46; Sweren"
                            2 => "A&#46;L&#46; Grossberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2020.03.037"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Acad Dermatol&#46;"
                        "fecha" => "2020"
                        "volumen" => "82"
                        "numero" => "5"
                        "paginaInicial" => "e179"
                        "paginaFinal" => "80"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32213307"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Applying to dermatology residency during the COVID-19 pandemic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;G&#46; Kearns"
                            1 => "V&#46;S&#46; Chat"
                            2 => "S&#46; Uppal"
                            3 => "J&#46;J&#46; Wu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J Am Acad Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "paginaInicial" => "2019"
                        "paginaFinal" => "2020"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;jaad&#46;2020&#46;07&#46;011"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Optimizing Education for Dermatology Residents During the COVID-19 Pandemic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46; Patel"
                            1 => "A&#46;K&#46; Guzman"
                            2 => "B&#46; McLellan"
                            3 => "R&#46; Blasiak"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J Am Acad Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "paginaInicial" => "1"
                        "paginaFinal" => "2"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;jaad&#46;2020&#46;07&#46;029"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermatology Residency Training in COVID-19 Pandemic&#58; Transition from Traditional to Online Teaching"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;U&#46; Bari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.29271/jcpsp.2020.Supp1.S63"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Coll Physicians Surg Pak&#46;"
                        "fecha" => "2020"
                        "volumen" => "30"
                        "numero" => "6"
                        "paginaInicial" => "63"
                        "paginaFinal" => "66"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32723455"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "How well prepared are dermatologists redeployed to COVID-19 wards&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46;M&#46; Plachouri"
                            1 => "S&#46; Georgiou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/ijd.14978"
                      "Revista" => array:7 [
                        "tituloSerie" => "Int J Dermatol&#46;"
                        "fecha" => "2020"
                        "volumen" => "59"
                        "numero" => "7"
                        "paginaInicial" => "e247"
                        "paginaFinal" => "8"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32452020"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermatology residents and the care of patients with coronavirus disease 2019 &#40;COVID-19&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "V&#46;J&#46; Stoj"
                            1 => "J&#46;M&#46; Grant-Kels"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "volumen" => "82"
                        "numero" => "6"
                        "paginaInicial" => "1572"
                        "paginaFinal" => "1573"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;jaad&#46;2020&#46;03&#46;086"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Third-year dermatology resident anxiety in the era of COVID-19"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46;C&#46; Adusumilli"
                            1 => "M&#46; Eleryan"
                            2 => "S&#46; Tanner"
                            3 => "A&#46;J&#46; Friedman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "volumen" => "83"
                        "numero" => "3"
                        "paginaInicial" => "969"
                        "paginaFinal" => "971"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;jaad&#46;2020&#46;06&#46;029"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Optimizing teledermatology visits for dermatology resident education during the COVID-19 pandemic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Oldenburg"
                            1 => "A&#46; Marsch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Am Acad Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "volumen" => "82"
                        "numero" => "6"
                        "paginaInicial" => "e229"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;jaad&#46;2020&#46;03&#46;097"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000011200000006/v1_202106020933/S1578219021000603/v1_202106020933/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6202"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letter to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011200000006/v1_202106020933/S1578219021000603/v1_202106020933/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219021000603?idApp=UINPBA000044"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Letter to the Editor
El día después: el impacto de la pandemia COVID-19 en la residencia de Dermatología
The day after: the impact of COVID-19 pandemic on dermatology residency
I. Gonçalves Ferreira
Corresponding author
iagof@ufcspa.edu.br

Corresponding author.
