Review of Year Year 2 SBM/Dermatology course...
Transcript of Review of Year Year 2 SBM/Dermatology course...
![Page 1: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/1.jpg)
ReviewofYearYear2SBM/Dermatologycourse
• Spring2016versionofcoursereviewed• Version9/27/16• MECSubcommitteeGroupconsistedof:– DaveNierenberg,MD(SBMco-director)– DeniseAaron,MD(coursedirector)– RichComi,MD(ex-coursedirector,ex-co-directorofSBM)– ChristianRees,MD/PhDstudentwhotookthecoursein2015
![Page 2: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/2.jpg)
ReviewofYearYear2SBM/Dermatologycourse
• CourseoccursinthefourthtermofYear(mid-FebruarythroughlateMarch);courselastofferedTerm4,2016
• CourseDirector:Dr.DeniseAaron(forpast3years)
• Coursehas24.5curricularhours• CoursewaslastreviewedbyMECin2012(wethink,don’thavecopyofreview)
• CDhasreceivedannuallettersofreviewfromDr.Nierenbergeachyear
![Page 3: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/3.jpg)
ActionPlanfromPriorReview• Webelievelastreviewwasin2012• Recommendations(andresponses)included:– Decreasenumber/%ofstandardlectures(droppedfrom86%downtoabout75%,nowabout72%)
– Ensurethatcourseobjectivesaremadeclearforstudents(nowpostedonCanvassite,andincoursenotes)
– Ensurethatsessionobjectivesarepostedwithineachsession,e.g.powerpoint (onreviewvastmajoritycomply;2lecturersneedtoaddobjectivestotheirmaterials)
– Increasethenumber/percentofquestionsthatincludeaclinicalvignettewithinthestem,vssimplyrecognizingavisualimage(currently8questionsidentifyimage/diseaseonlyand35identifyimageandintegratewithcase)
![Page 4: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/4.jpg)
ActionPlanfromPriorReview• In2016,Dr.Nierenbergsuggestedinhisletter:
– IncreaseemphasisonunderstandingPathophysiology ofskindiseases– Decreaseemphasisonsimplevisualrecognitionofskindiseaseson
finalexam(about50%ofexamitems)– Increasecontentoffinalexamquestionsaboutpathophysiology,
management,diagnosis,orprognosisofskindiseases
• In2015,Dr.Nierenbergsuggested:– Worktoreduceunintendedoverlapofcontentbetweencourse
lecturers– CurrentMECsubcommitteeidentifiedseveraltopicsofpotential
overlapesp.ininfectiousdisease.However,concludedthatthematerialwascomplimentarynotrepetitive,ie,derm focusingonidentificationandphysicalfindingsofskininfectionsandIDfocusingontreatment,resistance,etc.
![Page 5: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/5.jpg)
CourseObjectivesusedSpring2016# OBJECTIVE EXAM
2016 #
1 Learnandapplyusefulknowledgeofthemostcurrentbasicsciencethathelptoexplainnormalskinandadnexal,hair,nailsandmucousmembranestructureandfunction,health,andthepathophysiologyofdisease,suchthatthisknowledgecanbeusedtoimprovepatientcare.
10
2 Definetermsrelevantandcommontothediscussionofpatientswithdisordersoftheskin,hair,nailsandmucousmembranes.
3
3 Correlate cutaneous symptoms andsigns withdermatologicdiseases. 35
4 Explaintheapproachtothediagnosisandevaluationofcommonandimportantcutaneousdiseasessuchaseczemaandcontactdermatitis,papulosquamous disorders,majorbullousdisorders,folliculardisorderssuchasacne,diseasesaffectingthehairandnails,cutaneousinfections,connectivetissuediseasesandskincancer.
13
5 Listandexplainthetypicalfindings,presentation,clinicalcourse,naturalhistoryandcomplications ofcommonandimportantcutaneousdisordersasinnumber4.
