DERU-4056 - Dermatopathology 2 week elective

DERU-4056 - Dermatopathology 2 week elective

Elective Title: Dermatopathology 2 week elective
Course Number: DERU-4056
Elective Type: clinical Duration/Weeks: 2 Max Enrollment: 1
Prerequisites: Successful completion of Year 2
Additional Requirements: C-Form required. Please contact Reynol Lopez (reynlope@utmb.edu)
Responsible Faculty Director: Brent Kelly, MD Periods Offered: 1A-13A or 1B-13B including holiday period 8 
Coordinator: Reynol Lopez Other Faculty: Anthony Linfante, MD; Brandon Goodwin, MD; Janice Wilson, MD
Location to Report on First Day:
Reporting location will be emailed by the student chief resident.

Goals
Develop a basic understanding of how dermatopathology contributes to improved patient care. This elective course in dermatopathology will clarify the relationship between clinical dermatology and the underlying pathological mechanisms of skin disorders. The goal is to guarantee that patients receive thorough and accurate treatment that addresses both the symptoms and the underlying causes of their conditions, whether they present with a common rash, an autoimmune disorder, or skin cancer.

Objectives
The course will focus on developing diagnostic skills essential for evaluating skin biopsies and assessing patients with dermatological disorders. Students will gain an understanding of the ten most prevalent tumors, inflammatory conditions, and infections encountered in dermatopathology, along with the ability to recognize their histological characteristics.

Description of course activities
During the clinical rotation, students will analyze skin biopsies utilizing a multiheaded microscope in collaboration with attending faculty, fellows, residents, and fellow students. They will engage in daily case sign-outs, collectively reviewing an average of over 500 slides each week, dedicating a total of 35 to 40 hours weekly to this endeavor. In instances where cases for sign-out are unavailable, students will have the opportunity to gain hands-on experience in the clinic, observing skin disorders that correlate with the slides they have reviewed.

Type of students who would benefit from the course
Those interested in pursuing residencies in either Pathology or Dermatology.

    Weekly Schedule
          Estimated Course Activities (Start-Time/Finish-Time):
Day of Week   AM   PM
Monday 8 5
Tuesday 8 5
Wednesday 8 5
Thursday 8 5
Friday 8 5
Saturday
Sunday

 Average number of patients seen per week: Varies 50+ patient per week. ~ 500 slides per week
 Call Schedule: N/A

Research / Other Course Activities
(estimated schedule)
Activity Hours per Week
Faculty Contact-Time
Self-Directed Study
Data-Collection/Analysis
Other


Method of Student Evaluation
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient Service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
   
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback
Other

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Dermatopathologist Faculty, Fellows and other students
  B. Frequency / Duration of Presentation(s)?
    Once at the end of the rotation
  C. Format - What guidelines are set for the student's presentation?
    5-10 page presentation on a specific question related to dermatopathology. Powerpoint is preferred.
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
   
  B. Format - What guidelines are set for the student's written work?
   
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
   
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
   
  F. Audience - Who assesses the student's written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
  Format
    Oral   Written multiple choice   Written essay / short answer   OSCE
Other

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    Weekly Dermatopathology Conference is every Thursday and Friday at 1pm. Friday mornings are resident conference time including 9am Grand Rounds and Noon Journal Club.

6.  Additional Costs
  Please list any additional costs and/or purchases (books, materials, movies to watch, etc.) that are required for this course. Include an estimated total cost. If there are no additional costs, please enter "None".
    None

7.  Other Modes of Evaluation
  Please explain below.
   

8.  If this course is an Acting Internship, please complete the following:
  A. Objectives for the AI should relate directly to the Entrustable Professional Activities (EPAs). Each AI should describe how the four key Year-4 EPAs that our school has identified as being Year-4 skills are assessed. The Year-4 objectives are:
1. Entering and discussing orders/prescriptions.
2. Give or receive patient handover to transition care responsibility.
3. Recognizing a patient requiring urgent or emergent care and initiating management.
4. Obtaining informed consent for tests and procedures.
Specify how the student will be given formative feedback on their clinical skills.
   
 
B.
Year-4 students should demonstrate mastery of EPAs they developed in the clerkship year, including recommending and interpreting common diagnostic and screening tests, and performing general procedures of a physician. They should be able to demonstrate masterfully and independently skills they mastered in Years 2-3, including efficiently performing comprehensive admission-notes and succinct daily progress notes and perform accurate, concise, and hypothesis-driven clinical presentations, form clinical questions and retrieve evidence to advance patient care. They should be able to demonstrate basic understanding of and beginning mastery of collaborate as a member of the interprofessional team and identify system failures and contribute to a culture of safety improvement.

List advanced clinical skills that a student will be assured an opportunity to practice.
   
 
C.
How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?
   
 
D.
What opportunities will typically be available to all students who take this AI (procedures, required presentations, etc.)? What opportunities may be available based on patient load/presentation or student initiative (ie. Writing a case report)?
   
 
E.
An AI should have expectation of a minimum of 32 hours per week of clinical responsibilities. Duty hours should be capped at ACGME limits for an intern, thus up to 24 hours followed by 4 hours of activities related to patient safety, education, and handoff. Students cannot work more than 80 hours per week averaged over 4 weeks. They can only have 1 day off in a 7-day work week with 8 hours off between shifts.

Clinical responsibilities will vary depending on specialty, but how is the student functioning with work commensurate to a PGY1 with an appropriate level of training?
   
 
F.
How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?
   
 
G.
How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
   
 
H.
Acting Internship students often seek letters of recommendation following their experience. How many different Faculty will work directly with the student and have knowledge of the student's abilities to detail in a written evaluation? Describe the degree of supervision and interaction with faculty vs. residents or other providers and how feedback will be obtained if more direct work is with residents or other providers.