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LPU-St.

Cabrini College of Medicine

Integumentary System 3 Module

Coordinator: Dr. Miguel Remigio T. Maralit

I. Course Description

It is a two-week module in which third year medical learners will learn about common diseases
affecting the Integumentary System in a holistic manner from the perspective of a team of
specialist physicians. Whenever applicable, physicians (pediatric, adult and geriatric
counterparts) from clinical specialties of Dermatology, Internal Medicine, Pediatrics Surgery, and
Pathology will lead in facilitating learning. In this manner, third year medical learners will
experience and appreciate how working in teams with colleagues and other healthcare
professionals is superior to working alone and provides safer and the best level quality of care
for patients.

Third year medical learners will continue to interact with actual or simulated patients to improve
their communication, data gathering, physical examination and critical thinking skills in coming
up with the correct diagnosis and appropriate treatment plans. In addition to training in
simulation laboratories, third year medical learners can expect to observe, participate and assist
in actual surgical, clinic or bedside procedures. Pertinent clinical cases will also be discussed to
introduce other concerns in the practice of medicine like patient safety, professionalism and
research.

II. Target Students


Third Year Medical Students

III. Schedule
April 25 – May 6, 2022

IV. Venue
Online via Learning Management System
Simulation Lab
Hospital Wards and Clnics

V. Course Outcomes

Program Goals Level of Emphasis


1. Demonstrate clinical competence Practiced
2. Communicate effectively Demonstrated
3. Lead and manage healthcare teams Practiced
4. Engage in research activities Demonstrated
5. Collaborate with interprofessional teams Practiced
6. Utilize systems-based approach to healthcare Practiced
7. Engage in continuing professional and personal development Demonstrated
8. Adhere to ethical, professional and legal standards Demonstrated
9. Demonstrate nationalism, internationalism and dedication to Demonstrated
service
10. Practice the principles of social responsibility Demonstrated

VI. Content

A. The Skin and Aging

Date Objectives Topic Teaching – Faculty


Time Learning Activity
At the end of the module, the
student should be able to:
April 1. Discuss how to keep 1. Maintaining a healthy skin. Lecture Dr. Jacqueline
25 skin healthy. Synchronous Luna
08:00 – 11:00
2. Discuss the effects of 1.1 Ways of keeping the Asynchronous
aging on the skin. skin healthy: viewings and
a. Medications readings
b. Commercial skin
products
c. Commercial devices (Medicine 4 hours)
d. Diet, Physical activity (Pediatrics 2 hours)
and the Environment

14:00 -17:00
1.2 Effects of aging on the
skin
a. Normal skin changes
due to aging
b. How to maintain skin
to be young looking

Quiz 1 on Maintaining a
Healthy Skin
(10 items)

B. Inflammatory, Infectious, and Immunologic Skin Disorders

Date Objectives Topic Teaching – Faculty


Time Learning Activity
At the end of the module, the
student should be able to:
April 1. Discuss the diagnosis and 1. Pregnancy Dermatosis Lecture Dr. Jacqueline
26 management of Synchronous Luna
dermatosis commonly 08:00 – 11:00
seen in pregnancy. 1.1 Pemphigoid Gestationis Video viewing and
1.2 Polymorphic Eruption of additional readings
Pregnancy Asynchronous
1.3 Intrahepatic Cholestasis of
Pregnancy
(OB-Gyn 3 hours)
1.4 Atopic Eruption of
(Medicine 5 hours)
Pregnancy

11:00
Quiz on Pregnancy Dermatosis
(10 items)

13:00 – 15:00
Asynchronous sessions
Independent study period
Research

15:00-17:00
Dra. Ivy Patdu
Legal Medicine

April 27 2. Discuss the diagnosis and 2. Vesiculopustular and Lecture Dr. Jacqueline
management of Erosive Disorders in Synchronous Luna
Vesiculopustular and Newborns and Infants.
Erosive Disorders in
Video viewing and
Newborns and Infants. 08:00 – 11:00 additional readings
2.1 Erythema Toxicum Asynchronous
Neonatorum
2.2 Lentigines Neonatorum
2.3 Miliaria Lab/Wardwork
2.4 Selected rare disorders
(Pediatrics 3 hours)
11:00
Quiz on Vesiculopustular and (Medicine 5 hours)
Erosive Disorders in Newborns
and Infants

13:00 – 17:00 Dr. Antonia


Family and Community Medicine Yamamoto

April 28 3. Discuss the diagnosis and 3. Epidemiology, clinical Face to Face


management of Dermatitis presentation, natural history, Dr. Miguel
and Urticaria, and Acne diagnosis and treatment of: Video viewing and Maralit
Vulgaris
additional readings
08:00 – 12:00
3.1 Dermatitis Asynchronous
a. Allergic
b. Atopic (Medicine 4 hours)
c. Seborrheic (Pediatrics 4 hours)
d. Contact dermatitis
3.2 Urticaria
a. Acute
b. Chronic

3.3 Acne Vulgaris

13:00 - 15:00

ISP Activity with output

16:00
Quiz on Dermatitis, Urticaria and
Acne Vulgaris (10 items)

April 29 4.Discuss the diagnosis and 4. Skin Infections Face to Face Lecture Dr. Miguel
management of bacterial, Maralit
fungal and viral infections 08:00 – 13:00 (Medicine 4 hours)
of the skin.
4.1 Fungal Infections (Pediatrics 4 hours)
a. Superficial Fungal
Infections
b. Yeast Infections
c. Deep Infections

