Generic selectors
Exact matches only
Search in title
Search in content
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current Issue
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Systematic Reviews and Meta-analyses
Systematic Reviews and Meta-analysis
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
View/Download PDF

Translate this page into:

Letter to the Editor
2011:77:1;64-64
doi: 10.4103/0378-6323.74987
PMID: 21220885

Modern moulage

Sreedhar K Krishna
 Faculty of Medicine, South Kensington Campus, Imperial College, London, United Kingdom

Correspondence Address:
Sreedhar K Krishna
Faculty of Medicine, South Kensington Campus, Imperial College, Exhibition Road, SW7 2AZ, London
United Kingdom
How to cite this article:
Krishna SK. Modern moulage. Indian J Dermatol Venereol Leprol 2011;77:64
Copyright: (C)2011 Indian Journal of Dermatology, Venereology, and Leprology

Sir,

I read Joshi′s comprehensive review of the use of moulage in dermatology with interest. [1] While moulage has undoubtedly been in steady decline as a teaching aid, I believe that it still has a significant role to play.

Skin lesions are largely three-dimensional structures, with subtle details often only apparent at a specific angle. While technology has advanced, the ability to appreciate details of a high-resolution, two-dimensional photo does not always correlate to the real-world clinical diagnostic ability.

At Imperial College, London, I am trying to commission a number of new moulages for use as an undergraduate teaching aid. Joshi states that "the art of moulaging and the moulageur disappeared." I do not believe this to be entirely true; the expertise is still available and exquisite moulages are still produced to this day. Case in point, I recently asked a local artist to produce a moulage of a seborrhoeic keratosis. The artist himself asked for an extended period with a patient with a seborrhoeic keratosis in order to produce the moulage. I was simply amazed at how lifelike the lesion appeared and, just as importantly, felt. Having previously tried to demonstrate seborrhoeic warts to medical students, they were often unable to appreciate what I meant when I described the lesions as looking as if they were "stuck onto" the skin. When I showed the prosthesis to a group of medical students, one student volunteered that the lesion appeared as if it was stuck onto the skin!

Colleagues at the Boston University have recently trialled prosthetic mimics as teaching tools as part of the undergraduate curriculum. [2] The moulages were received most favourably by the students - "The three-dimensional method was thought to be enjoyable, effective, and authentic." Additionally, students taught with moulage significantly outperformed those taught with photographs.

Curriculum time for most specialties is limited, dermatology being particularly compressed in most. Thus, in a 2-week rotation, students would have to be particularly fortuitous to see every clinically important lesion in this period. The application of moulage may therefore be even more important in modern medical education than ever before. If educators have a variety of prostheses, then medical students will undoubtedly have a more thorough clinical exposure than they do currently.

Moulages need not be restricted to their application as an undergraduate teaching tool. They may also interest the general public if displayed in museums and possibly as a means of improving public awareness of skin disease.

Despite the undoubted benefits that technological advance has brought about, modern technology is not always the answer. Perhaps, we may yet see a renaissance in dermatological moulage.

References
1.
Joshi R. Moulages in dermatology-venereology. Indian J Dermatol Venereol Leprol 2010;76:434-8.
[Google Scholar]
2.
Garg A, Haley HL, Hatem D. Evaluating the Use of 3-Dimensional Prosthetic Mimics in a Dermatology Teaching Program for Second-Year Medical Students. Arch Dermatol 2010;146:143-6.
[Google Scholar]

Fulltext Views
225

PDF downloads
172
Show Sections