DERU-4015 - Dermatology Research

DERU-4015 - Dermatology Research

Elective Title: Dermatology Research
Course Number: DERU-4015
Elective Type: research Duration/Weeks: 4 to 8 Max Enrollment: 1
Prerequisites: Successful completion of Year 2
Additional Requirements: Students must discuss their proposed research project with the course director and obtain the course director's approval and signature on the R form at least 60 days prior to enrollment.
Responsible Faculty Director: Richard F. Wagner, MD Periods Offered: 1-13 including holiday period 8 
Coordinator: Reynol Lopez Other Faculty: Michael Wilkerson, MD
Location to Report on First Day:
Please contact research supervisor at least one week prior to the start of this elective.

The student should learn some of the techniques of clinical and/or basic research in skin diseases. Projects may be clinical regarding new findings or treatments of clinical disease or regarding surgical aspects of dermatology, epidemiology and prevention of disease, immunology, cutaneous infections, histology, laser therapy or other as approved by faculty.

During or at the completion of a four-week course, the student should:
1. Perform a research project under the supervision of Dermatology faculty.
2. Prepare a report on the project in a form acceptable for publication as a scientific article.
3. Learn some of the techniques used in clinical and basic science research related to skin diseases.

Description of course activities
1. The student will work on a research project with a member of the Dermatology faculty.
2. The student will perform the necessary library research to provide background project.
3. The student will learn to carry out the necessary research techniques.
4. The student will prepare a report that the faculty will review and provide student feedback.

Type of students who would benefit from the course
This course is particularly valuable for students interested in a career in Dermatology and/or medical research.

Weekly Schedule
  Clinical Activities (estimated schedule)  
Day of Week   AM   PM

 Average number of patients seen per week:
 Call Schedule:

Research Activities (estimated schedule)
Activity Hours per Week
Faculty Contact-Time 2 hr/wk scheduled plus additional meetings as nee
Self-Directed Study 17 hr/wk
Data-Collection/Analysis 20 hr/wk
Other Students taking this elective are required to attend and present at the noon dermatology journal club on Friday because the latest dermatology research is reviewed and discussed at this meeting. 1

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?
    This is a research elective.
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Faculty, dermatology residents, dermatopathology fellow, Mohs fellow, and other medical students.
  B. Frequency / Duration of Presentation(s)?
    Every Friday at noon (dermatology journal club).
  C. Format - What guidelines are set for the student's presentation?
    Journal club format.
  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)?
    Final written project.
  B. Format - What guidelines are set for the student's written work?
    Appropriate for stage of project (ranges from research proposal to completed manuscript that is ready for journal peer-review). submission.
  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?
    Student research.
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
    Student selects own topic or joins ongoing faculty project.
  F. Audience - Who assesses the student's written performance?
    Peer Assessment     Faculty Assessment     Other

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

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)?
    Not applicable.

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".

7.  Other Modes of Evaluation
  Please explain below.
    The faculty research supervisor will evaluate the quality of the research process and written work-product. The quality of student oral presentations at dermatology journal club will also be considered. Oral feedback will be provided by the faculty supervisor. There is no examination in this course.

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.

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.

How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?

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)?

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?

How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?

How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?

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.