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McGill University Health Centre, Division of Dermatology Elective application/orientation form Welcome to your elective in Dermatology! So that you can fully benefit from your time with us during your elective, we would like to outline the goals and objectives of the rotation, along with a description of the responsibilities of students and residents on elective with us. Goals/Objectives Knowledge: Skills: At the end of this rotation, you should be able to More accurately describe the morphological features of cutaneous lesions. Based on your morphological descriptions, formulate a reasonable differential diagnosis. Recognize common benign, pre-malignant and malignant skin tumors Learn how to manage common dermatological problems seen on the hospital wards, and in the clinic. Correctly prescribe topical corticosteroids, anti-acne medication, topical and systemic antibiotics, antivirals and parasiticides for cutaneous infections and infestations, keratolytics, emollients and sunscreens, etc. Understand the indications for and principles behind Mohs micrographic surgery During this elective, you should: Become comfortable with simple procedures such as cryotherapy, punch biopsies, shave excisions, and simple excisions, intralesional injections, and KOH examinations of scales. Observe cases of Mohs micrographic surgery (if available at site) Responsibilities: As a rotator in the dermatology department, you are part of our team, and are expected to partake in all clinical activities. These include: 1. Daily clinics (speak to secretary at individual site for a schedule): Your role in the clinic will be to see patients, obtain an adequate history, perform a dermatologic physical examination and tentatively come up with a diagnosis and treatment plan, under supervision of staff and dermatology residents. 2. Ward consult service: During working hours (8:00 – 17:00) you will be expected to take first call for patients on the ward, then discuss and see the cases with the consult resident at your hospital, and participate in ward rounds when they don’t conflict with clinic duties. 3. Attend the academic half day every Thursday morning (confirm location with residents) 4. Morphology sessions every second Friday at the MGH pathology conference room at 7:45 5. Prepare a 20-30 minute presentation for the academic half day on a topic that relates dermatology to your field of interest, or of an interesting case that you would like to research and present. You must let the chief resident know your topic by the end of the second week for scheduling purposes, and to ensure that the topic was not recently discussed. 6. In order to successfully complete your rotation, you must be present for the minimum allotted number of days as defined by the collective agreement. If you will be taking call in other departments during your elective with us, you must provide the secretary at the clinic that you will be at with the call schedule so that it can be posted at the clinic. Optional activities include: 1. Pathology rounds every Wednesday morning at 7:30a.m. in the pathology conference room of the MGH. Slides are available for pre-viewing in the pathology residents room of the MGH 2. Book Club every Monday morning at 7:45 at the MGH pathology library. (Ask the chief resident what chapters of Fitzpatrick will be covered) 3. Journal Club every Thursday morning at 8:00a.m. (confirm location with residents) Good References: 1. Color atlas and synopsis of clinical dermatology common & serious diseases. Fourth edition. Fitzpatrick TB, Johnson RA, Wolff K, Surrmond D. McGraw Hill. 2. Dermatology Secrets in color. Fitzpatrick, Aeling Main dermatology textbooks used by the residents: 1. Fitzpatrick’s Dermatology in General Medicine. Sixth edition. Freedberg, Eisen, Wolff, Austen, Goldsmith, Katz. McGraw Hill. 2. Dermatology. Bolognia, Jorizzo, Rapini. Mosby. 3. Lever’s Histopathology of the skin. Eighth edition. Elder, Elenitsas, Jaworsky, Johnson. Lipincott-Raven. 4. Comprehensive Dermatologic Drug Therapy. Wolverton. Saunders. Contact Persons: Chief Resident: Assistant Chief Resident: Nathan Rosen pager number 960-3746 Hakeem Sam pager number 854-5965 Royal Victoria Hospital: Nathalie Morin, Division Secretary, Room A4.17. (514) 934-1934 extension 34648 Jewish General Hospital: Annie Vieira, Secretary, Room G-200 , (514) 340-8222 extension 5065 Montreal General Hospital: Gina Apa, Administrative Secretary, L8.210 (514) 935-2559. Montreal Children’s Hospital: Guylaine Gamache, Secretary, Room C-215. (514) 412-4310 Clinics/Conference rooms: Royal Victoria Hospital Dermatology Clinic: E2 Polyclinic South Royal Victoria Hospital Dermatology Conference Room: M9.30 Jewish General Hospital Dermatology Clinic: G-026 Montreal General Hospital Dermatology Clinic: L8-210 Montreal General Hospital Pathology Conference Room: L3-221 Montreal General Hospital Pathology Library: D3-273 Montreal Children’s Hospital Dermatology Clinic: C-215 Please sign this form acknowledging that you have read and accept the responsibilities of your elective, and return it to the secretary at the site that you wish to do your elective. _______________ (Signature) ________________ (Print Name) ______________ (Date)