Dermatology

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Overview

The Jackson Memorial Hospital / Jackson Health System Dermatology & Cutaneous Surgery Program offers a three-year program leading to eligibility for certification by the American Board of Dermatology.  All positions are offered through the National Residency Matching Program. The general goals of this program are to provide dermatology residents with an educational program that will prepare them for lifelong practice of quality dermatology and cutaneous surgery. The goal is to graduate professional skilled, knowledgeable, compassionate, scholarly, and scientifically based dermatologists. This program also strives to provide a framework of training such that our graduating residents remain “lifelong learners” and retain their interest and professional competency in dermatology and cutaneous surgery into the future. The goal of the program is to prepare dermatology residents to successfully obtain certification and become a diplomate of the American Board of Dermatology.

The training in Dermatology and Cutaneous Surgery consists of a three-year program  and incorporates many different settings including ambulatory care, direct inpatient care and consultation, cutaneous surgery including cosmetic procedures, dermatopathology, and both basic and clinical research.  A large variety of conferences and lectures parallels, enhances, and supplements these clinical exposures.  Each year of training provides increasing levels of responsibility commensurate with the resident’s skills and abilities insures continuity of patient care and provides systematic acquisition of experience and knowledge.  In this way, this program provides a challenging learning environment and one in which sound clinical thinking and maturation is a natural outgrowth.

Dermatology Education Mission Statement
To develop leaders in dermatology, who as independent thinkers and lifelong learners will lead the field of dermatology through ethical evidence based practice, with innovative ideas and by the performance of novel high quality research.

Dermatology Education Philosophy
Dermatology provides education to intellectually curious trainees in an applied manner. Through active learning the goal is for trainees to develop into independent thinkers and lifelong learners who will lead the field of dermatology though ethical evidence based practice, with innovative ideas and by the performance of novel high quality research.

ACGME Accredited: Yes
Residents or Fellows per year: Six to eight
Duration: 3 years
Postgraduate Training Required: PGY-1 

Teaching Hospitals

  • Jackson Memorial Hospital
  • University of Miami Hospital
  • Mt. Sinai Medical Center
  • VA Medical Center


Residents/Fellows who have graduated our program in the last 10 years obtained faculty positions at:

  • Stanford University
  • University of California, Los Angeles
  • University of Arizona
  • University of Miami
  • Columbia University

Applications should include:

  • Completed ERAS application
  • Board Examination scores, USMLE Step 1 and (if available) Step 2 scores
  • Personal statement
  • Dean’s Letter
  • Three letters of recommendation

We usually interview about fifty outstanding candidates for our residency slots, which depending on the year will be six or eight. Interviews are typically conducted on a Sunday in early January. We participate in the National Residency Match Program (NRMP). The requirements for admission to the program include completion of an internship in general, internal medicine or a transitional year.

Application Deadline: October 15

First Year Objectives
PGY-2 year provides a great deal of clinical experience in the practice of dermatology and cutaneous surgery in a variety of settings with the objective of developing sound clinical evaluation and management of dermatology patients and performance of basic dermatologic procedures under the direct supervision of a senior resident and attending physician.

First Year Goals
By completion of the PGY-2 year residents should be able to:

  • Accurately and completely describe cutaneous lesions.
  • Provide a complete differential for specific disease categories.
  • Provide first line therapy for both inpatient and outpatient dermatological diseases that are most commonly encountered.
  • Perform an elliptical excision of a lesion and repair of the surgical defect.
  • Perform basic diagnostic tests utilized by dermatologist such as Tzanck preparation, potassium hydroxide preparation, Gram stain, punch biopsy and shave biopsy.
  • Apply basic knowledge of phototherapy including treatment of patients with UVB and PUVA therapy
  • Perform a Patch test

In addition, PGY-2 year residents are expected to select, develop, and begin implementing a research project protocol after project approval by the research committee.

Second Year Objectives
PGY-3 year provides continued and increasing levels of responsibility in the evaluation and management of dermatologic patients and in the performance of dermatologic procedures including surgery under the direct supervision of a senior resident and attending physician.