22
6 Listandexplainhowenvironmentalchallengestotheskinaffectcutaneoushealthresultingindiseasestates(e.g.UVradiation,chemicalcontactants)
5
![Page 6: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/6.jpg)
CourseObjectivesusedSpring2016
# OBJECTIVE EXAM2016#
7 Explainthebasisforpharmacologicalandnon-pharmacologicalinterventionsforcutaneousdiseases.
14
8 Describethepathophysiologyandmajorpathologicfeaturesaswellastheepidemiologyofcommonandimportantcutaneousdiseasesincludingneoplasms,cutaneousmanifestationsofinfection,cutaneousmanifestationsofconnectivetissuedisease,disordersofthehairandnails,cutaneousmanifestationsofsystemicdisease.
8
9 Comparethepediatricskinexaminationtotheadultcompleteskinexamandtolistcommonbenigncutaneousneoplasmsofchildrenandadults.
0??
10 Explainhowtheexpressionofpediatriccutaneousdisease andnormalcutaneousfindingsmaydifferfromadult.
0??
11 Practiceanddemonstratesystematicskillsofphysicaldiagnosistodescribefindingsofpatientswithcutaneousdisease.
PEsession
12 Communicatewithfellowstudentsandfacultyaboutpatientswithcutaneousdisease.
PEsession
![Page 7: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/7.jpg)
CourseObjectivesusedSpring2016
# OBJECTIVE EXAM2016#
13 Demonstrateteamskillsbyparticipatinginphysicaldiagnosissession. PEsession
14 Examinepatientsskillfullyandrespectfully,withappropriateattentiontostudentcleanliness,infectioncontrol,andpatientcomfortandprivacy.
PEsession
15 Generateanappropriatedifferentialdiagnosis,basedonlogicalclinicalassessmentandguidedbyappropriatestatisticalreasoning.
?Rewordobjective
16 Communicateeffectivelywithphysiciancolleaguesverballyrelatingthefindingsofacutaneousphysicalexaminationinconciseandaccurateterms.
PEsession
17 Takeresponsibilityforhisorherownmedicaleducation Delete
18 Recognizetheimportanceofethnicandculturaldiversityintreatingtheskin
18
![Page 8: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/8.jpg)
CourseObjectives– Comments• Shortenandclarifyseveraloftheobjectives(1,4,5,8
especially);Objective1needstobeupdatedperDr.Aaron• Overall,theygiveanexcellentsenseabouttheemphasisof
thecourse• Havingabout18isanappropriatenumberforamajor
requiredcourse• Makesurethatseveral(11,12,13,14,16)areactuallyassessed
duringPEsessioninsomewaythatcanbedocumented(evenifnotgradedperse)- YES
• Identifyhowtwo(15,17)areactuallyassessed
• Objectivechangesproposedin“Recommendations”atend
![Page 9: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/9.jpg)
FormatofCourse&SessionObjectives• CourseobjectivesareprovidedinthesyllabusandonCanvassite
• Courseobjectivesarewritteninthecorrectformat• Sessionobjectivesareprovidedinthecoursematerials(earlyineachppt file)
• Sessionobjectivesarewritteninthecorrectformat[reviewedbyDenise]
![Page 10: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/10.jpg)
IssuesofRedundancy• Aretheremajorissuesofredundancywithothercourses?• Derm courseincludes:
– Viralskininfectionsandviralexanthem (e.g.warts,molluscum contagiosium,erythemainfectiosum,hand-foot-mouthdeisease,HSV,VZV,eczemaherpeticum)
– Bacterialskininfections(e.g.impetigo,folliculitis,cellulitis,erysipelas,necrotizingfasciitis)
– Infestations(e.g.scabies,lice)– AcneandRosacea
• TheSBMIDcourseincludesamajormoduletitled “Skinandsofttissueinfections”,withpotentialforoverlap,withfocuson:– Strepskininfections(impetigo,erysipelas)– Boilsetc duetoStaphaureus– Catbitesandhumanbites– Water-carriedskininfections(fresh,salt)– Miscl:Anthrax,sporotrichosis
![Page 11: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/11.jpg)
IssuesofRedundancy• CurrentMECsubcommitteeconcludedthatthematerialwascomplementarynotunintentionallyrepetitive,ie,derm focusingonidentificationandphysicalfindingsofskininfectionsandIDfocusingontreatment,resistance,etc.
![Page 12: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/12.jpg)
Explorationof[VIGtopic]• Thispastyear,onthethirddayofthecourse,therewasaonehour“HeartsandMinds”sessionrunbyDr.O’DonnellandDr.McDaniel,thatdealtwith“psychologyofillness”issuesinpatientswithchronicskindisease
• Thissessionisbeingre-workedbecauselastyear(2016),patientwasunabletoattend(livedtoofaraway,etc.)
