T Provide compassionate, appropriate and effective care for promotion of health and the treatment of cutaneous disease and systemic disease related to the skin

Gather a complete medical history.

Perform and document a complete exam of the skin and other organ systems relevant to the patient’s general and cutaneous health.

Learn and use appropriately, consistently and accurately the language of dermatology.

Become progressively more efficient in the care of ambulatory and hospitalized patients with cutaneous health problems.

Become facile with synthesizing and interpreting data in the care of progressively more complex cutaneous disease.

Generate progressively more astute differential diagnosis with each year in training.


Select appropriate and cost-efficient ancillary studies in the management of patients.

Demonstrate skill in clinic/office-based diagnostic tests, including KOH prep, scabies prep, Gram’s stain, Wood’s lamp exam.

Select appropriate biopsy lesion, body site and technique.

Understands the appropriate surgical anatomy and anesthesia pertinent to perform nail surgery and has at least assisted in nail surgery with a qualified surgeon.

Understands the principles of laser surgery and appropriate selection of laser for cutaneous disease and has observed laser surgery conducted by a qualified operator.

Observes and, when possible, perform cosmetic surgical techniques such as, hair transplantation, tattoo removal, liposuction, and dermabrasion.

Understands the principles of and appropriate selection of cutaneous diseases and patients for ultraviolet light therapy and has observed the administration of UV light conducted by a qualified operator.

Understands the principles of contact patch testing and competently reads a standard patch testing panel.

Understands the principles of moist wound healing and has demonstrated appropriate selection of wound dressings.

 Gains a longitudinal perspective on the delivery of health care through individualized continuity dermatology clinic patient panels.

SYSTEMS-BASED PRACTICE

PATIENT CARE​​

Clinics


Continuity Clinic

     Island Dermatology

Mohs Surgery - Danielle Moul, M.D. 

Plastic Surgery - Arian Mowlavi M.D.

Harbor ULCA Clinic - Meiling Yuen, M.D.








PRACTICE-BASED LEARNING  & IMPROVEMENT

Empathically listens.


Consistently uses a compassionate, courteous and respectful demeanor in the work setting.

Effectively communicates with other physicians and staff in a manner that respects patient privacy.

Effectively counsels and educates patients, their families and caregivers in a timely fashion.

Presents gathered patient information concisely, completely, logically and lucidly.

Functions effectively as an integral part of a dermatology team.

Offers sensitive and constructive feedback.

Responds positively to appropriately delivered feedback.

Skillfully communicates with referring physicians in written language. 

Documents in the medical record all interactions with patients in a timely thorough, concise and lucid manner.

Demonstrates mastery of the language of dermatologic description.

Effectively summarizes and publicly presents a critical analysis of a patient case.

Effectively presents to a group for understanding the different research methodologies encountered in investigative journal papers

PROFESSIONALISM

Recommended Journals













INTERPERSONAL & COMMUNICATION SKILLS

Program Goals



To provide training that integrates basic medical sciences with clinical medicine in an orderly, progressive, and academic manner from a defined department of dermatology.
To provide training that integrates the seven core competencies of osteopathic medicine.
To provide the resident with progressive responsibilities, commencing with general medicine skills  and progressing to complete care of patients in need of dermatologic care.
To develop the teaching skills of the dermatology residents.
To develop medical ethics and interpersonal skills of the residents.
To develop an interest in and understanding of research in dermatology.
To develop professional leadership and management skills of the residents.
To provide learning experiences based on measurable objectives for the education of residents during a three-year residency program.
To prepare the resident to meet certification requirements of the AOA through the American Osteopathic Board of Dermatology.



Demonstrates a progressively expanding core knowledge base in the basic sciences relevant to dermatology.
a. Applies principles of microbiology, cutaneous oncology, immunology and genomics, including molecular diagnostic techniques, to the counseling and management of patients with dermatologic disorders.

 
Demonstrates a progressively expanding core knowledge base in clinical dermatology.

o   Applies principles of epidemiology, infection control, and the social sciences to the counseling and management of patients with dermatologic disorders.


Demonstrates a progressively expanding core knowledge base in medical therapeutics used in dermatology, including

o   Topical therapies

o   Systemic therapies

o   Side effect of therapies

o   Interactions between therapeutic agents

o   Monitoring tests for side effects and frequency of monitoring.


Demonstrates a progressively expanding core knowledge base in surgical diagnostics and therapeutics used in dermatology, including

o   Equipment and materials used in skin surgery

o   Critical surgical anatomy

o   Principles and techniques of effective hemostasis

o   Appropriate tissue margins for cutaneous neoplasms

o   Appropriate biopsy technique

o   Appropriate referral to a Mohs and/or plastic surgeon

o   Appropriate tissue handling, including orientation, requesting special stains, and use of immunofluorescence for optimal dermatopathologic interpretation.

