Date Issued: 06/25/2002
Prior Revision Date: 03/12/2007
Date Reviewed and Revised: 03/02/2009
Department: Internal Medicine
Faculty Coordinator: Peter Hino, M.D.
Hospital: Texas Health Presbyterian Hospital Dallas
Periods offered: All
Length: 2 Weeks (unless otherwise approved by a dermatologist for a 4 week rotation)
Max no. of residents: 1
First Day Contact: Toni Essary - (214) 739-5821
First Day Time: 8:00 am
First Day Place: 8230 Walnut Hill Lane, Suite 500
Requirements: Hours: Monday thru Friday 8:00 am - 5:00 pm
Vacation: No Vacation (Unless it is approved for a 4 week rotation then you can request 1 week vacation)
- Course Description:
Residents will participate in a busy office-based dermatological practice.
During this time they will be exposed to the evaluation and management of
a multitude of dermatology disorders. They will learn to appropriately use
shave biopsy and cryotherapy. They will know when to appropriately refer patients for dermatologic consultation.
- Course Goals and Objectives: (based on ACGME competencies for resident
Residents are expected to provide care that is compassionate, appropriate and
effective for the promotion of health, prevention of illness, treatment of disease
and at the end of life.
- Gather accurate, essential information from all sources, including medical
interviews, physical examinations, medical records and diagnostic/therapeutic
procedures. Examples: Residents are expected to take an accurate dermatological
and medical history and perform and accurately describe the dermatological
- Make informed recommendations about preventives, diagnostic and therapeutic
options and interventions that are based on clinical judgement, scientific
evidence, and patient preference. Examples: Residents are expected
to accurately identify the lesion, form a diagnosis and recommend appropriate
diagnostic and therapeutic options for the common dermatological disorders.
- Develop, negotiate and implement effective patient management plans and
integration of patient care. Examples: Arrange for appropriate outpatient
follow-up and treatment.
- Perform competently the diagnostic and therapeutic procedures considered
essential to the practice of internal medicine. Examples: Perform skin biopsies and cryotherapy and know the indications
and contraindications medications for each.
Residents are expected to demonstrate knowledge of established and evolving
biomedical, clinical and social sciences, and the application of their knowledge
to patient care and the education of others.
- Apply an open-minded, analytical approach to acquiring new knowledge. Examples:
Read about dermatological disease seen in the clinic the day prior.
- Access and critically evaluate current medical information and scientific
evidence. Examples: Use web-based information systems.
- Develop clinically applicable knowledge of the basic and clinical sciences
that underlie the practice of internal medicine. Examples: Resident
will demonstrate understanding the biology of the skin, the physiology of
the skin and the pathophysiology of diseases of the skin.
- Apply this knowledge to clinical problem-solving, clinical decision-making,
and critical thinking. Examples: Knowing the pathophysiology and natural
history of a dermatological disease such as psoriasis, prepar an appropriate
Practice-Based Learning and Improvement:
Residents are expected to be able to use scientific evidence and methods to
investigate, evaluate, and improve patient care practices:
- Identify areas for improvement and implement strategies to enhance knowledge,
skills, attitudes and processes of care. Examples: Implement a strategy to facilitate the chronic care of patients with chronic
skin conditions such as psoriasis and eczema.
- Analyze and evaluate practice experiences and implement strategies to continually
improve the quality of patient practice. Examples: Education of patients
regarding skin cancer and prevention.
- Develop and maintain a willingness to learn from errors and use errors to
improve the system or processes of care.
- Use information technology or other available methodologies to access and
manage information, support patient care decisions and enhance both patient
and physician education. Example: Use of information technology to
maintain up-to-date management of skin disorders including melanoma, other dermatological
neoplasms, and psoriasis.
Interpersonal and Communication Skills:
Residents are expected to demonstrate interpersonal and communication skills
that enable them to establish and maintain professional relationships with patients,
families and other members of health care teams.
- Provide effective and professional consultation to other physicians and
health care professionals and sustain therapeutic and ethically sound professional
relationships with patients, their families, and colleagues.
- Use effective listening, nonverbal, questioning, and narrative skills to
communicate the patients.
- Interact with consultants in a respectful, appropriate manner.
- Maintain comprehensive, timely, and legible medical records. Use of pictures and documentation of skin disorders and progression.
Residents are expected to demonstrate behaviors that reflect a commitment to
continuous professional development, ethical practice, an understanding and
sensitivity to diversity and a responsible attitude toward their patients, their
profession, and society.
- Demonstrate respect, compassion, integrity, and altruism in relationships
with patients, families, and colleagues. Examples: Demonstrates
desire to evaluate the patient, develop a differential, plan a treatment course
and communicate it to the patient.
- Demonstrate sensitivity and responsiveness to the gender, age, culture,
religion, sexual preference, socioeconomic status, beliefs, behaviors and
disabilities of patients and professional colleagues.
- Adhere to principles of confidentiality, scientific/academic integrity,
and informed consent.
- Recognize and identify deficiencies in peer performance.
Residents are expected to demonstrate both an understanding of the contexts
and systems in which health care is provided, and the ability to apply this
knowledge to improve and optimize health care.
- Understand, access and utilize the resources, providers and systems necessary
to provide optimal care.
- Understand the limitations and opportunities inherent in various practice
types and delivery systems, and develop strategies to optimize care for the
individual patient. Examples: Using allied health personnel to help
manage the patient with dermatological disease in an efficient and professional
- Apply evidence-based, cost-conscious strategies to prevention, diagnosis,
and disease management. Examples: Prevention of skin cancer; management
of chronic skin conditions.
- Collaborate with other members of the health care team to assist patients
in dealing effectively with complex systems and to improve systematic processes
of care. Examples: Use of nurse educators to educate patients regarding
their dermatological condition.
III. Methods of instruction:
- Didactic (schedule, topic, faculty)
Daily residents conference 12:00-1:00 p.m. - IM Training Room
Wednesday mornings 7:30-8:00 a.m. - Clinical Ground Rounds -
IM Training Room
Wednesday afternoons 12:15-1:00 p.m. - Internal Medicine Update - Haggar
Friday mornings 7:30 - 8:00 a.m. - Coffee with Cardiology - IM Training
Daily Dermatology clinic. See course description.