D STUDY GUIDE

E FOURTH YEAR MBBS

R 24TH MAY- 5TH JUNE 2021

M DURATION: 2 WEEKS

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LIAQUAT NATIONAL HOSPITAL AND MEDICAL COLLEGE
E INSTITUTE FOR POSTGRADUATE MEDICAL STUDIES & HEALTH SCIENCE
LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

STUDY GUIDE FOR DERMATOLOGY MODULE

Page
S.No CONTENTS
No.
1 Overview 3
2 Introduction to Study Guide 4
3 Learning Methodologies 5
4 Module 2: DERMATOLOGY 7
4.1 Introduction 7
4.2 Objectives and Learning Strategies 8
5 Learning Resources 11
6 Assessment Methods 12
7 LNMC Examination Rules and Regulations 13
8 Schedule 14

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LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

Module name: Dermatology Year: Four Duration: 2 weeks (May-June 2021)

Timetable hours: Interactive Lectures, Case-Based Discussion (CBD), Clinical Rotations,

Presentations, Demonstrations, Skills, Self-Study

MODULE INTEGRATED COMMITTEE

MODULE COORDINATOR:  Professor Shaheen Naveed (Dermatology)

CO-COORDINATOR:  Dr. Afifa Tabassum (DHPE)

DEPARTMENTS’ & RESOURCE PERSONS’ FACILITATING LEARNING

BASIC HEALTH SCIENCES CLINICAL AND ANCILLARY DEPARTMENTS
PATHOLOGY DERMATOLOGY
 Professor Naveen Faridi  Professor Shaheen Naveed

PHARMACOLOGY ENDOCRINOLOGY
 Professor Nazir Ahmed Solangi  Dr. Aqiba Sarfraz
 Professor Tabassum Zehra
MEDICINE
 Professor Karimullah Makki

DEPARTMENT of HEALTH PROFESSIONS EDUCATION

 Professor Nighat Huda  Professor Sobia Ali  Dr. Afifa Tabassum
 Dr. M. Suleman Sadiq

LNH&MC MANAGEMENT
 Professor Karimullah Makki, Principal, LNH&MC
 Dr. Shaheena Akbani, Director A.A & R.T LNH&MC

STUDY GUIDE COMPILED BY:

 Faiza Ambreen, Department of Health Professions Education

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LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

INTRODUCTION

WHAT IS A STUDY GUIDE?

It is an aid to:
 Inform students how student learning program of the module has been organized
 Help students organize and manage their studies throughout the module
 Guide students on assessment methods, rules and regulations

THE STUDY GUIDE:

 Communicates information on organization and management of the module. This will help the
student to contact the right person in case of any difficulty.
 Defines the objectives which are expected to be achieved at the end of the module.
 Identifies the learning strategies such as lectures, small group teachings, clinical skills,
demonstration, tutorial and case based learning that will be implemented to achieve the module
objectives.
 Provides a list of learning resources such as books, computer assisted learning programs, web-
links and journals for students to consult in order to maximize their learning.
 Highlights information on the contribution of continuous on the student’s overall performance.
 Includes information on the assessment methods that will be held to determine every student’s
achievement of objectives.
 Focuses on information pertaining to examination policy, rules and regulations.

CURRICULUM FRAMEWORK
Students will experience integrated curriculum similar to previous modules.

INTEGRATED CURRICULUM: Comprises system-based modules such as Eye/ENT, dermatology, genetics,

rehabilitation and neurosciences-II & psychiatry modules which link basic science knowledge to clinical
problems. Integrated teaching means that subjects are presented as a meaningful whole. Students will
be able to have better understanding of basic sciences when they repeatedly learn in relation to clinical
examples.

LEARNING EXPERIENCES: Case based integrated discussions, Task oriented learning followed by task
presentation, skills acquisition in skills lab, computer-based assignments, learning experiences in clinics,
wards.

