University of Virginia Health System

Resident Rotation Outline

Objectives | Rotation Supervisor | Duration | Time to Report | Place to Report
Clinic Requirements | Suggested Textbooks | Evaluations | Grievances

Due to the limited size of the Department of Dermatology and a long-standing dedication to medical student education the following resident rotator outline has been developed. This will ensure maximum quality to all family practice, pediatrics and internal medicine residents who rotate monthly on our service.

The goal of the Department of Dermatology at the University of Virginia
Health System is to provide rotating residents with an outstanding dermatologic experience.This includes ensuring they attain a basic knowledge of skin disease that will enable them to practice medicine.

This will be accomplished by "hands on" clinical evaluation of patients with skin
disease under the close supervision of dermatology faculty and residents. The clinical experience will be complimented by attending dermatology lectures, and suggested self-guided textbook review.

Objectives:

1. Residents will be able to obtain a history from a patient pertinent to their presenting skin disease.
   
   

2. Residents will be able to adequately perform physical examination of the skin, hair, nails and mucosal surfaces as well as describe any disease with dermatologic terminology.

3. Residents will be able to correlate history and physical findings, present a differential diagnosis and formulate diagnostic and/or treatment plans.

4. Residents will be able to perform diagnostic skin tests (shave, punch and surgical excisional biopsies) and perform appropriate suture closures as indicated.

5. Residents will be able to perform and analyze office laboratory procedures used in diagnosing skin disorders. These include: potassium hydroxide preps, cytodiagnostic smears, ectoparasite preps, hair mounts, woods lamp and patch tests.

6. Residents will develop a knowledge base to determine when dermatologic consultation is indicated.
   

Clinic Requirements:

1. All rotating residents will be expected to report to the clinic conference room every morning from 8:00 to 9:00 am, Monday through Friday, except Wednesday, for the morning dermatology resident/student lecture. Wednesday report time is 9:00 am
   
   
2. All residents will be assigned to a Dermatology attending or Dermatology resident daily for clinic Monday through Friday. Clinic begins every morning at 9:00 am and every afternoon 1:00 pm.
   Promptness is mandatory. All residents will actively participate in patient care under the direction and supervision of the physician they are assigned to. The rotators bulletin board in the conference room will have the assignment for each resident. The dermatology residents will be in charge of assignments. Scheduling problems should be addressed to them.
   
   

3. All residents are still required to cover their own weekly clinic in their department. Please notify the attending or chief resident prior to leaving.

4. The clinic duty ends at the conclusion of the final patient appointment. Attendings or residents may, however, release rotating residents earlier depending on any given circumstance.

5. Their will be no call requirements for rotating residents.

6. All rotating residents will use Universal precautions when working within the
   Department of Dermatology.

Suggested Textbooks:

Family Practice: Clinical Dermatology: A Color Guide to Diagnosis and Therapy, 4th edition.
Author: Thomas P. Habif

Pediatrics: Clinical Pediatric Dermatology, 2nd edition.
Author: Sidney Hurwitz

Internal Medicine: Skin Signs of Systemic Disease, 3rd edition.
Author: Irwin M. Braverman

For all rotators:
1) Color Atlas of Dermatology, Callen, J.P., Greer, K.E., et.al.
2) Color Atlas and Synopsis of Dermatology, 4th edit., Fitzpatrick, T.B., et.al

Evaluations:

The rotation supervisor will complete the individual's departmental evaluation form at the end of the clinical rotation. Residents will be evaluated based on their performance in clinic and their interaction with patients and staff.

Grievances:

Any rotating resident who may have a complaint or problem that develops during his rotation is encouraged to see the rotation supervisor.