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Curriculum

SCHEDULE

We do not have a monthly/block schedule but rather longitudinal curriculum exposing residents to multiple specialty rotations day to day. Residents typically work 8 half-day clinics per week. A typical week could be comprised of several general dermatology clinics, a surgery clinic, pediatric dermatology clinic and one of our subspecialty clinics.

There is 1 administrative half-day scheduled per resident each week, and Friday morning all residents have an academic half-day for didactics.

Mohs surgery rotations are completed in week-long blocks divided throughout the year and exposure increases by year of training (2 weeks for 1st years; 3 weeks for 2nd years; 3 weeks for 3rd years).

Dermatopathology is taught during formal didactic sessions on Friday mornings. Residents also complete a 4 week dermatopathology block each year. The on-call resident participates in morning sign out during hospital weeks.

Residents start taking inpatient call during their second year of training, and call is divided into week-long segments during which there are no other clinical responsibilities.

Each resident has 4 weeks of elective time to pursue opportunities for enrichment during training, either within the university or at other institutions.

Each resident has 10 conference days to use per year of training.  See below for additional details and opportunities.

 

SPECIALTY CLINICS

    • Contact Dermatitis
    • Cutaneous Lymphoma
    • Department of Corrections (incarcerated patients)
    • Dermatological Surgery (non-Mohs)
    • Dermatopathology
    • General Adult Dermatology
    • Hidradenitis Suppurativa & Follicular Disorders
    • High Risk Skin Cancer
    • Autoimmune Blistering Disorders
    • Inpatient Consultative Service
    • Laser Services
    • Mohs Surgery
    • Pediatric Dermatology
    • Piedmont Health Services
    • Pigmented Lesion/Melanoma
    • Resident Continuity Clinics
    • Urgent Care/Hospital Follow Up Clinic
    • Vulvar Dermatology

RESIDENT CONTINUITY CLINIC AND URGENT CARE CLINICS

Resident continuity and urgent care clinics allow for graduated autonomy in patient care with faculty supervision.

Continuity Clinics

During the second year and third years of training, residents will participate in continuity clinics located at our Hillsborough office. Each resident will oversee the medical and surgical needs of a panel of patients.

Faculty supervisors are Dr. Donna Culton, Dr. Jayson Miedema, and Dr. Edith Bowers.

Urgent care/Hospital Follow-up Clinic

Residents will also rotate through the Urgent Care/Hospital Follow-Up clinic. In this setting, residents will develop advanced clinical and procedural skills in the evaluaiton and treatment of dermatology conditions and learn how to triage patients with acute dermatologic complaints. This clinic will permit on-call residents to have continuity of care of patients between the inpatient and outpatient settings.

Faculty supervisors are Dr. Rachel Blasiak, Dr. Carolyn Ziemer, and Dr. Luis Diaz.

 

DIDACTICS

Friday morning didactics

Structured didactic activities occur every Friday morning from 8:00a-12:00p.  Greater than 80% of the lectures are faculty-given, with residents leading approximately 20% of sessions.

In-person attendance is required for didactic conferences.

Our conference room has been up-fitted with audio-visual equipment to allow for high-definition projection of sessions through interactive Zoom platform for lectures to permit virtual visiting speakers.

Components of our weekly academic sessions include:

  • Dermatopathology
    • Weekly formal review of structured topic (1hr)
  • Major topic lectures
    • Weekly lectures covering a wide range of core dermatology topics (1-2 hours weekly)
  • Kodachromes
    • Unknown cases are projected. Residents are asked to provide differential diagnoses and potential evaluation strategies. Reviewed weekly with faculty preceptor.
  • Surgical lectures
    • High yield procedural and cosmetic topics (Monthly)
  • Basic Science lectures
    • Review of high-yield topics in basic science and with emphasis on clinical relevance (Monthly)
  • Journal Club
    • Faculty member selects several articles for critical appraisal and review (Monthly-bimonthly)
  • Hideaway/Consultant’s Conference
    • In this conference, interesting patients with attendant teaching value are reviewed. Rotating faculty preceptors run the conference including oral examination of the residents’ knowledge base, evaluation strategy, and treatment plans (Monthly)

Other formal didactic sessions

  • Thursday 12-1 lunch conferences with rotating topics: Diversity, Equity and Inclusion (DEI) in dermatology, Boards Review, and QA/Patient Safety.

CONFERENCES

Local

  • UNC-Duke Conference
    Our department meets with the residents and faculty of Duke nearly every two weeks during nine months of each academic year (September through June) to present and discuss educational patient cases. Half of these patient-focused UNC/Duke conferences are hosted by UNC.  First year residents are expected to give formal presentations at the UNC meetings, with the advice and assistance of the faculty member who has participated in the evaluation and care of each patient.  Details of the format for these presentations are available from the Chief Residents and Program Directors.
  • UNC Melanoma Conference
    All residents are encouraged to attend UNC’s annual melanoma multidisciplinary conference with updates on complex management strategies of local and advanced melanomes.

Regional

 

  • SEC
    All of our first and second-year residents are encouraged to attend the annual Southeastern Consortium on Dermatology (SEC), a regionally based clinical meeting which rotates each year among the 10 participating academic dermatology programs.  https://secderm.org/

National

  • AAD
    We encourage all residents to attend the annual American Academy of Dermatology meeting. One second-year resident will remain home to take call during this time. At the present time, all residents in U.S. dermatology training programs have some expenses (hotel and travel) paid to attend the annual meeting of the American Academy of Dermatology by an educational grant.
  • Skin of Color Symposium
    All residents are enco9uraged to attend the virtual Skin of Color Symposium hosted in the Spring.
  • Other
    If clinic coverage scheduling is adequate, it may be possible to permit residents to attend other meetings within the continental United States, based on individual career needs or interests.
    We would be delighted to have our residents give presentations at other regional or national meetings, in adddition to the AAD annual meeting, if departmental resources allow. Interested residents should discuss this with the Program Director and/or Chair.