eScholarship: Dermatology Online Journal Search Results

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Langerhans cell histiocytosis of vulva
Keywords: Cutaneous Langerhans cell histiocytosis, vulva, perineum

flores.txt

Bilateral cutaneous leishmaniasis of upper eyelids: A case report
Keywords: Leishmaniasis, Eyelid, Bilateral

jafari.txt

Type II lepra reaction: An unusual presentation
Keywords: Leprosy, skin ulcers, vasculitis, pneumonia

chauhan.txt

Lipoid proteinosis: Report of three familial cases
Keywords: lipoid proteinosis, autosomal recessive, familial cases

robati.txt

Eccrine porocarcinoma

ostroumova.txt

Scabies presenting with bullous pemphigoid-like lesions
Keywords: scabies, bullous pemphigoid, immunofluorescence

arabshahi.txt

Chondroid syringoma of the arm: An unusual localization
Keywords: Chondroid syringoma, Arm, Skin

denguezli.txt

Prurigo pigmentosa treated with doxycycline
Keywords: doxycycline, hyperpigmentation, prurigo pigmentosa

ekmekci.txt

Cutaneous Rosai-Dorfman disease

hsu.txt

Assessment of a blog as a medium for dermatology education
Keywords: medical students, dermatology, blog, education, interest group

wagner.txt

Dermatology postgraduate training in Canada: CanMEDS competencies
Keywords: Canada, dermatology, education, residency, teaching, survey, CanMEDS, professionalism

