Learning and Development,

Departments & Programs,UW Health,Ambulatory Education,Ambulatory Orientation,Checklists - Core and Department Specific,Resources


Dermatology - Departments & Programs, UW Health, Ambulatory Education, Ambulatory Orientation, Checklists - Core and Department Specific, Resources


DERMATOLOGY CLINICAL TRAINING CHECKLIST ----- This is due three months from hire date------

Employee Name: __________________________________ Employee Credentials:________ Hire Date: ____________

Clinic Location/ number: _______________________ Employee Number ________________________

*Refer to appropriate UWMF policy *** N/A on checklist indicates that it is not indicated for the employee***
***Each area should either be discussed or observed by preceptor***
AREA OF ORIENTATION Discussed Observed Preceptor’s Signature Completed date
Employee should have a basic understanding of very common skin lesions seen
in Dermatology

Skin lesions a - Malignant: Basal cell carcinoma
Squamous cell carcinoma
b. Benign Skin lesions: Seborrheic keratosis
Telangiectasias / hemangiomas
Skin Tags
Patient Education- Employee participates in patient/family teaching
Health Education - Employee demonstrates knowledge & can discuss with

Appropriate follow-up by diagnosis and provider protocol

- Importance of use
- What products to use
- When /How to use

Wound Care includes:
– signs and symptoms of infection
– topical antibiotics
– dressing changes and pressure dressing*
- liquid nitrogen
- post-op bleeding

AREA OF ORIENTATION Discussed Observed Preceptor’s Signature Completed date
Assist in determining patient’s expectations regarding medical/surgical care
Able to determine patient’s knowledge level of understanding
Consider cultural practices which may be related to care

Demonstrate competence in counseling and provide appropriate resources
Obtain prior authorization for medications
Fills out forms for ordering medications for those who need financial

Equipment/ Supplies - Demonstrate competency in and understands use of:
Liquid Nitrogen
Phototherapy booths / Home Units

Procedures- Demonstrate competence to assist/set-up/patient care/follow-up
Lesion removal: shave biopsy*, punch*, surgical excision* ECD&C, Mohs
Injection of local anesthesia*, including proper dilution
Suture removal, Steri strip
Ultraviolet light treatment, UVB, PUVA, Narrowband B
Proper and complete labeling of specimens and paperwork (in needed)

Specimen Processing - Demonstrate competence to:
Dr. Longley’s Lab,
GML (General Madison Lab)
Proper and complete labeling of specimens and paperwork (in needed)

Autoclaving – Demonstrate competence
Instrument cleaning/wrapping, drop off and pick up

Surgery - Demonstrate competence
Sterile setup and technique for office based surgery
Dressing surgical site at end of procedure using appropriate technique *
Dressing instructions to patients prior to going home *

Consults/referrals to other departments - Demonstrate competence
Melanoma Clinic, Oncology Clinic, General Surgery, Derm Psych, Rheumatology

AREA OF ORIENTATION Discussed Observed Preceptor’s Signature Completed date
Mohs Surgery, Cosmetic/Laser Consults
Be able to refer to appropriate “other” clinics and physicians as needed

Administration of Medications/Vaccines - Demonstrate competence
Properly documents administered medications
Properly disposes of expired medications
Properly disposes of unused or discarded or refused medications
Complete the TB CBT in LDS titled “TB Skin Test Administration and Reading”.
Properly perform TB testing and reading – new employee to demonstrate this skill
twice for another staff person (preceptor’s initials) ___________, ____________

I, _________________________________________ (employee name) have completed the Dermatology Training Checklist and attest the information is
true and valid. I have demonstrated or discussed these skills and I am responsible for performing medical care as a Certified Medical Assistant / Licensed
Practical Nurse / Registered Nurse (circle one).

__________________________________________________ ___________________ Additional Preceptor Signatures/initials:
Preceptor Date _______________________________

____________________________________________________ ___________________ _______________________________
Supervisor Date
__________________________________________________ ___________________
Provider Date

Status/Recommendations/Comments: _____________________________________________________________________________________

Initially Completed 07-21-03, Updated 10/9/2009, 9/2011, 3/2012, 6/2014, 3/2015, 3/2017

 Send the original signed Clinical Training Checklist to Clinical Staff Education - 1035.
 One copy of the signed Clinical Training Checklist should be placed in the clinic’s staff employee’s file, and a copy given to the employee.

Brener, T., Doyle, R.M. (Ed.). (2008). Nursing 2008 drug handbook. Philadelphia, PA: Lippincott Williams & Wilkins.
Perry, A.G. & Potter, P.A. (2002). Clinical nursing skills & techniques. (5th ed.). St. Louis, MO: Mosby.
Perry, A.G. & Potter, P.A. (2009). Fundamentals of nursing. (7th ed.). Hall, A. & Stockert, P.A. (Eds.). St. Louis, MO: Mosby Elsevier.
Color Atlas & Synopsis of Clinical Dermatology, McGraw Hill, Thomas Fitzpatrick, Richard Allen Johnson, Klaus Wolf, 2008. (checking with Lisa Hilker)
Color Atlas & Synopsis of Pediatric Dermatology, McGraw Hill, Kay Shou-Mei Kane, Jen Bissonette Rydner, Richard, Allen Johnson, 2008.
Emergency Dermatology: Rapid Treatment Guide, McGraw Hill, Alan B. Flerscher, Steven R.Feldman, Charity F. Connell.