Advanced Medical Dermatology

Director(s): Sotonye Imadojemu
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) and Introductory Dermatology DE501M.J course or an equivalent
Offered: Full time every month
Location: MULTI - Multi-site (J)
Open to Exclerks: Yes (may be restricted for international students)
Description: The goal of this course is to teach students how to evaluate and manage patients with complex medical dermatologic illness. The course is designed to build on foundations of dermatology as learned in the introductory dermatology DE501M.J course or an equivalent course at another institution. Students will choose to rotate among ambulatory dermatology subspecialty clinics at Brigham and Women's Hospital and the Dana Farber Cancer Institute. Available clinics focus on skin and related musculocutaneous disorders, bullous disease, angiogenesis and wound healing, graft versus host disease, cutaneous oncology (including melanoma and merkel cell carcinoma), infectious disease, and cutaneous T-cell lymphoma. In addition, students will round on a daily basis with the inpatient dermatology consultation service at BWH. Under the supervision of faculty members of the Department of Dermatology, students will actively participate as clinical clerks in the diagnosis and therapy of patients with dermatologic problems at the clinics listed above. Competency in performing several of the diagnostic and therapeutic procedures will be attained by the students. Attending physicians will provide ongoing daily feedback about the student's performance. Students will also participate in clinical-pathological conferences, consultation and departmental rounds, and weekly diagnostic conferences. Student-specific teaching activities include a weekly didactic lecture and a seminar with a senior resident for which each student presents a talk.
Incorporation of Basic Science Content and Evidence-Based Medicine:
1. Evidence-based medicine sessions presented monthly as part of Journal Club.
2. Basic science article review sessions presented monthly as part of Journal Club.
3. Literature review pertaining to clinical cases seen.
Grade Criteria:
Honors with Distinction:
Displays most or all of the following qualities: - Observation on rotation: Consistently complete, accurate, and efficient history and physical exam, even on the most complicated patients. Consistently excellent morphologic descriptions and excellent visual diagnosis skills. Knowledge base is superior in both breadth and depth. Consistently able to apply sophisticated understanding of pathophysiology to clinical context. Consistently models highest level of skill in procedural techniques. Differential diagnosis reflects highly sophisticated reasoning process. Understands use of tests/procedures with comprehensive treatment plans. Consistently models superior communication skills, and written and verbal presentations are consistently cogent, efficient and sophisticated. Behavior models the highest standards of integrity, reliability, and collegiality. - Exceptional end-of-rotation case presentation with plan for publication.
Displays some or most of the following: - Observation on rotation: Most often gathers complete and accurate history, and performs a thorough physical exam. Very good morphologic descriptions and visual diagnosis skills. Knowledge base very good. Solid understanding of pathophysiology and disease mechanisms. Shows a high level of mastery in performing procedures. Differential and treatment plan reflects solid clinical reasoning. Consistently demonstrates empathy and collegiality and communicates effectively. Often seeks out and accepts added responsibility. Often engages in independent self-improvement activities. Comfortable with generating a list of morphologic differential diagnoses or, at a minimum, able to correctly recall and associate morphologies. - Very good end-of-rotation case presentation.
Displays some or all of the following: - Observation on rotation: Generally accurate and complete enough to identify key problems although may miss less critical information. Exam is generally appropriate. Generally satisfactory morphologic descriptions and visual diagnosis skills. Adequate knowledge base. Adequate knowledge of basic pathophysiology of disease. Procedural skills and differential are generally appropriate. Adequate communication and presentations; able to establish rapport and demonstrate empathy. Shows interest in improvement and takes initiative in activities that enhance knowledge and skills. - Adequate quality end-of-rotation case presentation.
Displays some or all of the following qualities: - Observation on rotation: Consistently misses essential findings on history and physical examination and often does not make appropriate connection between history and physical. Often inaccurate morphologic descriptions and visual diagnoses. In procedures, often uses faulty or inappropriate technique. Knowledge base is inadequate or has significant deficits. Has consistent difficulty relating basic science principles and clinical information to patients' problems. Differential is often incomplete or incorrect. Written and/or verbal presentations frequently lack clarity, organization or thoroughness. Acts in ways that raise significant concerns about ability to establish rapport, communicate effectively, and behave with integrity, reliability and responsibility, and/or ability to work with others. - Poor quality end-of-rotation case presentation.