Outpatient Clinical Care
Fellows will provide tertiary care to pediatric dermatology patients during a weekly continuity clinic, and also in regularly scheduled attending clinics throughout the academic year, so as to afford the maximal amount of continuity. The fellow clinics will emphasize continuity of care for inpatient consults requiring outpatient follow-up as well as evaluation of new patients requiring urgent care. Fellows will concentrate on patient/caregiver interactions, diagnostic acumen, and therapeutic management with an emphasis on developmental and behavioral issues as pertinent to pediatrics.
Fellows will be trained and supervised in the performance of bedside diagnostic studies, including mineral oil preps, potassium hydroxide wet mounts, dermoscopy, and hair analysis. Fellows are expected to assist in the triage of telephone inquiries from both patients/caregivers and other physicians with regards to home management and appointment requests.
Outpatient Dermatologic Surgery
Fellows are expected to become proficient in skin biopsy, curettage, cryotherapy, use of topical agents such as cantharidin and podophyllin, and full-thickness excision as well as in simple skin closure techniques. Fellows desiring exposure to more complex surgical issues, including skin grafting or complex closure techniques, may elect to spend time with a Pediatric General Surgeon or Pediatric Plastic Surgeon in the operating room.
Fellows are also expected to become proficient in the indications and use of the pulsed dye laser for the treatment of vascular skin lesions in children. Fellows will also be trained on the use of the excimer laser for the treatment of vitiligo and psoriasis in children. Fellows desiring experience on other laser modalities, including carbon dioxide and Nd:YAG lasers may elect to spend time with a Pediatric General Surgeon or Pediatric Plastic Surgeon in the operating room.
Fellows will be instructed in the evaluation, pre-operative planning, and delivery of pediatric dermatologic surgery services, including post-operative wound care and pain management. Decision as to the proper timing and approaches for dermatologic surgery in children will be emphasized, including consideration of patient age, developmental status, and school and social activities.
Inpatient Clinical Care
Fellows will actively participate in inpatient consultative services, including the general and subspecialty pediatric wards; surgical wards; neonatal, cardiology and pediatric intensive care units; and the emergency department. The fellow will be responsible for coordinating communication with the requesting service and with other consultative services.
Call and Coverage
The fellow will take call from home on evenings and weekends, and will be required to see emergent and/or complicated inpatient and emergency department consults. The fellow will also see consults and round with the on-call pediatric dermatology attending on the weekends.