Clinical appearance

Clinical appearance illustration examples

Project goals

The goal of this project is for the students to produce a watercolour or Photoshop illustration of a superficial clinical condition. This artwork should reflect the students ability to directly observe and depict a variety of skin ailments such as a manifestation of a disease, physical deformity, skin condition or reaction, etc. Similarly to the pathological specimen project, the student should be able to interpret the differences between normal and abnormal and capture the variation of colour and texture in either watercolour or digital painting. Emphasis will be placed on contrast between the anomaly and surrounding tissue, as well as anatomical accurate observation of the subject matter.  Instructional impact of the illustration for educational reasons is paramount. To develop the students medium skills, the students will create a simple progression animation of the condition in Adobe After Effects with the aid of an online tutorial.The project will provide the student with skills in colour watercolour, Adobe Photoshop and Adobe After Effects.

 

Project objectives

  • Learn to analyse good examples of clinical appearance illustrations from which to benchmark your own work. Emphasis on instructional impact and focus on the differences between normal and abnormal.
  • Put into practice the principles of light on form that was taught on the foundation course.
  • Practice pencil techniques, and implement neatness and good presentation.
  • Develop skills learnt from previous projects in colour watercolour and digital painting
  • Learn medical terminology, related to your subject.
  • Create pencil studies of various views of your subject, thinking of it as a three dimensional object with form and weight.
  • Investigate the medical condition of your chosen specimen and evidence your understanding through studies and text in pencil and in either colour watercolour or photoshop studies. Draw a comparison studies between healthy and diseased versions of the subject focusing on colour and texture.
  • Create a simple progression animation in Adobe After Effects with the online tutorials.
  • Produce a full colour watercolour or digital painting of a subject with the clinical appearance with clear instructional impact.

Project Outcomes

  • An anatomically accurate illustration of a subject with a clinical condition, which shows instructional impact.
  • A collection of pencil studies of various views of the subject, showing it as a three dimensional object with form and weight.
  • Evidence of understanding of the subjects medical condition and comparison studies of normal and abnormal.
  • A clinical condition progression animation.
  • The ability to self assess own illustrations.
  • Mastered colour watercolour and Photoshop photorealistic painting..
  • Built upon skills in continuous tone which you learnt on the foundation course.

Marking criteria. The marking criteria indicated here is a guide and grades are allocated in conjunction with the assessment criteria laid out under ‘Assessment Information – In-course Assessment Criteria’.

Criteria Levels of achievement
Illustrations/graphics impact and clarity. Including skill in chosen medium (Final illustration only and marked out of 10 points)

• Instructional impact of drawing
• Observation accuracy and differentiation between structures and tissue types
• Skill and neatness of rendered illustration
• Effort given to the requirements of the project
• Understanding and control of art tools, materials and techniques, singly and in combination
• Understanding of elements, such as colour, line, texture, balance

Fluent ability

9-10 points

Confident ability

7-8 points

Competent ability

5- 6 points

Basic ability

3- 4 points

Limited ability

1-2 points

Anatomical accuracy and exploration
(Final illustration only and marked out of 5 points)

• Anatomical accuracy
• Differentiation between tissue types (normal vs. abnormal or veins vs. arteries)
• Interpretation the underlying structures and anatomy
• Included anatomy conveys purpose of illustration
• Size, viewpoint and orientation appropriate for this illustration
• Understanding of the anatomy in a wider context as demonstrated by studies and sketches.

Excellent form and anatomical accuracy

5 points

Almost no errors in form and /or anatomical accuracy

4 points

A few errorrs in form and/or anatomical accuracy.

3 points

Some errors in form and / or anatomical accuracy.

2 points

Major errors in the form and anatomy

1 point

Presentation and attractiveness
(Includes all images/sketchbooks etc. and marked out of 5 points)

• Presentation neatness
• Layout consideration for the audience, and where it will be used (i.e. textbook or poster)
• Appropriate text, labelling, callouts, titles
• Spelling
• Use of art vocabulary when discussing artworks

Excellent

5 points

Extremely good

4 points

Very Good

3 points

Good

2 points

Basic

1 point

Observational and exploratory quality of the collection of clinical appearance illustrations.
(Includes all images/sketchbooks etc. and marked out of 5 points)

• Observational skill
• Exploratory studies of various tissue types, progression of disease or variations of appearance.
• Independent research and original concepts
• Understand stages of art-making
• Awareness and appreciation of the context and purpose of illustration

Fluent ability

5 points

Confident ability

4 points

Competent ability

3 points

Basic ability

2 points

Limited ability

1 point

Level achieved from total points:
This project is marked on the four categories listed above. Once points are assigned to each category they are added up and a grade is given depending on the total points.
Distinction (20 – 25 points) Credit (19 – 15 points) High Pass (10 – 14 points Pass (5 – 9 points) Pass with Amends/ Referred for re-submission (1 – 4 points)

Selecting your specimen or subject.

