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 VA or NJMS Clinic, Tues VA Clinic, Wed NJMS or VA Thurs VA Friday VA or NJMS. Clinics begin at 9 AM. Attendance at Dermatology Grand Rounds on Mondays at 12:30 at NJMS MSB C-555 is required.

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: 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):
1. Morgan AJ, Schwartz RA: Diabetic dermopathy: a subtle sign with grave implications. J Am Acad Dermatol 58: 447-451, 2008.
2. Sinha S, Cohen PJ, Schwartz RA: Nevus of Ota in children. Cutis 82: 25-29, 2008.
3. Schwartz RA, Nervi SJ: Erythema nodosum: a sign of systemic disease. Am Fam Physician 75: 695-700, 2007.
4. Sinha S, Schwartz RA: Juvenile acanthosis nigricans. J Am Acad Dermatol 57: 502-508, 2007.
5. Hengge UR, Ruzicka T, Schwartz RA, Cork MJ: Adverse effects of topical glucocorticosteroids. J Am Acad Dermatol 54: 1-15, 2006.
6. Schwartz RA, Janusz CA, Janniger CK: Seborrheic dermatitis: an overview. Am Family Physician 74: 125-130, 2006.
7. Schwartz RA: Superficial fungal infections. Lancet 364: 1173-1182, 2004.
8. González L, Allen RA, Janniger CK, Schwartz RA: Pityriasis rosea: an important papulosquamous disorder. Int J Dermatol 44: 757-764, 2005.
8. Brown J, Janniger CK, Schwartz RA, Silverberg NB: Childhood molluscum contagiosum. Int J Dermatol 45: 93-99, 2006.
9. Schwartz RA, Lambert WC: Bacillary angiomatosis. eMedicine Dermatology [Journal serial online]. 2008. Available at: http://author.emedicine.com/derm/topic44.htm
9. Calikoglu E, Zalewska A, Hamadeh R, Schwartz RA: Cutaneous manifestations of HIV disease. eMedicine Dermatology [Journal serial online]. 2009. Available at: http://author.emedicine.com/derm/topic792.htm
10. Schwartz RA, Micali G, Nasca MR, Scuderi L: Kaposi’s sarcoma: a continuing conundrum. J Am Acad Dermatol 59: 179-206, 2008.
11. Schwartz RA, Petków P, Gorkiewicz-Petków A: Bedbug bites. eMedicine Dermatology [journal serial online]. 2009 Available at: http://author.emedicine.com/derm/topic600.htm
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. Schwartz RA, Majewski S, Majewski SS: Pemphigus foliaceus. eMedicine Dermatology [Journal serial online]. 2009. Available at: http://author.emedicine.com/derm/topic318.htm
15. Schwartz RA, Jozwiak S: Epidermal nevus syndrome. eMedicine Dermatology [Journal serial online]. 2009. Available at: http://author.emedicine.com/derm/topic732.htm

Optional reading:

1. Fernandes NF, Malliah R, Stitik TP, Rozdeba PJ, Lambert WC, Schwartz RA: Herpes zoster following intra-articular corticosteroid injection. Acta Dermatovenerol Alp Panonica Adriat 18: 28-30, 2009.
2. Vaidya DC, Schwartz RA: Prurigo nodularis: a benign dermatosis derived from a perpetual itch. Acta Derm Venerol Croatica 16: 37-43, 2008.
3. Wu IE, Schwartz RA: Reiter’s syndrome: the classic triad and more. J Am Acad Dermatol

59: 113-121, 2008.

