The School for Atopy in Spain

EDA(Escuela de Dermatitis Atópica)

Medical education in atopic dermatitis - Premises

• The characteristics of the Health System in Spain

• Who is currently caring for children and adults affected by AD

• Who needs training in AD• What specific training is needed

The Spaniards’ personality and thinking

The Public Spanish Health System

• Health system coverage:• Universal coverage• Complete coverage:

• Medical care• Nurse care• Medical treatments (60-100 %) – not moisturizers

• Access to medical assistance• Immediate access to pediatricians and GPs• Delay for Dermatology consultation: 2 – 12

weeks• Emergency assistance (pediatrician,

dermatologist)

Assistance

Investigation

Who are currently caring for children and adults affected by AD in Spain

Medical care

Self-care

Alternativemedicines

Who are currently caring for children and adults affected by AD

PediatriciansGPsDermatologistsAllergists

Best considered professions in Spian• Doctors (8,29)• Nurses (7,8)• Teachers (7,7)• Architects (7,4)• Computer workers (7,35)• Masons (7,21)• Plumbers (6,99)• Policemen (6,86)• Writers (6,75)• Entrepreneurs (6,65) • Judges (6,49)• Lawyers (6,42)• Journalists (6,16)

Who needs training in AD

• Patients• GPs• Pediatricians• Allergists• Dermatologists• Pediatric dermatologists• Alternative doctors

What specific training is needed for patients with AD

• AD is a very popular disease• High level of information• Information sources:

• Doctors & nurses• Media• Other people & patients• Internet

• Information may be accurate or not

What specific training is needed for patients with AD• Information: what we know about AD• Treatments available for AD• The allergy point of view• Hygienical measures (moisturizing,

cleansing, clothing…)• Coping with chronic disease

REINFORCE CONTACT WITH CARING PHYSICIAN

EDA is directed to:• Patients with severe AD

•Children (parents)•Adults

• Referred by pediatricians, dermatologists (chronicity, severity)

Who collaborate with EDADermatologists:

Dr Ángela Hernández (Hospital Niño Jesús – Madrid)Dr Raúl de Lucas (Hospital La Paz – Madrid)Dr Natalia Hernández (Hospital La Paz – Madrid)Dr Marta Feito (Hospital La Paz – Madrid)Dr Antonio Torrelo (Hospital Niño Jesús – Madrid)

Pediatricians & allergists: Dr Matilde Riquelme (C.S. La Chopera – Alcobendas)Dr Ruth García (C.S. Valle de la Oliva – Majadahonda)Dr Lola Gurbindo (Hospital Gregorio Marañón – Madrid)

Pierre-Fabre SpainADEA

Major advantages of EDA• Concise and accurate information• High level of training• Strong interaction• High rate of satisfaction

Major drawbacks of EDA• Small number of patients reached• Need for motivation of trainers• Dates and venues of EDA• Funding• Public vs. private setting• Data protection

Next steps of EDA• An affordable and convenient prgram• Increase the number of patients reached• Focus on primary care doctors?• Team motivation

World Congress of Pediatric DermatologyMadrid, 2013