SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Advanced Clinical Dermatology-Austin
Course Number
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Successful completion of two of the following three core rotations: Pediatrics, Internal Medicine, Family Medicine. This rotation is for students interested in dermatology as a career but does not require any previous dermatology elective experience.
Responsible Faculty Director:
Ammar Ahmed, MD
Other Faculty:
Jason Reichenberg, M.D., Dayna Diven, MD, Matthew Fox, M.D., and Carlos Gavino, M.D.
Location to Report on First Day
Contact Tricia M. McElligott at or 512-324-7860
Periods Offered
NOT including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 The educational goal of the Advanced Clinical Dermatology rotation is to comprehensively immerse senior medical students in the clinical and educational aspects of a dermatology program at a tertiary care center and a community practice.

 1. Describe a skin lesion so that one can convey its appearance to colleagues, and to use this description to generate a differential a diagnosis. 2. Perform common dermatological procedures to yield a diagnosis. 3. Demonstrate an understanding of basic dermatopathology by differentially identifying common skin tumors. 4. Identify the therapeutic options available for common skin diseases and utilize first- and second-line treatments. 5. Appropriately counsel patients regarding sun protection, sensitive skin care, and warning signs of malignancy.

Description of course activities
 This course is designed for medical students who are strongly considering a career in dermatology. The course has been designed to expose the student to all aspects of a dermatology practice. This four week course requires exposure to general dermatology, pediatric dermatology, cutaneous oncology, procedural dermatology, phototherapy, dermatopharmacology and dermatopathology. The student will work one-on-one with a resident or attending in each of these fields. The student will be responsible for reading along with the journal club and textbook readings for the Dermatology program each week and will be prepared to present any of the articles in the journal to residents and faculty. Students will be expected to read a dermatology textbook (approximately 250 pages) while on the rotation. Students should be available on nights and weekends to join dermatology residents on call should they be called into the hospital. Activities will change slightly each week. A detailed schedule of conferences and clinical assignments will be given at the beginning of the rotation. During this clinical rotation the student will function largely as a dermatology resident, performing evaluation of patients, presenting to the attending, generating treatment plans, and in some clinics documenting findings in the patientís chart. They will be writing notes daily to this end. Outpatient clinics are located in both Austin and Kyle, TX, each with a somewhat different patient population. The rotation will involve several days of commute to the office in Kyle. The student will be encouraged to carry out a small published writing assignment, either a case report, a research project, or the production of enduring educational material for patients

Type of students who would benefit from the course
 This rotation is for students interested in dermatology as a career but does not require any previous dermatology elective experience. Visiting students should submit an application through VSAS: Select UTMB at Galveston as the host institution and indicate you wish to take DERU 4013 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
  Day of Week AM PM
  Monday 8:00-12 Clinic/Procedures 1-5 Clinic/Procedures
  Tuesday 8:00-12 Clinic/Procedures 1-5 Clinic/Procedures
  Wednesday 8:00-12 Clinic/Procedures 1-5 Clinic/Procedures
  Thursday 8:00-12 Clinic/Procedures 1-5 Clinic/Procedures
  Friday 7:00-12 Lectures 1-5 Clinic/Procedures
  Saturday call from home call from home
  Sunday call from home call from home
  Average number of patients seen per week: 75  
  Call Schedule:   Call from home.  

  Research Activities (please insert estimated schedule here)
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
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?
    residents, attending physicians
  B. Frequency / duration of presentation(s)?
    Daily, 5minutes maximum. Additionally, students are required to give a 15 minute presentation to the department on a topic of their choice near the end of the rotation.
  C. Format - What guidelines are set for the student's presentation?
    The student will encounter many different diagnoses over the course of the clinical day. He or she will be asked to read about each of these conditions each night, so that they can have an informal discussion with the attending the following day. Important points will include differential diagnoses and first-line treatment options.
  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?
    Student clinic notes to be reviewed by faculty; research to be reviewed at the end of the rotation.
  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?
    Not for clinic notes, yes for research.
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
    By the student, with guidance from a faculty member.
  F. Audience - Who assesses the studentís 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)?
    The the student will attend and be expected to participate in all dermatology activities (conferences, clinics, journal clubs, etc). Lectures start at 7 am, and sometimes continue until 6:30 pm.

6.  Other Modes of Evaluation
  Please explain below.
7.  If this course is an Acting Internship, please complete the following:
  A. Specify how the student will be given formative feedback on their clinical skills.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
  E. How will this course help prepare a student enter an internship in this field or a related field?
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
  G. Acting Internship students often seek letters of recommendation following their experience. How many different faculty are they likely to encounter during this course? What is the usual number of working days they can expect to encounter the same individual faculty member? Describe the degree of supervision and interaction with faculty vs. residents or other providers.