There are two approaches to this type of artwork. The best method is to draw directly from a person with the condition. Alternatively you can draw a part of your own anatomy and subsequently add the condition on. For example drawing your own foot and then adding a bunion to it. You need good reference material for this however. Or another option would be to find a specimen in the museum with a superficial skin condition and draw it to represent a condition on a living subject.

  • Look thoroughly around the museum at all the pathology specimens and choose a good clear example to work from
  • Do not move any specimens from the shelves without prior permission from the museum curator or a member of staff, who may wish to do this on your behalf, especially if it is in a large case or pot, ditto in reverse to return it to its original place in the museum
  • You may choose a specimen which is a stand alone subject or you may wish to choose a piece that integrates in subject matter with one or more of your other projects
  • You may wish or need to edit part/s of the specimens to select the area required or to eliminate unnecessary or extended parts. And you will have to make sure you draw the specimen as plump and alive rather than wrinkly and dead.

Lighting of your specimen may be tricky within the museum due to the numerous light sources from around the room. Note your key light source so this can be followed through to your final artwork.

Please note: when you are drawing from a person or patient, it is each student’s responsibility to gain the relevant consents. Further guidance and information may be found via the ‘National Guidelines’ link on the ‘Rules and Regulations’ page of this website.

Gordon Museum – Code of Conduct for Medical Drawings from Museum Specimens

  • Access is restricted to members of the college and to qualified practitioners and students of medicine, nursing or related studies, so it is essential to confirm your visit prior to arrival.
  • Visitors to the Museum must register on arrival and will be asked to show proof of identity and status (e.g. hospital ID pass, University or institution letter on headed paper with students course details etc.).
  • The museum is open 9am to 8.45pm Monday to Friday. Closed on Bank Holidays. The museum may be closed at other times including for examinations, so we always recommend that you check in advance if you are planning to visit and wish to make a booking. Admission is free for individual visitors, but donations are appreciated. We hope you enjoy using our collections. During your time studying in the museum, we ask you to adhere to our code of conduct to ensure the safety of all our visitors and our specimens.
  • If you have any questions or need any help while you are in the museum please speak to a member of museum staff, they can be reached using the phone situated at the front of the museum.
  1. Initially please check with a member of staff prior to the movement of specimens to help your study, and please do not move very large specimens or specimens labeled as fragile.
  2. Photography and filming are NOT permitted in the museum.
  3. The museum supports medical illustration, however we ask that if you illustrate any of our specimens you sign a form stating what was drawn and how they will be used. This is to comply with the regulations of the Human Tissue Authority and to ensure that the donors of our specimens remain anonymous. Please ask a member of museum staff for this form.
  4. All bags must be left in the lockers provided outside the museum. Please remove any books and other equipment from your bag if you need this.
  5. Only water is permitted in the museum (a water dispenser is present in the kitchen next to the lockers outside the museum). No other drinking fluids are allowed.
  6. Food is not permitted in the museum.
  7. Please use the alcohol hand sanitising gel before leaving the museum.

Please return all completed forms to: Mr. William G.J. Edwards, Curator, Gordon Museum, Senior Tutor and Head of Lister House, Deputy Director EMDP, Kings College London, Guy’s Campus, Faculty of Life Sciences & Medicine and Dental School at Guy’s, Kings + St.Thomas’ Hospital’s, St.Thomas’ Street, London SE1 9RT Gordon Museum – Medical drawing/image release form N.B. Please attach a copy of the image listed below to this form and use a new form for each individual image or artwork FORM IS ATTACHED AT THE END OF THE WORD DOC   5. Anatomical Dissection

Pencil drawing artwork A

The drawing artwork A

  • Prepare a clear, keenly observed pencil drawing from direct observation
  • Prepare this as a tonal pencil drawing in preparation for your final artwork
  • Prepare of colour notated draft in preparation for your final artwork
  • Take your time to observe and note the structures and specific details relating to your chosen specimen in conjunction with your anatomy reference texts
  • Note the specimen number and case information

