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
Facilitator
Background:
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
Students
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
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Skin |
Soft Tissue |
Nails |
Hair |
Trauma |
/ |
/ |
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Change in color |
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/ |
/ |
- Erythema |
/ |
/ |
/ |
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- Cyanosis |
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/ |
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- Abnormal pigmentation |
/ |
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Change in structure |
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-Anormal peeling |
/ |
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Tumor |
/ |
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Nonhealing wound |
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Pruritus |
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Pimples |
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Alopecia |
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V. Problem Modules
VI. Competencies Expected and What to Study
Anatomy
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
Appendages
Physiology - Functions
Pathology
Pharmacology - kinetics, dynamics, and therapeutics
Dermatology (pedia, internal medicine, ob-gyn)
Problems of skin
- Dermatitis
- Tumors
- Nonhealing wounds
Problems of hair
Problems of nails
Surgery
Public Health Programs
Legal Medicine- Responsibilities (certification) and Liabilities
Others
Biochemistry - not so much
By Diseases
VII. Learning Issues
Skin > soft tissue
Answers to be submitted September 10, 1999 through email
VIII. Evaluations
Written examination (September 24, 1999)
Practical Examination
Reports
Overview of Health Problem (see Problem Modules)
Hypothetical Patient Managemen (see format)
To be submitted September 17 to 21, 1999
Criteria (see format)
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