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A Course on Skin and Soft Tissue Problems

Using Competency-based, Problem-based and Distance Learning Mode


Year III Students
Southwestern University-MHAM College of Medicine
September 3-24, 1999

Reynaldo O. Joson, MD, MHA, MHPEd, MS Surg


1. The students had 5 meetings with a resource person, Dr. Vicente Verallo, where the following topics were taken up:

Each meeting ran for two hours where there were discussion and slide presentation.

2. The students will have 3 more meetings with another resource person, Dr. Eve Ramos, where they plan to take up the following topics:

3. I will continue to facilitate the course on a distance learning mode from September 3 to September 24, 1999.

Face-to-face Facilitating Learning Sessions
September 3, 1999
4 hours with breaks

Overview of Skin and Soft Tissue Problems

Learning Plan

Evaluation Plan

Outputs of Group Discussion and Learning and Evaluating Agreement


DianeT. Binoya, Eden Aurora B. Opay, Claudelle V. Montano, Louere Grace J. Paypa, Ronnie Dan G. Salazar, Glenda E. Caballero, Herbert F. Libres, Lilibeth N. Macarine, Karen A. Zarandona, Ruben N. Gador, Jr., Leevaneigh C. Digdigan, Obriz M. Paglinawan, Roland C. Madrona

I. Concept of Skin and Soft Tissue Problems

- Alternation/disturbance in the structure and function of the skin and soft tissue

- Skin - integument which is the largest organ in the body with 3 layers: epidermis, dermis, hypodermis.

- Skin includes the appendages - hair, nails, sebaceous and sweat glands

- Functions of skin: protection, thermoregulation, vitamin D synthesis, sensation, immunity, excretion, blood reservoir

- Skin as against mucosa

- Skin - outer lining of the body surface

- Mucosa - inner lining of hollow viscera

- Soft tissue - structures underneath the epidermis of the skin and mucosa, arising from mesenchymal tissues, excluding bone, solid organs, and hollow viscera

Learning Issue: Is bone a mesenchymal tissue?

II. Common Types of Skin and Soft Tissue Problems

problems in structure

break, unusual color, bulge, unusual texture, hypertrophic scar, keloid

problems in function

hypo or hyper in function

III. Common Causes of Skin and Soft Tissue Problems

Break Color Bulge

Present at birth (congenital)

Acquired after birth

IV. Common Presenting Complaints

V. Problem Modules

VI. Competencies Expected and What to Study


Gross and Microscopic

Layers of skin and epidermis

Importance of knowing the different layers of the epidermis

  • Stratum corneum
  • Stratum lucidum
  • Stratum granulosum
  • Stratum spinosum
  • Stratum basale

Blood supply

Nerves - pain pathway


Physiology - Functions


Pharmacology - kinetics, dynamics, and therapeutics

Dermatology (pedia, internal medicine, ob-gyn)

Problems of skin

Problems of hair

Problems of nails


Public Health Programs

Legal Medicine- Responsibilities (certification) and Liabilities


Biochemistry - not so much

By Diseases

VII. Learning Issues

Answers to be submitted September 10, 1999 through email

VIII. Evaluations

Written examination (September 24, 1999)

Practical Examination


Overview of Health Problem (see Problem Modules)

Hypothetical Patient Managemen (see format)

To be submitted September 17 to 21, 1999

Criteria (see format)

Answers to Learning Issues

Overview and Personal Perspective on the Health Problem

Hypothetical Patient Management

Evaluation - Written Objective Exam

Evaluation - Essay Exam - Written Practical Exam

End-of-Course Students' Assessment

Students' Evaluation of Course

A Brief Report of an Experience in PBL and Distance Learning