Goal Statement

Dermatology Rotation For Medical Students

Goal Statement

We welcome you to Dermatology, which is not a medical subspecialty. In addition, it is one that sees both children and adults. It is a dynamic and academically rigorous primary specialty involving the recognition and management of disorders of skin, accessible mucosal surfaces, and adnexal structures. The rotating medical student should learn how to examine the skin, how to describe cutaneous findings, and how to recognize common skin disorders. The diagnosis and pathophysiology of common skin diseases will be emphasized. We hope to provide you an educationally rewarding and enjoyable experience.

Course Director:
Robert A. Schwartz MD, MPH, FACP

Professor & Head, Dermatology

Professor of Medicine

Professor of Pediatrics

Professor of Pathology

Professor of Preventive Medicine and Community Health

New Jersey Medical School

Locations/Schedule

The medical student will be assigned to the integrated New Jersey Medical School dermatology program based at New Jersey Medical School—University Hospital in Newark and at the East Orange VA Health System

Schedule: Monday NJMS or VA Clinic, Tues VA Clinic, Wed NJMS or VA, Thurs VA, Friday NJMS or VA. Clinics begin at 9 AM at NJMS and 8 am at the VA Hospital. Attendance at Dermatology Grand Rounds on select Mondays at 12:30 at NJMS MSB C-555 is required. Students are on dermatology until 4 PM each day, seeing consults, reading, and otherwise learning dermatology.

NJMS University Hospital

Dermatology Clinics (Ambulatory Care Center Level F)

In-patient and ER Consultations

VA Health System East Orange

Dermatology Clinics (1st floor, out-patient clinics area)

In-patient and ER Consultations

Chief of Dermatology: Philip J. Cohen MD
Duration of elective: two to four weeks

CLINICAL CORE COMPETENCY OBJECTIVES

The rotating medical student should:
Learn to describe cutaneous findings employing the specialized dermatology vocabulary.
Attempt to recognize common dermatologic disease processes including:

• 
  Acne vulgaris
  
• 
  Rosacea
  
• 
  Atopic dermatitis
  
• 
  Acanthosis nigricans
  
• 
  Contact dermatitis
  
• 
  Seborrheic dermatitis
  
• 
  Psoriasis vulgaris
  
• 
  Pityriasis rosea
  
• 
  Acrochordons
  
• 
  Seborrheic keratoses
  
• 
  Melanocytic nevi
  
• 
  Postinflammatory hyperpigmentation
  
• 
  Discoid lupus erythematosus
  
• 
  Alopecia areata
  
• 
  Actinic keratoses
  
• 
  Basal cell carcinoma
  
• 
  Cutaneous manifestations of HIV disease
  

Interpersonal and Communication Skills

Learn to interact with colleagues in another specialty

Be sensitive to the special cosmetic/body image concerns of dermatology patients.

Professionalism

Demonstrate a sense of personal altruism by consistently acting in the patient’s best interest

Demonstrate the gracious conduct appropriate for a physician

Practice Based Learning and Improvement

Maintain an attitude of healthy skepticism and curiosity, as evidenced by thoughtful questioning, independent study, and critical analysis of published materials.

Develop a willingness and ability to learn from errors
Utilize information technology to enhance patient education.

Systems Based Practice
Understand the line of responsibility from patient to biopsy/lab result to physician and back to patient.

Teaching Methods

Patient evaluation

Bedside teaching rounds

Small group discussions

Didactic lectures

Assigned readings

Extra reading
Evaluation
Learning goals are established with each medical student by the attending at the beginning of the month. Formative face-to-face feedback occurs at mid-month and at the end of the rotation.
Medical students should evaluate the rotation formally through written evaluations and contact with the Course Director.
Medical students are informally evaluated by the attending(s) in clinic after each session. At the conclusion of the one-month rotation, the course director or his designee will complete a written evaluation of each medical student, in consultation with the other faculty and the dermatology residents. Rotating medical students in attendance less than the full four week period may be evaluated on only a pass/not pass basis.
Suggested reading (all available free online through NJMS library):

1. Lee RE, Schwartz RA: Human T-lymphotrophic virus type I-associated dermatitis: a comprehensive review. J Am Acad Dermatol 64: 152-160, 2011.

2. Bhate C., Schwartz R.A.  Lyme disease: Part I.  Advances and perspectives (CME review).  J. Am. Acad. Dermatol.  2011.  64(4):639-53.

3. Bhate C., Schwartz R.A.  Lyme disease: Part II.  Management and prevention (CME review).  J. Am. Acad. Dermatol.  2011.  64(4):619-36.

