Clinical Training

Each day, the fellows review the current dermatopathology sections as they become available.  In addition, the initial writing of microscopic descriptions of the current specimens is performed by the fellows, wo later present the findings and suggested interpretation under simultaneous microscopic viewing to the dermatopathology faculty for critical discussion, and ultimately formal diagnosis for the patients’ records.  A ten-headed microscope is used for dermatopathology teaching.  The fellows also have a single-headed scope on their individual desks for further review and interpretation of specimens.

 

The program is designed to train fellows with backgrounds in either pathology or dermatology.  The curriculum is tailored to fit each fellow’s experience and training.

 

All Fellows

Four board-certified dermatopathologists within the Section of Dermatology actively participate in the dermatopathology fellowship program: Dr. Christopher R. Shea, Dr. Arlene Ruiz de Luzuriaga, Dr. Keyoumars Soltani, and Dr. Kemi Onajin.  Drs. Shea, Ruiz de Luzuriaga, and Onajin share the routine dermatopathology caseload.  Dr. Soltani specializes in the immunofluorescence cases.

 

All fellows attend current, daily diagnostic dermatopathology sessions throughout the year.  At the same time, they receive continuous, appropriate training in the complementary specialty area (i.e., anatomic pathology or clinical dermatology, according to the respective background of the trainee) by attending relevant didactic and patient care conferences, clinics, inpatient consultation ward rounds, autopsy sessions, diagnostic sign-out sessions, and review of study sets.  In this way, throughout the eight months of the integrated year 50% of the training time is devoted to dermatopathology and 50% to the complementary  specialty.  The remaining four months of the year are devoted exclusively to dermatopathology.

 

Fellows are responsible for assisting in teaching dermatopathology to residents in dermatology and pathology throughout the year.  In addition, at times during the year, fellows have medical student teaching functions.

 

The fellows’ performance and progression through the program are monitored and assessed continually throughout the year by members of the faculty, residents, and clinical and administrative staff.  They also complete a semi-annual self-assessment. A certificate is awarded at the completion of training.

 

Fellows with Backgrounds in Pathology

Fellows with Pathology Training Background

September-May

Monday Tuesday Wednesday Thursday Friday
AM:
Dermatology
Clinic
AM:
Dermatology
Clinic12:15 pm Derm Conference*
AM:
Dermatology
Clinic12:15 pm Derm Conference*
AM:
Dermatology
Clinic12:15 pm Derm Conference*
AM: Academic Time

12:15 pm Derm Conference*

PM: Sign-Out PM: Sign-Out PM: Sign-Out PM: Sign-Out 1:00 pm CPC (1st Friday only)

PM: Sign-Out

*Pathology-Trained Fellows will participate in Dermatology Clinics held in DCAM 3A, including adult and pediatric dermatology, consult service, procedural dermatology and Mohs surgery.  Dermatology typically schedules conferences from 12:15-1:15 pm.  The fellow should attend as many conferences as possible during the 8 month dermatology experience.  A monthly schedule is provided online.  The conferences include QI/Peer Review CPC, Consult/Pathology/Pediatrics Rewinds, various text reviews, and the JAMA/JAAD journal club.  The DP Fellow also presents the DP Book Camp for incoming PGY2 residents, DP slide/unknown conferences, and Elston text reviews. 

 

During eight months of the year, pathology-trained fellows spend 50% of their time dermatology conferences and attend the Section of Dermatology’s outpatient clinics and participate in the presentation of patients to attendings and to senior resident dermatologists for discussion of management and disposition.  Major emphasis is on the clinical morphology of skin lesions and on clinicopathologic correlation.

 

Attending dermatology faculty members supervise instruction in all clinic sessions.  Fellows are given instruction and experience in performing skin punch and shave biopsies, making KOH and Tzanck preparations, Wood’s light examinations, and clinical testing and culturing for parasites, bacteria, fungi, and yeasts.  The fellows also receive instruction and experience in interpreting Mohs surgical specimens.  During the dermatology rotation period, the fellows also attend dermatologic inpatient consultation rounds.  In addition, the fellows attend other clinical training didactic functions such as dermatology clinical conferences, dermatology basic science lectures, and journal clubs.  In the various conference sessions, the fellows actively participate on par with dermatology residents in discussing cases, journal club articles and research seminars.

 

Fellows with Backgrounds in Dermatology

Fellows with Dermatology Training Background

September-May

Monday Tuesday Wednesday Thursday Friday
8:00 am AP Didactic

9:00-Noon Pathology**

8:00 am Autopsy

9:00-Noon Pathology**

8:00 am Lab Management

9:00-Noon Pathology**

Noon Molecular Tumor Board

8:00 am AP Unknowns

9:00-Noon Pathology**

Noon Pathobiology of Disease

8:00 am Peer-to-Peer Conference

Academic Time

PM: DP Sign-Out PM: DP Sign-Out PM: DP Sign-Out PM: DP Sign-Out PM: DP Sign-Out

**Dermatology-Trained Fellows will participate in a series of pathology-related clinical activities including cytology F&A, autopsy, frozen sections, gross room, and study sets.  The fellows will also present at the Pathology Peer-to-Peer Conference four times in the academic year.

During eight months of the year, dermatology-trained fellows spend 50% of their time in anatomic pathology, including daily attendance at didactic conferences and rotations through surgical pathology, cytopathology, and autopsy pathology.  During the course of the year, the fellows are expected to develop a fund of relevant knowledge in general pathology and a sound, systematic approach to pathological diagnosis.  The fellows are expected to become familiar with the workings of a pathology service and the use of relevant cost-containment and quality assurance measures in pathology.  The fellows learn the basic laboratory techniques for fixation, embedding, sectioning, and staining of tissue and the use of diagnostic methods, including conventional histochemical stains and molecular techniques.  The fellows attend and participate in relevant patient care conferences.  In addition, fellows have access to study set collections of histologic slides for self-directed study.  Through their active participation throughout the year at didactic conferences in which the full range of anatomic pathology is presented, all fellows optimize and maximize the diversity of their experience.