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1 Medical Student Guide A copy of this file is accessible at: www.dermbridge.co

1 Medical Student Guide A copy of this file is accessible at: www.dermbridge.com 2 Welcome to the Division of Dermatology at UCSD. We are excited that you have chosen Dermatology as your rotation and hope that you will find the field as challenging and satisfying as we do. We strive to provide a training program that can prepare our students to recognize and describe standard dermatological disorders, recognize dermatological emergencies, and know when to refer a patient to dermatology throughout his/her medical career. In order to achieve this goal we have created a training program that provides students with extensive experience in clinical dermatology, both adult and pediatric. Students will also be exposed to dermatologic surgery. This handbook has been developed to provide you with an introduction to the field of dermatology. We have included introductions to our UCSD Dermatology Faculty, information on fundamental descriptive nomenclature, and useful educational websites. Students are required to understand and complete the American Academy of Dermatology Medical Student Curriculum (clinical portions). Information useful for preparation for the USMLE is also included. We hope you will find this guide useful. Fern P. Nelson, M.D., Director of Medical Student Education (Med Course 428) Lawrence Eichenfield, M.D., Director of Pathophysiology of the Skin Course Sharon E. Jacob, M.D., Residency Program - Associate Director Terrance O’Grady, M.D. Residency Program-Director Richard L. Gallo, M.D. Chief, Division of Dermatology 3 Table of Contents: Important Numbers……………………………………………………...4 Other Information………………….……………………………………5 Sample Rotation Schedule…………………………………..….……...6 Web references ………………………………………….....................7 Faculty Members…………………………………............................8-9 Medical Spanish……………………………..……………………. 10-11 Descriptions of Skin Lesions……………………………….………...12 Primary Lesion Chart……………………………………….…….13-14 Secondary Lesion Chart……………………………………….….14-15 Special Lesions……………………………………………..…………..16 AAD Core Curriculum………………………………………..……….17 Acne Vulgaris, Folliculitis, Acne Rosacea………………...……17-19 Actinic Keratosis and Non-Melanoma Skin Cancer……..…….19-22 Pigmented Lesions…………………………..……………………..23-26 Common Benign Cutaneous Growths……………………...……26-25 Dermatitis………………………………………..………………….25-29 Pruritus and Xerosis………………………….….………………..29-30 Psoriasis……………………………………………………….……30-32 Impetigo and Cellulitis………….……………………….………..32-35 Syphilis………………………………………..….………………….35-37 Viral Infections………………………………..……………………37-40 Pityriasis Versicolor and Candidiasis…………………….…….40-45 Tinea (Dermatophyte) Infections…………………………..…….45-49 Parasitic Infestations………………………………………….…..49-51 Urticaria and Drug Eruptions……………………….…………..51-53 Leg Ulcers…………………………………………….……………….53 Skin Signs of Systemic Disease……………………..…………….53-58 Skin Signs of HIV Infection………………………………….……58-60 Bedside Diagnostic Testing…………………………………..…..60-62 Questions………………………………………………..…………..62-75 Dermatology as an Advanced Residency Program……………76-78 Student Guide notes for applying to dermatology………… ....79-81 Dermatology Program information ……………………………82-89 4 UCSD Dermatology provides the highest quality of care to patients suffering with a variety of diseases of the skin, hair and nails. Outpatient Dermatology Clinics are located: 1. Ambulatory Care Centers in Hillcrest 2. Perlman Ambulatory Care Center in La Jolla 3. Veterans Administration Hospital in La Jolla 4. Children‟s Hospital Residents and attending physicians provide treatment to patients with common, as well as complex dermatologic conditions in all locations. Services include:  Dermatologic medicine: treatment of diseases of the skin, hair & nails  Dermatologic surgery: excisional, including Mohs Micrographic  Dermatologic Allergy testing: photo & patch  Cosmetic Dermatology, including Botox, filler injections & lasers  