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Curriculum

Dermatology Clinical Training

Curriculum for the Transitional Year Residency

The following is a typical Dermatology Residency rotation schedule:

(PGY-2)
Outpatient Dermatology 5 months, full days; and 7 months, 1 to 4 half-days per week (overlaps other rotations)
Dermatopathology 1 half day per week throughout the year
General Dermatologic Surgery 3 months, 3 to 4 half-days per week
Hospital Consult Service 6 months, afternoons (overlaps other rotations)
Optional elective in Inpatient Dermatology, Mayo Clinic in Minnesota 1 month
Phoenix Children’s Hospital 2 months, average 4 days per week
Maricopa Medical Center 2 months, average 2 days per week
(PGY-3)
Outpatient Dermatology 2 months, full days; and 9 months, 1 to 4 half days per week (overlaps other rotations)
Dermatopathology 1 half day per week throughout the year
Mohs Surgery 2 months
General Dermatology Surgery 3 months, 4 3 to 4 half-days per week
Phoenix Children’s Hospital 2 months, average 4 days per week
Maricopa Medical Center 2 months, average 2 days per week
Elective Rotation 1 month
(PGY-4)
Outpatient Dermatology 5 months, full days; and 6 months, 1 to 4 half days per week (overlaps other rotations)
Dermatopathology 2 months, full days; and 1 half day per week throughout the remainder of the year
Dermatologic Surgery Procedure Clinic 5 months, 2 half-days per week (overlaps outpatient derm)
Phoenix Children’s Hospital 2 months, average 4 days per week
Maricopa Medical Center 2 months, average 2 days per week
Elective rotation 1 month

Throughout the three-year training program in Dermatology, residents have two half days per week for academic time. Monday morning is dedicated to three hours of conferences. Tuesday morning consists of three hours of teaching sessions, including a clinical conference and a Dermatopathology teaching session at the multi-headed microscope. The remaining time may be spent reading, studying and working on academic projects.

Rotation Descriptions

PGY-2

During the PGY-2 year of residency, most of the residents’ clinical time is spent in the Dermatology Outpatient Clinic with close supervision by the faculty. On a rotational basis, residents spend the afternoons performing inpatient consults with assigned faculty members on the Hospital Consultation Service at Mayo Clinic Hospital in Phoenix.

In the PGY-2 year and in each of the subsequent years of training, residents spend two months rotating to Phoenix Children's Hospital for Outpatient Pediatric Dermatology. Residents also spend two months at the Maricopa Medical Center in the Dermatology Division. During the Maricopa Medical Center rotation, two days per month are designated for the residents to participate in the Sexually Transmitted Disease Clinic at the County Public Health Department.

Residents participate in three months of outpatient dermatology surgery at Mayo Clinic during the PGY-2 year. The rotation includes exposure to a variety of procedures, including cutaneous excisions, laser treatments and cosmetic procedures.

PGY-3

In the PGY-3 year, residents continue rotations in outpatient dermatology, dermatology surgery, and other rotations following the schedule above. Surgical training is most concentrated in the PGY-3 year, which includes three months of general surgical procedures (excisions, last treatments, cosmetic procedures) and two additional months of Mohs micrographic surgery. Residents participate in a one-month elective during the PGY-3 year.

PGY-4

Residents in the PGY-4 year continue rotations in Outpatient Dermatology and other rotations as listed in the above schedule. Training in Dermatopathology is most concentrated in the PGY-4 year. During the two months of Dermatopathology, residents work directly with the dermatopathologist in daily readout of skin biopsy slides. The PGY-4 year also includes a Procedure Clinic. In Procedure Clinic (two half days per week), PGY-4 residents perform excisions, laser treatments and other procedures with supervision by faculty. Residents participate in a one-month elective during the PGY-4 year.