, M. Blessmann Weber
Universidad Federal de Ciencias de la Salud de Puerto Alegre Puerto, Alegre, Brasil
Read
4509
Times
was read the article
1647
Total PDF
2862
Total HTML
Share statistics
 array:24 [
  "pii" => "S1578219021000603"
  "issn" => "15782190"
  "doi" => "10.1016/j.adengl.2020.11.007"
  "estado" => "S300"
  "fechaPublicacion" => "2021-06-01"
  "aid" => "2518"
  "copyright" => "AEDV"
  "copyrightAnyo" => "2021"
  "documento" => "simple-article"
  "crossmark" => 1
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "cor"
  "cita" => "Actas Dermosifiliogr. 2021;112:568-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:20 [
      "pii" => "S0001731020304610"
      "issn" => "00017310"
      "doi" => "10.1016/j.ad.2020.11.001"
      "estado" => "S300"
      "fechaPublicacion" => "2021-06-01"
      "aid" => "2518"
      "copyright" => "AEDV"
      "documento" => "simple-article"
      "crossmark" => 1
      "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
      "subdocumento" => "cor"
      "cita" => "Actas Dermosifiliogr. 2021;112:568-9"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">CARTA AL DIRECTOR</span>"
        "titulo" => "El d&#237;a despu&#233;s&#58; el impacto de la pandemia COVID-19 en la residencia de Dermatolog&#237;a"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "568"
            "paginaFinal" => "569"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "The day after&#58; the impact of COVID-19 pandemic on dermatology residency"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "I&#46;G&#46; Ferreira, M&#46;B&#46; Weber"
            "autores" => array:2 [
              0 => array:2 [
                "nombre" => "I&#46;G&#46;"
                "apellidos" => "Ferreira"
              ]
              1 => array:2 [
                "nombre" => "M&#46;B&#46;"
                "apellidos" => "Weber"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1578219021000603"
          "doi" => "10.1016/j.adengl.2020.11.007"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219021000603?idApp=UINPBA000044"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020304610?idApp=UINPBA000044"
      "url" => "/00017310/0000011200000006/v1_202106081644/S0001731020304610/v1_202106081644/es/main.assets"
    ]
  ]
  "itemAnterior" => array:20 [
    "pii" => "S1578219021001529"
    "issn" => "15782190"
    "doi" => "10.1016/j.adengl.2021.03.015"
    "estado" => "S300"
    "fechaPublicacion" => "2021-06-01"
    "aid" => "2558"
    "copyright" => "AEDV"
    "documento" => "simple-article"
    "crossmark" => 1
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "crp"
    "cita" => "Actas Dermosifiliogr. 2021;112:565-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case and Research Letters</span>"
      "titulo" => "Erythrodermic Lichen Planus"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "565"
          "paginaFinal" => "567"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Liquen plano eritrod&#233;rmico"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:8 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1634
              "Ancho" => 1674
              "Tamanyo" => 467187
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Top left and right&#44; Extensive erythematous-violaceous Dermatitis with lichenoid sheen&#46; Bottom right&#44; Erythematous-violaceous papules with a lichenoid sheen on the backs of the hands and fingers&#46; Bottom left&#44; Shiny palmar keratoderma&#46;</p>"
          ]
        ]
      ]
      "autores" => array:3 [
        0 => array:2 [
          "autoresLista" => "P&#46;J&#46; G&#243;mez Arias"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "P&#46;J&#46;"
              "apellidos" => "G&#243;mez Arias"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "F&#46; Leiva Cepas"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Leiva Cepas"
            ]
          ]
        ]
        2 => array:2 [
          "autoresLista" => "M&#46; Gal&#225;n Guti&#233;rrez, A&#46;J&#46; V&#233;lez Garc&#237;a-Nieto"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Gal&#225;n Guti&#233;rrez"
            ]
            1 => array:2 [
              "nombre" => "A&#46;J&#46;"
              "apellidos" => "V&#233;lez Garc&#237;a-Nieto"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0001731020305299"
        "doi" => "10.1016/j.ad.2019.11.010"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020305299?idApp=UINPBA000044"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219021001529?idApp=UINPBA000044"
    "url" => "/15782190/0000011200000006/v1_202106020933/S1578219021001529/v1_202106020933/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "El d&#237;a despu&#233;s&#58; el impacto de la pandemia COVID-19 en la residencia de Dermatolog&#237;a"
    "tieneTextoCompleto" => true
    "saludo" => "To the editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "568"
        "paginaFinal" => "569"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "I&#46; Gon&#231;alves Ferreira, M&#46; Blessmann Weber"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "I&#46;"
            "apellidos" => "Gon&#231;alves Ferreira"
            "email" => array:1 [
              0 => "iagof@ufcspa.edu.br"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "M&#46;"
