McGill University Health Centre, Division of Dermatology Elective application/orientation form Welcome to your elective in Dermatology! So that you can fully benefit from your time with us during your elective, we would like to outline the goals and objectives of the rotation, along with a description of the responsibilities of students and residents on elective with us.
Knowledge: At the end of this rotation, you should be able to
More accurately describe the morphological features of cutaneous lesions.
Based on your morphological descriptions, formulate a reasonable differential diagnosis.
Learn how to manage common dermatological problems seen on the hospital wards, and in the clinic.
Correctly prescribe topical corticosteroids, anti-acne medication, topical and systemic antibiotics, antivirals and parasiticides for cutaneous infections and infestations, keratolytics, emollients and sunscreens, etc.
Become comfortable with simple procedures such as cryotherapy, punch biopsies, shave excisions, and simple excisions, intralesional injections, and KOH examinations of scales.
Observe cases of Mohs micrographic surgery (if available at site)
As a rotator in the dermatology department, you are part of our team, and are expected to partake in all clinical activities. These include:
Daily clinics (speak to secretary at individual site for a schedule): Your role in the clinic will be to see patients, obtain an adequate history, perform a dermatologic physical examination and tentatively come up with a diagnosis and treatment plan, under supervision of staff and dermatology residents.
Ward consult service: During working hours (8:00 – 17:00) you will be expected to take first call for patients on the ward, then discuss and see the cases with the consult resident at your hospital, and participate in ward rounds when they don’t conflict with clinic duties.
Attend the academic half day every Thursday morning (confirm location with residents)
Morphology sessions every second Friday at the MGH pathology conference room at 7:45
Prepare a 20-30 minute presentation for the academic half day on a topic that relates dermatology to your field of interest, or of an interesting case that you would like to research and present. You must let the chief resident know your topic by the end of the second week for scheduling purposes, and to ensure that the topic was not recently discussed.
In order to successfully complete your rotation, you must be present for the minimum allotted number of days as defined by the collective agreement. If you will be taking call in other departments during your elective with us, you must provide the secretary at the clinic that you will be at with the call schedule so that it can be posted at the clinic.
Optional activities include:
Pathology rounds every Wednesday morning at 7:30a.m. in the pathology conference room of the MGH. Slides are available for pre-viewing in the pathology residents room of the MGH
Book Club every Monday morning at 7:45 at the MGH pathology library. (Ask the chief resident what chapters of Fitzpatrick will be covered)
Journal Club every Thursday morning at 8:00a.m. (confirm location with residents)
Good References: 1. Color atlas and synopsis of clinical dermatology common & serious diseases. Fourth edition. Fitzpatrick TB, Johnson RA, Wolff K, Surrmond D. McGraw Hill.
2. Dermatology Secrets in color. Fitzpatrick, Aeling
Main dermatology textbooks used by the residents: 1. Fitzpatrick’s Dermatology in General Medicine. Sixth edition. Freedberg, Eisen, Wolff, Austen, Goldsmith, Katz. McGraw Hill.