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2023/2024

Clinical Dermatology

Code: 102938 ECTS Credits: 4
Degree Type Year Semester
2502442 Medicine OB 5 0

Contact

Name:
Vicente Garcia Patos Briones
Email:
vicente.garciapatos@uab.cat

Teaching groups languages

You can check it through this link. To consult the language you will need to enter the CODE of the subject. Please note that this information is provisional until 30 November 2023.

Teachers

Miguel Ribera Pibernat
Maria Isabel Bielsa Marsol
María Josefa Fuente González
Luis Puig Sanz
Maria Pilar Garcia Muret
Miguel Casals Andreu
Mireia Esther Yebenes Marsal
Marc Corbacho Monne
Eva Vilarrasa Rull
Esther Serra Baldrich
Jorge Luis Spertino
Patricia Garbayo Salmons
Ingrid Lopez Lerma
Adrià Plana Pla
Cristina Lopez Llunell
Monica Munera Campos
Veronica Ruiz Salas
Maria Eugenia Hernández Ruiz
Ane Jaka Moreno
Victor-Adrian Flores Climente
Caridad Elena Morales Munera
Helena Iznardo Ruiz
Nina Anika Richarz
Oriol Yélamos Pena
Juan José Lluch Galcerá
Mireia Sabat Santandreu
Julio Bassas Vila
Anna López Ferrer
Maria Gloria Aparicio Espanyol
Esther Roe Crespo
Domingo Bodet Castillo
Jorge Mollet Sánchez
Aram Boada Garcia
Patricia Bassas Freixas
Carla Ferrandiz Pulido
Natalia Fernández Chico
Vicente Exposito Serrano
Cristina Lopez Sanchez
Manel Carrascosa Carrillo

Prerequisites

It is recommended to have achieved the competences of the following subjects: Biochemistry and Molecular Biology, Cell Biology, Human Anatomy (I and II), Histology, Physiology, Human Genetics, General Pathology, Fundamentals of Surgery, Microbiology, Radiology and Physical Medicine, Pathology, Pharmacology, Immunology and Epidemiology.

The studen will accept the commitment of preserving the confidentiality and the professional secrecy of the data to which he may have access for learning reasons in the assistance services. The student must also maintain an attitude of professional ethics in all his actions.


Objectives and Contextualisation

The subject of Dermatology includes the diagnosis, treatment and prevention of diseases of the skin, subcutis, mucous membranes and adnexal appendices, as well as the skin manifestations of systemic diseases and systemic manifestations of skin diseases. It also includes the promotion of good skin health.


Competences

  • Accept one's role in actions to prevent or protect against diseases, injuries or accidents and to maintain and promote health, on both personal and community-wide levels.
  • Demonstrate an understanding of the fundamentals of action, indications, efficacy and benefit-risk ratio of therapeutic interventions based on the available scientific evidence.
  • Demonstrate, in professional activity, a perspective that is critical, creative and research-oriented.
  • Establish a diagnostic approach and a well thought-out strategy for action, taking account of the results of the anamnesis and the physical examination, and the results of the appropriate complementary tests carried out subsequently.
  • Indicate the basic diagnosis techniques and procedures and analyse and interpret the results so as to better pinpoint the nature of the problems.
  • Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
  • Obtain and prepare a patient record that contains all important information and is structured and patient-centred, taking into account all age and gender groups and cultural, social and ethnic factors.
  • Recognise and take action in life-threatening situations and others that require an immediate response.
  • Use information and communication technologies in professional practice.

Learning Outcomes

  1. Demonstrate, in professional activity, a perspective that is critical, creative and research-oriented.
  2. Develop a therapeutic strategy for the most prevalent skin diseases in the general population.
  3. Enumerate the necessary complementary explorations that can lead to accurate diagnosis in a case of dermatosis, including laboratory studies and serological, immunological, microbiological and dermatopathological studies.
  4. Identify key risk factors for the development of the most common skin diseases, with special emphasis on those that refer to infections and malignant tumours of the skin and mucosa.
  5. Identify processes that can be treated by primary care physicians and those that should be referred to a dermatologist, establishing the degree of priority for the latter case.
  6. Identify skin diseases that can be the expression of a systemic illness.
  7. Identify skin injuries from possible life-threatening processes.
  8. Identify the major skin injuries and describe them appropriately.
  9. Identify the most important cutaneous signs that can accompany a potentially serious systemic disease.
  10. Identify the typical clinical patterns of the most prevalent skin diseases in the general population.
  11. Maintain and sharpen one's professional competence, in particular by independently learning new material and techniques and by focusing on quality.
  12. Propose a basic diagnostic strategy to reach a definitive diagnosis.
  13. Put forward a clinical differential diagnosis based on skin injuries.
  14. Use information and communication technologies in professional practice.