4. Schwartz RA, Fernández G, Kotulska K, Józwiak S: Tuberous sclerosis complex: advances in diagnosis, genetics, and management. J Am Acad Dermatol 57: 189-202, 2007.
5. Huggins RH, Janniger CK, Schwartz RA: Childhood vitiligo. Cutis 79: 277-280, 2007.
6. Kihiczak GG, Schwartz RA, Kapila R: Necrotizing fasciitis: a deadly infection. J Eur Acad Dermatol Venereol 20: 365-369, 2006.
7. Hengge UR, Currie B, Jäger G, Lupi O, Schwartz RA: Scabies: a ubiquitous neglected skin disease. Lancet Inf Dis 6: 769-779, 2006.
8. 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.
9. Janniger CK, Schwartz RA, Musumeci ML, Tedeschi A, Mirona B, Micali G: Infantile psoriasis. Cutis 76: 173-177, 2005.
10. Thomas I, Kihiczak GG, Schwartz RA: Bedbug bites. Int J Dermatol 43: 430-433, 2004.
11. Hengge UR, Ruzicka T, Stuschke M, Roggendorf M, Schwartz RA, Seeber S: Update on Kaposi’s sarcoma and other HHV8 associated diseases. Part 1: pathogenesis, Casteman’s disease, and pleural effusion lymphoma. Lancet Inf Dis 2: 281-309, 2002.
12. Trovato MJ, Schwartz RA, Janniger CK: Tinea capitis: current concepts in clinical practice. Cutis 77: 93-99, 2006.
13. Lacz NL, Schwartz RA, Kihiczak G: Epidermolytic hyperkeratosis: a keratin 1 or 10 mutational event. Int J Dermatol 44: 1-6, 2005.
14. Huggins RH, Janusz CA, Schwartz RA: Vitiligo ­– a sign of systemic disease. Indian J Dermatol Venereol Leprol 72: 68-71, 2006.
15. Wu IB, Schwartz RA: Herpetic whitlow. Cutis 79: 193-196, 2007.
16. Lin RL, Schwartz RA: Hemangiomas of infancy: a clinical review. Acta Dermatovenerol Croat 14: 109-116, 2006.
17. Turner JD, Schwartz RA: Atopic dermatitis: a clinical challenge. Acta Dermatovenerol Alp Panonica Adriat 14: 59-68, 2006.
18. Nervi SJ, Dmochowski M, Schwartz RA: Eosinophilic pustular folliculitis: a 40-year retrospect. J Am Acad Dermatol 55: 285-289, 2006.
19. Dmochowski M, Schwartz RA: Eosinophilic pustular folliculitis. eMedicine Dermatology [journal serial online]. 20068 Available at: http://author.emedicine.com/derm/topic120.htm
20. Szepietowski JC, Schwartz RA: Tinea barbae. eMedicine Dermatology [journal serial online]. 2009. Available at: http://author.emedicine.com/derm/topic419.htm
21. Micali G, Nasca MR, Innocenzi D, Schwartz RA: Penile squamous cell carcinoma. J Am Acad Dermatol 54: 369-391, 2006.
22. Patel DG, Kihiczak G, Schwartz RA, Janniger CK, Lambert WC: Pityriasis lichenoides. Cutis 65: 17-23, 2000.
23. Urbonas A, Szepietowski J, Schwartz RA: Uremic pruritus: an update. Am J Nephrol 21: 343-350, 2001.
24. Brown J, Schwartz RA: Wells’ syndrome (eosinophilic cellulitis). Cesko-Slovenská Dermatol 77: 261-263, 2002.
25. Drobnik J, Schwartz RA: Keloids. Postepy Dermatol Alergol 18: 200-205, 2001.
26. Papadopoulos AJ, Schwartz RA, Janniger CK: Chickenpox. Cutis 65: 355-358, 2000.
27. Papadopoulos AJ, Kihiczak G, Schwartz RA: Hidradenitis suppurativa: an update. Acta Derm Venerol 9: 131-135, 2000.
28. Steen CJ, Schwartz RA: Neurofibromatosis type 1. Giornale Italiano Dermatol Venereol 139: 291-293, 2004.
29. Schwartz RA: Black widow spider bites. eMedicine Dermatology [journal serial online]. 2009. Available at: http://author.emedicine.com/derm/topic599.htm
30. Ruocco V, Schwartz RA, Ruocco E: Lymphedema: an immunologically vulnerable site for development of neoplasms. J Am Acad Dermatol 47: 124-127, 2002.
31. Richards GM, Goyal S, Schwartz RA: Clubbing of the nails. eMedicine Dermatology [Journal serial online]. 2009. Available at: http://author.emedicine.com/derm/topic780.htm
32. Dziankowska-Bartkowiak B, Zalewska A, Sysa-Jedrzejowska A, Schwartz RA: Systemic sclerosis. eMedicine Dermatology [Journal serial online]. 2008. Available at: http://author.emedicine.com/derm/topic677.htm
33. Okulicz JF, Józwiak S, Schwartz RA: Lentigo. eMedicine Dermatology [journal serial online]. 2008. Available at: http://author.emedicine.com/derm/topic221.htm
34. Hantash BM, Schwartz RA: Traction alopecia. Cutis 71: 18-20, 2003.
35. Nyirady J, Schwartz RA: Primary systemic amyloidosis. eMedicine Dermatology [Journal serial online]. 2007. Available at: http://author.emedicine.com/derm/topic19.htm
36. Wozniacka A, Sysa-Jedrzejowska A, Schwartz RA: Mixed connective tissue disease. Dermatology [Journal serial online]. 2008. Available at: http://author.emedicine.com/derm/topic766.htm
37. Kihiczak NI, Schwartz RA: Postinflammatory hyperpigmentation. eMedicine Dermatology [Journal serial online]. 2008. Available at: http://author.emedicine.com/derm/topic876.htm
38. Agrawal R, Sammeta V, Thomas I: Diaper dermatitis. eMedicine Pediatrics [serial online]. 2007. Available at: http://author.emedicine.com/ped/topic2755.htm
39. Thomas I, Schwartz RA: Complement receptor deficiencies. eMedicine Dermatology [serial online]. 2007. Available at: http://author.emedicine.com/derm/topic871.htm
40. Calikoglu E, Zalewska A, Hamadeh R, Schwartz RA: Cutaneous manifestations of HIV disease. eMedicine Dermatology [Journal serial online]. 2009. Available at: http://emedicine.com/derm/topic792.htm
41. Józwiak S, Schwartz RA: Leopard syndrome. eMedicine Dermatology [journal serial online]. 2008. Available at: http://author.emedicine.com/derm/topic627.htm
42. Okulicz JF, Schwartz RA: Ichthyosis vulgaris (inherited and acquired). eMedicine Dermatology [journal serial online]. 2009. Available at: http://author.emedicine.com/derm/topic678.htm
43. Brown J, Shriner DL, Janniger CK, Schwartz RA: Impetigo: an update. Int J Dermatol 42: 251-255, 2003.
44. Schwartz RA, Bridges TM, Butani AK, Ehrlich A: Actinic keratosis: an occupational disorder. J Eur Acad Dermatol Venereol 22: 606-615, 2008.
45 Schwartz RA: The New Jersey Medical School: a 50-year retrospect. Acta Dermatovenerol Alp Panonica Adriat 14: 69-74, 2005.
46. 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.

47. 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