A novel approach to teaching dermatology and plastic surgery in a combined module for undergraduate medical students

Figures & data

Table 1 Teaching strategies of the dermatology and plastic surgery course

Theme	Objectives/topics	Method of instruction	Assessment
Dermatology	Papulosquamous disease	Lecture/clinical teaching	MCQs/OSCE
Acne vulgaris	Lecture	MCQs
	Eczema	Lecture/clinical teaching	MCQs
	Urticaria and angioedema	Lecture/clinical teaching	MCQs
	Bacterial skin diseases	Lecture/seminar	MCQs/CW
	Introduction to the skin diseases	Lecture	MCQs
	Parasitic infection of the skin	Lecture/seminar	MCQs/CW
	Fungal skin diseases	Lecture/clinical teaching	MCQs
	Viral skin diseases	Lecture/seminar	MCQs/short assay
	Severe and life-threatening skin conditions (Steven–Johnson, erythema, toxic epidermal necrolysis)	Lecture/seminar/skill laboratory	MCQs/OSCE/CW
Plastic surgery	Congenital anomalies related to plastic surgery	Lecture	MCQs
	The principle of plastic surgery (graft and flap)	Lecture/skill laboratory	MCQs/OSCE
	Introduction to aesthetic plastic surgery	Lecture	MCQs
	Cleft lip and palate	Lecture	MCQs/OSCE
	Hand tumors	Lecture	MCQs
	Initial evaluation of injured hand	Lecture/clinical teaching	MCQs/OSCE
	Hand infections	Lecture	MCQs/OSCE
	Keloid and hypertrophic scar	Lecture/clinical teaching	MCQs/OSCE
	Burns	Lecture/seminar/clinical teaching	MCQs/OSCE/CW
	History and examination of skin disease	Skill laboratory/clinical teaching	OSCE
	Skin biopsy	Skill laboratory	OSCE
	Laser	Lecture/Skill laboratory	MCQs/OSCE
	Suture materials and suture techniques	Skill laboratory	OSCE
Dermatology and plastic surgery	Skin tumors	Lecture/seminar/skill laboratory/clinical teaching	MCQs/OSCE/CW
General medicine	Tropical dermatology	Lecture	MCQs
	Skin manifestations of systemic diseases	PSS	MCQs/CW
General surgery	Leg ulcers	Lecture	MCQs/OSCE
	Lymphedema	Lecture	MCQs
Others	Dermatopharmacology	Lecture	MCQs
	Skin manifestations of pediatrics diseases	Lecture	MCQs
	Rheumatologic diseases and skin	PSS	MCQs/CW
	Impetigo	Lecture	MCQs
	Hair and nail disorder	PSS	MCQs/CW
	Sexually transmitted diseases	SDL	MCQs/CW
	Skin and subcutaneous lesions	SDL	MCQs/CW

Abbreviations: CW, coursework; MCQs, muliple choice questions; PSS, practical skill sessions; OSCE, objective structured clinical exam; SDL, self-directed learning.

Table 2 Results of all questionnaires used to identify the degree of satisfactions among the students and staff in the present study

Kern’ steps	No.	Target	Strongly satisfied	Satisfied	Neutral	Dissatisfied	Strongly dissatisfied	Independent t-test
Step 1& 2: Needs assessment	50	Staff	35; 70%,	6; 12%	4; 8%,	3; 6%	2; 4%
Step 3: Goals and objectives	150	Students	77; 51%	43; 28%	8; 5.3%	12; 8%	10; 6.6%	P=0.0246
	50	Staff	36; 72%	8; 16%	2; 4%	2; 4%	2; 4%
Step 4: Educational strategies	150	Students	65; 43.3%	33; 22%	12; 8%	16; 10.6%	24; 16%	P=0.0224
	50	Staff	30; 60%	8; 16%	4; 8%	5; 10%	3; 6%
Step 5: Implementation	150	Students	47; 31.3%	43; 28.6%	15; 10%	30; 20%	15; 10%	P=0.0008
	50	Staff	28; 56%	12; 24%	4; 8%	4; 8%	2; 4%
Step 6: Course evaluation	150	Students	80; 53.3%	32; 21.3%	18; 12%	11; 7.3%	9; 6%	P=0.4361
	50	Staff	29; 58%	8; 16%	3; 6%	6; 12%	4; 8%

Note: Bold values indicate statistical significance. *The result is not significant at P<0.05.

Figure 1 Summary of the results of the questionnaires used for both staff and student in the present work.

Table 3 results of all questionnaires used for estimation of the degree of satisfactions among the students and staff for dermatology and plastic surgery courses in the current integrated dermatology/plastic surgery module

Kern’ steps	Course	Students		Staff		Independent t-test
		Satisfied	Dissatisfied	Satisfied	Dissatisfied
Step 3: Goals and objectives	Dermatology	126; 84%	6; 4%	43; 86%	3; 6%	P-value =0.313
	Plastic surgery	117; 78%	15; 10%	44; 88%	1; 2%	P-value =0.0150
	P-value =0.0688		P-value =0.317
Step 4: Educational strategies	Dermatology	110; 73.3%	18; 12%	41; 82%	5; 10%	P-value =0.512
	Plastic surgery	106; 70.6%	22; 14.6%	37; 74%	3; 6%	P-value =0.0729
	P-value =0.4911		P-value =0.5915
Step 5: Implementation	Dermatology	110; 73.3%	29; 19.3%	40; 80%	3; 6%	P-value =0.0086
	Plastic surgery	86; 57.3%	16; 10.6%	40; 80%	3; 6%	P-value =0.110
	P-value =0.308		P-value =1
Step 6: Course evaluation	Dermatology	116; 77.3%	4; 2.6%	31; 62%	4; 8%	P-value =0.0718
	Plastic surgery	107; 71.3%	16; 10.6%	28; 56%	6; 12%	P-value =0.4738
	P-value =0.006		P-value =0.4631

Note: Bold values indicate statistical significance. *The result is not significant at P<0.05.

Figure 2 Results of questionnaires regarding dermatology and plastic surgery course in the integrated dermatology and plastic surgery course.