Download Introduction_to_Skin_Week

Skin Week
Introduction and General
Overview
Dr. Mariamma Joseph
Course Chair, Professor
Dept. of Pathology
LHSC, University Campus
Skin Week
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Very important week
Skin diseases are very common
– No formal clerkship rotation with
dermatologists
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Ample opportunity to further develop your
visual and technical skills during clerkship with
family doctors and specialists
Skin week: Strengths
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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)
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Prepare you for further skill development
during clerkship
– Eventually bring you to the level of a Primary
care physician (forth year)
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Skin week
Dermatology
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Highly visual specialty, lots of images
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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
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Dermatology Challenges
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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
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Medical skin diseases
Bumps (growths)
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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
Inpatient
Primary care physician
Lyons
specialists
Guenther
Tan (W)
Wei Jing Loo
Toth (W)
Temple, Fortin/Gan
Plastic surgeons
Mitchell
Pediatrician
Dermatologists
Joseph
Pathologist
Colby
Internist
Skin Diseases (Med 1)
Lyons
Guenther,Tan,Loo
Toth
Dermatology in family practice
Rashes
Dermatologists
Temple, Fortin/Gan
Plastic surgeons
Mitchell
Pediatrician
Colby
Campbell
Bumps (growths)
Burns, wounds, ulcers
Pediatric dermatology
Small group session
Joseph
Pathologist
Structure of skin
Skin Pathology
Integrated clinicopathologic approach
Infections
Pharmacist
Wrap up
Loo, Joseph
Skin Week Assessment
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PCCIA: Psoriasis
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Sun awareness program (15%) May 16
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End of the course Derm Image Quiz (35% )
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Final examination (40%)
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Multiple choice Q
Extended Match Q
(10%%)
PCCIA –Psoriasis Case
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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.
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Few key articles, few pictures
Sun Awareness Program
Monday May 16, 2011
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Community outreach program
Well planned and organized
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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
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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
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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
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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)
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Provide suggestions on where to focus
High light key concepts
Websites for Dermatology
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www.dermatologylexicon.org
www.dermatlas.org
(terminology)
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)
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www.aad.org (American Academy of
Dermatology) Education - Med students –
curriculum
• www.dermatology.ca for sun and skin
presentation
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Thank you