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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