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
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