Second Year Goals
By completion of the PGY-3 year residents should be able to:

  • Provide first, second, and third line therapies for both inpatient and outpatient dermatological diseases.
  • Provide a more comprehensive differential diagnosis for specific dermatologic disease categories.
  • Identify basic dermatologic lesions and histological findings, and provide a working differential diagnosis.
  • Become competent, professional and knowledgeable about outpatient dermatologic disorders.  Know most of the intricacies of patient/doctor relationships and professionalism as it applies to outpatient encounters.
  • Analyze the body of knowledge and current scientific research underlying the care they offer.

In addition, PGY-3 residents are expected to continue their research projects and ultimately submit a manuscript based on their research for publication in a peer review journal by the end of their PGY-4 year.

Third Year Objectives
PGY-4 year provides the senior resident with a leadership and supervisory role of each assigned rotation under the direct supervision of the attending physician.  Senior residents are directly responsible for the junior residents evaluation and management of patients, as well as, surgical procedures performed and for administrative duties relative to the clinic assignment.

Third Year Goals
By the end of PGY-4 year residents should be able to:

  • Apply sound medical evaluation, management, and leadership skills to a variety of inpatient and outpatient settings encountered in the practice of dermatology and cutaneous surgery.
  • Effectively teach dermatologic principles and procedures to dermatology residents and students.
  • Perform complex and advanced dermatologic procedures including flaps, grafts, and basic cosmetic procedures.
  • Identify both common and unusual dermatologic lesions histological and provide a complete differential diagnosis.
  • Demonstrate expertise in a selected area of dermatologic practice.
  • Apply basic knowledge of evaluation and management coding, billing, and reimbursement procedures.
  • Apply patient management skills to a large referral-based private dermatologic practice.
  • Manage patients with Hansen’s disease.
  • Function as a complete professional.

Board Exam Requirements: N/A

Educational & Other Experience
Our training program encompasses inpatient and outpatient dermatologic care at the county hospital for Miami-Dade County Jackson Memorial Hospital (JMH)(inpatient consults, medical, procedural and pediatric dermatology clinics), at the VA Medical Center (VAMC) (inpatient consults, medical dermatology clinics, and procedural dermatology including lasers), at the University of Miami Hospital (UMH): (inpatient dermatology and inpatient consults, medical, procedural, cosmetic and laser clinics), at Sylvester Comprehensive Cancer Center (SCCC) (Mohs surgery, inpatient consults, pigmented lesion and melanoma clinic with advanced diagnostics including confocal microscopy) and at the Mt. Sinai Medical Center: (inpatient consults, medical, cosmetic, laser and procedural clinics).
We also have a variety of specialty clinics and specialized rotations including:

  • Hair/Nails/Contact Dermatitis clinic at UMH and JMH
  • Immunobullous Clinic at JMH
  • Ulcer/Wound clinic at UMH and JMH
  • Psoriasis/Biologics clinic at JMH
  • Pigmented Lesion clinic at SCCC
  • Pediatric Dermatology clinic at JMH and UMH
  • Hansen’s Disease clinic at JMH
  • Phototherapy at UMH, VAMC and JMH
  • Dermatopathology at UM
  • Teledermatology clinics at UM and VAH

Research
The Research Division of the Department of Dermatology and Cutaneous Surgery provides a unique research and education training base, offering fertile ground and nurturing scientific environment resulting in a vibrant research programs that provide training for residents and fellows, medical and graduate students that share common interests in understanding human skin biology and molecular and cellular basis of skin diseases.

Skin biology encompasses plethora of biological processes: development, perpetual differentiation and barrier maintenance, stem cell compartments (both induced and regular progenitors), tissue repair and regeneration, neogenesis, native and adapted immunity, genetic disorders. Therefore, research areas represented in our research base include aging, inflammation, microbiology, genomics, pharmacology, biochemistry, cell and stem cell biology, biochemistry and bacteriology as well as clinical areas of research in biology/pathology of the eye, gastro-intestinal tract, diabetes, cancer and paralysis. 

Call
No In-house calls

Lourdes Herrero
Phone: 305-243-6284
Fax: 305-243-6191

Program Director: George Elgart, M.D.
Medical Student Clerkship Director: George Elgart, M.D.
Medical Student Clerkship Contact: Gabriela Hevia
Residency Coordinator: Lourdes Herrero

Prospective Residents

Physicians Services / Housestaff Office
Jackson Memorial Hospital
East Tower Room 1004
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-355-1122
Fax: 305-355-1123

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: 305-585-4310
Fax: 305-585-4309

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