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LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

INTEGRATING DISCIPLINES OF DERMATOLOGY MODULE

ENDOCRINOLOGY
DERMATOLOGY

DERMATOLOGY
MODULE
PATHOLOGY
PHARMACOLOGY

MEDICINE

LEARNING METHODOLOGIES

The following teaching / learning methods are used to promote better understanding:

 Interactive Lectures
 Small Group Discussion
 Case- Based Discussion (CBD)
 Clinical Experiences
o Clinical Rotations
 Skills session

INTERACTIVE LECTURES: In large group, the lecturer introduces a topic or common clinical conditions and
explains the underlying phenomena through questions, pictures, videos of patients’ interviews, exercises,
etc. Students are actively involved in the learning process.

SMALL GROUP SESSION: This format helps students to clarify concepts, acquire skills or desired attitudes.
Sessions are structured with the help of specific exercises such as patient case, interviews or discussion
topics. Students exchange opinions and apply knowledge gained from lectures, tutorials and self study. The
facilitator role is to ask probing questions, summarize, or rephrase to help clarify concepts.

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LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

CASE-BASED DISUCSSION (CBD): A small group discussion format where learning is focused around a series
of questions based on a clinical scenario. Students’ discuss and answer the questions applying relevant
knowledge gained previously in clinical and basic health sciences during the module and construct new
knowledge. The CBD will be provided by the concern department.

CLINICAL LEARNING EXPERIENCES: In small groups, students observe patients with signs and symptoms in
hospital wards, clinics and outreach centers. This helps students to relate knowledge of basic and clinical
sciences of the module and prepare for future practice.
o CLINICAL ROTATIONS: In small groups, students rotate in different wards like Medicine, Pediatrics,
Surgery, Obs & Gynae, ENT, Eye, Family Medicine clinics, outreach centers & Community Medicine
experiences. Here students observe patients, take histories and perform supervised clinical
examinations in outpatient and inpatient settings. They also get an opportunity to observe medical
personnel working as a team. These rotations help students relate basic medical and clinical
knowledge in diverse clinical areas.

SKILLS SESSION: Skills relevant to respective module are observed and practiced where applicable in skills
laboratory.

SELF-DIRECTED STUDY: Students’ assume responsibilities of their own learning through individual study,
sharing and discussing with peers, seeking information from Learning Resource Center, teachers and resource
persons within and outside the college. Students can utilize the time within the college scheduled hours of
self-study.

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LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

MODULE 2: DERMATOLOGY

INTRODUCTION

Dermatology is the branch of medicine that deals with skin, mucous membranes, hair and nails.
Although relatively straightforward to examine, the skin is the largest organ weighting about 16% of
total body weight, and has numerous potential abnormalities.
There are about 1500 distinct skin diseases and many variants. About 15% of consultations in general
practice relate to a skin problem and between 50% and 75% of individuals may have a skin problem at
any time.

Most dermatological conditions are highly visible and can have profound psychosocial effects.
Disfigurement can result in negative self-perception, depression, social rejection and social isolation
related to unfavorable self-image. Skin conditions affecting the face may require aggressive treatment
even if they are clinically relatively mild. Disturbance of body image is particularly serious if it arises
during childhood or adolescence, as is the case for birthmarks, atopic eczema and acne.

This module will discuss the impact of skin diseases, outline the biology of normal skin, and describe
how to examine the skin and how its diseases may be effectively treated. A range of skin infections,
inflammatory skin diseases and neoplastic conditions will be briefly described as well as skin signs of
systemic disease.

