8 steps who: residents, medical students, faculty when: thursday 0715-0800, gme lecture where: fm...
TRANSCRIPT
8 Steps
Who: Residents, Medical Students, Faculty
When: Thursday 0715-0800, GME lecture
Where: FM Conference Room – no ARS, must bring my own computer
What: Knowledge: dermatology sexually transmitted infections and treatment
Skills: sexually transmitted infections – clinical findings
Attitude: Comfort with talking about sex and STI with patients
Why: Sex is common, STIs happen because of sex, therefore STIs are common
What: STI clinical findings and diagnosis, STI treatments, reportable diseases
What for: 1) Reviewed the common dermatology descriptions of lesions 2) Diagnosed 6 STIs through pattern recognition of clinical findings 3) Memorized treatments for those same 6 STIs 4) Distinguished the diseases that are reportable to the CDC
How: See 4 I’s
So What: Learning, Transfer, Impact
4 I’s
Inductive: Grabber, pretest quiz
Input: Powerpoint and Derm cards
Implementation: “Support Group” exercise, Pile sort
Integration: Post test quiz
Timeline
• 0715-0720 Grabber, intro• 0720-0725 pretest, review answers• 0725-0745 support group exercise• 0745-0750 post test, answers
Discomfort with anatomyPersonal
experiences
Culture and religionPatient
discomfortPersonal feelings
Lifestyles different from our own
Discomfort with physiology
STI’s Gone Wild
Amanda Cuda, MD
Faculty Development Fellow
24 January 2013
Logic and Epidemiology
Sex is common
STI’s happen because of sex
Therefore STI’s are common
Objectives
Reviewed dermatology descriptions
Diagnosed 6 STIs
Memorized treatments for those 6 STIs
Named those reportable to the CDC
Primary Cutaneous Lesions
Flat
Macule A circumscribed, flat discoloration that may be brown, blue, red, or hypopigmented
Elevated, Solid
Papule An elevated, solid lesion up to 0.5 cm in diameter of variable color. Papules may become confluent to become plaques.
Nodule A circumscribed, elevated solid lesion >0.5 cm in diameter
Plaque A circumscribed, elevated, superficial, solid lesion >0.5 cm in diameter
Fluid Filled
Vesicle A circumscribed collection of free fluid up to 0.5 cm in diameter
Bulla A circumscribed collection of free fluid >0.5 cm in diameter
Pustule A circumscribed collection of leukocytes and free fluid (pus)
Wheal (hive) A firm erythematous plaque resulting from infiltration of the dermis with fluid (may be transient)
Quiz Instructions
Complete the following on your pretest worksheets:
1. Diagnosis
2. Treatment
3. Reportable to CDC?
Question 1
Most common ulcer infection.
Question 2
Most common cause of urethritis or cervicitis in the United States.
Question 3
Common and underdiagnosed.
Question 4
The only cause of urethritis or cervicitis that is a protozoan.
Question 5
Gram negative diplococci that causes urethritis and cervicitis.
Question 6
This painless ulcer infection is increasing in prevalence worldwide.
Quiz Answers
Quiz Answers
Quiz Finish
Support Group Exercise
1. Take worksheet for condition, walk around, find 5 other support group members
2. Introduce by presentation and treatment
3. Name if it is reportable to the CDC
4. Create a trick to remember the condition, treatment, reportable status. Write on post test worksheet.
5. We’ll share examples of memory tricks.
6. Take 15 minutes, try to meet the 5 other support group members.
Pile Sort Exercises
Work in groups. Sort cards three times, using these three categories:
1. Clinical: ulcers, urethritis/cervicitis, other
2. Microbiology: bacteria, virus, other
3. Reportable to CDC: yes or no
Post Test
Quiz Instructions
Objectives
Reviewed dermatology descriptions
Diagnosed 6 STIs
Memorized treatments for those 6 STIs
Named those reportable to the CDC
Questions?
Please return small group worksheets.
Thank you!
Bonus question 1
Painless ulcer infection.
Bonus question 2
Painful ulcer infection.
Bonus question 3
This condition presents with wavy, elongated papules.
Bonus question 4
Name the 4 infections from those discussed today that facilitate the transmission and infection of HIV.