Transcript Musculoskeletal/Dermatology Clerkship

Musculoskeletal/Dermatology
Clerkship
Mandatory 4th Year Medical Student 4
week Clerkship
Summary of Clerkship
• Integrated approach
– Rheumatology, orthopedics, sports medicine,
physical therapy, dermatology, histopathology,
radiology, self learning
• Enhance basic skills
– Physical diagnosis
– Treatment
– Common musculoskeletal & dermatologic
conditions
Musculoskeletal (MS) Goals
• Conduct total body MS exam to detect overt
abnormal findings
– Articular process
• Emergencies; injuries; inflammatory vs non-inflammatory
– Periarticular process
• Bursitis; tendonitis; etc
– Systemic process
• Osteoporosis; autoimmune; etc
MS Goals (cont)
• Understand common MS terms and use
appropriately
• Recognize and understand the pathophysiology
of major diagnoses
• Acquire a general understanding of the
diagnostic tests used in evaluating MS and
rheumatic conditions
• Become familiar with basic MS radiology
MS Goals (cont)
• Become familiar with first line treatments of the
major diagnoses
• Recognize when referral for
ortho/rheum/sports med/PT is appropriate
Dermatology Goals
• Conduct a total body skin exam & detect
abnormal/suspicious findings
• Gain understanding of commonly used terms
• Recognize most common neoplastic/inflammatory
conditions
• Become familiar with basic histopathology
• Become familiar with first line procedures & treatments
• Know when dermatology referral is indicated
Logistics
• Active learning (70% of time)
– USF PT, USF Sports Med, Ortho Clinics (FOI & Private),
USF Rheum, USF Derm, MS Radiology, Histopathology
• Didactics (10% of time)
– USF PT (Dr. Quillen); USF Sports Med (Dr. Coris); USF
Rheum Conference (weekly); USF Dermatology Conference
(twice weekly)
• Self-Learning (20% of time)
– ACR slide collection, AAD website with slide collection,
Pocket Guide to MS Assessment (with CD-ROM), Rheum &
Derm Primers
Evaluations
• Students
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Computer-based, case-oriented, integrated exam
Honors/Pass/Fail
Top 10% get Honors
Too little personal contact for faculty to evaluate
• Clerkship
– Students evaluate at the end of every clerkship
– Faculty evaluate at the end of academic year