Materials artwork A

  • Use good quality cartridge paper – recommend 250gms weight
  • Use sharp pencils, having a good range available from 2H, H, B, 2B, 4B
  • Putty rubber

The final artwork B

The final artwork artwork B

  • Your final artwork should be full colour, representing an alive subject
  • The final artwork may be labeled and completed in Illustrator or Photoshop in combination with your watercolour artwork. Or the artwork can be entirely painted in Photoshop. This project and chosen medium should be discussed and agreed with your tutor prior to commencing. It is recommended that students do at least one full colour watercolour piece, so make sure either the Pathological or Clinical appearance is in watercolour.

Materials artwork B

  • Cartridge and watercolour paper
  • Range of sharp pencils
  • Putty rubber
  • Tracing paper
  • Paints, watercolour brushes etc.
  • Photoshop for digital painting
  • Illustrator for labelling and titles.

What to I need to bring to class?

  1. First step in initial seminars: Discuss with the supervisors and review good examples of clinical appearance illustrations to devise some ideas of a clinical condition you would like to illustrate. You may like to locate an specimen at the Gordon Museum that shows a clinical condition, however it’s always better to directly observe and draw from someone living with the condition. Read about the condition and make notes to fully understand the disease/condition and the effect or difference to the normal anatomy. Make initial accurate and interpretive sketches, and form a clear understanding of the differences between the normal and abnormal. Obtain initial feedback on your sketches from your supervisor. A refresher lesson on colour watercolour can be provided if needed and you can watch the online tutorial on Adobe Photoshop on the MAET website as well. To develop your medium skills there is an online tutorial on creating a progression animation in Adobe After Effects, so you can animate the stages of the condition if you desire..
    1. Homework
      1. Form: Pencil studies of various views of the area of the human body that the condition appears on, thinking of it as a three dimensional object with form and weight. Use all of your skills and knowledge from your foundation course for this piece.
      2. Exploration: Draw comparison illustrations between the healthy and abnormal tissue on your chosen subject and evidence your understanding through studies in any medium of your choice (digital or traditional). Write a short piece about this disease or condition and include reference of how it has been previously illustrated.
      3. Medium development: Produce studies of the progression of the disease of condition from normal tissue to worst case in Adobe Photoshop and watercolour and if applicable create a simple progression animation in Adobe After Effects with the online tutorial.
      4. Coursework draft: Produced a pencil work-in-progress of the clinical appearance which is a precursor to the final version. The final version can be in either Adobe Photoshop or watercolour.
  2. Second step is the interim design presentation: You present your finished pencil studies of the subject from various views, and finished studies showing your have fully understood the anatomy and medical condition. Present a work-in-progress pencil drawing which will be the precursor for your final watercolour or photoshop illustration. Also show your work-in-progress After Effects animation if you are creating one. Supervisor and peer review of the work-in-progress will provide formative feedback to produce your final version.
    1. Homework for the next seminar:
      1. Incorporate any feedback received on the ‘form’ and ‘exploratory’ homework into your work and add final artwork to portfolio ready for next assessment. This work will not be marked independently at assessment, but will form part of the observation and exploratory section of the marking criteria.
      2. If you do produce a progression animation, output the Adobe After Effects file as a movie file so it can be viewed at assessment. This work will not be marked independently but will form part of the observation and exploratory section of the marking criteria under students independent research.  
      3. Complete the Adobe Photoshop or watercolour coursework of the clinical appearance based on feedback of the pencil version at seminar. Present again at following seminar for final feedback.
  3. Final step is the final presentation: Before submitting to assessment you must have it checked by the supervisor at seminars or on a designated tutoring day via email and telephone. In assessment your work will be marked according to the marking criteria of that project. You will receive a detailed feedback form after assessment.

What do I need to bring to assessment?

You must bring:

    • The final life sized clinical appearance illustration, mounted and labelled.
    • Homework artworks which include all studies and the pencil drawings of the subject.
    • Include a clear photograph within your portfolio of the ‘patients’ appearance that you are working from, having first obtained permission if required.
    • Make sure all artwork is well presented, neat and labelled.

 

 

 

Details on all the Medical Artists' Education Trust projects can be found below