DERU-4002 - Dermatopathology

DERU-4002 - Dermatopathology

Elective Title: Dermatopathology
Course Number: DERU-4002
Elective Type: clinical Duration/Weeks: 4 Max Enrollment: 1
Prerequisites: Successful completion of Year 2
Additional Requirements: N/A
Responsible Faculty Director: Brent Kelly, MD Periods Offered: 1-13 including holiday period 8 
Coordinator: Reynol Lopez Other Faculty: Brandon P. Goodwin, MD Ramon L. Sanchez, MD Janice M. Wilson, MD Anthony Linfante, MD; Rebecca C. Philips, MD
Location to Report on First Day:
Department of Dermatology, 4.112 McCullough Bldg.

Exposure to dermatopathology for the senior student interested in either dermatology or pathology.

At the completion of a 4 or 8 week elective, the student should be able to:
1. Recognize major histopathologic patterns of skin disease.
2. Make the clinical-pathological correlation of skin disease by observing the patient clinically and the biopsy.

Description of course activities
1. The student will attend the dermatology resident conference at 8:00 am (in the Department of Dermatology Conference Room) and the Dermatology Grand Rounds on Fridays at 8:00 am.
2. The student will attend dermatology clinic every day from 9:00 am to 12:00 pm unless assigned elsewhere by Dr. Kelly. Emphasis will be put on those patients who require biopsies in order to establish clinicopathologic correlation.
3. The student will sit at the 10-headed microscope at all diagnostic slide reading sessions in the afternoon with the dermatology resident and the dermatology fellow and staff. It is advantageous to see the histologic slides with the dermatology fellow before the actual signing. The scope of coverage is approximately 1,000 cases per month. The student will be encouraged to review the departmental dermatopathology teaching file.
4. Each student will be required to make a short, informal presentation from the literature on a subject relevant to dermatopathology, write a case report, or participate in a research project. There is no evening call for the rotating medical student.

Type of students who would benefit from the course
Students who have a serious interest in dermatology, dermatopathology or pathology.

Weekly Schedule
  Clinical Activities (estimated schedule)  
Day of Week   AM   PM
Monday 7:00-12 1:30-5:30
Tuesday same same
Wednesday same same
Thursday same same
Friday same same
Saturday None None
Sunday None None

 Average number of patients seen per week: 80
 Call Schedule: none

Research Activities (estimated schedule)
Activity Hours per Week
Faculty Contact-Time
Self-Directed Study

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

2.  Oral Presentation
  A. Audience - To whom does the student present?
  B. Frequency / Duration of Presentation(s)?
    One during elective period.
  C. Format - What guidelines are set for the student's presentation?
  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)?
    No written assignments required.
  B. Format - What guidelines are set for the student's written work?
    No written assignments required.
  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?
    No written assignments required.
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
    No written assignments required.
  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)?

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.
    1. Observation of the student's daily performance.
2. Evaluation of the short presentation.

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.