-          INTRODUCTION

-          OBJECTIVES

-          TEACHING METHODOLOGY

-          LECTURES SCHEDULE:

-          GUIDELINES TO TUTOR:

-          GUIDELINES TO STUDENTS

-          RESOURSES

-          STUDENTS ASSESSMENT

-          COURSE ASSESSMENT

-          COURSE ORGANIZER

-          FUTURE PLANS

-          APPENDIX

 

 

 

 

 

 

 

 

 

INTRODUCTION

Dermatology (from Greek derma, "skin") is a branch of medicine dealing with the skin and its appendages (hair, nails, sweat glands etc). The diagnosis of skin diseases is deceptively easy. Students examine or are shown patients every day in clinical rotations. Almost every patient has some skin abnormality. This course will enable students to identify these abnormalities and to manage them. We work to make this course useful and enjoyable. To achieve maximum benefit of the course, a development committee in dermatology department revisits the curriculum each year and makes the necessary changes.

This manual is written in details for the tutors and students to strictly adhere and comply with to maintain the excellence of the teaching process.

 

OBJECTIVES

-To provide the undergraduate medical students with 1- Knowledge 2- Attitude 3- Clinical skills relevant to clinical dermatology and essential for their future career as non-dermatology clinicians in whatever specialty they choose. Students need to:

 

1.     Understand the basics of skin anatomy.

2.     Be familiar with the language of dermatology by learning the primary and

        secondary skin lesions and to be able to describe various skin conditions.

3.     Enable medical students to recognize the most common skin diseases.

              ·       Clinical features and course.

              ·       Epidemiology and etiology.

              ·       Differential diagnosis.

              ·       Treatment and prognosis

4.     Gain an overview of the skin manifestations of systemic diseases.

5.      Be able to deal very appropriately with different emergencies in dermatologic

        diseases.

6.     Formulate decent differential diagnosis of skin diseases.    

7.     Be familiar with the diagnostic laboratory tests pertinent to dermatology.

8.     Explore the problem solving abilities and clinical judgment.

9.     Be familiar with different dermatological resources like textbooks, journals, and

        websites.

These competencies must be mastered for safe practice.

 

TEACHING METHODOLOGY:

 

The course lasts for 6 weeks for the current curriculum. It contains 9 extended lectures that cover the most important dermatological topics which fulfill the required objectives.

Each lecture lasts 3 hours in which a faculty member covers the theoretical part of the topic, and enriches it with high quality color photographs demonstrating the clinical features. The lecture is designed to stimulate interaction between the student and the lecturer. It is encouraged to be followed by problem oriented practical large group discussion, where the clinical problems were presented as power point cases, with photographs demonstrating the clinical features

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 LECTURES SCHEDULE:

S. No.	Time	Title
1.	3 hrs	Introduction to dermatology Graduates MUST be able to: • Take a dermatological history • Examine skin, hair, nails and mucous membranes systematically showing respect for the patient • Describe cutaneous physical signs in skin, hair, nails and mucosa • Record their findings accurately in the patient’s records   Graduates should to be able to: • Describe the functions of normal skin e.g. thermoregulation, protective, sensory, immunological, psychosocial. • Describe the structure of normal skin • Apply their knowledge of skin structure and function to diagnosing, investigating and treating skin disease
2	3 hrs	Alopecia and Vitiligo  Graduates should be able to describe the presentation, formulate a differential diagnosis, investigation and discuss how to provide continuing care of: -          Hair loss:androgenic alopecia, alopecia areata, scarring alopecia. And telogen effluvium -          Hirsutism, hypertrichosis -          Vitiligo -          Melasma, lentigens, melanocytic nevi
3	3 hrs	Acne and related diseases  Graduates should be able to describe the presentation, formulate a differential diagnosis, investigation and discuss how to provide continuing care of: -          Acne -          Rosacea and perioral dermatitis -          Hidradenitis suppurativa -          Miliaria and hyperhidrosis
4	3 hrs	Papulosquamous Diseases  Graduates should be able to describe the presentation, formulate a differential diagnosis, investigation and discuss how to provide continuing care of: -          Psoriasis -          Pityriasis rosea -          Lichen planus MID TERM EXAM
5	3 hrs	Dermatologic therapy and drug eruptions Graduates should be able to recognize the following: -          Vehicles -          Topical steroid preparation -           Commonly used systemic drugs in dermatology -          Cutaneous reactions to systemic drugs
6	3 hrs	Cutaneous  manifestation of systemic diseases  Graduates should be able to describe the presentation, formulate a differential diagnosis, investigation and discuss how to provide continuing care of: •Chronic leg ulcers • Itching • A cutaneous manifestation of endocrine system and systemic malignancy • Purpuric lesions (disseminated intravascular coagulation, vasculitis) • Nail clubbing, koilonychia, splinter haemorrhages • Photosensitivity, lupus erythematosus, dermatomyositis • Scleroderma and sclerodactyly • Erythema nodosum • Morphea and lichen sclerosus • Pyoderma gangrenosum
7	3 hrs	Atopic and allergic Dermatitis Graduates should be able to describe the presentation, formulate a differential diagnosis, investigation and discuss how to provide continuing care of: -          Atopic dermatitis -          Contact dermatitis -          Seborrheic dermatitis
8	3 hrs	Dermatologic Emergencies Graduates should to be able to demonstrate they can recognize these emergency presentations and discuss the causes and potential complications: • Anaphylaxis, angioedema, and urticarea • Acute meningococcaemia • Toxic epidermal necrolysis • Stevens Johnson syndrome • Erythroderma • pemphigus vulgaris and bullous pemphigoid • staphylococcal scalded skin syndrome
9	3 hrs	Common Skin Infections  Graduates should be able to describe the presentation, investigation and management of • Bacterial infections: impetigo, eryispeals, cellulitis, erythrasma   • Mycobacteria: lupus vulgaris, leprosy • Viral: warts, herpes simplex, zoster, molluscum contagiosum • Fungal:: tinea, candida, pityriasis veriscolor   • Syphilis, leishmania, scabies, pediculosis
		FINAL EXAMINATION

