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Guidelines

HKCP Higher Physician Training in Dermatology and Venereology Guideline

(I) OBJECTIVES

1. To provide training and experience at a sufficient level for the trainee to acquire sufficient competency in Dermatology & Venereology.
2. To enhance knowledge, clinical skills and procedural competence in Dermatology & Venereology.
3. To provide an opportunity for postgraduate continuing medical education in Dermatology & Venereology.
4. To understand the various health care delivery issues concerning Dermatology & Venereology in the community.

(II) STRUCTURE

1. This period consists of not less than 36 months of supervised and accredited training in Dermatology & Venereology.
2. The trainee should undergo a minimum of 24 months of full-time training in a recognised Dermatology Centre, and a minimum of six months of full-time training in Venereology Centre.
3. A maximum of 12 months may be accredited for experience in a recognised training out-patient clinic for sexually transmitted diseases (STD) infection.
4. A maximum of three months may be accredited for experience in a recognised in-patient and out-patient service for Leprosy or HIV infection.
5. Basic research relevant to dermatology, HIV medicine and STD may be accredited for a maximum of three months.
6. A maximum of three months may be accredited in a recognised training institute for Dermatopathology, Dermatosurgery or cutaneous mycology.
7. For trainees who apply for training in more than one specialty at the same time (e.g. Internal Medicine and Dermatology & Venereology), the period of core training in Dermatology & Venereology should not be less than 36 months.

(III) CONTENTS

(A) Knowledge
There should be ample opportunities for the trainee to observe, manage, and assume continuing responsibility for patients with a wide variety of Dermatological diseases, skin manifestations of systemic illness & STD in both institutional and out-patient basis.

A thorough knowledge of the following as applied to the skin and genital tract: Anatomy, Physiology, Histopathology, Bacteriology, Mycology, Pharmacology and Therapeutics, Radiotherapy, Clinical Dermatology & Venereology (including principles of aesthetic dermatology and skin care) should form a sound basis for the clinical practice of the Specialty.

(B) Skills

1. Minor surgery on skin & genitalis: Excisional Biopsy, Shave biopsy, Punch biopsy, Electrosurgery, Cryosurgery, Curettage.
2. Skin scraping and KOH microscopy examination and interpretation.
3. Laser surgery on skin.
4. Phototherapy and photochemotherapy on skin.
5. Wood’s light examination.
6. Skin patch and prick tests.
7. Histopathology slides: Interpretation.
8. Darkfield examination: Interpretation and preparation.
9. Therapeutic and diagnostic techniques, including prostatic massage, application of Podophyllin resins to condylomata acuminata, application of acetic acid to demonstrate aceto-white area, performing pap smear and preparation.
10. Technical skills in collecting, sampling discharge in genitalia, performing smears of various types from the genitalia and their interpretation under microscopic examination including dark field examination, preparation of gram stain and interpretation.
11. Vaginal examination including bimanual examination, speculum examination.
12. Lumbar puncture for cerebrospinal fluid examination.
13. Interpretation and examination of serology tests especially Fluorescent Treponemal Antibody Absorption Tests.
14. Skills in counselling in all sexually transmissible diseases especially syphilis and HIV infection.
15. Skills in in-house teaching, teaching of general practitioners, nurses, undergraduates in Dermatology & Venereology.

 

(C) Attitudes
The attitudes inculcated during Basic Physician Training should be enforced and enhanced.

(IV) INSTITUTIONAL REQUIREMENTS

The Dermatology/Venereology Centre or Out-patient Clinics of the training programme should fulfill the following criteria.

1. The Dermatology Centre or Institution should have the following features.
  1. A day care centre with a Dermatology out-patient department which accepts the referral of in-patient consultations.
  2. A day care centre equipped with minor surgery facilities, phototherapy or cutaneous laser unit.
  3. Day care unit to provide phototherapy, photochemotherapy and other special dermatological treatment.
2. Supporting facilities available in the Dermatology Centre or Out-patient Clinic.
  1. Affiliated hospital beds for Dermatology patients should be available for severe cases.
  2. Laboratory and diagnostic facilities: Wood’s light, microscopy.
  3. Pathology, Radiology and other medical tests, affiliated supportive laboratory for Clinical chemistry, Haematology.
  4. Adequate educational facilities: audiovisual aids, slide production for clinical presentation, space for education and library for Dermatology references with adequate books and journals in Dermatology.
  5. Maintenance of a good medical record system with easy and prompt accessibility at all times.
3. The Venereology/HIV Centre or Out-patient Clinic should have the following features.
  1. A laboratory attached to the Clinic, to provide dark field examination, gram stain smear microscope examination, and wet smear examination.
  2. A counselling & contact training service provided by trained health nurses.
4. Supporting facilities available in Venereology/HIV Centre:
  1. A central laboratory to provide service on serological tests, bacteriology and virology cultures, Fluorescent Treponemal Antibody Absorption tests, Tests for Chlamydia Trachomatis, HIV and other relevant diagnostic tests.
  2. Adequate educational facilities: Audiovisual aids, slide production for clinical presentation, space for education and library for Venereology references.
  3. Maintenance of adequate and high quality medical records with easy and prompt accessibility at all times but confidentiality is maintained throughout.
  4. Affiliated hospital beds for Venereology patients available for special cases.
5. Structured educational programme including case presentations, teach-in sessions, and journal club in Dermatology & Venereology.
6. An adequate number of fully trained Fellows with specialist accreditation in Dermatology & Venereology, to provide a minimum trainer to trainees ratio of 1:2 at any one time with direct supervision.
7. An adequate number of nurses trained in Dermatology & Venereology, to be available in the Clinic or Centre.

For more information on the HKCP training guideline, please visit the below website: www.hkcp.org/training.htm

Or the below Guidelines on Postgraduate Training in Internal Medicine:
Guidelines on Postgraduate Training in Internal Medicine, Fourth Edition, July 2007 (updated on 7-4-2011)