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• LOCOMOTOR
  • Musculoskeletal System
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  • Dermatology

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LOCOMOTOR: Dermatology

Index

• General Outcomes for Dermatology
• Systemic Disease in Dermatology
• Dermatological Emergencies
• Blisters
• Skin Lumps and Bumps
• Skin Infections
• Inflammatory Skin Disease
• Hair Loss and Gain
• Skin Cancer
• Pressure Sores

• General Outcomes for Dermatology
  • Medical knowledge: ANATOMY
    • Skin and Tissues
      1. Understand the structure and function of skin (LOC2)
      2. Revise the normal components of skin including the different skin cell types and appendages. (LOC2)
  • Medical knowledge: PHYSIOLOGY
    • Skin
      1. Be able to describe how the structure/function of skin provides an important contribution to natural defence against micro-organisms. (LOC2)
  • Medical knowledge: PATHOLOGY
    • Melanocytic Naevi
      1. Understand the origin of common benign skin tumours including melanocytic naevi (moles), seborrhoeic keratoses, viral warts, haemangioma and lipomas (LOC2)
  • Medical knowledge: MICROBIOLOGY and INFECTION
    • Sources of Infection and Routes of Transmission
      1. Understand the concept of normal skin microflora and of chronic carriage of micro-organisms, such as Staphylococcal aureus. (LOC2)
  • Medical knowledge: CLINICAL FEATURES of DISEASE
    • Skin Infections
      1. Be able to describe how the structure/function of skin provides an important contribution to natural defence against micro-organisms. (LOC2)
    • General Outcomes for Dermatological Diseases
      1. Understand the clinical significance of losing the skin barrier for health and disease (LOC2)
      2. Can describe the clinical features of common skin disorders, using appropriate terminology, and to relate the signs to the underlying pathology eg eczema, urticaria, psoriasis, benign and malignant skin lumps (DERM4)
  • Medical knowledge: SOCIOLOGY
    • Chronic Illness and Disability
      1. Demonstrate an ability to understand the impact that chronic skin diseases have on a patient’s quality of life. (DERM4)
  • Clinical skills: HISTORY and EXAMINATION
    • Taking a History
      1. Be able to obtain an appropriate dermatological history from a patient presenting with a skin complaint. (DERM4)
    • Examination of the Skin
      1. Be able to demonstrate an appropriate level of skill in skin examination, including nails, hair and mucosa. (DERM4)
  • Clinical skills: INVESTIGATION
    • Dermatological Investigations
      1. To interpret and apply results of common investigations employed in dermatological diseases, including skin biopsy, full blood count, ESR, CRP, autoimmune screen, serum biochemistry and skin swab results for mycology and bacteriology. (DERM4)
  • Clinical skills: DIAGNOSIS and REASONING
    • Diagnosis of Skin Disorders
      1. Be able to construct an appropriate differential diagnosis and plan of investigation for a patient presenting with the index dermatological conditions (DERM4)
  • Clinical skills: PATIENT MANAGEMENT
    • Management of Skin Disorders
      1. Be able to outline strategies available including education, drug therapy, physical treatments, psychosocial interventions) for the management of skin disorders (DERM4)
  • Clinical skills: PHARMACOLOGICAL THERAPY
    • Pharmacological Therapy - Dermatological Disorders (General)
      1. Demonstrate knowledge of the basic pharmacology and use of topical treatments, including emollients and steroids (DERM4)
      2. Can describe the common or important adverse effects, including important drug interactions, of the systemic treatments commonly used in the index dermatological conditions. (DERM4)
      3. Demonstrate knowledge of the basic pharmacology of common and important systemic therapeutic agents used in skin disease including methotrexate, roaccutane, prednisolone, azathioprine and the biologics. (DERM4)
  • Clinical skills: INTERACTION WITH PATIENTS
    • Interacting with Patients - General
      1. Demonstrate the ability to communicate the nature of the condition and its management to the patient (DERM4)
• Systemic Disease in Dermatology
  • General
    1. Demonstrate an ability to recognise skin signs of common or important systemic diseases including: Granuloma Annulare; Dermatitis herpetiformis, Necrobiosis lipoidica; Acanthosis nigricans; Splinter haemorrhage; Dermatomyositis; Systemic lupus erythematos (DERM4)
    2. Describe the relevant investigations for confirmation of the following systemic diseases: Granuloma Annulare; Dermatitis herpetiformis, Necrobiosis lipoidica; Acanthosis nigricans; Splinter haemorrhage; vasculitis, Dermatomyositis; Systemic lupus erythema (DERM4)
    3. The above, but also for Erythema nodosum; Erythema multiforme and Pruritus (DERM4)
• Dermatological Emergencies
  • General
    1. Demonstrate an ability to recognise a dermatologic emergency including the following conditions: Erythroderma; Toxic Epidermal Necrosis; Necrotising Fascitiis and Stevens Johnson Syndrome (DERM4)
    2. Describe the relevant investigations required for the following conditions: Erythroderma; Toxic Epidermal Necrosis; Necrotising Fascitiis and Stevens Johnson Syndrome (DERM4)
