Dermatology Curriculum This version of the curriculum has been modified by the London Specialty School of Paediatrics for use by local trainers. It identifies which competencies will be provided on regional training days, on simulation courses and compulsory training courses as part of the training package. All competencies in black font have been identified as competencies trainees are expected to obtain in their local trusts, by clinical experience or by local teaching programmes. Black – local learning Red – regional training Blue – simulation Green – external courses Level of Training Generic Dermatology Level 1 Knowledge Skills have the knowledge and skills to be able to recognise, investigate and manage common skin complaints be able to describe accurately any rash know about chronic skin rashes know about the cutaneous and mucosal manifestation of systemic disease be aware of the common causes of hair loss and hypertrichosis recognise the serious nature of some skin disorders or their associated conditions and know when to ask for help recognise when to consult Dermatology, Ophthalmology and ENT specialists be able to advise parents about these conditions understand the principles of therapy for skin complaints be aware of the different potencies of topical steroids and of their sideeffects know the indications for and the procedure involved in skin biopsy ** understand the impact of severe dermatological problems on children Level 2 understand the different potencies of topical steroids and of their sideeffects continuing development of level 1 competencies know the common causes of hair loss and hypertrichosis Eczema Level 1 know the common treatments for eczema and be able to manage mild eczema and seborrheic the reasons for treatment failure know the features and management of infected eczema and eczema herpeticum Skin Failure Cutaneous Drug Reactions continuing development of level 1 competencies recognise the features and manage infected eczema and eczema herpeticum Level 1 know the features and management of staphylococcal scalded skin syndrome be able to assess and start initial treatment promptly Level 2 continuing development of level 1 competencies Level 1 know the causal bacteria, features, complications and management of cellulitis including perioribital cellulitis Level 2 continuing development of level 1 competencies Level 1 be aware of the different patterns of drug reaction and of the common precipitants be aware of the different patterns of drug reaction, including the common precipitants and serious drug reactions such as Stevens-Johnson syndrome Erythema Nodosum Erythematous rash and fever be able to advise parents about these conditions Level 2 be aware of the rarer causes of skin failure Skin Infections dermatitis recognise when to consult dermatology and ophthalmology specialities recognise when to consult , Ophthalmology and ENT specialists recognise and be able to treat scabies, pediculoses, and common viral and fungal skin infections be able to assess mucosal involvement in cutaneous drug reactions recognise when to consult Dermatology, and Ophthalmology specialists Level 2 continuing development of level 1 competencies recognise serious drug reactions e.g. StevensJohnson syndrome Level 1 know the causes of erythema nodosum recognise the features which suggest significant pathology Level 2 continuing development of level 1 competencies recognise the features which indicate a particular diagnosis Level 1 know the causes of fever and an erythematous rash with or without desquamation be able to recognise Kawasaki syndrome and to institute appropriate treatment be aware of rare but serious causes of erythematous rash and fever, for example, toxic shock syndrome Level 2 continuing development of level 1 competencies be aware of complications of Kawasaki syndrome and know when to refer, for example, to a cardiologist recognise and initiate management of rare but serious causes e.g. toxic shock syndrome