We invite residents to volunteer at our dermatology community outreach clinic, hosted one Saturday morning each quarter at our Taubman Center offices. Our Hope@UMHS volunteer physicians deliver dermatology specialty care to patients who are uninsured or under-insured, in coordination with the Hope Clinic, a regional free clinic.
As part of our Consultation Service, at the UMHS and VA Hospitals, you will provide inpatient consultation on requests from other services and follow patients admitted primarily for dermatologic disease. You will learn to manage the most complex dermatological cases, to diagnose and treat dermatologic disorders in very ill patients, diagnose medical reactions in skin, and discuss dermatologic aspects of patients care with other non-dermatology providers.
Cutaneous T-Cell Lymphoma (CTCL) is a serious disease requiring proper evaluation and therapy. In this portion of the general dermatology rotation, you will gain understanding of and experience in the diagnosis, multidisciplinary care and treatment of this disease.
Cutaneous Surgery and Oncology
Over the course of this six month, cohesive rotation, you will learn Mohs surgery and study complex surgical cases. A step-wise progression from observation and learning through performance and learning, the rotation offers you intensive exposure to Mohs surgery, cosmetic dermatology and laser procedures, and then VA surgery (including surgical clinics with related disciplines). Resident surgery clinic under faculty supervision is assigned twice (both early and later) in the residency.
Proficiency in interpretation of histologic sections of the skin and an understanding of laboratory procedures is required of dermatology residents. There are two rotations in dermatopathology (one early, one later) plus continuous study of a dermatopathology textbook, weekly lectures, and study of "unknowns."
General & Pediatric Dermatology
During your General Dermatology rotations, you will have daily interactions with patients, providing you the opportunity to acquire clinical experience in diagnosis and treatment of common and rare dermatologic conditions. Pediatric patient comprise more than 20% of our nearly 40,000 outpatient general dermatology visits each year. You will gain an appreciation of the age-related variations in disease and disorders specific to children, as well as pediatric dermatology problems in the context of general dermatology.
You will be responsible for gathering essential and accurate information about each patient, performing an evaluation and developing a therapeutic plan, and presenting your findings and recommendations to the attending. Through this experience, as well as didactic conferences with requisite reading and weekly Grand Rounds with unknown patients and dermatopathology, you will reinforce the foundation for your career in dermatology.
University Health Service
At the University Health Service you will manage patients under graduated responsibility. You will practice dermatology with increasing independence and obtain additional continuity experience in a low-intensity, multi-specialty group.
Immunological and Blistering Skin Disorders Program
Our outpatient immunodermatology clinical program serves as a Midwest/Great Lakes referral center for rare immunologic conditions. You will learn to manage diseases such as blistering disorders (e.g., pemphigus/pemphigoid), lupus erythematosus, lymphoproliferative diseases, atopic dermatitis, lichen planus and vasculitis. Clinical care for these immunologic diseases is carefully integrated with research from many disciplines to provide the most advanced and effective treatments for our patients.
Melanoma and Merkel Cell Programs
Melanoma has had the greatest annual increase in incidence and, along with Merkel Cell Cancer is among the most dangerous of all cancers. The U-M Multidisciplinary Melanoma and Merkel Cell Programs are the largest dermatology-based clinical programs in the United States, with approximately 1,200 new patient consultations per year.
During your participation in this program, you will learn evaluation techniques, clinical findings, staging, sentinel lymph node biopsies and therapies. Furthermore, you will attend the multi-disciplinary tumor board meetings to develop consensus treatment recommendations for patients requiring multi-specialty care.
At the VA Medical Center and certain other clinics, a VA podiatrist will provide training in the removal of an ingrown toenail. You will learn how to prepare patients, administer anesthesia required for nail surgery and complete surgical nail removal. You will instruct patients on post-op care.
Phototherapy & Patch Testing
Experience and facility with all modes of phototherapy are important aspects of the field of dermatology. Residents, particularly during the Dermatology Day Treatment Center assignment — in which you will round daily for two months on patients receiving regular phototherapy — you will observe and learn about phototherapy treatment. The importance of and uses for patch testing as an important diagnostic technique are included in this assignment.
Telemedicine is a rapidly growing method of care delivery. With the objective of improving patient access to dermatologic services, teledermatology provides the delivery of high quality clinical images and information via a secure network system, often. As part of the VA rotation you will gain understanding and experience in using a "Store-and-Forward" system, wherein a VA referral site sends images via HIPAA-compliant electronic transmission to the Ann Arbor VAMC consulting dermatologist, for the purposes of either consultation or triage. Residents will be exposed to current issues (standards, licensure, scope of practice, etc.) and policy development pertaining to this patient care delivery method.)
VA Medical Center
In the VA you will be exposed to a more HMO-like setting and obtain more experience with geriatric dermatology and dermatologic conditions particular to military service. You will use the excimer UV laser to treat appropriate skin conditions and perform moderately-complex and complex skin surgeries, working closely with physicians from other services such as ENT and Plastic Surgery.