4 to 8
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
Erica Kelly, MD; Michael Wilkerson, MD; Lindy Ross, MD; Brent Kelly, MD; Brandon Goodwin, MD; Bernard Gibson, MD ; Dr. Kathleen Kroger, MD; Janice Wilson, MD; Sharon Raimer, MD
to Report on First Day
Please contact research supervisor at least one week prior to the start of this elective.
including holiday period 8
|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.|
|Clinical Activities (estimated schedule)|
|Day of Week||AM||PM|
|Average number of patients seen per week:|
|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|
|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|
|1. Clinical Observation|
|A.||Where are students observed on this elective?|
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
|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?|
|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|
Written multiple choice
Written essay / short answer
|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)?|
|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.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.