Dermatology

Mother and Son
Draft proposed by Dr Stephen Chan
Reviewed by Dr YK Shiu

Essential Skills

Domain 1 Professional Values & Behaviour

Domain 4 Patient Management

Domain 9 Safeguarding

 

 

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises

Basic Training

Basic Science of Skin

The structure and function of normal skin

Examination of skin

Definitions of primary lesions: macule, papule, plaque, nodule, wheal, vesicle, bulla, cyst, pustule

Definitions of Secondary Changes: erosion, oozing, crusting, scaling, atrophy, excoriation, fissure

Systemic description of skin lesions:  primary lesion, size, secondary changes, colour, arrangement, distribution

Knowledge of skin lesions which suggest child maltreatment

 

Basic pharmacology

Knowledge of different formulations of topical therapy: gel, lotion, cream, ointment

Classification of topical steroids of different potency and their uses

Knowledge of common systemic therapies and their side effects (oral retinoid, cyclosporin, methotrexate, MMF)

 

Infantile Haemangioma

Understand the clinical features and natural history of infantile haemangioma

Understand the indications for the use of topical and oral beta-blockers, and their side effects

 

Infection

Recognize and manage common bacterial, viral, fungal infections and common infestations such as scabies and head lice

 

Dermatological Emergency

Recognize erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, Staphylococcal Scald Skin Syndrome, angio-oedema and anaphylaxis

 

 Neonatal conditions

Able to recognize milia, sebaceous gland hyperplasia, erythema toxicum, salmon patch, nevus sebaceous and their management

Recognises common birth marks and Mongolian blue spots, and knows when to refer

Advises parents about common problems, such as nappy rash and cradle cap

 

Atopic Eczema

Understand the potential physical, developmental and psychological impact of atopic eczema on patients and their families, and the effects on employment, schooling and quality of life

Knowledge of general skin care and the range of topical therapies used to manage acute and chronic atopic eczema, including safe prescribing regimens for topical corticosteroids and topical immunomodulators in different age groups and body sites

Management of secondary bacterial/viral infections

Higher Training

Atopic Eczema

Understand the multidisciplinary approach to management of severely atopic patients with eczema, asthma, rhinitis and food allergies, and when to refer

Knowledge of systemic treatments available for use in children with eczema and their indications, side effects and safe monitoring

 

Acne

Knowledge of infantile and childhood acne and features to suspect underlying endocrine problems

Knowledge of common topical therapy for acne

 

Scalp/hair

Able to recognize seborrheic dermatitis, tinea capitis, alopecia areata, traction alopecia, and their management

 

Nail

Able to recognize twenty nail dystrophy and onychomycosis, and their management

 

Urticaria

Management of acute and chronic idiopathic urticaria

 

Dermatological emergency

Initiate urgent management of erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, Staphylococcal Scald Skin Syndrome, angio-oedema and anaphylaxis

Desirable skills 

  1. Knowledge and application of tele-dermatology, and awareness of its potential benefits and risks