4. Lee RE, Schwartz RA: Pediatric molluscum contagiosum: reflections on the last challenging poxvirus infection. Cutis 86: 230-236, 2010.
5. Bhate C, Tajirian AL, Kapila R, Lambert WC, Schwartz RA: Secondary syphilis resembling erythema multiforme. Int J Dermatol 49: 1321-1324, 2010
6. Morgan AJ, Schwartz RA: Cutaneous polyarteritis nodosum: a comprehensive review. Int J Dermatol 49: 750-756, 2010.
7. Schwartz RA, Sidor MI, Musumeci ML, Lin RL, Micali G: Infantile haemangiomas: a challenge in paediatric dermatology. J Eur Acad Dermatol Venereol 24: 631-638, 2010.
8. Meydani A, Schwartz RA, Foye PM, Patel AD: Herpes simplex following intra-articular corticosteroid injection. Acta Dermatovenerol Alp Panonica Adriat 18: 135-137, 2009.
9. Morgan AJ, Schwartz RA: Diabetic dermopathy: a subtle sign with grave implications. J Am Acad Dermatol 58: 447-451, 2008.
10. Sinha S, Cohen PJ, Schwartz RA: Nevus of Ota in children. Cutis 82: 25-29, 2008.
11. Schwartz RA, Nervi SJ: Erythema nodosum: a sign of systemic disease. Am Fam Physician 75: 695-700, 2007.
12. Schwartz RA, Lambert WC: Bacillary angiomatosis. eMedicine from WebMD. Updated June 18, 2010. Available at: http://emedicine.medscape.com/article/1051846-overview
13. Erdal E, Zalewska A, Schwartz RA: Cutaneous manifestations of HIV disease. eMedicine from WebMD. Updated 20010. Available at: http://emedicine.medscape.com/article/1133746-overview
14. Schwartz RA, Micali G, Nasca MR, Scuderi L: Kaposi’s sarcoma: a continuing conundrum. J Am Acad Dermatol 59: 179-206, 2008.
15. Witkowski AM, Schwartz RA, Janniger CK. Trichotillomania: an important psychocutaneous disorder. Cutis 86: 12-16, 2010.
16. Hengge UR, Ruzicka T, Schwartz RA, Cork MJ: Adverse effects of topical glucocorticosteroids. J Am Acad Dermatol 54: 1-15, 2006.
17. Schwartz RA: Superficial fungal infections. Lancet 364: 1173-1182, 2004.
18. González L, Allen RA, Janniger CK, Schwartz RA: Pityriasis rosea: an important papulosquamous disorder. Int J Dermatol 44: 757-764, 2005.
19. Schwartz RA: Bedbug bites. eMedicine from WebMD. Updated 2010. Available at: http://emedicine.medscape.com/article/1088931-overview
Optional reading:
1. Borkowska J, Schwartz RA, Józwiak S, Kotulska K: Tuberous sclerosis complex: tumors and tumorigenesis. Int J Dermatol 50: 13-20, 2011.
2. Fernandes NF, Rozdeba PJ, Schwartz RA, Kihiczak G, Lambert WC: Pityriasis lichenoides et varioliformis acuta: a disease spectrum. Int J Dermatol 49: 257-261, 2010.
3. Jadotte YT, Schwartz RA: Melasma: insights and perspectives. Acta Derm Venerol Croatica 18: 124-129, 2010.
4. Geria AN, Schwartz RA: Impetigo update -- New challenges in the era of methicillin resistance. Cutis 85: 65-70, 2010.
5. Yi SR, Bhate C, Schwartz RA: Sweet syndrome: an update and review. Giornale Ital Dermatol Venereol 144: 603-612, 2009.
6. Schwartz RA, Bridges TM, Butani AK, Ehrlich A: Actinic keratosis: an occupational disorder. J Eur Acad Dermatol Venereol 22: 606-615, 2008.
7. Vaidya DC, Schwartz RA: Prurigo nodularis: a benign dermatosis derived from a perpetual itch. Acta Derm Venerol Croatica 16: 37-43, 2008.
8. Huggins RH, Janniger CK, Schwartz RA: Childhood vitiligo. Cutis 79: 277-280, 2007.
9. Kihiczak GG, Schwartz RA, Kapila R: Necrotizing fasciitis: a deadly infection. J Eur Acad Dermatol Venereol 20: 365-369, 2006.
10. Hengge UR, Currie B, Jäger G, Lupi O, Schwartz RA: Scabies: a ubiquitous neglected skin disease. Lancet Inf Dis 6: 769-779, 2006.
