Dermatology Residency

Rotations

Residents offer direct care under the one-on-one supervision of an attending physician. Each year is designed to allow the resident to perform more independently in the diagnosis,

management and decision-making functions of dermatology according to his or her knowledge level, technical skills and expertise.

PGY2 – Building a Foundation

• General dermatology (10 months)

• Pediatric dermatology (1 month)

• Mohs surgery (1 month)

PGY3 – Developing Skills

• General dermatology (5 months)

• Mohs surgery (3 months)

• Dermatopathology (1 month)

• Pediatric dermatology (1 month)

• Rheumatologic dermatology (1 month)

• Elective (one month)

PGY4 – Polishing for Career

• General dermatology (5 months)

• Mohs surgery (2 months)

• Dermatopathology (2 months)

• Pediatric dermatology (1 month)

• Elective (2 months)

In addition, PGY4 residents have chief resident duties through which they gain organizational, leadership and scheduling experience.

Elective Rotations

One elective rotation in the second year and two elective rotations in the third year allow residents to gain more in-depth experience in one or more dermatologic subspecialties (pediatrics, dermatopathology, surgery), clinical or translational research, cosmetic dermatology, international rotations or another unique clinical experience of the resident’s choosing (pending approval of the program director).

Continuity Clinic

Two Monday afternoons per month, PGY2 and PGY3 residents participate in Continuity Clinic at Baylor University Medical Center. This clinic serves underserved and underinsured populations and gives residents the opportunity to follow patients longitudinally throughout the first two years of their training. Residents also perform surgeries here.

PGY4 residents host their own clinic at Baylor Scott & White Community Care - Worth Street one Thursday afternoon monthly. Residents take full ownership of their patients and have minimal assistance.

Cosmetic Clinic

One Wednesday evening monthly all residents participate in a faculty-supervised cosmetic clinic. Residents bring their own patients to practice a variety of cosmetic techniques such as neurotoxin administration and filler augmentation.

Academic Time

Residents are allowed one dedicated half-day per week (typically Friday afternoons) for studying, preparing lecture materials, working on research endeavors and performing other administrative duties.

Consults

• With attending supervision, dermatology residents provide dermatologic care to patients hospitalized at main BUMC, Baylor Scott & White T. Boone Pickens Cancer Hospital and Baylor Institute for Rehabilitation.

• PGY2 residents take 8 weeks of call; PGY3 residents take 12 weeks of call; PGY4 residents take 6 weeks of call. Call is taken in addition to regular clinical duties.

• On average, residents see 2-8 consults per week encompassing a breadth of acute pathologies from Stevens-Johnson syndrome to vasculitis to graft-versus-host disease.

Didactics

Didactic schedule overview

Monday

Basic Science Lecture

Tuesday

Genodermatoses and Miscellaneous Topics

Wednesday

First and third Wednesday

• Tumor board - multidisciplinary meeting that brings together dermatology, oncology, surgical oncology, pathology, dermatopathology, and radiation oncology to discuss the management of challenging tumor cases.

Second and fourth Wednesdays

• Journal club – residents with faculty facilitator discuss key articles and CME reviews in the Journal of the American Academy of Dermatology (JAAD) and Journal of the American Medical AssociationDermatology (JAMA Derm). Emphasis is placed on critical analysis of original investigations as well as updates on standards of care in dermatology.

Thursday

• Dermoscopy lecture about once monthly
• Surgery/pediatric lecture
• Grand rounds lecture
• Clinicopathologic correlation and consult rounds

Friday

• Dermatopathology lectures with ProPath and Sagis
• Resident-led sessions including consult wrap-up and board review
• Faculty-led kodachromes

Research

• Residents are expected to be involved in a publication every year and are encouraged to participate in a research project of their interest.

• Residents also complete a small quality improvement project annually.

Conferences

We encourage our residents to routinely attend professional dermatologic meetings to advance both knowledge and networking. Some of the conferences in which our residents participate are listed below.

PGY2

• American Academy of Dermatology (AAD)

• Texas Dermatological Society meetings, with preference given to those presenting

PGY3

• American Academy of Dermatology (AAD)

• American Society of Dermatologic Surgery (ASGS)

• Texas Dermatological Society meeting

PGY4

• American Academy of Dermatology (AAD)

• American Society of Dermatologic Surgery (ASGS)

• Texas Dermatological Society meeting

• Additional board-review or chief-resident conferences, as appropriate