Dermatology and Venereology

Code:

MI406

Acronym:

MI406

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2014/2015 - SP

Active?	Yes
Responsible unit:	Department of Medicine
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	343	Mestrado Integrado em Medicina 2007	4	-	3,5	38	94,5
		Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	4	-	3,5	38	94,5

Teaching language

Portuguese

Objectives

To teach the scientific fundamentals of the cutaneous clinical semiology and of the main skin disorders focusing on infeccious diseases, neoplasms, cutaneous signs of systemic diseases or syndromes and on the precursors lesions of skin malignant tumors.
Basic and advanced principles of clinical examination, approach to the study of skin disorders and of the medical and surgical therapeutic options in the field of Dermatology.

Learning outcomes and competences

Acquiring knowledge of the clinical pictures, physiopathological mechanisms and principles of therapy for common and/or serious diseases in the field of Dermatology and Venereology.

Training in the observation of the patient focusing on the phototype, general features of integument, mucous membranes, hair and body hair distribution and nails. The morphological examination of the skin lesions considering their type, shape, arrangement and integument distribution will be particularly emphasized as well the recognition of important semiologic signs of skin disease.

Ability to rank the principles of medical decision for a timely medical intervention and referral.

Notions of dermatologic therapeutics, namely topical medications, types of formulations and vehicles (cream, ointment, paste, powder, lotion, solution, suspension, gel, tincture, collodion and aerosol), their effects and indications according to the skin condition, its location, spectrum of inflammation and age of the patient.

Acknowledge of the principles sustaining the prescription of the topical and systemic medications most useful in the treatment of cutaneous disorders, such as costicosteroids, retinoids, antihistamines, vitamin D3 analogs, topical calcineurin inhibitors, cyclosporine, methrotrexate, biologics (monoclonal antibodies and protein fusion molecules), among others. Observation of the main surgical procedures, diagnostic techniques and other therapeutic modalities in Dermatology such as classic surgery, biopsy (punch, shave and excision), curettage, electrosurgery, cryosurgery, laser and intense pulsed light, patch and photopatch testing, prick tests, digital dermoscopy, Tzanck smear, Wood’s lamp examination, diascopy, scraping for fungal detection, histopathological assessment and phototherapy.

Capacity to integrate a team of dermatologists in the outpatient consultation, inpatient ward or surgical unit.

Working method

Presencial

Program

Programme of the theoretical lectures: Dermatological semiology; Bacterial infections of skin and soft tissues; Superficial fungal infections; Viral infections of the skin; Sexually transmitted diseases; Skin manifestations of HIV infection; Tumors and neoplasms of the skin (benign, precancerous lesions and malignant); Cutaneous manifestations of systemic diseases (autoimmune, connective tissue disorders, metastatic skin disease and paraneoplastic skin syndromes); Eczema, urticaria and Psoriasis; Atopic and seborrheic dermatitis.
Seminars: Acne variants and acneiform eruptions; Classification, pathophysiology, clinical presentation and treatment options. Parasitic skin infections; Clinical presentation and treatment of human scabies and pediculosis.
Practical lessons: the practical lessons have the main goal of providing a contact with the outpatient environment that is the main stream of care in Dermatology. A basic training and observation of the patient clinical assessment focusing on the phototype, general features of integument, mucous membranes, hair scalp and body hair distribution and nails will be the main focus. The morphological examination of the skin lesions considering their type, shape, arrangement and integument distribution will be particularly emphasised. Principles sustaining the prescription of the topical and systemic medications most useful in the treatment of cutaneous disorders, such as costicosteroids, retinoids, antihistamines, vitamin D3 analogs, topical calcineurin inhibitors, cyclosporine, methrotrexate and biologics (monoclonal antibodies and protein fusion molecules), among others.
Notions of dermatologic therapeutics, namely topical medications, types of formulations and vehicles (cream, ointment, paste, powder, lotion, solution, suspension, gel, tincture, collodion and aerosol), their effects and indications according to the skin condition, its location, spectrum of inflammation and age of the patient. Selected synthetic wound dressings (hydrocellular, hydrogel, hydrocolloid, hydrofiber, activated charcoal silver, alginate, silicone, Unna’s boot, protease-modulating, activated polyacrylate) and their formal indications, in particular in the setting of leg ulcers.
Explanation of the main surgical procedures, diagnostic techniques and other therapeutic modalities in Dermatology such as classic surgery, biopsy (punch, shave and excision), curettage, electrosurgery, cryosurgery, laser and intense pulsed light, patch and photopatch testing, prick tests, digital dermoscopy, Tzanck smear, Wood’s lamp examination, diascopy, scraping for fungal detection, histopathological assessment and phototherapy by PUVA and narrow band UVB.
Hospitalization for severe or extensive skin diseases as an important therapeutic option for adequate skin care, ancillary investigation and improvement of quality of life. Inpatient physical examination and history-taking techniques.

Mandatory literature

Goldsmith LA, Katz SI, Gillerest BA, Paller A, Leffell D, Wolff K; Fitzpatrick´s Dermatology in General Medicine , McGraw Hill Professional, 2012
Wolff K, Johnson RA; Fitzpatrick´s Color Atlas and Synopsis of Clinical Dermatology, 6ª ed, McGraw Hill Professional, 2009
Bolognia JL, Jorizzo JL, Schaffer JV; Dermatology- 3rd Edition, Saunders, 2012

Complementary Bibliography

duVivier A; Atlas of Clinical Dermatology – 4th Edition, Saunders, 2012
Centers for Disease Control and Prevention; Sexually Transmitted Diseases Treatment Guidelines, 2012

Teaching methods and learning activities

Theoretical lessons, seminars and practical lessons in the outpatient department of Dermatology.
Observation and discussion of archived images of clinical cases in Dermatology

keywords

Health sciences > Medical sciences > Medicine > Dermatology

Evaluation Type

Evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	100,00
Total:	100,00

Eligibility for exams

The main assessment of the acquired knowledge is made by a final theoretical test consisting of 20 multiple-choice questions (17 points of a total of 20) and one essay-question (3 points). All students that fulfill the minimal attendance of 75% of all active learning sessions are eligible to the theoretical test in accordance with the requirements in force by the Pedagogic Council of the Faculty.
In addition a 0.85 point bonus will be added to the final mark for those students that simultaneously fulfill the following criteria: a) a minimal assiduity of 80% for theoretical lessions; b) a minimal assiduity of 80% for all learning sessions, including both seminars; c)a score of at least 70% on the practical exam (5 correct answers in 6 questions); d) a score in the theoretical test between 8.5 and 18.5; e) theoretical test in the week where the student attended all the active learning sessions. The practical exam consists in the direct identification of pictures related to dermatological themes covered on the lectures and will take place on the second week of the course, preceding the theoretical exam. An oral exam is possible for the students with a final score between 8.5 and 9.4 and is always compulsory for scores greater than or equal to 19.5.

Calculation formula of final grade

Theoretical exam + bonus, except for some above mentioned conditions

Examinations or Special Assignments

Practical exam of dermatological themes for obtaining the bonus

Observations

SUPPLEMENTARY BIBLIOGRAPHY
Support articles and slides supplied by teachers.
Concepts of AlertStudent (www.alert-student.com).