Second Year Goals & Objectives

Adult and Pediatric Clinics (HMC & Nye's Road Clinic)

• Goal: To provide continuity of patient care in a university based out-patient setting that adheres to the principles of service excellence.
• Objectives:
  • Patient care:
    1. Formulate a plan of care prior to presenting to attending dermatologist.
    2. Educate the patient and family.
    3. Develop with increased independence rationale for treatment options.
    4. Demonstrate effective time management skills because of increased patient volume.
  • Medical knowledge:
    1. Develop efficiency in history and physical exam.
    2. Generate differential diagnoses that are clinically relevant.
    3. Display technical proficiency in basic clinical procedures such as: skin biopsies, skin scrapings, comedone extraction.
    4. Appropriately follow and manage patients on high risk medications.
    5. Coordinate clinical and pathologic findings to secure a diagnosis.
    6. Teach medical students and house staff in clinic.
    7. Recruit and organize cases for monthly Grand Rounds meetings.
  • Problem-based learning and improvement:
    1. Weekly review of dermatologic literature and discussion of applicability.
    2. Perform literature searches for complex patients.
    3. Attend monthly clinic meetings to address clinic management issues.
  • Interpersonal and communication skills:
    1. Demonstrate effective interpersonal and communication skills with patients, patients' families, and fellow staff members via phone, email, spoken word, and hand-written notes.
    2. Develop effective leadership skills, especially in relationship to first year residents.
    3. Maintain healthy interactions with support staff that promotes team spirit.
  • Professionalism:
    1. Display respect, truthfulness, and sensitivity to diversity.
    2. Demonstrate sensitivity to psychosocial aspects of patient care.
    3. Focus on the primary agenda in clinic: patient care.
  • Systems-based practice:
    1. Learn the costs and billing procedures associated with medical dermatology.
    2. Work effectively with assistants and colleagues to coordinate comprehensive care.

Dermatologic Surgery

• Goal: To provide an organized educational experience for residents in broad range of dermatologic surgical techniques.
• Objectives:
  • Patient care:
    1. Understand the role of surgical and cosmetic procedures in dermatology as they pertain to the overall care of the patient.
    2. Develop a surgical and procedural plan prior to presenting to attending dermatologists.
    3. Educate patients of risks, benefits and expected outcomes of procedures.
    4. Educate patients regarding post-operative course and ensure appropriate follow-up.
    5. Provide surgical care that is compassionate and effective for the promotion of general health.
  • Medical knowledge:
    1. Demonstrate knowledge of normal skin anatomy.
    2. Become proficient with basic surgical skills: anesthesia, electro surgery, cryosurgery, laser surgery, nail surgery, biopsy techniques, excisional surgery including basic flaps and grafts, sclerotherapy, chemical peels, tissue augmentation, and Botulinum toxin injections.
    3. If career interest is in Procedural Dermatology, including Mohs and Cosmetics, then demonstrate a more advanced scholarly pursuit in these areas (i.e. dedicate academic time to more clinical exposure or develop research projects).
    4. Gain increased familiarity with Mohs micrographic surgery during Mohs rotation.
  • Problem-based learning and improvement:
    1. Appraise and assimilate scientific evidence from current dermatologic surgery and general dermatologic literature.
    2. Analyze knowledge base and technical proficiency in the full range of common dermatologic surgery procedures; identify areas for potential improvement.
  • Interpersonal and communication skills:
    1. Demonstrate effective interpersonal and communication skills with patients, patients' families, and professional associates.
  • Professionalism:
    1. Display respect, truthfulness and sensitivity to diversity.
    2. Adhere to ethical principles.
  • Systems-based practice:
    1. Learn the costs and billing procedures associated with dermatologic surgery.
    2. Work effectively with other surgical colleagues to coordinate comprehensive surgical care.

Dermatopathology

• Goal: To educate residents in the subspecialty of dermatopathology.
• Objectives:
  • Patient care:
    1. Understand the role of dermatopathology in the diagnosis of disease and in the overall care of patients.
    2. Optimize biopsy techniques by selecting appropriate biopsy sites, obtaining adequate tissue depth, and minimizing scarring.
    3. Apply histopathologic findings to clinical care.
  • Medical knowledge:
    1. Become proficient in basic skin histology.
    2. Develop a more thorough understanding of special stains.
    3. Know and interpret direct and indirect immunofluorescence patterns.
    4. Know the different patterns of inflammatory disease.
    5. Know the patterns of common neoplasms.
    6. Know the histology of rarer skin disease.
    7. Generate differential diagnoses based on histological features.
    8. Understand clinical-pathological correlations.
  • Problem-based learning and improvement:
    1. Utilize evidence for dermatopathology literature to interpret both histologic specimens and pathology reports.
  • Interpersonal and communication skills:
    1. Work with dermatopathologists to correlate clinical and pathological findings.
  • Professionalism:
    1. Display respect for patients and dermatopathology colleagues while working for a common goal.
  • Systems-based practice:
    1. Understand the role of dermatopathology in the health care system.
    2. Learn the costs of dermatopathology services.