OPEN ACCESSAugust 15, 2012Dermatology Procedural Course for Internal Medicine Residents: A Didactic and Practical Simulation Exercise Alisa Duran-Nelson, MD, John Raymond, MS, Troy E. Reihsen Alisa Duran-Nelson, MD University of Minnesota Medical School Google Scholar More articles by this author , John Raymond, MS University of Minnesota Google Scholar More articles by this author , Troy E. Reihsen University of Minnesota Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9214 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstract Introduction: This resource is a knowledge and skills dermatology workshop which includes both didactic and practical portions to teach dermatologic knowledge and procedure skills. This course was created to instruct resident physicians in a variety of benign and malignant skin conditions, and different biopsy techniques for both identification and management of these conditions. This procedure course is part of a much larger ambulatory course that spans the course of 3 months. This course is offered as a half-day workshop on a quarterly basis. Methods: Each workshop includes six to eight residents and two instructors. The first part of the course includes a didactic PowerPoint lecture on recognition of suspicious moles, indications for biopsy, risks/contraindications, and when referral to a specialist is necessary. Several images/examples of different skin conditions (benign and malignant) are demonstrated. The second portion of the course takes place in the simulation center where the instructors demonstrate the techniques for students to replicate. Participants practice punch/shave biopsy techniques and simple suturing on pigs' feet prepared with the moulage technique to simulate moles. Instructors should review the procedural checklists prior to the session to ensure they are familiar with the material presented and able to perform the biopsy techniques correctly. All participants fill out a precourse self-assessment of their knowledge of dermatologic disease and procedure skills. After the course is complete, they fill out a postcourse self-assessment of their knowledge and skills. Results: This course demonstrated a statistically significant difference in self-reported knowledge and skills as measured by pre-/postself-assessment. 94% of residents found this to be a highly educational workshop. Discussion: This course was an example of peer teaching between different residency programs. The instructors engaged in this course were combined medicine-dermatology residents who taught their internal medicine peers. Educational Objectives By the end of this session, learners will be able to: Demonstrate recognition of suspicious moles.Understand indications for biopsy and type of biopsy to perform for each particular type of skin lesion.Demonstrate the ability to perform both shave and punch biopsies.Exhibit the ability to perform simple suturing techniques. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: DermProcedure.ppt Evaluation by IM residents.doc Instructor's Guide.doc Pre and Post Test Dermatologic Knowledge.doc Punch Biopsy Checklist.doc References for Further Reading.doc Shave and Punch Skin Biopsies.mp4 Shave biopsy checklist.doc To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. Copyright & Permissions© 2012 Duran-Nelson et al. This is an open-access article distributed under the terms of the Creative Commons Attribution license.KeywordsSkin LesionMolesShave BiopsySuturingBiopsiesPunch Biopsy Disclosures None to report. Funding/Support None to report. Loading ...