    3. Outline a basic management plan for first contact care of a patient with a life threatening skin disease including: Erythroderma; Toxic Epidermal Necrosis; Necrotising Fascitiis and Stevens Johnson Syndrome (DERM4)
• Blisters
  • General
    1. Demonstrate an ability to recognise the signs and symptoms of a patient with a blistering dermatosis. (DERM4)
    2. Describe the relevance of the investigations employed in a patient with Blistering Dermatosis (DERM4)
    3. Have a working knowledge of the functional biology of the basement membrane in relation to blisters. (DERM4)
    4. Have a working knowledge of the treatments available and any complications for the following conditions: Bullous Pemphigoid; Pemphigus Vulgaris and Dermatitis Herpetiformis (DERM4)
• Skin Lumps and Bumps
  • General
    1. Demonstrate an ability to recognise and distinguish common benign skin lumps including: Moles; Freckles; Dermato-fibroma; Pyogenic Granuloma; Seborrheic Keratosis and Haemangioma (DERM4)
    2. Have a working knowledge of the treatment options available for the following: Moles; Freckles; Dermato-fibroma; Pyogenic Granuloma; Seborrheic Keratosis and Haemangioma (DERM4)
• Skin Infections
  • General
    1. Be able to demonstrate an ability to recognise presentation of common skin infections including: Cellulitis; Impetigo; Fungal infection; Herpes simplex; Herpes zoster; Human papillomavirus and Yeast infections (DERM4)
    2. Describe the relevant investigations required for the following skin infections: Cellulitis; Impetigo; Fungal infection; Herpes simplex; Herpes zoster; Human papillomavirus and Yeast infections (DERM4)
    3. Be familiar with common skin infections including impetigo, cellulitis, herpes simplex, herpes zoster, tinea and scabies. (LOC2)
    4. Describe the basic management outline for following conditions: Cellulitis; Impetigo; Fungal infection; Herpes simplex; Herpes zoster; Human papillomavirus and Yeast infections (DERM4)
    5. Know the different skin sites that may become infected and the different associated clinical features: epidermal, dermal, subcutaneous, appendigeal. (LOC2)
    6. Know the range of different organisms that cause infection in skin: bacteria, viruses, yeast/fungi, and parasites (LOC2)
• Inflammatory Skin Disease
  • General
    1. Appreciate the different types of inflammation in the skin – mast cell mediated, immune complex mediated, delayed-type hypersensitivity, granuloma formation.
    2. Demonstrate an ability to recognise common inflammatory skin disorders including: Psoriasis; Eczema and Lichen Planus (DERM4)
    3. Recognise and be able to distinguish between: eczema, psoriasis, dermatitis, acne, ulcer, warts (CSP3)
    4. Appreciate the differences between Th1 and Th2 responses and the pathogenesis of allergic contact dermatitis. (LOC2)
    5. Safely treat common skin conditions (CSP3)
    6. Appreciate the patho-physiology underlying the signs of inflammation in the skin – redness, swelling and pain.
    7. Have a working knowledge of the treatments available for common inflammatory skin disorders including: Psoriasis; Eczema and Lichen Planus (DERM4)
    8. Be able to describe the cutaneous manifestations of vasculitis and appreciate the common causes.
    9. Describe important adverse effects or complications of common therapies employed in the treatment of Psoriasis; Eczema and Lichen planus (DERM4)
    10. Cellulitis: organisms and choice of antimicrobial (CSP3)
    11. Recognise that some drugs are for use under only specialist advice and direction (CSP3)
    12. Recognise dermatological adverse reactions (CSP3)
• Hair Loss and Gain
  • General
    1. Demonstrate an ability to discriminate between different patterns of hair loss eg distribution, pathology (scarring, non-scarring alopecia) (DERM4)
    2. Be able to list the common causes of hair loss (DERM4)
    3. Demonstrate an understanding of the impact of hair loss/gain on the patients quality of life (DERM4)
    4. Describe relevant investigations for a patient presenting with hair loss/gain including: Adrogenetic Alopecia; Hirsutism and Alopecia Areata (DERM4)
• Skin Cancer
  • General Outcomes for Skin Cancer
    1. Demonstrate an ability to recognise and distinguish malignant lesions including; Actinic Keratoses; Basal Cell Carcinoma; Squamous Cell Carcinoma and Melanoma (DERM4)
    2. Appreciate the concepts of benign, dysplastic and malignant. (LOC2)
    3. Demonstrate competence in the recognition of moles, dysplastic moles and melanoma (DERM4)
    4. Appreciate the pre-cancerous (dysplastic) nature of solar/actinic keratoses and Bowen’s disease. (LOC2)
    5. Demonstrate an ability to recognise the signs of skin cancer and premalignant lesions. (DERM4)
    6. Understand the difference between melanoma and non-melanoma skin cancers: their epidemiology, clinical manifestations and treatment (LOC2)
    7. Have a working knowledge of the public health strategies for increasing awareness of skin cancer and to understand the major risk factors for skin cancer Skin Infections (DERM4)
  • Malignant Melanoma
    1. Understand the significance of the prognostic factors associated with melanoma. (DERM4)
    2. Have a working knowledge of the treatment options available (DERM4)
• Pressure Sores
  • General

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