Skin Week Introduction and General Overview Dr. Mariamma Joseph Course Chair, Professor Dept. of...
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Transcript of Skin Week Introduction and General Overview Dr. Mariamma Joseph Course Chair, Professor Dept. of...
Skin Week Introduction and General
Overview
Dr. Mariamma Joseph
Course Chair, Professor
Dept. of Pathology LHSC, University Campus
Skin Week
• Very important week – Skin diseases are very common – No formal clerkship rotation with dermatologists
– Ample opportunity to further develop your visual and technical skills during clerkship with family doctors and specialists
Skin week: Strengths
• Student centered and partly student driven week
• Faculty, very experienced, interdisciplinary team
• Community outreach program
• VC Teaching from both campuses
Skin Week- Goal
• Introduce students to dermatology and plastic surgery specialties
• Develop a basic foundation, knowledge and skill (first year)
– Prepare you for further skill development during clerkship
– Eventually bring you to the level of a Primary care physician (forth year)
Skin week Dermatology
• Highly visual specialty, lots of images – Physical signs are elicited visually
– By end of the week develop confidence
in describing these physical signs and
formulate a diagnosis on select common skin diseases
Dermatology Challenges
• Verbose (wordy) specialty • Lots of images
• Be patient
“See the images as beautiful, so that the
subject will become alive” Dr. Bernard Ackerman
NYU Medical Centre
Skin Week - Major Objectives
1. Learn to describe lesions in an organized way using proper terminology – end of course test
2. Recognize common rashes and bumps and understand the pathophysiology and basic treatment –final exam
3. Build in a community outreach program:
Sun Awareness Program
Skin Diseases (Med 1)
Outpatient
Primary care physician
Lyons
Guenther
Inpatient
specialists
Temple, Fortin/Gan Tan (W) Wei Jing Loo Toth (W) Dermatologists
Colby Plastic surgeons I
nternist Mitchell Pediatrician
Joseph Pathologist
Skin Diseases (Med 1)
Lyons
Guenther,Tan,Loo Toth Dermatologists
Temple, Fortin/Gan Plastic surgeons
Mitchell Pediatrician
Colby
Campbell
Dermatology in family practice
Rashes
Bumps (growths) Burns, wounds, ulcers
Pediatric dermatology Small group session
Infections
Pharmacist
Joseph Pathologist
Structure of skin Skin Pathology Integrated clinico-pathologic approach
Wrap up Loo, Joseph
Skin Week Assessment
• PCCIA: Psoriasis (10%%)
• Sun awareness program (15%) May 16
• End of the course Derm Image Quiz (35% )
• Final examination (40%) – Multiple choice Q
– Extended Match Q
PCCIA –Psoriasis Case
• Revised extensively last year with student feed back
• Your task is to explore how Psoriasis can affect a patient’s life.
• Testimonial of a patient – helps you understand the impact of this disease on patients
– allows you to explore the multiple issues that a physician needs to be aware of when dealing with a patient with Psoriasis.
– consider the psychosocial and economic implications for this disease.
• Few key articles, few pictures
Sun Awareness Program Monday May 16, 2011
• Community outreach program • Well planned and organized
– Students, Guenther, Joseph
• Students in groups visit 40 schools and give a presentation • Objectives: communicator, educator, health advocate • Group assignment – Due Wednesday May 18 • Schedules for presentation and group assignment available on April 1st, 2011
End of Course Exam (35% ) Skin Image quiz, 12 cases (Short answer format) + 5 multiple choice
questions A) List the morphological features of skin
disease that you observe
B) What is your diagnosis?
C) What other features you look for
Short answer format
How to Describe a Skin Lesion SCALDA
• Size
• Color
• Arrangement (configuration)
• Lesion morphology
• Distribution
• Always check hair, nail, mucosa, intertriginous areas
Dermatology Mini Atlas Web CT (required reading)
• Created to practice your skills in describing lesions in an organized way
• Important for end of course image test
Atlas for Dermatology
Colour atlas and synopsis for clinical dermatology
Thomas Fitzpatrick (forth edition)
McGraw-Hill publisher 2001 (Learning Resource Centre)
Wrap Up (Joseph, Loo)
• CPC format
• Final examination review, types of questions (MCQ, EMQ) • Provide suggestions on where to focus
• High light key concepts
Websites for Dermatology
• www.dermatologylexicon.org(terminology)• www.dermatlas.org
– Over 8000 images, up to date, excellent quality images with short history – John Hopkin’s University of Medicine – Bernard A. Cohen and Christoph.U. Lehman
(editors) • www.aad.org (American Academy of
Dermatology) Education - Med students – curriculum
• www.dermatology.ca for sun and skin presentation