11. Thomas I, Patterson WM, Szepietowski J, Chodynicki MP, Janniger CK, Hendel PM, Schwartz RA: Body dysmorphic disorder: more than meets the eye. Acta Derm Venerol Croatica 13: 44-49, 2005.
12. Lolis MS, González LM, Cohen PJ, Schwartz RA: Drug-resistant herpes simplex virus in HIV-infected patients. Acta Derm Venerol Croatica 16: 204-208, 2008.
13. Fatahzadeh M, Schwartz RA: Human herpes simplex virus infections: epidemiology, pathogenesis, symptomatology, diagnosis and management. J Am Acad Dermatol 57: 737-763, 2007.
14. Nyirady J, Schwartz RA: Primary systemic amyloidosis. eMedicine Dermatology [Journal serial online]. 2010. Available at: http://emedicine.medscape.com/article/1093258-overview
15. Schwartz RA, Józwiak S: Epidermal nevus syndrome. eMedicine from WebMD. Updated 2010. Available at: http://emedicine.com/derm/topic732.htm
16. Trovato MJ, Schwartz RA, Janniger CK: Tinea capitis: current concepts in clinical practice. Cutis 77: 93-99, 2006.
17. Sandhu N, Schwartz RA: Paget disease, extramammary. eMedicine from WebMD. Updated June 18, 2010. Available at http://emedicine.medscape.com/article/1100397-overview
18. Geria AN, Tajirian AL, Kihiczak G, Schwartz RA: Minocycline-induced skin pigmentation: an update. Acta Derm Venerol Croatica 17: 123-126, 2009.
19. Wu IB, Schwartz RA: Herpetic whitlow. Cutis 79: 193-196, 2007.
20. Turner JD, Schwartz RA: Atopic dermatitis: a clinical challenge. Acta Dermatovenerol Alp Panonica Adriat 14: 59-68, 2006.
21. Dmochowski M, Schwartz RA: Eosinophilic pustular folliculitis. eMedicine from WebMD. Updated 2010. Available at: http://emedicine.medscape.com/article/1070326-overview
22. Micali G, Nasca MR, Innocenzi D, Schwartz RA: Penile squamous cell carcinoma. J Am Acad Dermatol 54: 369-391, 2006.
23. Schwartz RA, Richards GM, Goyal S: Clubbing of the nails. eMedicine from WebMD. Updated 2010. Available at: http://emedicine.com/derm/topic780.htm
24. Schwartz RA, Dziankowska-Bartkowiak B, Zalewska A, Sysa-Jedrzejowska A: Systemic sclerosis eMedicine from WebMD. Updated 2010. Available at: http://emedicine.medscape.com/article/1066280-overview
25. Schwartz RA, Okulicz JF, Józwiak S: Lentigo. eMedicine from WebMD. Updated 2010. Available at: http://emedicine.medscape.com/article/1068503-overview.
26. Schwartz RA, Majewski S, Majewski SS: Pemphigus foliaceus. eMedicine from WebMD. Updated June 11, 2010. Available at: http://emedicine.medscape.com/article/1064019-overview
27. Schwartz RA, Sysa-Jedrzejowska A, Wozniacka A. Mixed Connective Tissue Disease. eMedicine from WebMD. Updated July 12, 2010. Available at: http://emedicine.medscape.com/article/1066445-overview.
28. Namazi MR, Fallahzadeh MK, Schwartz RA: Strategies for prevention of scars: what can we learn from fetal skin? Int J Dermatol 50: 85-93, 2011.
29. Schwartz RA: The New Jersey Medical School: a 50-year retrospect. Acta Dermatovenerol Alp Panonica Adriat 14: 69-74, 2005.
30. Schwartz RA: Keratoacanthoma. In: Roenigk’s Dermatologic Surgery. Current Techniques

in Procedural Dermatology. 3rd edition, R.K. Roenigk, J. L. Ratz, H.H. Roenigk, Jr (Eds.), Informa Healthcare, New York, 2007, pp. 369-383.

31. Schwartz RA: Skin Cancer: Recognition and Management. 2^nd edn. Blackwell, Oxford, United Kingdom, 2008, (536 pages, 372 illustrations, hardcover), ISBN 978-1-4051-5961-6.
32. Tajirian AL, Schwartz RA: Scabies and pediculosis: biologic cycle and diagnosis. In: Videodermatoscopy in Clinical Practice. G. Micali (Editor), Informa Healthcare, New York, 2010, pp 7-10.