Competently teaches others in the above core knowledge areas.

Thoroughly and critically reads up-to-date textbooks of dermatology to enhance a comprehensive understanding of the specialty.


 

Progressively demonstrates practicing cost-effective care without compromising quality of care.

Understands how different practice systems function to deliver care. 

Progressively utilizes non-dermatologist staff effectively as part of the health care team. 

Progressively demonstrates when and who to call for appropriate consultation. 

Progressively provides effective consultation. 

Positively interacts with non-department healthcare providers. 

Attends relevant non-department learning opportunities.

Gains a global perspective on dermatology through the reading of the dermatological literature originating from other countries.

Awards

CORE COMPETENCIES

Resident Requirements


Member in good standing of the AOCD

Scientific Papers - Prepare three (3) papers or manuscripts during each year of training

Gross & Microscopic Symposium Abstract - at the AAD annual meeting at least once in three year training

Scientific Poster - at the annual AOA/AOCD meeting during second year of training

Case Presentation - at the annual AOA/AOCD meeting during third year of training

Mandatory Meetings - Spring AOCD / Annual AAD


Elective - 1 month per academic year

Vacation - 14 days vacation per academic year












Program Forms




Consistently demonstrates ethical conduct.

Creates and maintains healthy and positive relationships with other residents, faculty and students.

Consistently displays emotional maturity.

Consistently demonstrates dependable behavior in patient care, follow-up and administrative tasks.

Consistently dresses in a neat and professional manner.

Consistently is punctual for clinical work and didactics.

Consistently demonstrates respectful behavior toward faculty, staff, co-residents, students, and patients.

Demonstrates sensitivity to issues of culture, age, gender, and disability.

Demonstrates initiative in patient care.

Demonstrates initiative in resolving conflicts.

Considers and grapples with ethical issues including research fraud, informed consent, cost of medical care, billing and compensation issues, withholding of care, appropriateness of treatment, conflict of interest with pharmaceutical companies, and use of human subjects in research.

Recommended Text Books













MEDICAL KNOWLEGE

Annual Reports - Must be typed and submitted within 30 days after the completion of training year, not before.  Segregated totals and inpatient consultation logs should be submitted by email as Excel spreadsheet to the AOCD.

Dermatology Residency

Participates in didactic and patient-centered conferences included in the residency program curriculum.

Demonstrates active, self-directed learning.

Efficiently and effectively accesses and assesses best-evidence for clinical decision making.

Actively participates in and comes prepared to didactic conferences and interactive discussions.

Demonstrates progressive metacognition of errors in patient care, gaps in core knowledge and suboptimal interpersonal communication and takes steps to correct them.

Gains insight for improvement in clinical efficiency.

Applies newly acquired medical knowledge to patient care.

Demonstrates progressive consideration of precision, accuracy, expense, and safety when selecting and interpreting diagnostic tests. 

Demonstrates progressive facility and diligence in accessing information assessing safety, efficacy, adverse event profile, and cost of therapy or prevention. 

Demonstrates progressive facility and diligence in accessing information assessing outcomes of disease and interventions.

Maintains appropriate records documenting practice activities (such as patient logs) and demonstrates initiative in improving weak areas. 

Writes effective test questions for peer and self-study.

Begins a lifelong habit of critical reading to remain current in the medical literature of dermatology and related fields.

Understands the process of peer review of journal submissions.

Synthesizes information from a variety of sources, including print and electronic.

Applicant Requirements


Have graduated from an AOA accredited college of osteopathic medicine
Have completed an AOA approved internship
Be and remain a member in good standing of the AOA
Be and remain a member in good standing of the AOCD
Be licensed in California
Present passing board scores
Present a curriculum vitae
Present a personal statement
Present a list of previous dermatology rotations
Present three letters of reference, two being from practicing dermatologists
Present a medical school transcript
Present a Dean’s letter

This is an AOCD/AAD approved program that is privately funded. Income earning opportunities may be available in the second and third year of training.





Didactics


Andrews Book Club (Weekly) - David Horowitz, D.O.

Journal Club (Monthly) 

Board Review (Twice per month) - Mike Kassardjian, D.O.

Clinical Dermatology Series (Weekly) - Navid Nami, D.O.

Dermatopathology (Weekly) - Paul Shitabata, M.D.

Resident Lectures (Weekly) - University of California Irvine Department of Dermatology

Grand Rounds (Monthly) - University of California Irvine Department of Dermatology

Chino Valley Medical Center - Resident lectures (monthly)