Cosmetics PGY-3

Cosmetic Dermatology Rotation Goals/ Objectives for PGY-3
Patient Care
Goal: To provide care for cosmetic dermatology patients that is caring, sensitive, and effective
in optimizing diagnosis, management, patient education and outcomes.
Objectives:

1. Consistently be able to extract difficult-to-elicit but pertinent information and clinical findings
   but may occasionally need guidance with subtle or complex findings. PC
2. Consistently give targeted and precise presentation with pertinent negatives. PC5
3. Consistently perform in-office tests proficiently and interpret results correctly. PC6
4. Consistently accurately interprets laboratory and imaging test results. PC6
5. Usually interprets dermpath and applies findings to clinical care accurately for uncommon
   neoplasms and common inflammatory dermatoses. PC1
6. Consistently selects appropriate medication and changes to medical therapy and usually
   selects appropriate medication for management of complex diseases. PC8
7. Consistently monitors for side effects, including ordering appropriate tests. PC
8. Consistently able to assess and counsel patients for advanced procedures such as laser
   therapy. PC5
9. Consistently able to assess patients for minimally-invasive cosmetic dermatologic procedures.
   PC5
10. Observes or assists in non-invasive cosmetic procedures, such as soft tissue augmentation,
    botulinum toxin injections, and laser. PC5
11. Usually able to prepare a patient for advanced procedures (eg. Use of pre and post procedure
    antibiotics, sedatives and narcotics; choice of appropriate anesthetic agent). PC5
12. Consistently performs basic procedures. PC3
13. Consistently tailor counseling and management decisions for individual patient needs and
    preferences. PC8
14. Consistently develop a comprehensive and weighted differential diagnosis. PC7
15. Usually educate patients with common and complex disorders with guidance. PC7
16. Consistently make management decisions for patients with common disorders, but usually
    needs guidance for patients with complex disorders. PC8
17. Consistently seek appropriate specialist consultations. PC5
    Medical Knowledge
    Goal: To acquire knowledge in cosmetic dermatology and develop expertise in patient
    management.
    Objectives:
18. Usually demonstrate knowledge of the clinical and laboratory manifestations, expected course
    and management options of common, uncommon, and complex medical dermatologic disorders;
    identifies and usually manage urgent dermatological conditions. MK1
19. Usually demonstrate knowledge of preventative care and the socio-behavioral aspects of
    common and complex dermatologic disorders. MK1
20. Demonstrates mastery in identifying topical anatomy and relevant underlying structures. MK1

4. Demonstrates knowledge of the concepts and principles of non-invasive cosmetic procedures,
   such as botulinum toxin injections, soft tissue augmentation and some light-based therapies.
   MK1
5. Demonstrates knowledge of the science of device-tissue interaction for commonly used tools
   including laser physics. MK1
6. Usually applies basic science knowledge to cosmetic dermatologic disorders, and relates
   advances in basic science to clinical practice. MK1
7. Identifies variable presentations of common disease MK2
8. Describes morphology with fluency MK2
9. Integrates visual diagnostic tools (eg. dermoscopy), with assistance MK2
   Practice-Based Learning and Improvement
   Goal: Develop skills in acquiring, analyzing, applying and teaching cosmetic dermatology
   knowledge. Develop the ability to self-analyze.
   Objectives:
10. Actively seek appropriate resources to find dermatology information to answer clinical
    questions without being requested or assigned this task. PBLI
11. Occasionally formulates clinical questions raised by new basic science information. PBLI1
12. Apply a set of critical appraisal criteria to different types of research, including synopses of
    original research findings, systematic reviews, meta- analyses, and clinical practice guidelines.
    PBLI1
13. Critically evaluate information from others, including colleagues, experts, industry
    representatives, patients and their families. PBLI1
14. Identify in journal club or other educational venues when new evidence, guidelines, or
    information should change how they or the department function on the cosmetics rotation
    (ordering tests, selecting therapies, etc.) PBLI1
15. Summarize complex topics through effective information synthesis and presentation of
    material. PBLI1
16. Participate in the collection and analysis of program-specific resident competency data (for
    example, patient logs, procedure logs, and treatment logs) PBLI2
17. Independently creates and implements a learning plan PBLI2
18. Actively participate in activities designed to develop and improve teaching skills. PBLI2
19. Seizes the teachable moment with others in the clinical setting. PBLI2
20. Seeks performance data episodically, with adaptability and humility PBLI2
21. Analyzes, reflects on and institutes behavioral changes) to narrow the gap(s) between
    expectations and actual performance. PBLI2
    Interpersonal Communication

Goal: To communicate with patients, their families, and other health professionals in a clear.
concise, caring, and respectful manner.
Objectives:

1. Consistently communicates effectively and builds rapport with patients and families in routine
   encounters, occasionally requiring guidance in stressful encounters. ICS1
2. Usually recognizes non- verbal cues from patients, and uses non-verbal skills to convey
   empathy. ICS1
3. Usually paces clinical interviews appropriately, spending extra time when indicated. ICS1
4. Consistently maintains composure in difficult patient and family encounters. ICS1
5. Considers patient beliefs in shaping the patient- physician relationship and therapeutic plan.
   ICS1
6. Adapts patient/family- related information gathering to social and cultural context. ICS]
7. When prompted, reflects on personal biases while attempting to minimize communication
   barriers ICS1
8. Consistently communicates effectively with health care team members in ways that
   demonstrate appreciation for their skills and contributions in routine situations, occasionally
   requiring guidance in difficult or contentious situations. ICS2
9. Consistently obtains and provides consultation and communicates effectively and efficiently
   with supervisors, consultants, and referring providers in routine patient care situations,
   occasionally needing guidance in complex or nuanced situations. ICS2
10. Communicates effectively with medical students, peers, and faculty members in a variety of
    formal and informal educational settings. ICS2
11. Provides both positive and negative feedback, as appropriate, when mentoring other
    physicians. ICS2
12. Consistently respectful of the opinions of colleagues, and works to resolve conflicts through
    proper channels and communication. ICS2
13. Consistently ensures that patient records, including outpatient and inpatient consultations and
    transitions of care, are promptly and accurately documented for routine and complex situations.
    ICS3
14. Concisely reports diagnostic and therapeutic reasoning in electronic health record ICS3
15. Appropriately selects and uses direct (eg. telephone, in-person) and indirect (eg. progress
    notes, text and inbox messages) forms of communications base on context ICS3
    Profession alism
    Goal: Develop a commitment to excellence, integrity, and sensitivity in the care for cosmetic
    dermatology patients and in the interactions with other health professionals and staff.
    Objectives:
16. Educates junior learners and ancillary staff members in, and models adherence to,
    institutional and departmental policies and procedures, proper use of social media, equitable and
    empathic treatment of all patients, and maintaining patient confidentiality. PROF1
17. Adheres to state, institutional, and professional guidelines regarding physician relationships
    with industry. PROF1
18. Develops self- improvement plan to address limitations and personal errors. PROF2

4. Assumes leadership role among the resident group (for example, as chief resident, project
   manager); serves as a role model for junior residents. PROF2
5. Lists gaps of knowledge in cosmetic dermatology and devises plan for improvement. PROF2
6. Establishes list of priorities and effective time management that enables successful pursuit of
   professional and personal goals. PROF2
7. Consistently demonstrates empathy and compassion to patients of all ages, including difficult
   or challenging patients. PROF1
8. Demonstrates effective strategies to manage conflict when patient values differ from his or her
   own values. PROF3
9. Discusses ideas and strategies to offset disparities in health care for specific cosmetic
   dermatologic diagnoses. PROF2
10. Demonstrates professional behavior in complex or stressful situations PROF1
11. Analyzes complex situations using ethical principles PROF1
12. Performs tasks and responsibilities in a timely manner with appropriate attention to detail in
    complex or stressful situations PROF2
13. Proposes a plan to optimize personal and professional well-being. with assistance PROF3
14. Proposes a plan to remediate or improve limits in one’s own knowledge/skills, with
    assistance PROF3
    Systems Based Practice
    Goal: Competently navigate the health care system using the resources available to provide
    effective yet cost-conscious patient care.
    Objectives:
15. Effectively navigate systems to overcome obstacles to optimal patient care (for example,
    facilitating access to care) SBP1
16. Identify target patient populations, differences in demographics, and utilize the appropriate
    agencies/resources to address specific needs of these populations. SBP2
17. Delegate tasks appropriately to members of the health care team. SBP2
18. Attend and contribute to clinic team/staff meetings at participating sites. SBP2
19. Facilitate checklist-guided briefings (for example pre-procedure timeouts) in health care
    activities. SBP1
20. Articulate understanding of the intersection of thelegal system and health care system in the
    context of medical errors. SBP1
21. Consistently identify the social/governmental services necessary for vulnerable populations,
    including determination of eligibility for services and delivery of some aspects of care. SBP2
22. Consistently advocate for optimal patient care in the setting of interdisciplinary interactions
    (for example, discussions with insurance companies or care providers in other specialties). SBP2
23. Articulate awareness of common socio-economic barriers that impact patient care. SBP2
24. Articulate understanding of how cost-benefit analysis is applied to patient care (that is, via
    principles of screening tests and the development of clinical guidelines). SBP3
25. Identify the role of various health care stakeholders, including providers, commercial and
    government payers, and pharmaceutical industry and medical device companies, and their varied
    impact on the cost of and access to health care. SBP3
26. Identify and minimize unnecessary care, including tests, procedures, therapies, and
    ambulatory or hospital encounters. SBP3