In this section: Rotation Schedule | Clinical Practice | Didactic | Quality Improvement | Professional Development & Professionalism.

Rotation Schedule

A typical Dermatology Residency rotation schedule includes:

First Year (PGY-2)

ROTATION
LENGTH

Harborview Medical Center
Inpatient and Outpatient services, procedures, HIV clinic

3-4 months

University of Washington Dermatology Roosevelt Clinic

Primary derm outpatient clinic

Includes derm rheum, nail disorders, complex medical derm and CTCL, pigmented lesions

3-4 months

Veterans Affairs Puget Sound Healthcare Systems

Inpatient and outpatient services, procedures, teledermatology

3-4 months

Seattle Children’s Hospital

Pediatric outpatient and inpatient services, lasers procedures, vascular anomalies

1-2 months

University of Washington Medical Center Inpatient Consult Service
In addition to inpatient consults, medical genetics clinic, and dermonc and Merkel cell carcinoma clinical experiences at Seattle Cancer Care Alliance

1 month

Dermatopathology
Dermpath review and sign out

1 month

All rotations include a half day of protected time for administrative duties, as well as two half-days of protected didactic and academic time

 

Second Year (PGY-3)

ROTATION
LENGTH

Harborview Medical Center
Outpatient services, procedures, HIV clinic, sexual health clinic

3-4 months

University of Washington Dermatology Roosevelt Clinic

Primary derm outpatient clinic

Includes derm rheum, complex medical derm, phototherapy, contact dermatology

3-4 months

Veterans Affairs Puget Sound Healthcare Systems

Outpatient services, procedures, teledermatology

3-4 months

Seattle Children’s Hospital

Pediatric outpatient services, lasers procedures, vascular anomalies

1-2 months

University of Washington Medical Center Inpatient Consult Service
medical genetics clinic, dermonc, Merkel cell carcinoma clinical experiences

1 month

Dermatologic Surgery
Mohs micrographic surgery, excisions, nail procedures, cosmetics

1 months

Dermatopathology
Dermpath review and sign out

1 month

Research/Career Development Elective

This is a competitive elective for residents who have research interests, and provides protected time up to a month to pursue research and career development

1 month

All rotations include a half day of protected time for administrative duties, as well as two half-days of protected didactic and academic time

 

Third Year (PGY-4)

ROTATION
LENGTH

Harborview Medical Center
Outpatient services, procedures, HIV clinic, sexual health clinic

3-4 months

University of Washington Dermatology Roosevelt Clinic

Primary derm outpatient clinic

Includes derm rheum, complex medical derm, phototherapy, contact dermatology

3-4 months

Veterans Affairs Puget Sound Healthcare Systems

Outpatient services, procedures, teledermatology

3-4 months

Seattle Children’s Hospital

Pediatric outpatient services, lasers procedures, vascular anomalies

1-2 months

University of Washington Medical Center Inpatient Consult Service
medical genetics clinic, dermonc, Merkel cell carcinoma clinical experiences

1 month

Dermatologic Surgery
Mohs micrographic surgery, excisions, nail procedures, cosmetics

2 months

Dermatopathology

1 month

Research/Career Development Elective

This is a competitive elective for residents who have research interests, and provides protected time up to a month to pursue research and career development

1 month

All rotations include a half day of protected time for administrative duties, as well as two half-days of protected didactic and academic time

 

 

 

The UW Dermatology Residency Program trains selected candidates using a comprehensive curriculum that encompasses clinical practice, didactic learning, investigation, and professional development. The overall goal of this curriculum is to provide a foundation of specialty-specific scientific and medical knowledge and an interactive environment for supervised patient care with graded responsibility. 

Clinical Practice Curriculum

All residents participate in supervised patient-centered learning during one- or two-month full-time rotations at 6 different sites.  Approximately 70% of the resident’s time during these rotations entails patient care. Residents train once-weekly in a continuity clinic at a single site that continues through all three years of training. 
 
Clinical rotations take place at 5 different institutions: University of Washington Medical Center (UWMC; inpatient consultations, dermatopathology), UW Roosevelt Dermatology Center (Outpatient Clinic and Dermatology Surgery), the VA Puget Sound Health Care System—Seattle, Harborview Medical Center (HMC), and Seattle Children's Hospital (SCH). Specialized clinics at the Seattle Cancer Care Alliance occur during the UWMC inpatient consultation rotation.

Didactic Curriculum: Basic Science & Clinical Dermatology

 

Faculty-led Didactic Sessions are weekly sessions in which faculty presents a didactic and often interactive topic, either within his/her academic expertise, or relevant to the residents’ current textbook reading.  A variety of formats are used.

