OVERVIEW:

The purpose of the dermatology rotation is to familiarize the rotator with basic dermatologic diseases, introduce basic treatment strategies, and teach recognition of serious conditions that present on the skin.

 

GOALS:  Rotators must be able to:

1.  Describe the morphology of dermatologic lesions using appropriate terminology.

2.  Recognize and understand management of the common benign and malignant epidermal neoplasms, dermal neoplasms, and pigmented neoplasms.

3.  Be able to define the microbiology underlying common cutaneous viral, bacterial, and fungal disorders and proper antimicrobial treatment. 

 

OBJECTIVES:

1.  Rotators are expected to appropriately define the following terms and be able to use them appropriately in the description of a patient’s dermatologic physical exam:

•          Macule

•          Patch

•          Papule

•          Plaque

•          Nodule

•          Cyst

•          Vesicle

•          Bulla

•          Pustule

•          Scale

•          Crust

•          Oozing

•          Erosion

•          Fissure

•          Ulcer

•          Induration

•                      Atrophy

•                      Lichenification

•                      Wheal

•                      Burrow

•                      Comedone

•                      Telangiectasia

 

2.  Rotators must demonstrate ability to recognize examples of the following, be able to describe the etiology, natural history and appropriate management of each lesion, and be able to list associated systemic disorders (when appropriate):

  • Warts

·       Actinic Keratoses

·                Dermatofibroma
  • Molluscum

·       Squamous cell carcinoma

·                Keloid
  • Skin tags

·       Basal cell carcinoma

·                Lipoma
  • Seborrheic keratoses

·       Pilar cyst

·                Pyogenic Granuloma
  • Dermatosis Papulosa Nigra

·       Epidermoid cyst

·       Kaposi’s sarcoma

·                Granuloma Annulare
  • Ephilides

·       Cafι au laits

·                Melasma
  • Neurofibromas

·       Mongolian spot

·                Tinea Versicolor
  • Acanthosis Nigricans

·       Nevi

·                Melanoma, and subtypes of

3.  Rotators must be able to recognize the following inflammatory or infectious dermatoses, and describe the etiology, natural history and appropriate management of each:

  • Psoriasis

·       Pityriasis Rosea

·                Lichen Planus
  • Contact Dermatitis

·       Tinea Capitis

·                Tinea Corporis
  • Onychomycosis

·       Asteototic Dermatitis

·                Atopic Dermatitis
  • Impetiginization

·       Seborrheic Dermatitis

·                Stasis Dermatitis
  • Nummular Dermatitis

·       Bullous Impetigo

·                Miliaria Rubra
  • Varicella

·       Herpes Simplex Virus

·                Pemphigus Vulgaris
  • Bullous Pemphigoid

·       Porphyria Cutanea Tarda

·                Scabies
  • Dermatitis Herpetiformis

·       Toxic Epidermolytic Necrosis

·                Acne keloidalis nuchae/PFB
  • Rosacea

·       Folliculitus

·                Candidiasis
  • Erythrasma

·       Drug Eruption

·                Fixed Drug Eruption
  • Erythema Multiforme

·       Acne

·                Urticaria
  • Dermatomyositis

·       Flea Bites

·                Lice
  • Scleroderma

·       Lupus

·                Mycosis Fungoides

 

 

 

 

 

 

 

TEACHING STRATEGIES

1.  Set of 6 Rotator Lectures during the course

2.  Rotators are expected to attend Grand Rounds every Wed morning during which time live patients are examined and presentations discussed in conference.

3.  Rotators are also expected to attend clinical resident lectures .

4.  Rotators are expected to attend dermatology clinic every day and observe clinical examination, diagnosis, and management.  Rotators are expected to observe as many patient interactions as possible, in order to develop pattern recognition for common dermatologic conditions.

 

EVALUATION

Rotators are evaluated by both senior staff and senior residents.  Their evaluation is based on the following:

 

- Attendance: Attendance in all assigned clinics is mandatory for passing the rotation.  At the end of each half clinic day, please have your attendance sheet signed by the dermatology resident or staff you worked with.  This attendance sheet is collected at the end of the rotation.

 

- Final Exam: All rotators are required to take the final exam.  If you missed lectures during the rotation, you can view them on your own either on slides or on the computer (ask a resident to help).  Your score on the final exam is a strong factor, but is the not the only component, of your final grade.

 

- Clinic Performance:  Senior Staff and Senior Residents meet at the end of the month to discuss your clinic performance which includes:

•          Professional and appropriate interactions with patients and team members

•          Ability to work as part of the health care team

•          Ability to use clinic experience to improve their dermatologic fund of knowledge

•          Ability to access, appraise, and assimilate information from various sources including the scientific literature