Residency Sub-Specialty Elements
UCSF Department of Dermatology
Continuity Practice
To better offer longitudinal care to those patients with complicated
diagnostic work-up, prolonged monitored therapies, or other difficult-to-manage
issues, a continuity practice was established for each resident through
all years of training. This residency program places high value on having
residents gain increasing familiarity with a consistent group of patients,
recapitulating what a graduate would expect to face in his/her own practice.
While most residency programs generally fall short in this regard, often
hindered by monthly rotation schedules, the UCSF program strives to
provide an uninterrupted experience of continuing care with each resident
spending one half day a week in his/her own continuity practice centered
either at the SFVA, SFGH, or Mt. Zion services. In addition, these practices
have an incorporated didactic component consisting of a short weekly
conference discussing pharmacotherapeutics in dermatology.
Elective
With the approval of the Department of Dermatology's Resident
Education Committee (REC), each senior resident may be offered the opportunity
to pursue his/her academic interests beyond the Department's curriculum
for one month. Interested residents are required to submit a well-structured
and meritorious proposal for elective activity to the REC. Designed
to afford residents added flexibility to advance their academic careers,
the elective month can provide a valuable opportunity. Requiring the
endorsement of the REC, elective activity is not guaranteed for all
residents.
Multidisciplinary Services
Melanoma Tumor Board is led by Mohammed
Kashani-Sabet, MD and is a special multidisciplinary weekly conference
that provides a consultative service for diagnostic evaluation and management
of advanced melanoma. Comprised of physicians from such fields as dermatology,
surgical oncology, medical oncology, otolaryngology, and dermatopathology,
as well as psychologists and biostatisticians, the Melanoma Tumor Board
offers a full array of services for diagnostic work-up and treatment
with such established and experimental modalities as surgery, biochemotherapy,
vaccine therapy, and cytokine therapy.
Visible Tumor Conference is headed by Roy Grekin, MD. This
monthly conference brings together physicians from dermatology, otolaryngology,
plastic surgery, and radiation oncology to evaluate and devise management
for patients with advanced or complicated dermatologic tumors.
Vascular Anomalies Conference is under the direction of Ilona
Frieden, MD. This conference convenes once a month to examine and
treat patients with various vascular anomalies, often congenital in
nature. With representatives from dermatology, plastic surgery and interventional
radiology, this unique conference offers residents the opportunity to
explore difficult-to-manage cases of vascular tumors and malformations.
Pediatric Dermatology
Under the guidance of Ilona
Frieden, MD, Amy Gilliam, MD,
and Renee Howard, MD a longitudinal
pediatric dermatology curriculum is threaded through the three years
of residency. Between the Mt. Zion and SFGH sites, there are seven half-day
pediatric dermatology practices scheduled each week with a total patient
volume exceeding 5,000 cases per year and includes referral cases from
around the world. In addition to general pediatric dermatology, these
practices have incorporated several subspecialty foci, including: the
Vascular Anomalies Conference; pediatric laser therapy; a multidisciplinary
atopic dermatitis practice with physicians from the Allergy Service;
ichthyoses; and ectodermal dysplasia practice. The division has a full-term
pediatric dermatology fellow and attracts a number of dermatology and
pediatrics residents from across the country who come to study with
the faculty.
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