» Family Medicine Residency

For Prospective Residents

Curriculum:
PGYII - Dermatology

 Goals:     

The goal of the dermatology rotation is that the resident learns to recognize those dermatological problems that can be managed by the family physician as well as to recognize those that require a referral to a consultant.

Objectives:

Residents will:

Patient Care and Medical Knowledge

1.       Learn to perform a history and physical examination directed at the differential diagnosis of common disorders of the skin, hair and nails.

2.       Understand medical options and topical therapies for treating common dermatologic conditions.

3.       Gain familiarity with the techniques for performing biopsies, cultures and scrapings.

4.       Understand the surgical treatment of certain skin lesions and gain familiarity with cauterization, cryosurgery, excision, intralesional injection and incision and drainage.

5.       Appropriately manage and refer dermatologic diseases.

6.       To understand the pathophysiology of common skin diseases.

7.       To be able to examine and describe cutaneous lesions and skin eruptions.

8.       Be familiar with the list of common dermatologic entities in Appendix A at the end of this document under Additional Information

Practice Based Learning and Improvement

  1. Be able to use the internet to access current literature about dermatologic conditions
  2. Be able to access online dermatology atlases
  3. Be able to work well in the context of the dermatology clinic
  4. Be able to implement changes in patient care based on new information obtained from Dermatologists, clinical experience, review of the literature and other sources

Interpersonal Communication Skills

  1. Communicate effectively with patients
    1. Able to communicate in a manner in which the patient with a dermatologic condition can understand the underlying disease, treatment plan and prognosis
    2. Able to listen to and address the concerns of patients and their families
  2. Communicate effectively with colleagues
    1. Able to work efficiently in the context of the Dermatology clinic in a Veteran’s Administration facility
    2. Able to work efficiently with the support staff in the care of the dermatology patient

Professionalism

  1. Demonstrate cultural competence
  2. Demonstrate the ability to act in the best interests of the patients
    1. Respect for confidentiality
    2. Respect for patient autonomy
  3. Be professional in all aspects of patient care
    1. Accepts personal responsibility for patients
    2. Accepts feedback in all aspects of care, including the six core competencies
    3. Timeliness
    4. Appropriate attire

 Systems – Based Practice

1.     Demonstrate understanding of the care of the patient with a dermatologic conditions in the context of the current health care system in a Veteran’s Administration facility

  1. Coordinate care with ancillary services to improve the healthcare of the patient
  2. Assist patients and their families in dealing with the dermatology condition of the patient

Logistics:

Contacts:

Debbie Chambers, Administrative Assistant to Dr. Shellow

West Los Angeles VAMC

11301 Wilshire Blvd.

Los Angeles, CA   90073

(310) 268-3809

 

Location:

Dermatology Clinic - West Los Angeles VAMC

11301 Wilshire Blvd.

Los Angeles, CA  90073

Monday: Room 1675; Tuesday-Friday: Room 1663

(310) 268-3153: William Shellow, MD, Clinic Director

(310) 268-3153: Marc Chalet, MD

(310) 268-3753:  Clinic

(310) 478-3711, x41224:  Nurses

(310) 268-3809 Debbie Chambers – Secretary

(please see Debbie to check in)

 

Continuity Clinics – You will have 20 clinics during this rotation

 

Educational Half – Day – Attendance is required.

 

Call Frequency – This is a no call rotation

 

Additional Information:

Attendance must be documented for each half-day clinic; see Marlene Abbott in Room 1601.  Report to the assigned Ambulatory Clinic and introduce yourself to the Attending or Chief Resident.  Clinic Contact and Location information is listed above. 

 

PARKING at the VA:  Because there is adequate parking at the VA, it is not necessary for residents to get parking permits.  However, you MUST park in areas designated for employees.  Lot 6 is west of the Wadsworth Building; Lot 2 is south of the Wadsworth Building.  Do NOT park in Lot 42 or Lot 43 (which are north and east of the Wadsworth Building, respectively), as these are Patient, Volunteer and Visitor Parking Areas – and monitored closely by the VA police.

 

Appendix A – List of common dermatologic diagnoses the Family Medicine Resident should know how to assess, diagnose and treat

1.     Acne vulgaris and other acneiform eruptions

2.     Actinic keratoses and seborrheic keratoses

3.     Alopecia including scaring, non-scarring and androgenetic

4.     Candidiasis

5.     Dermatologic manifestations of internal malignancies

6.     Dermatologic manifestations of systemic diseases including autoimmune disorders, endocrinopathies, gastrointestinal disorders and nutritional deficiencies

7.     Drug eruptions

8.     Eczema, including contact dermatitis, nummular eczema and atopic dermatitis

9.     Herpes simplex and herpes zoster

10.   Impetigo and other skin infections

11.   Lichen planus and other lichenoid eruptions

12.   Nail dystrophies

13.   Nevi, hemangiomas and telangiectasias

14.   Onycholysis and onychomycosis

15.   Paronychia

16.   Psoriasis and psoriasiform eruptions

17.   Photosensitive skin eruptions

18.   Seborrheic dermatitis

19.   Skin cancer including basal cell carcinoma, squamous cell carcinoma and malignant melanoma

20.   Tinea pedis, tinea corporis and tinea versicolor

21.   Urticaria, acute and chronic

22.   Vasculitis

23.   Viral exanthems

24.   Verrucae vulgaris, plantaris and planae

25.   Vitiligo and other pigmentary alterations

26.   Xerosis