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Residency Rotations

The following is a summary of resident rotations for each resident year.

General Dermatology

Patients are seen in our general dermatology clinics at Strong Memorial Hospital, Red Creek, the Veteran’s Hospital, and Monroe Community Hospital. Among the many areas of faculty emphasis are the care of bullous disease, connective tissue disease, alopecia, atopic dermatitis, urticaria, and psoriasis. Residents have an opportunity to assess and treat a range of diseases in patients from all over western New York and northern Pennsylvania.

Over the course of training, residents have an opportunity to manage many rare and challenging dermatologic conditions. Rotations at the four general dermatology sites are interspersed over the course of a week. A continuity clinic staffed by community dermatologists allows residents to develop skill in long-term management of dermatologic diseases.

Surgery

Surgical rounds are set up in two-week or one-month blocks of time. One month of surgery is scheduled during the first year (PGY-2), and the remaining nine months are divided between the second (PGY-3) and third (PGY-4) years as the schedule permits. Major emphasis is on cutaneous oncology with five days of Moh's surgery. Our Moh’s surgeon, Dr. Marc Brown, has a very busy surgical practice, with approximately 1,600 cases each year. Residents have ample opportunity to master their surgical skills in this setting.

An afternoon surgical case is specifically scheduled for the resident daily at 3 p.m. In addition to this surgical rotation, residents also manage surgical cases supervised by other attendings, as well as those at our VA clinic. Cosmetic cases—such as Laser treatments, sclerotherapy, spot dermabrasions, peels, and Botox—are seen at the Red Creek office.

Dermatopathology

The dermatopathology elective is designed to acquaint residents with the basic histopathology of skin lesions. Residents are exposed to a variety of cases through the private practice of Dr. Glynis Scott and Dr. Jan Muhlbauer, a Dermatopathology group located in the city of Rochester. This rotation is one half-day each week for six months in each year of the residency.

While residents are performing their rotations on the consult service in their second and third years of training, they also read out every morning with Dr. Scott. In addition to this teaching at the microscope, residents have access to many teaching slide sets. Residents can review any of these cases to build their skills.

Consult Service

This rotation is set up as a one-month block for second- and third-year residents. Residents see all hospital consultations at Strong Memorial and Highland Hospitals, located a few blocks apart. While rotating on this service, residents learn to manage the dermatology conditions of complex and critically ill inpatients. Many of these patients are in the ICU—immunosuppressed, bone marrow transplants, etc.—and require extensive, meticulous, and thorough work-ups. We are often asked to see patients in the emergency room. This experience is both challenging and rewarding, allowing interdisciplinary learning at its best.