New York Institute of Technology

Department of Physician Assistant Education

Clinical Skills: PHAS 622
Practical Examination
Student Name: _______________________________ Date: _______________________
Instructor/Evaluator: ______________________________________________________
Time Begun: _____________

Time Ended: _______________

Task: Dermatological Examination

Instructions to the Preceptor: The preceptor is to check the appropriate box to indicate whether or not each of
the steps is performed with proficiency, without proficiency or not performed at all. The time limit for this
examination is 15 minutes. Students are to be informed when there are five minutes remaining, and when there
is one minute remaining.
Performance Objectives for Students:
Given a simulated patient, the student will perform a complete examination to include: the Dermatological
Examination. The examination MUST include the pre-examination routine and be in accordance with the
checklist provided. The examination MUST be completed within the fifteen minute time limit.
Note: This performance checklist may be distributed to students for use as a guide in student learning and for
practice in lab sessions prior to the examination.
Performed
With
Proficiency
2

I.

Pre-examination Routine
1.
Introduces self to patient
2.
Explains examination
3.
Washes hands

Performed
With
Proficiency
2

II.
A.

Dermatologic Examination
Inspect & palpate the patients hair (sitting):
1.
Quantity
2.
Distribution
3.
Texture
4.
Alopecia diffuse, patchy or total
5.
Sparse hair hypothyroidism
6.
Silky hair hyperthyroidism
7.
Lice/nits

Clinical Skills I Rubric: DERM

Performed
Without
Proficiency
1

Performed
Without
Proficiency
1

Page 1

Not
Performed
0

Not
Performed
0

B.

Inspect the patients skin of the face

(Including mucous membranes), upper extremity,
& their back in sitting position
1.
Increase/loss pigmentation
2.
Redness
3.
Pallor seen in anemia
4.
Cyanosis central or peripheral
5.
Jaundice
6.
Carotenemia check palms, soles, face
7.
Moisture
Dryness seen in hypothyroidism
Sweating
Oiliness seen in acne/acromegaly
8.
Temperature uses the backs of fingers
Warmth
Coolness
Red areas (Erythema)
9.
Texture
Roughness seen in hypothyroidism
Smoothness
10. Mobility & turgor
< Mobility seen in edema, scleroderma
< Turgor seen in dehydration
11.
Lesions (ABCDE)

C. Inspect the patients fingernails (sitting):

1.
Capillary refill ( < 2 s)
2.
Pink color
3.
Shape
4.
Lesions
5.
Infections
6.
Cyanosis
7.
Clubbing
8.
Splinter hemorrhages
9.
In-between fingers
10.
Mees lines
11.
Beaus lines
12.
Terrys lines
13.
Paronychia
14.
Felon

Clinical Skills I Rubric: DERM

Performed
With
Proficiency
2

Performed
Without
Proficiency
1

Not
Performed
0

Page 2

D.

Asks the patient to lie down (supine):

1.
Instructs Patient to Lie Down
2.
Inspects Skin of Chest
3.
Inspects Skin of Abdomen
Mentions Inspection of:
4.
Inguinal Area
5.
Pubic Hair
6.
Elevation of Scrotum
7
Instructs Patient to Roll Onto Left Side
Mentions Inspection of:
8.
a. Gluteal Area
9.
b. Perianal Area
10.
c. Perineal Region
11.
Inspects Pretibial Area
12.
Inspects Feet
13.
Inspects Soles
14.
Inspects Between Toes by Spreading Digits

Performed
With
Proficiency
Yes
2

Performed
Without
Proficiency
No
1

TOTAL: ___________________/55____

END

Clinical Skills I Rubric: DERM

Page 3

Not
Performed
0