• Sessionpresentsalivedermatologypatientandcareteam(doctor,nurse,etc.)andexploresthepatient’sexperienceofdiseaseandhealthcare.ModeratedbyDrs.O’DonnellandMcDaniel.
![Page 13: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/13.jpg)
ArtofClinicalObservation• Studentsareofferedopportunitiestoparticipateinelectiveandnon-graded“ArtofClinicalObservation”experienceatHoodMuseummoderatedbymuseumeducationconsultant,VivianLadd
• BasedontheworkofDr.IrwinBraverman atYale– JacquelineC.Dolev MD,LindaKrohner Friedlaender MS,IrwinMBraverman MD,UseofFineArttoEnhanceDiagnosticSkills.JAMA286:1020-1,2001.
– Carefullyobservingartenhancesabilitytoobserveanddiagnosepatients.
![Page 14: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/14.jpg)
ArtofClinicalObservation
.
![Page 15: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/15.jpg)
CourseLearningOpportunities• Totalscheduledhours:24.5(percoursedirector)• StandardLectureformat:17.5h(72%)• E-lecturemodule(IntrotocoursebyCD):0.5h(2%)• Interactivelectures,reviewwithARS:3.5h(14%)• Conferences:0h(0%)• Laboratory:0h(0%)• PsychologyofIllnesssessionwithpatient:1h(4%)• PhysicalDiagnosisClinicwithpatients:2h(8%)
![Page 16: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/16.jpg)
CourseLearningOpportunities• Coursereliesheavilyonstandardlecture(72%)– Derm isveryvisualandacornerstoneoflearningtodiagnosederm conditionsisrepetitivevisualizationofdifferentpresentationsofthesamecondition.Thekeyistodrawattentiontosalientdetailsthathelpcementthediagnosisanddifferentiateitfromsimilarconditions
• Conferencesweretried2yearsagoandwerenotwellreceived.
• SinglePEsessionisverywelldoneandwellreceivedbystudents
![Page 17: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/17.jpg)
Assessment• WrittenQuizzesforgrading:none(butmanyself-assessmentquizzesoffered,oneforeachlecture)
• FinalExam:countedfor100%offinalscore• Other:Eachstudentwasrequiredtoattendandparticipateinthephysicaldiagnosissession(withoutformalassessment)
• Skillsassessedonthefinalexam(allMCQ):– Identifyimage/diseaseonly:31– Identifyimageandintegratewithshortcase:30– Applicationofknowledgetonewcase/vignette:18– Recallinformation:19– Other:9
![Page 18: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/18.jpg)
Assessment• Finalexamhad92items• Percoursedirector,divisionasfollows:• 43itemsincludedclinicalphotos:– 8hadstudentssimplyidentifytheimageordisease– 35hadstudentsidentifytheimageandintegratewithcase(vignette)
• 49itemsdidnotincludephotos:– 23itemstestedsimplerecallofinformation– 5werematchingitems– 21testedapplicationofknowledgethroughclinicalvignette
![Page 19: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/19.jpg)
AssessmentforCourseObjectives• Finalexamquestionsseemtorelysomewhaton“simple”recognitionofanimage,butalmostalwaysanewimagenotshownduringclass
• Finalexamquestionsseemtorelysomewhatonrecallofinformationonly
• Needtoincreasenumberofquestionsinvignetteform,thatrelyonaccessingknowledgeandthenapplyingthatknowledgetoanewclinicalsituation
• Moretestingaboutdiseasepathophysiology(andimplicationsfortreatment)wouldbehelpful
![Page 20: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/20.jpg)
MeasuresofQuality– StepI
*valuesreportedforcoredisciplinesareSDabovetheUS/CanmeanforGeiselmeanscores
2013 2014 2015
