Skin and Veneral Diseases Our mission is to provide patient care, perform basic and clinical research in dermatology and to conduct training program for residents and students. The Clinic consists of the ward and following outpatient clinics: Basic Dermatology, Photobiology, Cutaneous Lymphomas, Bullous Diseases, Connective Tissue Diseases and Disorders of Pigmentation. We have also modern laboratories: Dermatopathology, Immunodermatology, Molecular Biology of the Skin and Ultrasonography of the Skin. Our students are engaged in the daily routine in ward and diagnostic laboratories as well as in outpatient clinics. Scientific investigation are mainly focused on disorders of pigmentation and skin neoplasms. The main objectives of the education is providing the essential theoretical knowledge and practical skills corresponding to the standards adopted in European Union in the field of skin and venereal diseases in general practice. Teachers: dr hab. n. med. Rafał Czajkowski dr n. med. Dariusz Grzanka dr n. med. Luiza Marek-Józefowicz dr n. med. Marek Jankowski lek. med. Ewa Stypczyńska lek med. Czanita Cieścińska lek. med. Sebastian Kaszewski mgr. Tadeusz Tadrowski Contact: kikderm@cm.umk.pl Syllabus I. Course name: Skin and Veneral Diseases / Choroby skórne i weneryczne II. Name of the Unit offering the course: Chair and Clinic of Dermatology, Sexually Transmitted Diseases and Immunodermatology III. Course offered to: English Division Medical program, 4th year IV. Course code: 1655-LE4CHSW-J V. Erasmus code: ? VI. ECTS credits: 5 ECTS points VII. Assessment: written exam test and practical skills examination VIII. Language of tuition: English IX. Repeated assessment : no X. Group of courses: ? XI. Study time: 30h of lectures, 60h of practical training XII. Results of tuition – knowledge: knowledge of the anatomy and physiology of the skin and genitals. Knowledge of etiology, epidemiology, symptoms, differential diagnostics and treatment of the common dermatological disorders including viral, bacterial, fungal and parasitis skin infections; sebaceous glands disorders; psoriasis; allergic skin diseases ; leg ulcers; lichen planus ; erythematous diseases; autoimmune bullous diseases and connective tissue diseases; granulomatoid disorders, tumors of the skin Knowledge of etiology, epidemiology, symptoms, differential diagnostics and treatment of the most common sexually transmitted diseases Results of tuition – practical skills: ability to take medical history, to perform dermatological XIII. examinations and to differentiate skin lesions; ability to plan diagnostic procedures (bacteriological, serological, mycologic, histologic and immunohistochemic) and proper interpretation of results; ability to plan the systemic treatment (dose selection, monitoring of the treatment) and topical treatment including contraindications ability to qualify and determine the dose (UVA, UVB, UVB 311) in irradiated patients; ability to assess dermoscopy images XIV. Results of tuition – social skills: ability to communicate withthe patient with regard to medical history taking; ability to to communicate with the patient with regard to sexual health issues XV. Teaching methods: lectures, medical rounds, patient examination, case discussion XVI. Prerequisites: passed exam and good command of Anatomy, Histology and Genetics XVII. Abbreviated course description: The main aim of the course is to provide the essential theoretical knowledge and practical skills corresponding to the standards adopted in European Union in the field of skin and venereal diseases in general practice XVIII. Full course description: Lectures topics: Basic skin lesions - Semiotics of skin diseases Viral skin infections Fungal skin infections Parasitic skin infestation Bacterial skin diseases Sebaceous glands disorders Psoriasis Allergic skin diseases Leg ulcers Lichen planus Erythematous diseases Bullous diseases Connective tissue diseases Tuberculosis and sarcoidosis Benign tumors of the skin Premalignancies and malignant tumors of the skin Syphilis Other sexually transmitted diseases Skin symptoms in AIDS Practical training topics: Dermatological examination of the patient with the differentiation of skin lesions Dermoscopy procedure and examination of nevi Skin tests in dermatological practice Phototherapy in dermatology Basic immunological diagnosis of the skin Mycology and trichology Laboratory tests in venereal diseases Histopathological examination of skin samples Self study topics: Ability to take patient medical history Preparation a patient medical history XIX. Booklist: Thieme Clinical Companions. Dermatology. Wolfram Sterry, Walter Burgdorf, Ralf Paus; Thieme 2006. Fitzpatrick's Color Atlas and Synopsis of Dermatology, 6th edition, Klaus Wollf, Richard Allen Johnson, McGraw-Hill Braun-Falcos Dermatology 3rd edition 2008, Walter Burgdorf; Springer Verlag XX. Assessment criteria: according to the attached Practical Skills Card 'Skin and venereal diseases' compliance with Occupational Health and Safety regulations Final term to