4.2 Viral Infections


a. Viral Exanthems
b. Herpes Simplex
c. Varicella and Herpes
Zoster

4.3 Bacterial Infections


a. Superficial cutaneous
infections and Pyoderma
b. Cellulitis and Erysipelas
c. Necrotizing Fasciitis

4.4 Infestations, Bites and


Stings
a. Scabies
b. Arthropod bites and
stings
c. Bites and stings of
terrestrial and aquatic life

15:00
Quiz on Fungal and Viral
Infections, Bacterial Infections,
and Infestations, Bites and Stings
(30 items)

May 2 5. Discuss the management 5. Immunologic Skin Disorders Lecture Dr. Jacqueline
of common immunologic Synchronous Luna
disorders of the skin. 08:00 – 11:00
5.1 Psoriasis Video viewing and
5.2 Lupus Erythematosus additional readings
5.3 Pemphigus Asynchronous

11:00 (Medicine 4 hours)


Quiz on Immunologic Skin (Surgery 5 hours)
Disorders (10 items)

13:00 – 15:00
6.3 Malignant Skin Disorders Dr. Miguel
a. Squamous Cell
Maralit
Carcinoma
b. Basal Cell Carcinoma
c. Melanoma
d. Paget’s Disease

15:30 – 17:00
6.4 Surgery of the Skin
a. Asepsis/Antisepsis Dr. Malen
b. Local Anesthesia Gellido
c. Excision, Suturing
techniques and suture
materials
d. Flaps and grafts

17:00
Quiz on Malignant Skin
Disorders and Surgery of the
Skin (10 items)
May 4 6. Discuss the diagnosis and 6. Neoplasms of the Skin Lecture Dr. Miguel
management of benign and Synchronous Maralit
malignant skin neoplasms, 08:00 – 11:00
Videos
6.1 Benign Skin Lesions Asynchronous
a. Seborrheic Keratosis
b. Acanthoma SGD
c. Nevus Synchronous
d. Epidermoid cysts
(Surgery 5 hours)
6.2 Pre-cancerous Lesions
(FCM 4 hours)
a. Actinic Keratosis
b. Bowen’s Disease`

11:00
Quiz on Benign Skin Lesions
(10 items)

13:00 – 17:00 Dr. Antonia


7.2 Community/OPD work Yamamoto

May 5 7. Discuss Pigmentary 8:00 – 11:00 Face to Face Lecture Dr. Miguel
disorders 7.1 Hypomelanoses (Medicine 2 hours ) Maralit
a. Pityriasis alba (Pediatrics 2 hours)
b. Tinea versicolor
c. Idiopathic guttate
hypomelanosis
d. Mycosis fungoides
e. Chemical leukoderma
f. Vitiligo

7.2Hypermelanoses
a. Ephelides
b. Peutz jeghers syndrome
c. Solar elastosis
d. Lentigo maligna
e. Nevus of Ota
f. Congenital Melanocytic
Nevus
g. Melasma
h. Ochronosis

Quiz on Pigmentary disorders


(10 items)

13:00 – 17:00
ISP Activity with output

May 6 8. Present in a Case 8. Case Management Lab All Faculty


Management Conference Conference (Medicine 3 hours)

09:00 – 12:00
Case Management Conference

13:00 –16: 00 Lecture


Module Examination (Medicine 1 hour)
(Surgery 0.5 hour)
(Pediatrics 0.5 hour)
16:00 – 17:00
Feedback (OB-Gyn 0.5 hour)
(FCM 0.5 hour)

VII. Grading, Assessment and Remediation

After finishing a module, a student gets a single module grade. This grade is derived from
50% Class Standing plus 50% Module Exam. Class standing points are accumulated from
quizzes, lab works, and reports done during the course of the module. The module exam is
given usually at the very last day of the module. A five to ten-item quiz will be given after
every topic.

The module grade is computed as follows:


Class Standing(50%) = Quizzes(30%) + Lab Work/ Reports/ Other tasks (20%) Module
Grade = Class Standing(50%) + Module Exam(50%)

The minimum passing module grade is 75%. A module grade of 74.45% will be rounded off
to 75% and therefore is considered a passing mark. A module grade of 74.44% is a failing
mark.

Within a week after the end of a module, each student will receive a written document to
formally inform them of their module grade. During this period, students may discuss any
concern they have regarding their grade with the module coordinator or his representative.
The module coordinator must submit all final grades to the Dean within two weeks after the
module ends.

If a student gets a module grade of 70% to 74.44%, he or she is eligible to take a remedial
examination. The remedial examination will be held on a Saturday, two weeks after the
module ends.
A student who gets a module grade of 69.99% or lower will not be allowed to take the
remedial examination.

The module grade reflects the overall competence of a student in the specific
organsystem/module. Taken by itself, it can be used as a formative form of assessment to
indicate aptitude and perhaps a future clinical career as a specialist/researcher in the
specific organsystem. More importantly, the module grade forms part of the summative
assessment in computing for the final subject grade that will be reflected in the students’
official transcript of records.

VII. References

1. Nelson Textbook of Pediatrics, 20th ed


2. Schwartz's Principles of Surgery / 10th ed
3. Harrison's Principles of Internal Medicine 19th ed
4. Textbook of Family Medicine Vol 1 and 2, By Zorayda Leopando
5. Fitzpatrick’s Dermatology 9th Edition
6. Dermatology by Bologna, 4th Edition

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