Residency Clinical Education

Your clinical education will include the following specialty rotations:

 

First Year (PGY2)

VAMC (clinics, inpatients, and consultations)

VA Hospital (clinics, telederm, phototherapy and Extracorporeal Phototherapy Unit)

Pediatric Dermatology

Assisting with attending clinic

Resident Continuity Clinic

 

Second Year (PGY3)

Dermatopathology

VAMC (clinics and consultations)

VA Hospital (clinics and surgery)

Mohs Micrographic and Dermatologic Surgery

Assisting with attending clinic

Resident Continuity Clinic

 

Third Year (PGY4)

VA Surgery (clinics and Instruction of Medical Students)

Vanderbilt Clinics

Pediatric dermatology

Mohs Surgery and Laser Surgery

Assisting with attending clinic

Elective Block

Resident Continuity Clinic

 

Because Dermatology is a complex field that crosses multiple fields of medicine, for the purpose of creating a cohesive program that provides an optimal learning environment, we have defined the following separate areas of Dermatology Education as the foundation of our program.

 

Clinical Dermatology

Uncomplicated cutaneous diseases that are managed as an outpatient in a high-volume Dermatologic practice.  Includes diagnosis of diseases with modalities such as KOH (fungal diseases) and cutaneous biopsies (shave and punch biopsies) as well as treatment with topical and uncomplicated oral regimens (ie. acne), cryosurgery (verruca, actinic keratoses), shave excision (nevi, skin tags), or phototherapy.

 

Medical Dermatology

Complicated cutaneous diseases with systemic involvement that are potentially disabling or life threatening.  Includes diseases such as:  1) severe psoriasis, 2) cutaneous T-cell lymphoma, 3) autoimmune blistering disorders (e.g. pemphigus), 4) autoimmune rheumatologic diseases (e.g. systemic lupus erythematosus), 5) severe drug eruptions (toxic epidermal necrolysis), 6) severe infections (e.g. Rocky Mountain Spotted Fever), and 7) pyoderma gangrenosum.  These diseases often require complicated drug regimens, including the new biologic therapies, and may require inpatient management.

 

Pediatric Dermatology

Clinical and medical dermatology, along with minor surgery and diagnostic techniques for patients from the new born to 18 years of age.  Includes diseases of all severity seen in children.

 

Dermatologic Surgery/Procedural Dermatology

Surgical management of benign and malignant cutaneous lesions.  Includes Mohs micrographic surgery, laser surgery, and excisional surgery techniques.

 

Cosmetic Dermatology

Treatment of aesthetic conditions such as rhytides, actinic lentigenes, and tattoos.  Includes medical and surgical procedures such as botulinum toxin and filler injections, and laser surgery.

 

Dermatopathology and Immunodermatology

Microscopic diagnosis of dermatologic diseases from pathology specimens.  Includes H&E routine sections, special stains, and immunostaining.

 

Contact Dermatitis and Occupational Dermatology

Diagnosis and treatment of dermatologic occupational disorders, which to a large part are contact dermatoses.  This will include skill in selecting and performing extensive patch tests.

 

Dermatologic Research

Learning research methods and performing research in cutaneous diseases.  This includes but is not limited to such methods as:  biochemistry, molecular biology, immunohistochemistry, immunology, epidemiology, and outcomes research.  This also includes learning to present scientific data (abstracts) at meetings, and writing scientific articles.