Content

Theoretical classes

The subject is structured in 10 large blocks that group the different aspects of Dermatology. There will be taught 25 master classes with computer and projector and/or online access. Because of their frequency, infections, eczema and skin tumors are especially relevant for the training of general practitioners. The objective is to be able to recognize and describe skin lesions, propose a differential diagnosis, propose complementary explorations to be performed and design a therapeutic plan. They should also be able to identify those dermatoses that due to their diagnostic or therapeutic complexity should be referred to the specialist, specially those that require priority attention.

1. General (2 hours)

1.1. Anatomy and physiology of the skin (1 hour)

1.2. Basis of dermatological diagnosis and therapy (1 hour)

2. Infections (6 hours)

2.1. Bacterial infections (1 hour)

2.2. Mycobacterial infections (1 hour)

2.3. Viral infections (1 hour)

2.4. Mucocutaneous fungal infections (1 hour)

2.5. Zooparasitic infestations (1 hour)

2.6. Sexually transmitted diseases (1 hour)

3. Reactive dermatoses and eczema (5 hours)

3.1. Urticaria, angioedema and pruritus (1 hour)

3.2. Contact dermatitis (1 hour)

3.3. Atopic dermatitis (1 hour)

3.4. Dermatosis of physicochemical origin (1 hour)

3.5. Reactive dermatoses, cutaneous drug reactions and neutrophilic dermatosis (1 hour)

4. Erythemato-squamous dermatoses (1 hour)

4.1. Psoriasis, seborrheic dermatitis, pityriasis rosea of Gibert and lichen planus (1 hour)

5. Diseases of the cutaneous adnexa (1 hour)

6. Autoimmune bullous diseases (1 hour)

7. Disorders of pigmentation (1 hour)

8. Genodermatosis (1 hour)

9. Cutaneous manifestationsof systemic diseases (4 hours)

9.1. Vasculitis and panniculitis (1 hour)

9.2. Cutaneous manifestations of connective tissue diseases (1 hour)

9.3. Cutaneous manifestations of metabolic and deficiency diseases (1 hour)

9.4. Cutaneous manifestations of internal neoplasms (1 hour)

10. Tumors (3 hours)

10.1. Malignant epithelial tumors (1 hour)

10.2. Melanocytic tumors (1 hour)

10.3. Lymphomas, histiocytosis and mastocytosis (1 hour)

 

Specialized seminars (8 hours, groups of 20-25 students)

  1. Description of elementary lesions and dermatological therapy (1 hour)
  2. Clinical cases of infections (1 hour)
  3. Clinical cases of pruritus (1 hour)
  4. Clinical cases of pediatric dermatology (1 hour)
  5. Clinical cases of dermatological emergencies (1 hour)
  6. Clinical cases of cutaneous manifestations of systemic diseases (1 hour)
  7. Clinical cases of benign tumors (1 hour)
  8. Clinical cases of malignant tumors (1 hour)

Clinical case seminars (2 hours, groups of 4-10 students)

  1. Selected practical clinical cases - differential diagnosis (1 hour)
  2. Selected clinical case studies - treatment (1 hour)

Methodology

This guide describes the framework, contents, methodology and general rules of the subject, in accordance with the current curriculum. The final organization of the subject as regards the number and size of the groups, distribution in the calendar and dates of exams, specific evaluation criteria and review of exams, will be specified in each of the Hospital Teaching Units (HTU), who will explain it through their web pages and the first day of class of each subject, through the responsible teacher in each of the HTU.

