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Fellowship Information Page Curriculum
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Dermatologic
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Information About Our Fellowship Daniel Berg, M.D., F.R.C.P.C., Director Instructor Mailing
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Thank you for the interest in the Procedural Derm/Mohs Fellowship at the University of Washington (UW). You can submit complete application materials to:
Applying for the 2009-2010 Fellowship All eligible candidates are invited to submit an application for the program. Candidates are eligible to apply if they meet the following criteria: 1. Will have successfully completed a ACGME-accredited dermatology residency program by July 1, 2009; and
2. Are a graduate of a U.S. or Canadian Medical School, or are currently ECFMG-certified with either a J-1 visa or US citizenship or permanent residency. A complete application includes: 1. A one page personal statement explaining your background, interests and current career goals. 2. A formal application form (click here). 3. A current Curriculum Vita. 4. Three or four references, including one from the director of dermatologic surgery at your residency institution, and one from the residency training program director. 5. In addition to your provided references, Dr. Berg may wish to contact other colleagues who have worked with you professionally. In the application form there is a statement which gives general permission for him to contact at his discretion any attendings/colleagues with whom you have worked. If you prefer that Dr. Berg not have this general permission and check "no" on the application form, we will obtain in advance specific permission from you prior to contacting anyone other than your references. If you have any questions about the fellowship curriculum or clinical experience please review the information on this website, or contact Dr. Dan Berg at danberg@u.washington.edu. Please contact Theresa Steig steigt@u.washington.edu if you have questions about the application or eligibility.
Our program is currently accredited by the ACMMSCO for a one year fellowship. The program is also currently approved by the ACGME as a Procedural Dermatology Fellowship. Our inaugural fellowship began July 2004. We opted not to take a fellow for 2008-2009.
We are a full-time academic Dermatologic Surgery Clinic in the Division of Dermatology at the University of Washington. The fellowship is under the supervision of Dr. Daniel Berg. Facilities: At the UW Dermatology Center outpatient facility, there is a separate Dermatologic Surgery Unit. This consists of 6 Large procedure rooms, 4 examination rooms, a separate surgery patient waiting room and a fully equipped CLIA-certified frozen section laboratory including 2 cryostats and automatic tissue stainer. 2 Rooms are cross-used for both surgery and lasers. Current lasers include Candela GentleLase, GentleYAG and Vbeam as well as a Q-switched YAG and Intense Pulsed Light Device. Offices in the Dermatology Center are equipped with computers and Ethernet ports and printers so the fellow can retrieve information and have access to medical databases around the clock. The fellow will have a cubicle with desk and computer with fast Ethernet connection. The fellow will have access to the online journal collection of the University of Washington both at work and via home computer connection. Basic textbooks on dermatologic surgery are on-site at the dermatology center. The fellow will also have access to the major medical library located in the Health Science Building on the University of Washington campus. It is a 15 minute walk or 10 minute shuttle ride.
Program Curriculum The program curriculum encompasses the Didactic Program in combination with the Clinical Experience. Both of these components are described below including a clinic schedule. The didactics program consists of three elements:
The majority of the clinical work is cutaneous oncology with an emphasis on Mohs surgery and reconstruction. Approximately 650 Mohs surgery cases are done annually at our institution. Other procedures done include hair transplantation, lasers (Pulsed Dye, Long-Pulsed YAG and Alexandrite, Q-switched YAG and IPL), Injectables (Botox) and less frequently other dermatologic surgical techniques including scar revision and rhinophyma repair. We have an excellent working relationship with other specialties and the fellow may attend selected post-Mohs reconstructions by specialists in Plastics, Otolaryngology and Ophthalmology at the University of Washington affiliated facilities. If possible, some time will be provided to the fellow to work with attendings in these other specialties. As-needed attendance at a Multidisciplinary Tumor Board to present difficult cases is available. Dr Phil Fleckman has a regular nail surgery clinic which you will be able to attend. The fellow will be intimately and regularly involved in preoperative assessment of patients for surgery. The fellow will take second call (backing up the dermatologic surgery resident) for surgeries done in the unit when on call. In addition, they will see most of the postoperative patients along with the attending. Fellows will be initially heavily instructed and supervised as they are given increasing responsibility during the fellowship. As they demonstrate competence in various procedural aspects the supervision will become less-hands on and finally periodic observation will allow the fellow to perform close to independently. Fellows will review all of the slides for all cases they participate in. In addition the fellow will receive instruction in laboratory management from the chief histotechnologist in the laboratory. Relevant laboratory manuals will be reviewed by the fellow and made available to the fellow as reference. The fellow will be invited to participate in the annual "Anatomy for Facial Plastic Surgery" Cadaver Dissection course at the University of Washington. Further information about the course (e.g. the 2004 schedule) is available online. This course has been presented by Otolaryngology each year for the past 11 years, with the exception of 2008 and we hope to reinstate this as an annual course (to be announced). The fellow will be exposed to and assist in cosmetic procedures with Dr. Berg. Currently these procedures include hair transplantation, a variety of lasers, and injectables (fillers and botulinum toxin). In addition some opportunity to visit a nearby private practice for other exposure will be available. A typical week's schedule current as of July 2006 is below. This is subject to change without notice. Monday Derm Surgery Clinic Mohs Surgery &
Reconstructions Derm Surgery Clinic - Dr.
Berg Miscellaneous
(e.g.): Consultations for Mohs,
Hair removal laser, Vascular laser, Suture
removals, Post Surgery Followups, Scar Revisions,
Excisions. Tuesday Derm Surgery Clinic Mohs Surgery &
Reconstructions Derm Surgery Clinic - Dr.
Berg Miscellaneous,
eg: Consultations for Mohs,
Lasers, Injectables, Suture removals, Post Surgery
Followups, Scar Revisions, Excisions Wednesday Dermatology Derm Surgery Clinic Mohs Surgery, Larger Cosmetic
Procedures Derm Surgery Clinic - Dr.
Berg Miscellaneous,
eg: Consultations for Mohs,
Lasers, Injectables, Suture removals, Post Surgery
Followups, Scar Revisions, Excisions Thursday Derm Surgery Clinic Mohs Surgery &
Reconstructions, Derm Surgery Clinic - Dr.
Berg. Friday Self-study research
or Attend at outside
clinic Attend at outside
clinic Academic Expectations The fellow will play an important role in resident teaching both at the bedside and by active participation in monthly dermatologic surgery didactic sessions for the residents. The fellow will be responsible for organizing the annual lecture series in consultation with faculty and the Chief Resident in Dermatology. Further information about the didactic lecture schedule is available at: http://courses.washington.edu/dermsurg/schedule.htm . It will be expected that the fellow will undertake a scholarly project during their year of training. This is intended to be suitable for presentation at a national meeting or publication or both. Clinical Duties: The fellow may be asked to be the attending at a weekly dermatology clinic with an emphasis on excisional surgery. The billings from this clinic will help provide the fellow's salary support. This will not be an option if the fellowship is under the auspices of the ACGME. List of Fellows: 2004 - 2005 Jennifer Reichel M.D. 2005 - 2006 Tamara Housman M.D. 2008-2009 No Fellow
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Contact the instructor at: danberg@u.washington.edu
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