Dermatopathology  Pediatric Dermatology Dermatology Department UCSD Hillcrest Mail Code #8420 200 W. Arbor Drive CTF-C 216 San Diego, CA 92103 Interpreter Services Phone: 619.543.5730 5 UCSD Dermatology aims to provide the highest quality of education: Med 428, Course Description and requirements: Students will participate in outpatient dermatology clinics at UCSD Hillcrest, the Veterans Administration San Diego, and Children's Hospital, with duties including patient interviews, case presentations to resident and attending dermatologists as well as standard documentation of the patient visit. Students will learn biopsy techniques and assist in surgical procedures. Students attend weekly lectures and conferences at UCSD Hillcrest and the Naval Medical Center. Each student will give two 10-minute power point presentations on a chosen topic at and will be expected to provide oral and/or written materials as requested throughout the rotation. Pathophysiology of the Skin. This innovative 2nd year UCSD medical student elective course designed by Drs. Andrew Krakowski and Lawrence Eichenfield is open to 20 to 40 students. The inaugural course starts January 3rd, 2008 and meets every Thursday afternoon from 1-4 pm. This course consists of a lecture series by dermatology faculty. A hands-on interactive "mole check" session will follow the lectures on nevi and melanoma. An interactive session- field trip to the San Diego Zoo is included for the purpose of exploring the descriptions of animal’s skin and foliage, using standard dermatologic nomenclature. The UCSD Dermatology Interest Group (DIG) has formed to provide students with the opportunity to be exposed to the field of dermatololgy early on in their education. This group provides education, research, outreach and mentoring opportunities and encourages students to make connections with faculty members in the department. The group is advised by dermatologist Dr. Sharon Jacob and is not limited to students interested in dermatology - as all UCSD medical students are welcome to attend the organizational meetings, educational programs and activities to learn more about our specialty and its applications. UCSD-DIG is a new chapter of the parent organization DIGA (http://www.derminterest.org/updates.htm) and provides the UCSD medical students with leadership opportunities both on campus and at regional/national levels. 6 Rotating Medical Student Dermatology Schedule Monday Tuesday Wednesday Thursday Friday AM 8 AM (7:50AM on 1st day of rotation) UCSD Clinic ACC, Hillcrest Medical Center 3rd Floor One session (after week 1) may be at Pediatric Dermatology Clinic/Children’s 8010 Frost Street 6th Floor One session (after week 1) may be at Mohs Surgery UCSD ACC 3rd Floor 8 AM (7:50AM on 1st week of rotation) VA Clinic Area 1B Drs. Gallo & Romero 7:45 – 9:00 AM Lecture – Dr. Nelson VA Area 4 9-12 VA Area 4 Clinic Drs. Maier & Jacob 8:30 AM Grand Rounds UCSD ACC 3rd Floor OR Navy Hospital Bldg 2, 3rd Floor Dermatology See schedule at: http://plus.calendar s.net/ucsdderm 8AM UCSD Clinic ACC Hillcrest Medical Center 3rd Floor PM 1:00 PM --Two students with Dr. Jacob at the VA. --One student may be at Children‟s Pediatric Dermatology Clinic/Children’s 8010 Frost Street 6th Floor --Rotate locations each week 1:30 PM UCSD Clinic ACC 3rd Floor 12:30 PM VA Surgery Clinic Area 4 1 PM One student One student may be at Children‟s Pediatric Dermatology Clinic/Children’s 8010 Frost Street 6th Floor ---Independent study 1PM VA Clinic Area 1B Drs. Nelson & Jacob 7 Web References: http://medicine.ucsd.edu/derm/education/medicalstudents.htm http://plus.calendars.net/ucsdderm http://www.childrensspecialists.com/body.cfm?id=21&action=detail&ref=3 http://www.aad.org/professionals/Residents/MedStudCoreCurr http://www.emedicine.com/derm/index.shtml http://www.doctorfungus.org/imageban/ib_res2.pl http://www.buddycom.com/bacteria/gnr/gnrenter.html http://www.dermis.net/doia/mainmenu.asp?zugr=d&lang=d http://dermatlas.med.jhmi.edu/derm/ www.dermnet.org, http://fm.mednet.ucla.edu/derm2/ http://www.lumen.luc.edu/lumen/MedEd/medicine/dermatology/melton/atlas. htm http://www.globalrph.com/dermatology.htm http://www.pathmax.com/dermlink.html 8 University of California San Diego School of Medicine, Division of Dermatology Faculty Members: Victoria Barrio, M.D. Clinical Assistant Professor, Departments of Pediatrics and Medicine Rady Children’s Hospital Areas of Interest: pediatric dermatology Bari B. Cunningham, M.D. Associate Clinical Professor, Departments of Pediatrics and Medicine Director, Dermatologic Surgery and Phototherapy; Rady Children’s Hospital San Diego Areas of Interest: pediatric dermatology Anna Di Nardo, MD PhD Assistant Professor, Department of Medicine Areas of Interest: Mast cells and innate skin immunity; High risk pigmented lesion clinic (Moore Cancer Center) Lawrence Eichenfield, M.D. Professor, Departments of Pediatrics and Medicine Chief, Pediatric and Adolescent Dermatology; Rady Children’s Hospital Areas of Interest: pediatric dermatology Magdalene Dohil, M.D. Assistant Professor, Departments of Pediatrics and Medicine; Rady Children’s Hospital Areas of Interest: pediatric dermatology Sheila Fallon Friedlander, M.D. Clinical Professor, Departments of Pediatrics and Medicine; Rady Children’s Hospital Areas of Interest: pediatric dermatology Richard Gallo, M.D., PhD Professor, Departments of Medicine and Pediatrics; Chief, Division of Dermatology; Chief, Veterans Administration Medical Center Dermatologic Research Areas of Interest: Innate immune defense systems of the skin Tissa Hata, M.D. Associate Professor, Department of Medicine Director of Clinics and Clinical Research Areas of Interest: Clinical dermatology, research Wendy Havran, PhD Professor, Department of Immunology, The Scripps Research Institute Skin T cell functions Chun-Ming (Eric) Huang, PhD Associate Professor, Division of Dermatology Proteomics; Acne vaccine development 9 Sharon E. Jacob, M.D. Assistant Professor, Department of Medicine Associate Director, Dermatology Residency Program Areas of Interest: medical education & T cell mediated inflammatory disorders (atopic & contact dermatitis, psoriasis) Colin Jamora, PhD Assistant Professor, Department of Biology (Cell and Developmental Biology); Adjunct Assistant Professor, Department of Medicine (Dermatology) Areas of Interest: epidermal homeostasis and regeneration; hair follicle morphogenesis S. Brian Jiang, M.D. Associate Clinical Professor of Medicine (Dermatology) Director of Dermatologic Surgery Areas of Interest: Laser & Mohs surgery Lisa Maier, M.D. Assistant Clinical Professor Department of Medicine (Dermatology) Areas of Interest: Acne Fern Nelson, M.D. Associate Clinical Professor Department of Medicine (Dermatology), VAMC Areas of Interest: Medical Student Education; Medical Dermatology Terence O’Grady, M.D. Clinical Professor of Medicine (Dermatology) and Pathology Director, Dermatology Residency Training Program Areas of Interest: Dermatopathology, Resident Medical Education Laura Romero, M.D. Assistant Professor and Clinical Director, Veterans Hospital San Diego Areas of Interest: Dermatopathology Richard Schweitzer, M.D. Clinical Attending Professor;Department of Medicine (Dermatology), VAMC Areas of Interest: Cutaneous manifestations of systemic diseases Daniel W. Shaw, M.D. Associate Clinical Professor, Department of Medicine (Dermatology) Director, Contact Dermatitis Clinic Areas of Interest: Contact Dermatitis Benjamin D. Yu, M.D., Ph.D. Assistant Professor, Department of Medicine (Dermatology) Areas of Interest: Genetic research 10 Medical Spanish: Good morning/ afternoon Buenos días/tardes. What is your name? ¿Cómo se llama? Do you speak English? ¿Habla inglés? Do you have medical problems? ¿Tiene problemas de medicino? Does it hurt? ¿Le duele? Abscess Absceso Allergies Alergias Benign Benigno Big Grande Biopsy Biopsia Black Negro Blister Ampolla Blue Azul Brown Café Bumps Protuberancia Burn Ardor Cancer Cáncer Chicken uploads/Sante/ dermatology-guide.pdf