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Dermatology Residency: Program Curriculum
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Contents:

Basic Science

Basic science: A rigorous training in the basic sciences is provided. The following topics are covered:

  1. Cutaneous structure and function 1: Epidermis 
       and appendages
  2. Cutaneous structure and function 2: Dermis and
       connective tissues
  3. Cutaneous embryology including Blaschko's lines
  4. Basement membrane zone
  5. Keratinocyte adhesion molecules
  6. Keratin and Collagen formation: Normal structure
       and function
  7. Ichthyoses, disorders of cornification
  8. Collagen disorders
  9. Antigen presenting cells
10. Lymphocytes 1: T and B lymphocytes
11. Lymphocytes 2: Th1 and Th2
12. Inflammatory mediators / Cytokines
13. Contact dermatitis
14. Pathophysiology of Atopic Derrmatitis
15. Pathophysiology of Psoriasis
16. Cutaneous Lymphoma - Basic science
17. Cutaneous Lymphoma - Clinical application
18. Coagulation 1: Normal coagulation (Dr. Mary
       Cushman, Hematology)
19. Coagulation 2: Pathophysiology of the
       hypercoagulable state (Dr. Mary Cushman,
       Hematology)
20. Wound healing
21. Sebum structure and function
22. Pathogenesis of Acne
23. Melanin production and normal pigmentation
24. Pathophysiology of disorders of pigmentation
       1: Hyperpigmentation
25. Pathophysiology of disorders of pigmentation
       2: Hypopigmentation
26. Basic immunopathology
27. Pathogenesis and clinical aspects of Pemphigus
       and Pemphigoid
28. Pathogenesis and clinical aspects of Lupus
       Erythematosus
29. Tumor suppressor genes 1: Tuberous sclerosus
       and Neurofibromatosis
30. Tumor suppressor genes 2: Cutaneous
       carcinoma and Melanoma
31. Melanoma tumor biology
32. Mechanisms of metastasis
33. Photobiology 1: UVB, UVA, and visible light
34. Photobiology 2: Clinical spectrum of
       photodermatology 1: Porphyrias
35. Photobiology 3: Clinical spectrum of
       photodermatology 2: PMLE, Phototoxic,
       Photoallergic
36. Photobiology 4: Application of ultraviolet light in
       clinical dermatology
37. Laser physics and applications in dermatology
38. Principals of electrosurgery
39. Principals of cutaneous pharmacology
       1: Corticosteroid structure and function
40. Principals of cutaneous pharmacology 2: Retinoid
       structure and function
41. Principals of cutaneous pharmacology
       3: Imiquimod and Tacrolimus, and biological
       response modifiers
42. Principals of cutaneous pharmacology
       4: Methotrexate, Cyclosporin, structure and function
43. Principals of cutaneous pharmacology
       5: Dapsone, Immuran
44. Cutaneous virology 1: Herpes viridae: Structure,
       infection, and clinical aspects
41. Cutaneous virology 2: Human papillomaviridae:
       Structure, infection, and clinical aspect
42. HIV - Guest lecture (ID)
43. Oncogenes and cellular transformation
44. DNA repair and disorders of DNA repair
       mechanisms
45. Genodermatoses with known genetic defects
46-50: Selected advances from the dermatology
       literature

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Dermatopathology

Dermatopathology: A weekly training session in dermatopathology offers a strong foundation in histology and clincal correlation. The following topics are covered.

Normal histology of the skin
Approach to interpretations of skin biopsies Tissue reaction patterns Vocabulary
Superficial perivascular dermatitis No epidermal change
Superficial perivascular dermatitis Spongiotic
Superficial perivascular dermatitis Lichenoid
Superficial perivascular dermatitis Vacuolar interface
Superficial perivascular dermatitis Psoriasiform
Review and Evaluation
Superficial and deep dermatitis
Vesiculobullous dermatitis Intraepidermal
Vesiculobullous (continued)
Vesiculobullous Dermatitis Subepidermal
Canceled - American Society of Dermatopathology Meeting
Review and evaluation
Alopecia
Granulomatous dermatitis
Panniculitis
Panniculitis (continued)
Vasculopathic dermatitis
Metabolic, deposition, and storage diseases
Genodermatoses (abnormalities of epidermal maturation and keratinization)
Infections and infestations
Infections and infestations (continued)
Infections and infestations (continued)
Review and evaluation
Tumors of the epidermis and cysts
Tumors of the epidermis and cysts (continued)
Adnexal tumors Follicular
Adnexal tumors Eccrine
Adnexal tumors Sebaceous and apocrine
Melanocytic tumors Benign - nevi
Melanocytic tumors Benign - nevi (continued)
Melanocytic tumors Malignant - melanoma
Melanocytic tumors Malignant - melanoma 
Review and evaluation
Fibrohistiocytic tumors
Fibrohistiocytic tumors (continued)
Tumors of fat
Tumors of muscle, cartilage, and bone
Neutral and neuroendocrine tumors
Vascular tumors
Vascular tumors (continued)
Review and evaluation
Histiocytoses
Histiocytoses (continued)
Lymphoid and leukemic infiltrates
Lymphoid and leukemic infiltrates (continued)
Immunohistochemical stains
Immunofluorescence
Review and evaluation

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Dermatologic Surgery

Dermatologic Surgery: A broad education in dermatologic surgery focuses on proper biopsy technique, surgical excision, wound repair with linear closure, flap repair, and graft repair. Two Mohs surgeons perform over 750 cases of Mohs surgery annually and dedicated months of dermatologic surgery are provided in each year of residency. The resident also receives instruction and hands on experience in the performance of vascular lesion laser, pigmented lesion laser, carbon dioxide laser, pulsed carbon dioxide laser, and hair removal laser. Residents learn to inject Collagen and BOTOX and to perform basic sclerotherapy. Through a rotation with general surgery residents learn the basics of sentinel lymph node biopsy. A didactic surgical training course offers the following lectures:

1. Mohs Surgery
2. Facial Anatomy
3. Lasers in Dermatology
4. Flaps
5. Grafts
6. Botox and Collagen

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Bacteriology and Microbiology

Bacteriology and Microbiology: A series of didactic lectures on the bacteria and fungi that cause dermatologic disease is presented. In addition residents have a rotation in Microbiology in order to learn how to plate and grow organisms that commonly cause dermatologic disease. A rotation in infectious disease exposes residents to the dermatologic manifestations of Hepatitis C and HIV disease as well as to a wide variety of exotic diseases from abroad.

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Dermatology Residency
Introduction
Program Curriculum
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