            "apellidos" => "Blessmann Weber"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Universidad Federal de Ciencias de la Salud de Puerto Alegre Puerto&#44; Alegre&#44; Brasil"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "The day after&#58; the impact of COVID-19 pandemic on dermatology residency"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In December 2019&#44; cases of atypical pneumonia emerged in the city Wuhan in China&#44; revealing as the etiologic agent a new coronavirus strain &#40;Sars-CoV-2&#41;&#46; The disease was denominated as Covid-19&#44; being declared a Public Health Emergency of International Concern by the World Health Organization on January 30&#44; 2020&#46; Since then&#44; it has spread to several countries and continents&#44; causing immeasurable impacts&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In face of this&#44; the healthcare systems needed to adapt to the new reality through the medical assistance reorganization&#44; postponing and &#47; or canceling elective outpatient visits and surgeries&#46; Dermatology was quite affected with a huge demand reduction&#44; which prioritized severe clinical conditions such as malignant skin neoplasms &#8212; basal cell carcinoma&#44; melanoma and squamous cell carcinoma &#8212; and chronic diseases such as psoriasis&#44; atopic dermatitis&#44; pemphigus&#44; among others&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">The patient influx decrement represented a deep impact on the practical learning activities for the most Dermatology residency programs&#46; Thus&#44; resident doctors and preceptors needed to adopt innovative teaching and learning strategies&#44; such as the use of digital technologies&#44; through videoconferencing platforms and instant communication applications&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> However&#44; online education is not able to address all residency needs&#44; which presupposes the development of examination and diagnostic skills&#44; clinical decision confidence and expertise in dermatologic surgery&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Furthermore&#44; due to the intense patients flow to hospital services&#44; there was a shortage of both health supplies and health professionals&#46; Thus&#44; in some countries residents doctors were recruited of specialties other than internal medicine&#44; such as Dermatology&#44; to act in care of patients with Covid-19&#46;<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2&#44;6</span></a> Hence&#44; the current literature has demonstrated an intense worrying&#44; understandable&#44; with the provision of human resources to attend the massive health demand during Covid-19 pandemic&#46; However&#44; some of these studies approach this topic under a shallow and immediatist overview&#44; such as Stoj et al&#46;&#44;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> evoking deontological aspects to justify the idea of resident doctors as a &#8220;cheap labor&#8221;&#44; who need to be always available to health managers and health services&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Nevertheless&#44; it is important to emphasize that medical residency does not consist of an employment or &#8220;compulsory job&#8221;&#44; instead it consists of the gold standard of medical training&#44; being essential to understand and value resident doctors as qualified professionals in specialized training&#46; Furthermore&#44; it is necessary to recognize the personal aspirations&#44; concerns&#44; and fears of Dermatology resident doctors&#44; as well as the intrinsic characteristics of this medical specialty training&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">From this perspective&#44; Adusumilli et al&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> highlight the anxiety level among Dermatology resident doctors in the USA&#44; regarding to the allocation to non-dermatological medical services &#8212; such as emergency units and Covid-19 units &#8212; as well as in relation to the quality of their training and employability after residency completion&#46; This concern is relevant and legitimate&#44; considering that the major objective of Dermatology residency must be the training of dermatologists&#44; and not emergency or intensive care specialists&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Residency curriculum need to be preserved even during the pandemic&#44;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> otherwise the formation of future specialists may be severely impacted&#46; In view of this atypical situation&#44; residency programs and medical entities must think long term&#44; establishing initiatives that rearrange the curriculum and assurance adequate training for dermatology resident doctors&#46; Among the possible strategies we propose the reorganization of residency internship scales with or without the extension of programs&#44; compensating the learning deficits during the pandemic&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">These decisions are fundamental and need to be widely discussed among preceptors&#44; directors and residents&#44; whereas society and health systems will also demand for well-trained dermatologists in the day after post-pandemic&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2020-09-18"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Ferreira IG and Weber MB&#46; El d&#237;a despu&#233;s&#58; el impacto de la pandemia COVID-19 en la residencia de Dermatolog&#237;a&#46; Actas Dermosifiliogr&#46; 2021&#59;112&#58;568&#8211;569&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:9 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "COVID-19 pandemic and the skin&#58; what should dermatologists know&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Darlenski"
                            1 => "N&#46; Tsankov"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Clin Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "paginaInicial" => "4"
                        "paginaFinal" => "6"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;clindermatol&#46;2020&#46;03&#46;012"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermatology practices as vectors for COVID-19 transmission&#58; A call for immediate cessation of nonemergent dermatology visits"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;G&#46; Kwatra"
                            1 => "R&#46;J&#46; Sweren"
                            2 => "A&#46;L&#46; Grossberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2020.03.037"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Am Acad Dermatol&#46;"
                        "fecha" => "2020"
                        "volumen" => "82"
                        "numero" => "5"
                        "paginaInicial" => "e179"
