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JACK TOOLE Students have been underexposed to dermatology for years No gft dermatologists Several studies suggest that as many as 20% of primary care visits involve the skin Dermatology hours in the curriculum account for much less than 1 % Examination questions much less than 1% Most needs based CME surveys result in great demand for Dermatology Introduction ◦ 3 Didactic lectures 1 hour each 5 hours online dermatology self study 10 small group case based tutorials 1 hour each 40 hours of clinical dermatology 58 hours 3 Didactic one hour lectures (input from non dermatologists) ◦ 1. histology, physiology, immunology of skin ◦ 2. dermatopathology, microbiology of skin ◦ 3. terminology, classification, diagnostic tools 1. Papulosquamous Diseases ◦ ◦ ◦ ◦ Psoriasis Lichen Planus Pityriasis Rosea Tinea Versicolor Other rashes which at times are papulosqaumous 2. Bullous diseases ◦ Pemphigus,Pemphigoid,Epidermolysis ,Dermatitis herpetiformis 3. Maculopapular Eruptions ◦ Vasculitis ◦ Drug Eruptions TEN, DRESS,SJSS ◦ Viral exanthems ◦ Erythema multiforme Scabies Pediculosis Dermatophyte Yeast Bacterial Staph, Strep Viral ◦ H simplex ◦ H zoster ◦ papilloma Vitiligo, Albinism Alopecia ◦ Localized ◦ difuse Actinic Keratosis Squamous Cell Carcinoma Basal Cell Carcinoma Melanoma Similar lesions ◦ Seborrheic Keratosis,dermatofibroma, atypical nevi Acne Rosacea Folliculitis Perioral Dermatitis Itch etc Seborrhiec Stasis Contact Neuro Atopic 5 days of clinics one student per dermatologist in office 110 students x 5 Days = 550 days of teaching 10 potential teachers = 55 days of teaching 11 to 12 weeks per teacher minimum No GFT dermatologist All dermatologists in private practice responsible for significant overhead expenses huge clinical demand ( 3 to 9 month wait lists) No full time University secretarial, administrative staff If all Dermatologists agreed to participate ◦ 10 hours of small group tutorials ◦ 60 days of in office teaching 480 hours? ◦ Roughly 500 hours of teaching per dermatologist Dermatologists are not willing to commit this time ◦ Most have students or residents for 1/3 of their office time now ◦ Many expressed frustration with teaching dermatology to undergrads Poor attendance Interest only in exam relevance Not necessary to pass the course ◦ Little if any compensation Dermatologists would agree to continuing the current didactic lecture course or would consider replacing it with five small group tutorials.The online course would need to be upgraded and loaded to Opal if we were to replace the didactic lectures The clinical experience would be a limited number of one week electives interested students could apply for. Introductory lectures (3) M1 Dermatology on line Course M2 Small group case based tutorials Late M2 ◦ ◦ ◦ ◦ ◦ Rash Tumor Itch Hair Loss Skin history and physical exam Or Ten didactic lectures Late M 2 Limited electives M4?
