Clinical Immunology & Allergy Residency Program

Rotation-Specific Goals and Objectives for Dermatology Rotation

Trainees will be expected to acquire a working knowledge of the diagnosis and management of common dermatologic conditions relevant to the practice of Clinical Immunology and Allergy 

The following sections outline the rotation expectations in CanMEDS roles within the domains of medical expert, communicator, collaborator, manager, health advocate, scholar and professional.  

MEDICAL EXPERT
Key Competencies: Physicians are able to: 

  1. Function effectively as consultants, integrating all the CanMEDS roles to provide optimal, ethical and patient centered medical care 
  2. Perform a consultation, with recommendations that are organized and well documented in written and /or verbal form.  
  3. Demonstrate the use of all CanMEDS competencies relevant to dermatology 
  4. Demonstrate ability to prioritize professional duties when faced with multiple patients and problems 

Apply fundamental knowledge, skills and attitudes to the practice of dermatology: 

  1. Basic Science 
  2. Overview of the immune system pertaining to the skin
  3. Therapeutics
  • topical steroids, topical immune modulators (i.e. tacrolimus)
    • Biologics including monoclonal antibody technology (cytokine, cytokine receptor) mediated therapy pertaining to skin conditions relevant to the practice of Clinical Immunology and Allergy
    • Monitoring of therapeutics agents and management of complications

Principles and Methodology of relevant laboratory tests:

  1. Laboratory tests for the diagnosis of autoimmune skin conditions diseases including measurement of inflammatory markers, autoantibodies and complement.
  2. Diagnostic techniques relevant to skin conditions, punch biopsy , with H&E and immunofluorescence

Clinical Sciences - demonstrate knowledge of etiology, pathophysiology, diagnostic methods,assessment and practical management of the following: 

  1. Dermatitis (contact and atopic) 
  2. Autoimmune (bullous pemphigoid, pemphigus, lichen planus, cutaneous lupus) 
  • chronic urticaria
  • other (mastocytosis)

COMMUNICATOR
Key Competencies:

  1. develop rapport, trust, and ethical therapeutic relationships with patients
  2. accurately elicit and synthesize relevant information and perspectives of patients, colleagues and other professionals
  3. accurately convey relevant information and explanations to patients, colleagues and other professionals
  4. develop a common understanding on issues, problems, and plans with patients and families, colleagues, and other professionals to develop a shared plan of care
  5. Convey effective oral and written information about the dermatologic condition and the associated medical encounter

Specific Requirements: 

  1. communicate effectively with all staff, allied health professionals and discuss appropriate information with patients and team
  2. establish effective relationships with patients, family members and caregivers to obtain meaningful history, conduct relevant physical exams and properly manage a patient’s medical problem
  3. demonstrate effective communication skills by presenting concise, informative overviews on topics related to relevant dermatologic disorders

COLLABORATOR
Key Competencies:

  1. Participate effectively and appropriately in an inter professional healthcare team
  2. Effectively work with other health care professionals to prevent, negotiate and resolve inter-professional conflict

Specific Requirements:

  1. Contribute clinically appropriate dermatological opinions on patients referred for consultation, including arranging for specific testing, administering required therapy, and conveying clinically relevant results to referring physicians. Contribute effectively to interdisciplinary team activities held within hospital (rounds, journal clubs, etc.)

MANAGER
Key Competencies: 

  1. participate in activities that contribute to the effectiveness of healthcare organizations and systems
  2. allocate finite healthcare resources appropriately

Specific Requirements: 

  1. Appropriate use of IVIgG
  2. Appropriate use of biologics given in hospital and outpatient setting

HEALTH ADVOCATE
Key Competencies:

  1. Respond to individual patient healthcare needs and issues as part of patient care
  2. Respond to healthcare needs of the communities that they serve
  3. Identify the determinants of health of the populations that they serve
  4. Promote the health of individual patients, communities and populations

Specific Requirements: 

  1. demonstrate an appreciation of the healthcare needs of patients with all serious dermatological conditions that necessitates admission to hospital
  2. Encourage active family involvement in decision making and ongoing management
  3. Understand how effective laboratory support is important in the management of patients with dermatological and medical problems
  4. Advocate for patients if there are obstacles in diagnosis and management as a result of limited resources

SCHOLAR
Key Competencies:

  1. Maintain and enhance professional activities through ongoing learning
  2. Critically evaluate information and apply this appropriately to practice decisions
  3. Facilitate the learning of patients, families, trainees, other health professionals, and the public as appropriate
  4. Contribute to the creation, dissemination, application, and translation of new medical knowledge and practices

Specific Requirements:

  1. Provide evidence during their case presentations to dermatology attendings, that they are acquiring an appropriate depth of knowledge of the particular dermatologic disorder. To develop critical appraisal skills specific to the dermatological literature, particularly as it applies to patient management.

PROFESSIONAL
Key Competencies:

  1. To demonstrate a commitment to their patients, profession and society through ethical practice
  2. To demonstrate commitment to their patients, profession, and society thought participation in profession led regulation
  3. To demonstrate a commitment to physician health and sustainable practice

Specific Requirements:

  1. To deliver highest quality care with integrity, honesty and compassion
  2. To exhibit appropriate personal and interpersonal professional behaviour including civility and punctuality.
  3. To practice medicine ethically consistent with the obligations of a physician