 

For this course the professors appointed by the Department as responsible for the subject at the Faculty and the UDH level are:

Responsible Department: Medicine

Responsible for the Faculty: Vicente García-Patos (vgarciapatos@gmail.com, vgarcia@vhebron.net)

Responsible for UDHSCSP: Lluis PUig puig@santpau.cat)

Responsible UDHUVH: Vicente García-Patos (vgarcia@vhebron.net)

Responsible UDHUGTIP: Isabel Bielsa (ibielsa.germanstrias@gencat.cat)

Responsible UDHUPT: Miquel Ribera (mribera@tauli.cat)

GENERAL EDUCATIONAL METHODS

Credits: 4 ECTS = 100 hours

AUTONOMOUS WORK (50% of the total = 50 hours): Comprehensive reading of texts and articles, study and realization of schemes, summary and conceptual assimilation of the contents. It also includes preparation of presentations and delivery.

EVALUATION (5% of the total = 5 hours): one or two partial exams and a final exam, evaluation of the practices

DIRECTED TEACHING TYPOLOGIES (45% of the total = 45 hours): Includes 25 theoretical classes (lectures, TE typology), 8 specialized seminars of 1 hour each (SEM typology, with a standard size of 20 students), seminars of clinical cases (SCC typology), which includes two seminars of 1 hour each, with groups of 5 to 12 students, preferably at the end of the practices, in which students will discuss the differential diagnosis and treatment of the most common dermatoses, under the supervision of a tutor, and 10 hours (2.5 hours x 4 days) of clinical care practices (typology PCAh), in which students will go to the hospitalization rooms, outpatient clinics, operating rooms and examination cabinets.

SUPERVISED TEACHING TYPOLOGIES:

VIRTUAL CLASSES (VIRT TYPOLOGY)
Teaching given without classroom presence under the permanent and personalized supervision of the student and using intensively the information and communication technologies (ICT). The objective of virtual teaching is to facilitate access to learning resources from anywhere and at any time. The self-learning of the theoretical contents by the students will be encouraged, putting at their disposal the subject of at least 10% of the theoretical classes (3 of the 25) in digital format (pdf, audio-pptx, mp4) , preferably in the virtual classroom of Campus UAB. If the epidemiological situation allows, these face-to-face classes will focus on the presentation and interactive discussion of clinical cases on the topic that students must have previously studied with the online material.


TUTORIES
The tutorials will not count as face-to-face hours, but can be scheduled and done individually or in groups, to the teachers' office, in teaching spaces or using the Tics, and the student must be informed of the hours of attention of the teaching staff.


WORK SUBMISSION
The presentation of papers can be scheduled as directed (in the form of SCC, SESP, classroompractices, etc.) or supervised (without a joint student-teacher presence). In any case, it is necessary to define the teaching typology to be used, the measure of the group involved in each session and the training to be used.

In the current exceptional circumstances, at the discretion of the teachers and also depending on the resources available and the public health situation, some of the theoretical classes, practicals and seminars organized by the Teaching Units may be taught either in person or virtually.

 

Annotation: Within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.


Activities

Title Hours ECTS Learning Outcomes
Type: Directed      
ASSISTENCIAL CLINICAL PRACTICES (PCAh) 10 0.4 2, 10, 9, 6, 7, 8, 13, 12, 3
SEMINARS OF CLINICAL CASES (SCC) 2 0.08 2, 10, 4, 5, 9, 6, 7, 8, 13, 12, 3
SPECIALIZED SEMINARS (SEM) 8 0.32 2, 10, 4, 5, 9, 6, 7, 8, 13, 12, 3
THEORY (TE) 25 1 2, 10, 4, 5, 9, 6, 7, 8, 13, 12, 3
Type: Autonomous      
WORK LABOR / PERSONAL STUDY / READING OF ARTICLES / INTEREST REPORTS 50 2 1, 11, 14

Assessment

Aquesta assignatura no preveu el sistema d’avaluació única / Esta asignatura no prevé el sistema de evaluación única / This subject does not provide the single assessment system 

Evaluation - Dermatology

										
											- Continuous evaluation (20%). It will be done through a written exam either online (Virtual Campus) or face-to-face (written, kahoot or similar) on clinical cases. It will consist of clinical cases with photos to be answered without answer options or with test questions with 4 or 5 answer options and only one correct one. Incorrect answers will subtract 0.25 or 0.2 points, respectively. This continuous assessment can also be done as a portfolio that the student will have to prepare on clinical cases treated in practices or seminars. Maximum 20 points.
										