Electives

During the PGY-2 year, residents may elect to participate in an optional one-month rotation on the dermatology inpatient service at Mayo Clinic in Minnesota. Due to the size of its referral practice, this inpatient service provides a unique educational experience. Residents care for inpatients with serious, acute and chronic skin disorders. While in Minnesota, residents also have the opportunity to participate in the Psoriasis Daycare Center and spend time in the Immunodermatology Laboratory. Mayo Clinic funds the costs of resident travel, housing, car rental, and licensure fees for elective rotations to other Mayo sites.

All Mayo Clinic Arizona Dermatology residents have one-month electives during both the PGY-3 and PGY-4 years. Elective time may be spent in clinic or translational research, surgery, dermatopathology, pediatric dermatology, or outpatient clinic work. Rotations may be requested at any of the three Mayo Clinic sites. There are also opportunities for special electives at other institutions or at overseas dermatology clinics in Africa, South America and elsewhere.

Didactic Training

Clinical conferences, seminars, small discussion groups, journal club, and one-on-one instruction are all an integral part of the Dermatology Residency at Mayo Clinic in Arizona.

Residents attend and participate in a comprehensive set of conferences throughout all years of training. In addition to the department-wide conferences, the conference schedule also includes weekly teleconferences which are broadcast via live satellite between the three Mayo Clinic practices in Arizona, Minnesota and Florida. The teleconferences permit dermatology residents from all three sites to share a common core curriculum and to benefit from the expertise of faculty across all three Mayo Clinic practices.

Typical Conference Schedule

Monday (AM)

  • Weekly - Annual Courses (pharmacology, oral dermatology, other topics)
  • Weekly - Dermatopathology Conference (Arizona, Rochester, Florida)
  • Weekly - General Core Curriculum Conference (Arizona, Rochester, Florida)
  • Monthly - Dermatologic Surgery Journal Club Conference (Arizona, Rochester, Florida)

Tuesday

  • Every other month - Dermatology Coding Conference
  • Three times monthly - Journal Club in general dermatology
  • Weekly Show and Tell Conference (clinical photograph conference)
  • Weekly - Dermatopathology Core Curriculum (teaching session at microscope)
  • Twice monthly - Surgery Core Curriculum (Arizona, Rochester, Florida)

Wednesday

  • Weekly - Clinical Grand Rounds
  • Twice monthly - Pediatric Dermatology Core Curriculum

Thursday

  • No Conferences

Friday

  • Weekly - Chief Resident Review Conference
  • Guest Lecturer or Internal Medicine Grand Rounds
  • Visiting Professor Lectures (approximately two times per year)

Research Training

Research opportunities at Mayo Clinic are outstanding and residents are encouraged to participate in research projects with the faculty. Research activities may include clinical/pathological correlative studies, clinical cases, and translational research.

Collaborative studies may be pursued with the staff of all three Mayo Clinic campuses and with other institutions. Residents are encouraged to submit abstracts for presentation at national and local meetings. Publication of at least one case report or research article is expected during residency.

Call Frequency

Call (from home) is rotated on a weekly basis among the residents. Call frequency is approximately every six weeks. An on-call faculty member is available at all times for consultation and assistance. Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education.

Teaching Opportunities

Residents have opportunities to teach Mayo Medical School students and visiting students from other medical schools through bedside instruction and formal didactic lectures.

Evaluation

To ensure the successful development of knowledge and technical skills, resident performance is regularly evaluated throughout residency training in Dermatology. Formal evaluations by supervising faculty members are completed every three months. In addition, the residents regularly evaluate the faculty in order to ensure that educational needs are being met.

Career Development

Residents meet periodically with assigned faculty advisors (mentors) and with the program director to discuss career goals. Mayo Clinic recruits many of its staff physicians from its own training programs. Thus, upon successful completion of the Dermatology Residency, job opportunities may be available at one of Mayo Clinic's group practices. The dermatology faculty is deeply committed to providing residents with superb training to begin a successful career in academic medicine or in clinical practice.

  • March 30, 2012
  • ART607640