receive positive grade of non-passed tests is one day before the end of training. Absence from training (for explicable reasons) student may make up with the next group after consultation with Head of Unit, assistant professor or assistant. Evaluation of patient medical history takes place during the training. Evaluation of medical history at a later date (after the end of training) is impossible. The examination of the subject of skin and venereal diseases consist of practical and final theoretical (test) exams. Students take a practical exam on the last day of the training. Examiner might be Head of Unit, assistant professor or assistant. Students with average grade = 5.0 (tests, practical exam) are eligible to take final theoretical exam as a “pre-term exam” (term zero). “Pre-term exam” (oral exam) is made during the practical exam or during the first week after the end of training in skin and venereal diseases. Other students take a first term of final test exam at a date consulted with Head of Unit According to the regulations, by the end of re-sit examination session, student must pass a theoretical exam and this might be noted in personal student’s index. General and detailed regulations of Occupational Health and Safety (OHS) required for the teaching process in the unit. On the first day of the training students are informed about regulations of OHS. Emergency exit is presented to students. This is mandatory that student must comply with OHS regulation students are required to use protective clothing such as aprons and footwear and disposable gloves (when performing diagnostic and therapeutic procedures). Training taking place in patient’s rooms, and specialized labs: Dermoscopy, Phototherapy, Immunology, Mycology, Venerology and Histopatology. Safety instruction and manual of diagnostic equipment which is in the lab rooms is given to students during the training. XXI. Internship required: no Name/Surname of student: …………………………………………..………………... The year of study; group: ……………….. Academic year: ……………….. type of practical skills Test I (anatomy and physiology of the skin and genitals) Test II Dermatology - primary and secondary skin lesions; bacterial, viral, parasitic and fungal skin infections Ability to take medical history, to perform dermatological examinations and to differentiate skin lesions. Test III Dermatology - selected diseases of the skin 1. 2. 3. 4. Test IV The ability to plan diagnostic procedures (bacteriological, serological, mycologic, histologic and immunohistochemic) and proper interpretation of results. The ability to plan the systemic treatment (dose selection, monitoring of the treatment) and topical treatment including contraindications. The ability to qualify and determine the dose (UVA, UVB, UVB 311) irradiated patients. The ability to assess dermoscopy images Venerology - the most common sexually transmitted diseases The ability to perform diagnostic and therapeutic procedures in selected sexually transmitted diseases. Medical History Average grade (tests) PRACTICAL EXAM THEORETICAL TEST EXAM date of completing confirmation by a person qualified grade Rules and regulations Final term to receive positive grade of non-passed tests is one day before the end of training. Absence from training (for explicable reasons) student may make up with the next group after consultation with Head of Unit, assistant professor or assistant. Evaluation of patient medical history takes place during the training. Evaluation of medical history at a later date (after the end of training) is impossible. The examination of the subject of skin and venereal diseases consist of practical and final theoretical (test) exams. Students take a practical exam on the last day of the training. Examiner might be Head of Unit, assistant professor or assistant. Students with average grade = 5.0 (tests, practical exam) are eligible to take final theoretical exam as a “pre-term exam” (term zero). “Pre-term exam” (oral exam) is made during the practical exam or during the first week after the end of training in skin and venereal diseases. Other students take a first term of final test exam at a date consulted with Head of Unit According to the regulations, by the end of re-sit examination session, student must pass a theoretical exam and this might be noted in personal student’s index. General and detailed regulations of Occupational Health and Safety (OHS) required for the teaching process in the unit: On the first day of the training students are informed about regulations of OHS. Emergency exit is presented to students. This is mandatory that student must comply with OHS regulations. Students are required to use protective clothing such as aprons and footwear and disposable gloves (when performing diagnostic and therapeutic procedures). Training taking place in patient’s rooms, and specialized labs: Dermoscopy, Phototherapy, Immunology, Mycology and Venerology. Safety using and manual instruction of diagnostic equipment which is in the lab rooms is given to students during the training.