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Overview
The Dermatology Residency Program (DRP) schedule comprises a longitudinal curriculum that comprehensively covers adult and pediatric dermatology, surgical dermatology, Mohs surgery, dermatopathology, and cosmetic dermatology. The longitudinal curriculum is designed so that residents receive a variety of experiences throughout any given week rather than rotating through blocks of specific rotations. This structure has been lauded favorably by residents as it allows them to experience a wide spectrum of dermatology on a regular basis and practice a variety of dermatological skills as frequently as possible throughout their training. Chief residents create the schedule. This schedule is adapted to meet the educational needs of residents as they progress in their training.
Residents assume graduated responsibilities as they become more senior in their training (managing medical students and rotating students/residents, coordinating and hosting grand rounds, creating call and rotation schedules, etc.); thus, an increased amount of administrative time is allotted during PGY-3 and PGY-4 years. There is also elective time and protected board study time in the PGY-4 year.
Sample Week-Long Rotation Schedule
| Day | A.M. (approx. 8 or 9 a.m.–noon) | P.M. (1– approx. 4-5 p.m.) |
|---|---|---|
| Monday | Surgical excision clinic – VA Hospital | Continuity clinic – VA Hospital |
| Tuesday | Medical Derm clinic – Wright State | Dermatopathology |
| Wednesday | Medical Derm clinic – Wright State | Cosmetic clinic |
| Thursday | Surgical and medical clinic – Wright State | Mohs surgery |
| Friday | Didactics | Didactics |
Rotation Locations
The DRP educational program greatly benefits from training experiences at a variety of clinical sites that allow the residents and faculty to practice in different clinical environments and serve a diverse range of patient populations. We believe this is one of the core advantages of our program. Some of the rotation locations are as follows:
Wright State Physicians
Wright State Physicians is a 66,000 sq. ft. multispecialty health center that houses dermatology, family medicine, geriatrics, internal medicine, and obstetrics and gynecology. There is also a clinical laboratory located within the building. Medical, surgical, and cosmetic dermatology clinics are located here as well as grand rounds. Phototherapy services are available. Didactics also take place in this building. The department administrative offices and a resident office are also located in the building.
Dayton Veterans Affairs Medical Center
Dayton Veterans Affairs Medical Center is a comprehensive multidisciplinary hospital and outpatient clinic setting that serves those who have served in the United States Military. Medical and surgical dermatology clinics are housed here and the dermatology department provides an inpatient consult service as well. Phototherapy services are available in the clinic area.
Dayton Skin Care and Cancer Center
Dayton Skin Care and Cancer Center is a premier dermatology practice that serves as our primary site for training in Mohs Micrographic Surgery. This location also hosts a Mohs fellowship. Residents work under the guidance of the Mohs surgeons and Mohs fellow to learn and practice the fundamentals of Mohs surgery.
Dermatologists of Central States
Dermatologists of Central States is a busy practice where residents work with community faculty in a private practice setting. The residents have the opportunity to see medical dermatology patients as well as cosmetic and laser patients.
Miami Valley Hospital
Miami Valley Hospital is a 970 bed level 1 trauma center that is home to the busiest emergency department in the state of Ohio. Our program serves as a teledermatology consult service to this site, with in-house pathology available to review flash-frozen biopsies for urgent or emergent dermatological conditions.
Wright-Patterson Air Force Base Medical Center
Located inside Wright-Patterson Air Force Base, the Wright-Patterson Air Force Base Medical Center is a multidisciplinary hospital and outpatient clinic center that serves active duty Air Force personnel. The dermatology clinic provides comprehensive medical and surgical dermatologic care.
Dermatopathology Laboratory of Central States and American Dermatopathology Laboratory
There are two local dermatopathology laboratories affiliated with the DRP, Dermpath Lab of Central States and American Dermatopathology Laboratory, both of which serve as excellent training sites for residents. They both have multi-headed microscopes and residents have the opportunity to participate in daily sign-out with the attending dermatopathologist, review their own biopsies from clinic, and practice reading unknown slides.
Various community dermatology practices
The Wright State Dermatology residency benefits from partnership with numerous community dermatologists where residents rotate and further their clinical education and skills in medical, cosmetic, and surgical dermatology.
Call Schedule
The DRP provides inpatient consult services to the Dayton VA Medical Center as well as Miami Valley Hospital (MVH). The MVH service is primarily teledermatology-based and residents screen calls and images for consults and provide recommendations and guidelines over the phone. All consults are staffed with an attending dermatologist. For dermatological emergencies, residents perform in-house flash frozen biopsies and make recommendations regarding workup, laboratory orders, and management of the patient. The patients are then seen in the Wright State Dermatology clinic for follow-up and longitudinal care.
Given that the program does not have an in-house consult service, residents rotate taking day call and night call. Each resident spends 2 consecutive months on day call taking consults from 8 a.m.-5 p.m., and each resident also covers evening and weekend call (5 p.m.-8 a.m.) on a weekly rotating basis.