											
										
											 
										
											
										
											- Final evaluation first and second call
										
											
										
											 
										
											
										
											• Evaluation of the theoretical program (50%)
										
											
										
											• Test questions and/or short writing questions. The test questions will have 4 or 5 options (only 1 is true). The correct answer will score 1 point and the errors will subtract 0.25 or 0.2 points, respectively. Short questions to write with correct answer will score 1 point. Maximum 50 points.
										
											
										
											 
										
											
										
											• Evaluation of the practical program (30%)
										
											
										
											• Test questions and/or clinical cases with photos to be answered without options. If tested, the correct answer will score 1 point and errors will subtract 0.25 (5 options) or 0.2 (4 options) points. If it is a written answer, the success of the diagnosis and the therapeutic approach will score between 1 and 2 points, depending on the number of cases to be solved. Maximum 30 points.
										
											
										
											 
										
											
										
											The final grade will be obtained by adding the grade of the continuous assessment (20), that of the theoretical exam (50) and that of the practical (30). The grade is set proportionally out of 100 points and the pass is 50. To pass it will be necessary to obtain a final grade equal to or higher than 50% in the evaluation of the theoretical and practical program.
										
											
										
											In the second call, students who have not passed the theoretical and/or practical part will appear, being able to appear only for the unpassed assessment.
										
											
If a student passes the first call of the final assessment and presents himself to improve his grade in the second call, he must do so in the entirety of the theoretical and practical exam, and this implies that he renounces the grade obtained in the first call and the valid grade will be that of the second call..
										
											
										
											The possibility of an extra exam to improve a grade is not contemplated. A day will be set to review exams for students who wish to do so.
										
											
										
											The number of honors matriculations varies each year and is based on the number of students enrolled. Available registrations will be awarded to the best grades.
Any student who does not attend the partial or final exams will be considered "NON-EVALUABLE".
 
 

Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
Assistance and active participation in classes and seminars 20% 0 0 2, 10, 4, 5, 9, 6, 7, 8, 13, 12, 3
Seminars and/or problems and/or clinical cases: written evaluations through objective tests: open questions / evaluation through practical cases and problem solving 25% 2.5 0.1 1, 2, 10, 5, 9, 6, 7, 8, 11, 13, 12, 3, 14
Written evaluations by means of objective tests: multiple choice items / restricted open questions 55% 2.5 0.1 2, 10, 4, 5, 9, 6, 7, 8, 13, 12, 3

Bibliography

Reference Textbooks

Ferrándiz. Dermatología Clínica. Isabel Bielsa. 5ª edición, Elsevier 2019

Dermatología para el gardo de Medician. Agustín España, 1ª eidición, Panamericana 2019.

Jean L Bolognia, Dermatology. Fourth Edition, Elsevier 2017

Tony Burns, Stephen Breathnach, Neil Cox, Christopher Griffiths. Rook'sTextbook of dermatology. Ninth edition, 2016

Internet Resources

Wainwright BD. Clinically Relevant Dermatology Resources and the Internet: An Introductory Guide for

Practicing Physicians. Dermatology Online Journal 5(2): 8 (http://dermatology.cblib.org/DOJdesk/desj.html) ADES: Advanced Dermatology Education Server (http://ades.tmc.edu.tw/english/default.htm).

Dermatology Image Bank at the University of Utah School of Medicine ( http://www-medlib.med.utah.edu/kw/derm/)

Dermatology Online Image Atlas (DOIA) (http://dermis.net/bilddb/index_e.htm)

University of Iowa, Department of Dermatology Home Page (http://tray.dermatology.uiowa.edu/home.htm 


Software

1. Virtual Campus UAB

2. Connections Via Zoom and Teams

3. Google Drive or OneDrive to hang classes at pptx / pptx-audio / cideos mp4 or mov, which can not be uploaded directly into the moodle platform of the subject (> 300 MB)

4. Kahoots App for interaction with students