Mean last 3 year (2013-15)
Pass rate 100.0% 98.8% 96.3% 98.4%Mean score 236 235 232 234.3SYSTEM-BASED TOPICS** (similar to SBM)Behavioral sciences 0.26 0.15 -0.1 0.10Cardiovascular system 0.47 0.02 0.16 0.22Gastrointestinal system 0.59 0.54 0.24 0.46Hematopoietic/lymph systems 0.18 0.09 0.08 0.12Immune system 0.53 0.16 -0.06 0.21Musculoskeletal, skin, CT systems 0.34 -0.02 0.25 0.19Nervous system 0.21 na na naNervous system & Behavioral health (2014) na 0.06 -0.09 -0.02Nutrition 0.39 0.22 -0.07 0.18Renal/urinary system 0.21 0.23 0.04 0.16Reproductive/endocrine systems 0.39 na na naReproductive system (2014) na 0.39 -0.01 0.19Endocrine system (2014) na 0.39 0.26 0.33Respiratory system 0.31 0.18 0.29 0.26General Principles of Found Sciences (2014) na 0.25 0.11 0.18Biostatistics, Epidemiology, Pop Health (2014) na 0.01 0.21 0.11Multisystem processes & disorders (2014) na 0.23 -0.15 0.04
mean 0.19 0.08 0.18
![Page 21: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/21.jpg)
Measuresof
Quality–AAMCGQ
MeasuresofQuality– CourseEvaluation
scale[1=poor;2=fair;3=good;4=verygood;5=excellent]
Year 2 Courses 2015-16
The clarity of the learning objectives for the overall course.
Congruence of quiz (if applicable) and exam questions to the learning objectives.
Your assessment of the effectiveness of the organization of the course.
How well the course provided me with a useful and relevant introduction to this field or discipline.
The overall quality of this course.
Mean Lecturer/Large Group Instruction Score
Mean Small Group Leader Score
This year overall mean
score
Term 1-Pharm Intro. 3.88 3.80 3.62 3.99 3.74 3.56 4.17 3.82
Term 1-Cardiology 3.75 3.34 3.64 3.85 3.69 3.78 4.26 3.76
Term 1-Respiration 4.01 3.55 4.00 4.07 4.08 3.96 4.57 4.03
Term 2-Neurology 3.31 2.88 2.98 3.37 3.06 4.07 4.36 3.43
Term 2-Psychiatry 4.08 3.87 4.02 4.18 4.16 4.06 4.45 4.12
Term 2-Hematology4.14 3.79 4.17 4.44 4.26
4.22 4.13 4.16
Term 3-Endocrine 3.95 3.50 3.83 4.10 3.88 4.02 4.61 3.98
Term 3-FEK 3.93 3.70 3.78 3.98 3.85 4.08 4.21 3.93
Term 4-CT&Bone 3.33 3.01 3.16 3.56 3.23 3.90 4.39 3.51
Term 4-Dermatology3.98 4.00 3.91 4.07 3.89 4.02
n/a 3.98
Term 4-GI 4.28 4.22 4.21 4.37 4.31 4.07 4.43 4.27
Term 5-ID 3.91 4.01 3.93 4.09 4.02 4.18 4.45 4.08Term 5-Reproduction
3.26 2.84 3.00 3.35 3.053.87 4.25 3.37
2015/16 MEAN 3.83 3.58 3.71 3.96 3.79 3.98 4.36 3.88
![Page 22: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/22.jpg)
scale[1=poor;2=fair;3=good;4=verygood;5=excellent]
MeasuresofQuality– CourseEvaluation
2014 2015 2016
Overallqualityofcourse 4.11 3.89
Clarity oflearningobjectives 4.18 3.98
Organizationofthecourse 4.10 3.91
Howwellthecourseintroduced metothisdiscipline 4.23 4.07
Congruence ofassessmentquestionstomaterialemphasizedincourse 3.83 4.00
Meanlecturerscore 4.30 4.02
Overallmeanscore 4.13 3.98
![Page 23: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/23.jpg)
MeasuresofQuality– StudentComments• Coursewaswellorganized– “GoodorganizationandgreatresourcesforstudyavailableonCanvas.”
– “Ithoughtcoursewasreallywellrun.”
• Dermatologyclinicwasterrific– “Theclinicsessionattheendwasfantastic.Itwassowellorganizedanditwasveryhelpfultoseethepatients.Eventhenon-patientstationswereveryhelpfulforreview.Veryimpressivetobeabletodothiswith90students!”
