Objectives
By the end of Family Medicine Clerkship, students will be able to:
1. Recognize acute life-threatening dermatologic conditions.
2. Recognize lesions that are at greater risk for malignancy using the ABCDE framework.
3. Describe morphology of skin lesions.
4. Identify and propose management plans for the following common skin conditions:
a. Infections – viral (e.g,. herpes, exanthems, warts), bacterial (e.g. impetigo, cellulitis), fungal (e.g. tinea, candida), parasitic (e.g. lice, scabies, bites)
b. Dermatitis (irritant/contact, atopic)
c. Psoriasis
d. Acne
5. Counsel patients about sun/UV skin safety.
Clinical Cards
References
Recommended Resources Addressing the Objectives
The generalized rash: part I. Differential diagnosis. (8 pages)
Objectives covered: 1, 4abc
http://www.aafp.org/afp/2010/0315/p726.html
Ely JW, Seabury Stone M. The generalized rash: part I. Differential diagnosis. Am Fam Physician 2010 Mar 15;81(6):726-734.
PMID: 20229971
The Generalized Rash: Part II. Diagnostic Approach
Objectives covered: 1,3,4abc
http://www.aafp.org/afp/2010/0315/p735.html
Ely JW, Seabury Stone M. The generalized rash: part II. Diagnostic approach. Am Fam Physician 2010 Mar 15;81(6):735-739.
PMID: 20229972
Cutaneous malignant melanoma: a primary care perspective. (7 pages)
Objectives covered: 1, 2
http://www.aafp.org/afp/2012/0115/p161.pdf
Shenenberger DW. Cutaneous malignant melanoma: a primary care perspective. Am Fam Physician 2012 Jan 15;85(2):161-168.
PMID: 22335216
Sun-protective behaviors in populations at high risk for skin cancer (8 pages)
Objectives covered: 1, 5
http://www.dovepress.com/sun-protective-behaviors-in-populations-at-high-risk-for-skin-cancer-peer-reviewed-article-PRBM
Diao DY, Lee TK. Sun-protective behaviors in populations at high risk for skin cancer. Psychol Res Behav Manag 2013 Dec 20;7:9-18.
PMID: 24379732
Diagnosis and Treatment of Acne (7 pages)
Objectives covered: 4d
http://www.aafp.org/afp/2012/1015/p734.pdf
Titus S, Hodge J. Diagnosis and treatment of acne. Am Fam Physician 2012 Oct 15;86(8):734-740.
PMID: 23062156
Teaching non-dermatologists to examine the skin: a review of the literature and some recommendations. (5 pages)
Objectives covered: 3
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.1995.tb05017.x/abstract
Ashton RE. Teaching non-dermatologists to examine the skin: a review of the literature and some recommendations. Br J Dermatol 1995 Feb;132(2):221-225.
PMID: 7888358
Foundational Knowledge
The Calgary Guide – Dermatology section: explains the pathogenesis of various skin disorders (i.e. acne)
Additional Resources
Patient information for malignant melanoma