freiman.txt

Canadian Medical Education Directions for Specialists. Available from: http://rcpsc.medical.org/canmeds. Accessed December 1, The shift towards competency and outcome-based medical education now requires that residents achieve proficiency in seven domains of CanMEDS competencies, which include 1) Medical Expert (the central role), 2) Professional, 3) Health Advocate, 4) Scholar, 5) Manager, 6) Collaborator and 7) Communicator (Figure 1). These have been adopted as a framework of core competencies for specialists, to be incorporated into the objectives of training, evaluation and accreditation of all Royal College specialty ADDIN EN.CITE JR 2005 Renewed for the future: CanMEDS 2005 Royal College The objective of this study was to evaluate the effectiveness of implementation of CanMEDS competencies training in Canadian dermatology postgraduate programs from the perspective of dermatology residents. A broad appraisal of dermatology education in Canada from the residents’ perspective was published ADDIN EN.CITE A. Barzilai, D.A. Barankin, B. Natsheh, A. Shear, N.H. 2005 National appraisal of dermatology residency training: A Canadian study. Arch METHODS A national survey of all core Canadian dermatology residents (PGY 3-5) was conducted in June 2004. Seven main dermatology programs in the country were surveyed: University of British Columbia (Vancouver), University of Alberta (Edmonton), University of Toronto (Toronto), University of Ottawa (Ottawa), McGill University (Montreal), University of Montreal (Montreal) and Laval University (Quebec City). The survey was conducted at the end of the academic year in June, as to allow the longest time and fullest experience in the program for each cohort year of residents. The survey explored the following: 1) demographic information and 2) awareness of the CanMEDS framework, and 3) perceived adequacy of training in the seven CanMEDS competencies in dermatology. The survey was conducted anonymously. The questionnaires were distributed during academic rounds by program representatives and subsequently collected in sealed, unmarked envelopes. All data were subsequently entered into the SAS statistical database and tabulated. Analysis was performed using SPSS statistical software, version 11.5 (SSPS Inc, Chicago, Ill; HYPERLINK
Keywords: ). RESULTS One hundred percent of core dermatology residents in Canada (PGY 3-5) responded to the survey; 35% of residents were male and 65% female. Fourteen residents (29%) were in PGY-3 year of training, 14 (29%) in PGY-4 and 20 (42%) in PGY-5. Overall, 48% of dermatology residents said they were familiar with the RCPSC CanMEDS framework. Table 1 demonstrates the perceived adequacy of training in the specific competencies. Residents became more familiar with these roles as they progressed through training, increasing from 43% in PGY-3 and 43% in PGY-4 to 60% in PGY-5. A decreasing trend was noted in the perceived adequacy of teaching for most of the individual CanMEDS roles in residency. DISCUSSION The CanMEDS roles form a fundamental framework of core physician abilities. The RCPSC was the first in the world to implement a national educational framework of the core competencies that all specialists need to know. This framework has been reviewed in several Canadian postgraduate specialty training fields, including ADDIN EN.CITE ering CanMEDS roles in psychiatric residency: a resident's Treatment and Research Program, Regional Mental Health Care, London, 850 Highbury Avenue, London, ON N6A 4H1. I. Can J Communication Canadian Medical Education Directions for Specialists. Available from: http://rcpsc.medical.org/canmeds. Accessed December 1, The challenge remains to develop new methods for teaching, and confirming that trainees acquire the appropriate cognitive knowledge, technical skills, and personal attributes required by their specialty. This will require an enhancement and formalization of competency evaluation tools that adequately document trainee performance in the required domains. Residents should seek out opportunities that will enhance their development in the CanMEDS roles. At the same time, program directors and faculty supervisors should work collaboratively with residents to ensure that creative and flexible opportunities exist. The RCPSC CanMEDS project is presently in the Faculty Development phase. These roles will likely become more evident to trainees as faculty become increasingly aware of them. Prideaux et al. give concrete examples of how faculty development can occur to incorporate the seven CanMEDS ADDIN EN.CITE Clinical teaching: maintaining an educational role for doctors in the new health care University, Adelaide, Australia. Prideaux, D. Alexander, H. Bower, A. Dacre, J. Haist, S. Jolly, B. Norcini, J. Roberts, T. Rothman, A. Rowe, R. Tallett, S. Med These can be applied specifically to each Royal College specialty program, including dermatology. Canadian dermatology residency programs will hopefully embrace the opportunities available to them to incorporate the CanMEDS educational framework. Specific targeting of the areas perceived to be poorest taught should result in improved education of the next generation of Canadian dermatologists. Acknowledgements We thank Jason R. Frank, MD, FRCPC from RCPSC Office of Education for reviewing the manuscript. We also gratefully acknowledge all Canadian dermatology residents who took the time to participate in the study. FIGURES AND TABLES Figure 1. Copyright Royal College of Physicians and Surgeons of Canada. Reproduced with the permission of the copyright holder. Table 1. Familiarity with CanMEDS framework and perceived adequacy of the CanMEDS roles training in dermatology residency* Overall PGY-3 PGY-4 PGY-5 Familiar with CanMEDS Roles adequately taught Medical Expert Collaborator Communicator Health Advocate Manager Professional 78 48 52 48 28 66 100 57 64 57 21 79 79 43 43 50 36 64 70 50 55 45 30 65 * Data presented in percentages of eligible respondents per category REFERENCES ADDIN EN.REFLIST 1. Ross JB. The teaching of dermatology to Canadian undergraduates in the mid-1980s. Med Teach 1989;11:87-91. 2. DesGroseilliers JP. The teaching of dermatology in Canada. Int J Dermatol 1985;24:458-60. 3. DesGroseilliers JP. Education continuum in Canadian dermatology. J Dermatol 1996;23:801-4. 4. Murray SJ, Raymond GP. Undergraduate dermatology education in Canada: a survey. J Cutan Med Surg 1998;2:220-3. 5. Royal College of Physicians and Surgeons of Canada. Canadian Medical Education Directions for Specialists. Available from: HYPERLINK

Dermatology Online Journal

Biographies in dermatology: An appraisal

aboud.txt

Epidemiologic characteristics of pityriasis rosea in Athens Greece

kyriakos.txt

Increased expression of basic fibroblast growth factor in skin of patients with systemic sclerosis
Keywords: Scleroderma, fibrogenic cytokines, pathogenesis

aggarwal.txt

Pityriasis rosea-like adverse reaction: Review of the literature and experience of an Italian drug-surveillance center
Keywords: Adverse drug reaction, drug eruptions, drug-surveillance, pityriasis rosea-like eruption. Short title:

atzori.txt

Treatment of limited extent extramammary Paget's Disease with 5 percent imiquimod cream
Keywords: extramammary Paget's Disease, imiquimod

rosen.txt

A review of rituximab in cutaneous medicine