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LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

COURSE OBJECTIVES AND STRATEGIES

By the end of Dermatology module students should be able to:

DERMATOLOGY

OBJECTIVES TEACHING STRATEGY

 Define common terminologies
 Differentiate among various skin lesions when shown photographs/real
patients
 Describe the clinical presentations of common dermatologic conditions
listed below:
I. Infections:
a. Bacterial: Impetigo, Ecthyma, Cellulitis, Foliculitis,
Furuncle, Carbuncle, Erysiplas, NecrotisingFascitis
b. Viral: Herpes Simplex and Zoster, Chicken Pox, Measles,
Viral warts, MolluscumContagiosum
c. Fungal: Dermatophyte infections, Candida Albicans,
PityrisisVersiclor Interactive Lectures
d. Parasitic: Scabies, Pediculosis, Leishmaniasis
II. Psoriasis
III. Lichen Planus
IV. Cutaneous drugs reactions: Steven Johnson Syndrome, Toxic
Epidermal Necrolysis, Erythema Multiformis, Urticaria
V. Cutaneous Manifestations of Systemic Diseases: skins
changes in SLE, Thyroid disorders, Hepatic disorders.

 Diagnose common dermatologic conditions listed above based on

information provided in writing or by simulated patients
 Justify management plan for the conditions listed above

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 LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

 Discuss the clinical presentations, diagnosis and management plan of

Eczema Interactive Lectures
 Discuss the clinical presentations, diagnosis and management plan
of Atopic dermatitis
 Discuss the clinical presentations, diagnosis and management plan
Case-Based Discussion
for Bullous disorder including Pempigus Vulgaris, Bullous
Pemphigoid, Dermatitis Herpetiformis, Epidermolysis Bullosa
 Discuss the causes, pathogenesis, diagnosis and treatment of acne
Interactive Lectures
 Discuss the causes, pathogenesis, diagnosis and treatment of
alopecia (hair fall)
ENDOCRINOLOGY
OBJECTIVES TEACHING STRATEGY

 Describe the clinical presentations of common dermatologic

Interactive Lecture
conditions of Diabetes Mellitus

INFECTIOUS DISEASE

OBJECTIVES TEACHING STRATEGY

 Describe the clinical presentations of Sexually Transmitted

Diseases which include Gonorrhoea, Chancroid, Syphilis, Interactive Lecture
Lymphogranuloma Venerum (LGV), Granuloma Inguinale

MEDICINE
OBJECTIVES TEACHING STRATEGY
 Discuss the clinical presentations of common dermatologic
conditions related to kidney disorders & malignancies including Small Group Discussion
Para-Neoplastic Syndrome
 List the drugs that can cause drug reactions Interactive Lecture

 Describe the skin manifestation of drug reactions

PATHOLOGY
OBJECTIVES TEACHING STRATEGY
Infectious diseases of skin

 Discuss common infections of skin including Verrucae (warts),

Interactive Lectures
Molluscum Contagiosum, Impetigo, superficial fungal infection
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 LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE
Acute and chronic inflammatory dermatoses

 Explain the pathogenesis and clinical presentations of various acute &

chronic inflammatory dermatoses including Urticaria, Acute Interactive Lectures

Eczematous Dermatitis, Erythema Multiforme Psoriasis,

Seborrheic Dermatitis, Lichen Planus
Disorders of pigmentation and vesicular (Bullous) Diseases

 Discuss pigmentation disorders including Freckle, Lentigo, Nevi and

Melanoma Small Group Discussion
 Describe pathogenesis and clinical features of various blistering
disorders of skin
Tumors of dermis and epidermis

 Classify tumors of skin and subcutis

 Describe important types with pathogenesis, morphology and clinical
Interactive Lectures
features of skin tumors (Actinic Keratosis, Squamous Cell Carcinoma,
Basal Cell Carcinoma, Dermato-fibroma, Dermato fibrosarcoma
protuberance)

PHARMACOLOGY

OBJECTIVES TEACHING STRATEGY

 Discuss the uses, mechanism of action, contraindication, precautions and

side effects of topical as well as systemic antifungal drug
Case-Based Discussion
 Discuss drugs used in other dermatological disorders

 Discuss classification and mechanism of action of oral & topical

steroids

Apart from attending daily

scheduled sessions, students
too should engage in self-study
to ensure that all the
objectives are covered