Board Review/Textbook Review is held weekly. Residents interactively review selected chapters from Wolverton’s Comprehensive Dermatologic Drug Therapy, Spitz’ Genodermatoses, Andrew’s Diseases of the Skin, and Bolognia’s Dermatology. Each week, individual residents create or update an existing quiz to assess residents’ synthesis from the assigned texts readings.

Grand Rounds (GR) is held twice monthly throughout the year and is attended by Division faculty, staff, residents, students and invited guests. Speakers for GR include residents, and division and outside of division faculty. Residents are required to present at Grand Rounds during their residency.  In the 3rd year, residents often choose a topic within professionalism, often a Morbidity & Mortality issue, to present at GR.

Patient Care/Morphology Conference is held 2 or 3 times monthly alternately with GR and is attended by Division faculty, residents, and students. Medically complex or highly educational patients are invited to come to the UW Roosevelt Dermatology Center for examination by all attendees. 1st and sometimes 2nd year residents are asked to describe the clinical exam and generate a differential diagnosis based only on the physical exam. Feedback is given on the residents’ descriptions. Then an open exchange of ideas occurs for management next steps.

Journal Club occurs 1-2 times per month, and reviews articles covering topics in basic science, professionalism, clinical care, and healthcare equity.

Interhospital Image Case Review/Teledermatology (a.k.a. Morning Report). Digital images from patients seen at the different rotation sites are presented by the residents and reviewed with the residency group to extend the experience from Patient Care/Morphology Conference. Occasional teledermatology cases from regional and international networks are presented to widen the scope of exposure to skin disease outside of the usual sites of training. 

Dermatopathology didactics occur as part of weekly Dermatopathology Conferences (UWMC, HMC, VA). Both interesting cases as well as cases in which further clinicopathologic correlation is needed are reviewed. A formal didactic curriculum also includes: 1.5 hour textbook and glass slide review held weekly at UWMC and conducted by UW Dermatopathology faculty (Dr. Michi Shinohara and Dr. Ata Moshiri) and guest faculty (Drs. Dan Lantz and Kyle Garton), regular unknown slide sessions, and regularly scheduled lectures held throughout the year and attended by pathology residents and dermatology residents.

Dermatologic surgery didactics sessions are presented by Dr. Jeremy Kampp, Dr. Wesley Wu, or one of the community dermatologic surgeons affiliated with our program on fundamentals of skin surgery provide a systematic review of the major topics in dermatologic surgery.

Quality Improvement Curriculum

Residents participate in a series of QI sessions during their first year, and participate in a QI project during their residency with the aim of impacting clinical practice for the improvement of the patient experience, minimization of medical error, healthcare equity, and/or reducing health care cost.

Professional Development, Professionalism & Additional Resources

Professionalism Curriculum: A formal curriculum with sessions during resident didactics, GR, and in pre-clinic conference addresses issues ranging from physician wellness to professional boundaries.

Research/Career Development Elective: A competitive elective that provides protected time of 2-4 weeks in place of a clinical rotation to pursue research or career development.

UW Dermatology Division Committees: Participation in Division Committees by residents is encouraged and welcomed.

American Academy of Dermatology Annual Meeting: Attended by all 2nd and 3rd year residents.

Society for Investigative Dermatology (SID) Annual Meeting: Can be attended by 3rd year residents

SID Resident Retreat for Future Academicians: Attended by 2nd year residents late in the year who are embarking on an academic career path.

Pacific Northwest Dermatological Society Annual Meeting: First and third-year residents attend, and 1-2 third-year residents present at this annual conference.

Seattle Dermatological Society (SDS) Monthly Meetings: Monthly meeting and patient care conference of the SDS.

UW Dermatology Division Retreat: Once yearly retreat to discuss, educate and brainstorm issues related to the mission of the Dermatology Division.

Billing/Coding & Compliance Conferences: Periodically held conferences conducted by coding and
UW compliance specialists attended by all Division faculty and residents.

Practice Management: (1) The AAD Annual Meeting-associated Practice Management Course is taken by most 3rd year residents in conjunction with the American Academy of Dermatology Annual Meeting. (2) Didactic sessions led by faculty and community dermatologists address multiple practice management issues from varied perspectives Didactic sessions led by faculty and community dermatologists address multiple practice management issues from varied perspectives. (3) UW GME office offers Financial Management Series on contracts, debts, and other items requested by house staff.

Human Resources: Sexual harassment training provided periodically by the University of Washington GME and HR departments.
Teaching Development:

  1. Dermatology student elective clinical teaching, didactic and non-didactic teaching during 4th year medical student dermatology rotations
  2. Medical Student Course MEDSCI small group teaching
  3. Grand Rounds presentation
  4. Other outside-division presentations.  For example, accepted presentations at the AAD, Pacific Northwest Dermatological Society, and Society for Investigative Dermatology meetings. Occasionally residents are asked to speak at Medicine Department Noon Conferences, Family Medicine Dept Teaching Conferences, and other departmental grand rounds.