UCSF Dermatology Residency Handbook - Dermatology - University ...

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RESIDENCY HANDBOOK 2011-2012 3) Any other consultative dermatologist not on call (Fox, Shinkai, or Rosenblum), or the program director, or the associate program director (by cell phone) For pediatric inpatients, if the on-call pediatric dermatology fellow or attending are unavailable, the resident may contact any other pedi-derm fellow or pedi-derm attending as backup. If they are unable to reach any of these backups, they may also all any of the adult consultative dermatologists, the program director, or the associate program director (by cell phone). 31
32 RESIDENCY HANDBOOK 2011-2012 Appendix 2: UCSF Dermatology Residency Surgical Log Minimum Expectations (by year) R1 R2 R3 Excision – Benign (cysts/nevi/lipomas/keloids) 15 15 10 Excision – Malignant 35 20 20 Nail Procedures 1 (O) 1 (O) 1 (O) Repair (Simp/Int/Complex) 50 35 35 Grafts (Split/Full) 5 (O) 5 (O) 5 (O) Flaps Amb Phlebectomy Dermabrasion 10 (O) 10 (O) 5 Chemical Peel (Sup) Chemical Peel (Deep) Liposuction 1 (O) 1 (O) 1 (O) Hair Removal Laser 1 (O) 3 (O) 3 (O) Vascular Laser (PDL/KTP) 3 (O) 5 (O) 5 (O) Pigmented Laser 1 (O) 3 (O) 3 (O) Resurfacing/Ablative Laser Non-ablative Rejuvenation 1 (O) 1 (O) 1 (O) IPL 1 (O) 3 (O) 3 (O) Mohs Surgery 40 (O) 25 (O) 25 (O) Mohs Surgery (Complex – 4+ stages) 2 (O) 2 (O) 2 (O) Sclerotherapy Hair Transplant 1 (O) 3 (O) 3 (O) Fillers / Soft Tissue Augmentation 1 (O) 3 (O) 3 (O) Rhinophyma Correction 1 (O) over 3 years Lip Excision / Wedge Scar Revision 1 (O) over 3 years Botox 5 (O) 5 (O) 5 (O) Excisions include all ellipses or other excisional procedures (but not punches, shaves, or C&Ds) Repairs should be logged separately for all side to side closures / linear repairs (both following simple excisions and Mohs cases) The higher number of excisions and repairs expected during the R1 year reflects the months of VA Surgery clinics (excision days and Mohs days) on top of the dedicated surgery month at Zion Complex Mohs Surgery should reflect exceptionally large tumors or those requiring 4+ stages Numbers of cases followed by (O) indicates that the resident may either perform or observe cases in that category. If no (O) is listed, the resident is expected to document the cases as surgeon. If the resident is involved in the design of a repair and personally performs more than 80% of the sutures, then it may count as perform (rather than observe). Categories with no numbers listed have no minimum. Residents should NOT stop logging cases when they reach the minimum number. Additional cases may help establish competency both during residency and for future credentialing. The dermsurg faculty will review resident case logs at the beginning of each surgery rotation to ensure that a plan is in place to help the resident achieve the listed minimums The residency director will review case logs with the trainee semi-annually.
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