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LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

LEARNING RESOURCES

SUBJECT RESOURCES

REFERENCE BOOKS:
1. Hutchison’s Clinical Methods, 23rd Edition
GENERAL MEDICINE 2. MacLeod's clinical examination 13th edition
3. Davidson's Principles and Practice of Medicine
4. Kumar and Clark's Clinical Medicine

TEXT BOOKS
1. Robbins & Cotran, Pathologic Basis of Disease, 9th edition.
PATHOLOGY/MICROBIOLOGY 2. Rapid Review Pathology, 4th edition by Edward F. Goljan MD

WEBSITES:
1. http://library.med.utah.edu/WebPath/webpath.html
2. http://www.pathologyatlas.ro/

PHARMACOLOGY 1. Lippincot Illustrated Pharmacology

2. Basic and Clinical Pharmacology by Katzung

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LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

ASSESSMENT METHODS:

 Best Choice Questions(BCQs) also known as MCQs (Multiple Choice Questions)

 Objective Structured Practical/Clinical Examination (OSPE or OSCE)

BCQs:
 A BCQ has a statement or clinical scenario of four options (likely answers).
 Correct answer carries one mark, and incorrect ‘zero mark’. There is NO negative marking.
 Students mark their responses on specified computer-based sheet designed for LNHMC.

OSCE:
 All students rotate through the same series of stations in the same allocated time.
 At each station, a brief written statement includes the task. Student completes the given task
at one given station in a specified time.
 Stations are observed, unobserved, interactive or rest stations.
 In unobserved stations, flowcharts, models, slide identification, lab reports, case scenarios
may be used to cover knowledge component of the content.
 Observed station: Performance of skills /procedures is observed by assessor
 Interactive: Examiner/s ask questions related to the task within the time allocated.
 In Rest station, students in the given time not given any specific task but wait to move to the
following station.

Internal Evaluation
 Students will be assessed comprehensively through multiple methods.

 20% marks of internal evaluation will be added to JSMU final exam. That 20% may include
class tests, assignment, practicals and the internal exam which will all have specific marks
allocation.
Formative Assessment
Individual department may hold quiz or short answer questions to help students assess
their own learning. The marks obtained are not included in the internal evaluation

For JSMU Examination Policy, please consult JSMU website!

More than 75% attendance is needed

to sit for the internal and final
examinations

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 LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

LNH&MC EXAMINATION RULES & REGULATIONS

 Student must report to examination hall/venue, 30 minutes before the exam.

 Exam will begin sharp at the given time.
 No student will be allowed to enter the examination hall after 15 minutes of scheduled examination time.
 Students must sit according to their roll numbers mentioned on the seats.
 Cell phones are strictly not allowed in examination hall.
 If any student is found with cell phone in any mode (silent, switched off or on) he/she will be not be allowed to
continue their exam.
 No students will be allowed to sit in exam without University Admit Card, LNMC College ID Card and Lab Coat.
 Student must bring the following stationary items for the exam: Pen, Pencil, Eraser, and Sharpener.
 Indiscipline in the exam hall/venue is not acceptable. Students must not possess any written material or
communicate with their fellow students.

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LIAQUAT NATIONAL MEDICAL COLLEGE 4th YEAR MBBS DERMATOLOGY MODULE

SCHEDULE:

WEEKS 4th Year MONTH

WEEK 1 29th March 2021

WEEK 2
WEEK 3
WEEK 4
ORTHOPEDICS & REHABILITATION MODULE
WEEK 5
WEEK 6
WEEK 7
WEEK 8 21st May 2021
24th May 2021
WEEK 1
DERMATOLOGY MODULE
WEEK 2
5th June 2021
7th June 2021
WEEK 1
GENETICS MODULE
WEEK 2
19th June 2021

Mid Term Examination*

*Final dates will be announced later

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