 

 

 

GUIDELINES TO TUTOR:

1- Specifies what should be learned and done

2- Gives clear reasons and explanations

3-Develops problem solving skills

4-Asks questions that promote learning and raise the student’s interest in the subject.

5-Adjusts teaching method to meet learners’ needs

6- Use scientific evidence based approach.

7-Avoid controversial and personal idiosyncratic views.

8- Use proper and sophisticated audiovisual aids. 

9- Use time effectively

-Provides time for reflection and discussion10

11-Prepare for teaching using ‘BOGERD’. Spend a few minutes with the students before starting any teaching to run through‘BOGERD’. This will help to make the most of the teaching opportunity.

 

B : background

Ask the students what they have already studied or what stage are they at in the course

O:  opportunity

Explain to the students how much time is available for teaching ⁄ what learning resources (patients) are available

G : goal(s)

Agree achievable goals (bearing in mind the opportunity) with the students

E : evaluate

How will you and the students know if the goal has been achieved? The evaluation should be clear and unambiguous to you and the students) it may involve asking the student(s) to perform a task such as present a patient or describe a rash.

The students should also have an opportunity to evaluate your teaching, perhaps by completing an anonymous feedback form

R:  rescue or repetition.

Discuss what you will do if the goal is not met either because a student has not reached the expected standard or you have not been able to deliver the teaching

D : deal

Ask the students to reflect back what you have agreed so that you know you are both working to the same agenda

 

 

 

 

 

GUIDELINES TO STUDENTS

1-      Attendance: As part of King Saud University Regulations, student must fulfill the minimum 75% attendance in both lectures and clinical teaching.  There will be a strict adherence to the rules and regulation of the college regarding that.

2.   Students should be seated in the class on time. Late comers will not be allowed to join class and will be regarded as absent.

      3.   Chewing gum, drinking, eating and inappropriate talking to colleagues disturbing the class is strictly prohibited.

      4.   Bleeps and cellular phones are expected to be inactivated during the class.

 

RESOURSES

RECOMMENDED TEXTBOOKS:

1.      Clinical Dermatology. By Rona M. Mackie, 5^th edition.

ISBN: 019852580

2.    Fitzpatrick Color atlas of synopsis of clinical dermatology

By KLAUSS WOLFF ISBN: 0071440194

 

 

SOME ON-LINE RESOURSES:

Dermatology for Medical Students http://sprojects.mmi.mcgill.ca/dermatology/

Dermatology Image Atlas - Johns Hopkins University http://dermatlas.med.jhmi.edu/derm/

DermIS - http://www.dermis.net/index_e.htm

NZ Derm Net  http://www.dermnetnz.org/

Online Dermatology Quiz http://dermatlas.med.jhmi.edu/derm/quiz.cfm

Loyola University Dermatology Medical Education Website

http://www.meddean.luc.edu/lumen/MedEd/medicine/dermatology/melton/atlas.htm

eMedicine http://www.emedicine.com/derm/contents.htm

The Electronic Textbook of Dermatology http://www.telemedicine.org/stamford.htm

STUDENTS ASSESSMENT:

-          Mid course exam: Continuous Assessment exam consists of single best and matching questions that count of no more than 30% of the total marks.

-          Final exam consist of single best and matching questions that count of no more than 70% of the total mark.

-          The passing score is 60 out of 100

 

COURSE ASSESSMENT:

1- Evaluation forms will be given to students at the end of the course (after the final exam) to have a feedback about the course process, activities and tutors. Feedback will be discussed in the undergraduate teaching committee and departmental board for further improvement and development

2- An annual assessment of the course will be made

 

COURSE ORGANIZER

.  Be responsible for the course organization. The day to day teaching will be the responsibility of each teaching staff according to the schedule

.  Write an Annual Report to the Head of the Department about the progress of the course throughout the year.

 

FUTURE PLANS:

Our future plans are towards using the new teaching methods for enhancing the learning process which may include:

1.    Introducing live clinical teaching sessions and be more problem-based oriented teaching.

2.    Designing website enriched with interactive learning materials.

3.    Involving  students in research projects.

4.    Expanding  the course to cover the essentials scientific & clinical needs for medical doctors.

 

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