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

• Opportunity for life long independent self directed learning

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 Diseases: Major Themes

•Rashes Medical skin diseases

•Bumps (growths) Surgical skin diseases

Rashes

Dermatitis Psoriasis

Bumps (Growths)

Basal cell carcinoma Dermatofibroma

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

Thank you