Musculoskeletal/Musculoskeletal/Dermatology ClerkshipDermatology Clerkship

Mandatory 4Mandatory 4thth Year Medical Year Medical Student 4 week ClerkshipStudent 4 week Clerkship

Summary of ClerkshipSummary of Clerkship

• Integrated approachIntegrated approach– Rheumatology, orthopedics, sports Rheumatology, orthopedics, sports

medicine, physical therapy, dermatology, medicine, physical therapy, dermatology, histopathology, radiology, self learninghistopathology, radiology, self learning

• Enhance basic skillsEnhance basic skills– Physical diagnosisPhysical diagnosis– TreatmentTreatment– Common musculoskeletal & Common musculoskeletal &

dermatologic conditionsdermatologic conditions

Musculoskeletal (MS) Musculoskeletal (MS) GoalsGoals

• Conduct total body MS exam to Conduct total body MS exam to detect overt abnormal findingsdetect overt abnormal findings– Articular processArticular process

• Emergencies; injuries; inflammatory vs non-Emergencies; injuries; inflammatory vs non-inflammatoryinflammatory

– Periarticular processPeriarticular process• Bursitis; tendonitis; etcBursitis; tendonitis; etc

– Systemic processSystemic process• Osteoporosis; autoimmune; etcOsteoporosis; autoimmune; etc

MS Goals (cont)MS Goals (cont)

• Understand common MS terms and use Understand common MS terms and use appropriatelyappropriately

• Recognize and understand the Recognize and understand the pathophysiology of major diagnosespathophysiology of major diagnoses

• Acquire a general understanding of the Acquire a general understanding of the diagnostic tests used in evaluating MS diagnostic tests used in evaluating MS and rheumatic conditionsand rheumatic conditions

• Become familiar with basic MS Become familiar with basic MS radiology radiology

MS Goals (cont)MS Goals (cont)

• Become familiar with first line Become familiar with first line treatments of the major diagnosestreatments of the major diagnoses

• Recognize when referral for Recognize when referral for ortho/rheum/sports med/PT is ortho/rheum/sports med/PT is appropriateappropriate

Dermatology GoalsDermatology Goals

• Conduct a total body skin exam & detect Conduct a total body skin exam & detect abnormal/suspicious findingsabnormal/suspicious findings

• Gain understanding of commonly used termsGain understanding of commonly used terms• Recognize most common Recognize most common

neoplastic/inflammatory conditionsneoplastic/inflammatory conditions• Become familiar with basic histopathologyBecome familiar with basic histopathology• Become familiar with first line procedures & Become familiar with first line procedures &

treatmentstreatments• Know when dermatology referral is indicated Know when dermatology referral is indicated

LogisticsLogistics

• Active learning (70% of time)Active learning (70% of time)– USF PT, USF Sports Med, Ortho Clinics (FOI USF PT, USF Sports Med, Ortho Clinics (FOI

& Private), USF Rheum, USF Derm, MS & Private), USF Rheum, USF Derm, MS Radiology, HistopathologyRadiology, Histopathology

• Didactics (10% of time)Didactics (10% of time)– USF PT (Dr. Quillen); USF Sports Med (Dr. USF PT (Dr. Quillen); USF Sports Med (Dr.

Coris); USF Rheum Conference (weekly); USF Coris); USF Rheum Conference (weekly); USF Dermatology Conference (twice weekly)Dermatology Conference (twice weekly)

• Self-Learning (20% of time)Self-Learning (20% of time)– ACR slide collection, AAD website with slide ACR slide collection, AAD website with slide

collection, Pocket Guide to MS Assessment collection, Pocket Guide to MS Assessment (with CD-ROM), Rheum & Derm Primers(with CD-ROM), Rheum & Derm Primers

EvaluationsEvaluations

• StudentsStudents– Computer-based, case-oriented, integrated Computer-based, case-oriented, integrated

examexam– Honors/Pass/FailHonors/Pass/Fail– Top 10% get HonorsTop 10% get Honors– Too little personal contact for faculty to Too little personal contact for faculty to

evaluateevaluate

• ClerkshipClerkship– Students evaluate at the end of every clerkshipStudents evaluate at the end of every clerkship– Faculty evaluate at the end of academic yearFaculty evaluate at the end of academic year