• Practicequestionsandquizzeswerehelpful– “Iappreciatedthatyouprovidedsomanypracticequestionsthatgenerallyrepresentedthematerialonthefinalexam.”
![Page 24: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/24.jpg)
MeasuresofQuality– StudentComments
SuggestionsforImprovement:• “Therewaslittleemphasisonpathologyorotherboardstestableinformation.”
• “Someofthelectureswereconfusingbecausethepathophysiologywassometimesnotdiscussed.”
• “Sometimesitfeltthattherewasn’tmuchofadialoguebetweendifferentlecturers,orbetweenlecturersandthecoursedirector.”
• “Thephysiologybehindcertaindermatologicdiseaseswasnotcovered.”
![Page 25: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/25.jpg)
Recommendationsfor2017• CourseObjectives– RewordObjective#1
• Current:“Learnandapplyusefulknowledgeofthemostcurrentbasicsciencethathelptoexplainnormalskinandadnexal,hair,nailsandmucousmembranestructureandfunction,health,andthepathophysiologyofdisease,suchthatthisknowledgecanbeusedtoimprovepatientcare.”
• Splitthisobjectiveintotwomorefocusedobjectives,asbelow• Proposed:“Explain structureofnormalskinandadnexalstructures.”
• Proposed:“Recognizeandidentifycommonphysicalfindings,anddescribepathophysiology(whenknown),ofcommondermatologicaldisorders”
![Page 26: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/26.jpg)
Recommendations– DeleteObjectives#9,#10,#17.Notaddressedortested.– SimplifyObjectives#4.
• Current:– 4:“Explaintheapproachtothediagnosisandevaluationofcommonandimportantcutaneousdiseasessuchaseczemaandcontactdermatitis,papulosquamous disorders,majorbullousdisorders,folliculardisorderssuchasacne,diseasesaffectingthehairandnails,cutaneousinfections,connectivetissuediseasesandskincancer.“
– 15:“Generateanappropriatedifferentialdiagnosis,basedonlogicalclinicalassessmentandguidedbyappropriatestatisticalreasoning.“
• Proposed:“Generateadifferentialdiagnosisforskinrashesbasedondistributionandmorphologyofrash.”
• Proposed:“Recognizecommonbenignandmalignantskingrowths”
•
![Page 27: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/27.jpg)
Recommendations– RewordObjective#5
• Current:“Listandexplainthetypicalfindings,presentation,clinicalcourse,naturalhistoryandcomplications ofcommonandimportantcutaneousdisordersasinnumber4.“
• Proposed:“Explainthetypicalpresentation,clinicalcourse,andnaturalhistory ofcommoncutaneousdisorders“
– AddnewObjectivere:treatment• “Listfirstlinetreatmentsforcommondermatologicrashesandgrowths”
– DeleteObjective#8– Redundantwith#1• Current:“Describethepathophysiologyandmajorpathologicfeaturesaswellastheepidemiologyofcommonandimportantcutaneousdiseasesincludingneoplasms,cutaneousmanifestationsofinfection,cutaneousmanifestationsofconnectivetissuedisease,disordersofthehairandnails,cutaneousmanifestationsofsystemicdisease.“
![Page 28: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/28.jpg)
ActionPlan• Ensure2lecturersthatdonotcurrentlyhavesessionobjectivesinmaterialsaddthem
• Inmanyskindiseasespathophysiologyisnotwellunderstood.Wherepathophysiologyofskindiseaseisknown,suchasbullousdiseases,addvignette-styleexamquestions.
![Page 29: Review of Year Year 2 SBM/Dermatology course …geiselmed.dartmouth.edu/admin/med_ed/minutes/pdf/2016_10... · 9 Compare the pediatric skin examination to the adult complete skin](https://reader036.fdocuments.net/reader036/viewer/2022081605/5b6be9bb7f8b9a180d8b4bcf/html5/thumbnails/29.jpg)
ActionPlan• Reviewexamlookingforopportunitiestoreplacequestionsofidentificationorsimplerecallwithvignette-stylequestions.– Currentexamcontent:
• Forquestionswithphotos:– Identifyimage/diseaseonly:8– Identifyimageandintegratewithcase:35
• Forwrittenquestionswithoutphotos– Recallinformation:23– Matching:5– Applicationofknowledgetonewcase/vignette:21