title: A simple tool for teaching flap design with digital images.
abstract: BACKGROUND
  Defects created by excision or Mohs micrographic surgery must be analyzed and surgical options including flaps must be considered. Teaching flap design to dermatology trainees is often done at the bedside of the patient with the trainee describing or marking a proposed flap. Open discussion of the options in this way is sometimes unnerving for the patient. Blackboard discussions or drawings are limited in their realism.
  
  
  OBJECTIVE
  To describe a rapid, simple method using commonly available software to allow a trainee to draw and redraw a proposed flap on a digital image of the defect without the time and cost of printing.
  
  
  METHODS
  We describe a feature in the widely used presentation program Microsoft PowerPoint which can be used to draw on an imported digital image in various colors.
  
  
  RESULTS
  A digital photograph taken at the bedside can quickly be loaded into PowerPoint and viewed as a full-screen picture on a computer. Using an electronic pen, multiple lines can be drawn and erased on the picture, allowing surgical planning and teaching away from the bedside.
  
  
  CONCLUSIONS
  Design and analysis of potential incision lines for a flap can be done quickly using a digital image and commonly available software, allowing a new option for teaching flap design.
authors.affiliation: Department of Dermatologic Surgery, University of Washington Medical Center, Seattle, Washington 98195, USA. danberg@u.washington.edu
authors.forename: D
authors.initials: D
authors.lastname: Berg
mesh_terms: D003880:Dermatology / Q000193:education*; D006801:Humans; D015580:Mohs Surgery; D010781:Photography / Q000379:methods; D012984:Software; D013524:Surgical Flaps; D013663:Teaching / Q000379:methods*