Micrographic Surgery and Dermatologic Oncology Fellowship

Procedimientos

The fellowship has a strong focus on cutaneous oncology and reconstructive surgery. Our goal is to prepare fellows to manage the most complex tumors, to recognize preoperative and postoperative needs of the patient, to perform complex reconstructive surgery, to organize multidisciplinary care teams for the complete care of the patient, and to care for patients with the highest ethical standards and empathy. The fellow will gain expertise in the following four main areas:

• Cutaneous oncologic surgery, including medical, surgical, and dermatopathological knowledge of cutaneous neoplasms. A special emphasis is placed on Mohs micrographic surgery to treat cutaneous neoplasms. Fellows gain exposure to a high volume of high-risk tumors and complex Mohs cases. They learn to recognize when a multidisciplinary approach or adjuvant care is needed for cutaneous malignancies to best serve the needs of the patient.
• Cutaneous reconstructive surgery, including the repair of defects after surgical removal of cutaneous neoplasms and scar revision. The fellow gains knowledge and expertise in cutaneous anatomy, wound healing, and cutaneous reconstructive techniques. Fellows gain experience in a high volume of cases with complex reconstructions, with hands-on reconstruction done on the majority of tumors that are excised.
• Cutaneous cosmetic surgery, including medical, surgical, and dermatopathological knowledge of cutaneous disorders and the aging of skin. The fellow gains knowledge and expertise in procedures that improve the appearance of the skin and control cutaneous disease.
• Scholarly activity, including research, publications, quality improvement project, local and national presentations, and didactics for peers, residents, students, and patients. Fellows will receive mentorship and support in advancing their skills as physician-scientists. They will obtain a firm foundation for lifelong contribution to medical literature and patient care.

Volume: This is a very high volume program with the Director performing over 3400 Mohs surgery cases last year with reconstruction. Fellows will have robust exposure to a large variety of tumors, complex reconstructions and the latest immunohistochemistry stains available including special stains for melanoma, high-risk squamous cell carcinoma, high-risk basal cell carcinoma, DFSP, and Merkel cell carcinoma. Mohs surgery with special stains for melanoma is commonly done at this program, something that will set our fellows apart in their communities after training.

Cosmetic training includes injectable fillers and neurotoxins, ablative and non-ablative lasers, chemical peels, scar revision, sclerotherapy, hair-loss therapy, and other devices and procedures.