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Skin Rejuvenation: An undergraduate Dermatology curriculum for multiple sites.
Jay Vary, MD PhDAssistant Professor
Division of DermatologyVAPSHCS and UWMC
I have no financial conflicts
DTEGAPD Chicago
9/25/2015
Challenge: Design a curriculum that:
1—Can be multisite
2—Uses identical curriculum in all sites
3—Does not require a specialist
• 6 clinical sites• 3 timezones• >25% of the land
mass of the US
Educational strategyFlipped Classroom model
Out of class preparation:Written syllabus chaptersVodcasts summaries
Educational strategyFlipped Classroom model
Out of class preparation:Written syllabus chaptersVodcasts summaries
In class activities:9/12 sessions are Case Based TBL 3/12 small group sessions
Powerpoint with a Facilitator’s guide
Designed for TBL, so most sessions are scalable from 5‐100 students.
Design
*Immunology and Microbiology of the skin are not included as the course is integrated with these topics
Histology—didactics & labCase study
Case study
Case study
Structure & Function
Epidermis
BMZ
Appendages
Ichthyoses, Psoriasis, Eczema, staph scalded
, p y ,Pemphigus, pemphigoid, staph scalded
skin, epidermolysis bullosa,
yp , p yAcne, hidradenitis, alopecia,
Hyperhidrosis, pitted keratolysis
Hour 1
Hour 2
Hour 3
Hour 4
Day 1
Small group
Small group
Small group
Case study
Full Skin Exam & Morphology
,Topical Medications, vehicles, side effects
Itchy skin Tinea, Scabies, DDx
Clinicopathologic correlation
Hour 1
Hour 2
Hour 3
Hour 4
Day 2
Case study
Case study
Case study
Large group?
Pigmentation
Skin Cancer
Tumor Immunology
y , gGenetic hypopigmentation, dermal
melanocytosis, vitiligo
BCC, SCC, Melanoma
melanoma
Photobiology Photodamage, Sunburn, XP, Vit D
Hour 1
Hour 2
Hour 3
Hour 4
Day 3
RWJFmodule
Requires Dermatologist
RWJFmodule
New Curriculum:
• Requires an “expert” dermatologist for only 1 hour this year.
• Is modular and portable and contains all the materials needed to be given at any site.
• Will serve as a scaffold for future refinement and possibly broader use.
