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Guidance for Seminars and Workshops Learning outcomes and how they will be achieved should be clear to teachers and students. (They should also be clear to the examiners who are designing assessments). Plan each teaching event and consider making a lesson plan (sample “Lesson Plans” are provided elsewhere), but be prepared to be flexible. Each group of students has its own needs. Briefly discuss the learning outcomes and lesson plan with the students at the outset. Factual information should be kept to the essential minimum. Instead teaching should be interactive and students encouraged to apply knowledge or to solve clinical problems. Students appreciate handouts. Consider setting the students preparatory work prior to the seminar e.g. some basic reading, considering a clinical problem or coming prepared to discuss a patient. Evaluate the seminar and consider how to respond to feedback (sample evaluation forms are provided elsewhere). These outlines for seminars can be adapted to suit local needs. Introduction “Demystifying Dermatology” After attending this seminar and clinical attachments e.g. dermatology, general practice, students should be able to: Take a dermatological history Examine skin, hair, nails and mucous membranes systematically Describe cutaneous physical signs in skin, hair, nails and mucosae Record their findings accurately in the patient’s records Apply their knowledge of skin structure and function to diagnosing, investigating and treating skin disease Describe the difficulties, physical and psychological, that may be experienced by people with chronic skin diseases. Tumours After attending this seminar and clinical attachments e.g. dermatology, surgery, general practice, students should be able to Recognise: o Basal cell cancer o Viral warts o Squamous cell cancer o Seborrhoeic warts o Malignant melanoma o Melanocytic naevi (moles) o Bowen’s disease o Epidermoid (“sebaceous”) o Solar keratoses cysts Formulate a differential diagnosis, describe the investigation and discuss the care of patients with: o A changing pigmented lesion o An enlarging cutaneous lesion (nodule, papule, ulcer) Describe the principles of prevention in: o Sun damage and skin cancer Eczema After attending this seminar and clinical attachments e.g. dermatology, paediatric, general practice, students should be able to: Formulate a differential diagnosis, describe the investigation and discuss the care of patients with: o A scaly erythematous rash (adult= contact dermatitis; child = atopic dermatitis) Demonstrate they recognise that eczema herpeticum may be an emergency presentation in patients with atopic eczema, discuss the causes and potential complications: Prescribe the following and discuss indications, mode of action, adverse effects and monitoring: o oral antihistamines, oral prednisolone and oral aciclovir Discuss the indications for referral for patch-testing and prick-testing Discuss the role of the multidisciplinary team in the management of patients with chronic skin diseases Describe the principles of prevention in hand dermatitis Psoriasis After attending this seminar and clinical attachments e.g. dermatology, rheumatology, general practice, students should be able to Formulate a differential diagnosis, describe the investigation and discuss the care of patients with a scaly erythematous rash (psoriasis) Describe the indications for and adverse effects of methotrexate and ciclosporin in psoriasis Demonstrate that they recognise that erythroderma may be an emergency presentation and cause of skin failure in psoriasis, discuss the causes and potential complications. Describe the difficulties, physical and psychological, that may be experienced by people with a chronic skin disease such as psoriasis. Skin Failure and Emergency Dermatology After attending this seminar and clinical attachments e.g., medicine, accident and emergency: Students should be able to demonstrate that they can recognise these emergency presentations, discuss the causes and potential complications and provide first contact care, including resuscitation: o Toxic epidermal necrolysis o Stevens Johnson syndrome o Anaphylaxis and angioedema o Acute meningococcaemia Students should be able to demonstrate they can recognise these emergency presentations and discuss the causes and potential complications: o eczema herpeticum o erythroderma Signs of Systemic Disease After attending this seminar and clinical attachments e.g. dermatology, medicine, students should be able to: Recognise and describe the potential significance of: o Purpuric lesions (disseminated intravascular coagulation, vasculitis) o Nail clubbing, koilonychia, splinter haemorrhages o Erythema nodosum Formulate a differential diagnosis, describe the investigation and discuss the principles of care of patients with: o A palpable purpuric rash (vasculitis) Wound Care After attending this seminar and clinical attachments e.g. dermatology, medicine, surgery, general practice, and working with nurse (practice, district, dermatology-specialist), students should be able to: Formulate a differential diagnosis, describe the investigation and discuss the principles of care of patients with a chronic leg ulcer Discuss the principles of choice of dressings for leg ulcers Discuss skin care in patients with leg ulcers Measure the ankle-brachial pressure index (ABPI) and interpret the result Describe how a compression bandage should be applied Describe the principles of prevention in pressure sores Recognise cellulitis and differentiate this from contact dermatitis Practical Skills Workshop After attending this workshop, working with general practitioners, attending dermatology clinics and observing dermatology nurse-specialists students should be able to: Prescribe emollients (ointments and creams) and explain the indications, quantities to prescribe and how to apply Prescribe topical corticosteroids (mild, moderately potent, potent) and discuss the indications, adverse effects, choice of base, quantities to prescribe and how to apply Explain to a patient or parent of a child with eczema how to use an emollient or a topical corticosteroid Take a skin swab for virology or microbiology Take a skin scrape for mycology