                        "paginaFinal" => "80"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32213307"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Applying to dermatology residency during the COVID-19 pandemic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;G&#46; Kearns"
                            1 => "V&#46;S&#46; Chat"
                            2 => "S&#46; Uppal"
                            3 => "J&#46;J&#46; Wu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J Am Acad Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "paginaInicial" => "2019"
                        "paginaFinal" => "2020"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;jaad&#46;2020&#46;07&#46;011"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Optimizing Education for Dermatology Residents During the COVID-19 Pandemic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46; Patel"
                            1 => "A&#46;K&#46; Guzman"
                            2 => "B&#46; McLellan"
                            3 => "R&#46; Blasiak"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "J Am Acad Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "paginaInicial" => "1"
                        "paginaFinal" => "2"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;jaad&#46;2020&#46;07&#46;029"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermatology Residency Training in COVID-19 Pandemic&#58; Transition from Traditional to Online Teaching"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46;U&#46; Bari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.29271/jcpsp.2020.Supp1.S63"
                      "Revista" => array:7 [
                        "tituloSerie" => "J Coll Physicians Surg Pak&#46;"
                        "fecha" => "2020"
                        "volumen" => "30"
                        "numero" => "6"
                        "paginaInicial" => "63"
                        "paginaFinal" => "66"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32723455"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "How well prepared are dermatologists redeployed to COVID-19 wards&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "K&#46;M&#46; Plachouri"
                            1 => "S&#46; Georgiou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/ijd.14978"
                      "Revista" => array:7 [
                        "tituloSerie" => "Int J Dermatol&#46;"
                        "fecha" => "2020"
                        "volumen" => "59"
                        "numero" => "7"
                        "paginaInicial" => "e247"
                        "paginaFinal" => "8"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32452020"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermatology residents and the care of patients with coronavirus disease 2019 &#40;COVID-19&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "V&#46;J&#46; Stoj"
                            1 => "J&#46;M&#46; Grant-Kels"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "volumen" => "82"
                        "numero" => "6"
                        "paginaInicial" => "1572"
                        "paginaFinal" => "1573"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;jaad&#46;2020&#46;03&#46;086"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Third-year dermatology resident anxiety in the era of COVID-19"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "N&#46;C&#46; Adusumilli"
                            1 => "M&#46; Eleryan"
                            2 => "S&#46; Tanner"
                            3 => "A&#46;J&#46; Friedman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "volumen" => "83"
                        "numero" => "3"
                        "paginaInicial" => "969"
                        "paginaFinal" => "971"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;jaad&#46;2020&#46;06&#46;029"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Optimizing teledermatology visits for dermatology resident education during the COVID-19 pandemic"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Oldenburg"
                            1 => "A&#46; Marsch"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Am Acad Dermatol &#91;Internet&#93;"
                        "fecha" => "2020"
                        "volumen" => "82"
                        "numero" => "6"
                        "paginaInicial" => "e229"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "https&#58;&#47;&#47;doi&#46;org&#47;10&#46;1016&#47;j&#46;jaad&#46;2020&#46;03&#46;097"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15782190/0000011200000006/v1_202106020933/S1578219021000603/v1_202106020933/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "6202"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Letter to the Editor"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011200000006/v1_202106020933/S1578219021000603/v1_202106020933/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219021000603?idApp=UINPBA000044"
]
Article information
ISSN: 15782190
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 9 0 9
2024 October 68 46 114
2024 September 68 18 86
2024 August 105 69 174
2024 July 52 39 91
2024 June 78 26 104
2024 May 65 32 97
2024 April 63 27 90
2024 March 57 32 89
2024 February 51 32 83
2024 January 58 27 85
2023 December 45 15 60
2023 November 86 27 113
2023 October 78 27 105
2023 September 123 30 153
2023 August 77 20 97
2023 July 74 31 105
2023 June 86 19 105
2023 May 69 21 90
2023 April 45 19 64
2023 March 50 36 86
2023 February 44 24 68
2023 January 32 28 60
2022 December 48 59 107
2022 November 31 37 68
2022 October 25 13 38
2022 September 30 39 69
2022 August 31 38 69
2022 July 37 41 78
2022 June 22 33 55
2022 May 40 39 79
2022 April 108 47 155
2022 March 84 74 158
2022 February 117 45 162
2022 January 63 43 106
2021 December 88 45 133
2021 November 81 42 123
2021 October 56 57 113
2021 September 51 50 101
2021 August 56 32 88
2021 July 49 27 76
2021 June 104 55 159
2021 May 62 56 118
2021 April 86 67 153
2021 March 39 41 80
2021 February 71 22 93
Show all

Follow this link to access the full text of the article

Idiomas
Actas Dermo-Sifiliográficas
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?