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Clinical Skills
Dermatology

Dermatological assessment: history-taking and examination

21 November 2024
Clinical
02 November 2024
Volume 33 · Issue 21

Abstract

Skin problems are common, affecting up to one-third of the population during their lifetime, and they are frequently encountered by advanced clinical practitioners (ACPs) in both primary and secondary care settings. Despite the prevalence of dermatological presentations, ACPs often feel unprepared to conduct a thorough dermatological history and examination. This article aims to provide guidance to trainees and qualified ACPs, whether in acute hospital settings or primary care, to perform dermatological assessments and examinations systematically. This is the first article in a two-part series on dermatological assessment.

The role of advanced clinical practitioners (ACPs) has emerged in the NHS as a response to increasing healthcare demands, workforce shortages, and the need for more flexible, skilled practitioners who can deliver high-quality care across various settings (Evans et al, 2020; Timmons et al, 2023). ACPs are essential in managing a wide range of health conditions, including dermatological presentations, where they play a crucial role in skin assessment, examination, management, and referrals to dermatology teams (Alsararatee, 2024). Despite their pivotal role, many ACPs report a lack of confidence in conducting comprehensive dermatological assessments. To address this gap, this article aims to guide novice ACPs in performing systematic dermatological assessments and examinations. It covers essential aspects such as accurately documenting the presenting complaint and the history of the presenting complaint, understanding the past medical and surgical history, and gathering detailed information on medications and allergies, and on family history to identify potential hereditary conditions.

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Skin problems
Dermatological presentations
Dermatological history
Dermatological assessment
Dermatological examination
Advanced clinical practitioners