Key presentations and conditions
Basic Trainees will have a comprehensive depth of knowledge of these presentations and conditions.
Presentations
- Cutaneous drug, chemical, and vaccine reactions
- Naevi, dermal and epithelial
- Urticaria
- Viral exanthems
Conditions
- Acne
- Angioedema
- Bacterial infections, such as cellulitis, folliculitis, impetigo, and abscesses in the skin and subcutaneous tissues
- Dermatitis
- atopic (eczema)
- contact
- seborrheic
- Fungal infections of skin and nails
- Parasitic infestations, such as head lice and scabies
- Vascular lesions, such as haemangioma and vascular malformation
- Viral infections:
- herpes simplex virus
- human papilloma virus
- molluscum contagiosum
- varicella zoster virus
For each presentation and condition, Basic Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, pathophysiology, and clinical science
- take a relevant clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients1 and their quality of life
Manage
- provide evidence-based management
For less common or more complex presentations and conditions the trainee must also seek expert opinions - prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Less common or more complex presentations and conditions
Basic Trainees will understand these presentations and conditions. Basic Trainees will understand the resources that should be used to help manage patients with these presentations and conditions.
Presentations
- Cutaneous manifestations of systemic disease, such as rheumatological or haematological conditions
- Erythema multiforme
- Severe cutaneous adverse drug reactions, such as Stevens–Johnson syndrome (SJS) and toxic epidermal necrolysis
Conditions
- Alopecia
- Congenital skin disorders, such as epidermolysis bullosa
- Ichthyosis
- Neurocutaneous syndromes, such as neurofibromatosis and tuberous sclerosis
- Pigmentary disorders, such as vitiligo
- Psoriasis
For each presentation and condition, Basic Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, pathophysiology, and clinical science
- take a relevant clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients1 and their quality of life
Manage
- provide evidence-based management
For less common or more complex presentations and conditions the trainee must also seek expert opinions - prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Epidemiology, pathophysiology and clinical sciences
Basic Trainees will describe the principles of the foundational sciences.
- Pigmentary, inflammatory, and immune responses of the skin
- Structure and function of skin, hair, and nails, and how these change with age
Investigations, procedures and clinical assessment tools
Basic Trainees will know the indications for, and how to interpret the results of these investigations, procedures, and clinical assessments tools. Basic Trainees will know how to explain the investigation, procedure, or clinical assessment tool to patients, families, and carers.
Investigations
- Skin biopsy
- Wood lamp skin examination
Procedures
- Nail clipping
- Skin prick testing
- Skin scraping
- Wound swab:
- bacterial
- viral
Important specific issues
Basic Trainees will identify important specialty-specific issues and the impact of these on diagnosis and management.
- Education of patients and their families or carers about sun protection
- Education of patients and their families or carers in the use of topical treatments and dressings
- Effects of normal child and adolescent development on the presentation, treatment, and psychosocial impact of skin disease
- Impact of social, economic, and cultural issues on skin disease and adherence to therapy
- Non-pharmacological treatments for skin disorders, such as photo therapy
- References to patients in the remainder of this document may include their families or carers.