Understand how to recognize, provide
initial management, and refer dermatological conditions which generally
require referral.
a. Recognize, provide initial management of, and refer appropriately
these conditions: 1. Acne, severe and/or cystic 2. Chronic urticaria 3.
Congenital skin disorders (ichthyoses, hemangiomas, etc.) 4.
Dermatologic findings that suggest serious systemic or genetic disorders
5. Drug reactions (severe) 6. Eczema and/or seborrhea (severe) 7.
Onychomycoses 8. Pigmented moles and nevi suspicious for malignancy 9.
Psoriasis 10. Ringed eruptions other than those listed above 11. Skin
conditions listed above which do not conform to classical patterns or
respond to conventional therapy 12. Warts (complicated, plantar,
genital, or resistant to topical therapy) b. Recognize, provide initial
management of, and rapidly refer the following skin lesions: 1.
Associated with malignancy 2. Associated with serious other organ system
involvement 3. Rapidly progressive that might lead to permanent scarring
Understand how to diagnose and manage atopic dermatitis.
a. Summarize the cardinal clinical features of atopic dermatitis. b.
Describe a variety of presentations, recognize these in patients and/or
slides/photos, and describe differential diagnosis. c. Describe
management of uncomplicated atopic dermatitis including skin care
techniques, steroid use, and costs of treatment. d. List conditions
which may complicate atopic dermatitis and discuss appropriate
treatment. e. Counsel parents and children regarding etiology, course,
and prognosis of atopic dermatitis.
Understand how to diagnose acne and manage mild and moderate cases.
a. Describe the differential diagnosis of acne. b. List factors which
contribute to the development and severity of acne. c. Recognize the
various clinical features which define mild to severe acne. d. List
topical medications which are effective in acne management (e.g. benzoyl
peroxide, retinoic acid, topical antibiotics). e. Explain the role and
possible side effects of systemic antibiotics in acne management. f.
Describe a step-wise approach to the management of acne, including skin
care, and topical and systemic medications. g. Identify indications for
referral of acne to a dermatologist. h. Counsel patients regarding
etiology, course, and prognosis of acne and help them deal with common
psychologic ramifications.