Download Dermatology

New Application: Dermatology
Review Committee for Dermatology
ACGME
PROGRAM PERSONNEL AND RESOURCES
Program Director
1. How does the program director select, supervise, and evaluate the teaching staff and other program
personnel at each site participating in the program? Has a local site director been identified in each
site? How does the director monitor resident supervision at each site? [CPR II.A.4.]
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2. Has the program implemented procedures regarding resident grievances during the last five years?
If yes, provide a concise summary. [CPR II.A.4.h)]
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3. How does the program director monitor resident duty hours and, if applicable, the demands of athome call, according to Sponsoring Institutional policies, with a frequency sufficient to ensure
compliance with ACGME requirements; and how does he/she adjust schedules as necessary to
mitigate excessive service demands and/or fatigue? [CPR II.A.4.j).(2)-(4)]
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4. Provide the following information for each participating site listed in ADS.
Site #1 (the institution that sponsors the program)
a) In the absence of the program director, who is responsible for the residency? [PR II.A.5.]
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b) During the last 12 months, how many weeks was the program director away from the program?
[PR II.A.5.a).(1)]
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c) Describe how and when the local site director was appointed and the nature and extent of
her/his responsibilities for the residency.
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Site #2
a) Name of person responsible for dermatology education.
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b) Approximately how many hours per week does he/she devote to the residency program?
Dermatology
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Updated 04/2016
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c) Describe how and when he/she was appointed and the nature and extent of his/her
responsibilities for the residency.
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Site #3
a) Name of person responsible for dermatology education.
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b) Approximately how many hours per week does he/she devote to the residency program?
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c) Describe how and when he/she was appointed and the nature and extent of his/her
responsibilities for the residency.
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Other Program Personnel
Concisely summarize the technical, clerical, and other non-physician personnel who provide support for
the administrative and educational conduct of the program. Is the support of the program in this area
satisfactory at all program sites? [CPR II.C.]
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Resources
1. Describe the projection equipment and facilities for reviewing and taking clinical photographs at
each site. [PR II.D.1.]
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2. Describe the space that is utilized for program conferences. Is this space dedicated for dermatology
didactic activity? [PR II.D.2.]
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3. Describe the clinical material that will allow experience in diagnosis and management of the broad
array of diseases seen by the practicing dermatologist. [PR II.D.3.]
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Outpatient Information
1. Provide the following information from a recent 12-month period for the dermatology outpatient
clinics, subspecialty clinics, etc., where residents will be assigned. (Note: Do not include
phototherapy sessions or nurse-only visits.)
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©2016 Accreditation Council for Graduate Medical Education (ACGME)
Updated 04/2016
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12-Month Period Covered by
Statistics
From: Click here to enter a
date.
Total # of Dermatology Outpatient Department
(OPD) Visits
# of New Patients
Estimate % of Patients who are Pediatric
Patients
Avg. # of Patients per Clinic Session
# of Residents per Session
# of Faculty per Session
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Site #1
Site #2
Site #3
Site #4
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2. Outpatient and Inpatient Clinical Dermatology
a) Describe the organization of the OPD at each program site.
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b) Describe the residents’ continuity of care clinic. Is a resident able to follow a core group of
patients throughout residency? Are residents able to follow patients seen as inpatients,
consults, and from night or week end call? [PR IV.A.6.c).(1)]
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c) Describe the inpatient consult service. Are patients routinely admitted to the dermatology
service? Do residents maintain lists of their inpatient consults? [PR IV.A.6.c).(1)]
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3. Medical Dermatology and Topical/Systemic Pharmacotherapy
a) Summarize resident education and experience in contact dermatitis. [PR IV.A.6.c).(2)]
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b) Summarize resident education and experience in immunologic diseases (e.g., immunobullous
diseases and collagen vascular diseases). [PR IV.A.6.c).(2)]
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Inpatient Information
12-Month Period Covered by
Statistics
From: Click here to enter a date. To: Click here to enter a date.
Number of Dermatology Inpatient Consults
Site #1
#
Dermatology
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Site #2
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Site #3
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RESIDENT APPOINTMENTS
Funding and Institutional Oversight
1. Is the funding mechanism reviewed and approved by the Sponsoring Institution's GMEC?
.................................................................................................................................... ☐ YES ☐ NO
2. Are any residents required to complete more than three years of dermatology education, research,
or service? ................................................................................................................... ☐ YES ☐ NO
If YES, explain.
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Appointment of Fellows and Other Learners
List any fellows or other physician learners appointed or engaged by the dermatology service or
department. Under "type of training offered" indicate research, special teaching, or other activity. Add
rows as necessary. [CPR III.D.]
Type of Training Offered
Number of Fellows or Other Learners
EDUCATIONAL PROGRAM
Didactic Sessions
1. Describe the required basic science curriculum. [PR IV.A.3.a)]
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2. Describe the program’s pediatric dermatology clinical experience and pediatric dermatology
curriculum. [PR IV.A.3.a); IV.A.6.c).(3)]
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3. Describe all regularly held conferences, indicating where each conference is held, how frequently it
is offered, and the individual(s) responsible for the conference. [PR IV.A.3.c)]
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Dermatologic Surgery
1. Who is the director of dermatologic surgery education? [PR II.A.1.]
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©2016 Accreditation Council for Graduate Medical Education (ACGME)
Updated 04/2016
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2. Provide the number of dermatologic procedures performed in each participating site during the last
academic year.
Category 1
Residents must become competent in the
performance of the following procedures.
[PR IV.A.5.a).(2).(a)]
Excision - benign lesion
Excision - malignant lesion
Nail procedures
Repair (closure) simple/intermediate/complex
Grafts (split or full)
Flaps
Site #2
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Category 2
Significant exposure to the following
procedures through direct observation is
critical (either as the resident surgeon or as an
Site #1
observer). [PR IV.A.6.b).(2)]
Mohs micrographic surgery
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Mohs micrographic surgery (complex/large)
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Laser procedures (including intense pulsed
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light)
Category 3
Program faculty must provide education
relating to the following techniques without
necessarily affording direct exposure.
[PR IV.A.5.b).(5)]
Ambulatory phlebectomy/vein surgery
Sclerotherapy
Tumescent liposuction
Resurfacing techniques (including laser
dermabrasion, chemical peel, rhinophyma,
and non-ablative rejuvenation)
Hair replacement procedures
Soft tissue augmentation/skin fillers
Scar revision (including acne scar revision
procedures)
Botulinum toxin chemo-denervation
Other (excluding skin biopsies and skin
destruction of benign and malignant lesions)
3. What types of surgery do residents perform, under appropriate faculty member supervision? How
are residents given the opportunity to assume increasing responsibility as their surgical competence
grows? [CPR IV.A.4.]
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Dermatology
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Updated 04/2016
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Patient Care
Indicate the settings and activities in which residents will demonstrate competence in the following
areas of patient care. Also indicate the method(s) that will be used to assess competence.
Competency Area
Skin biopsy techniques,
including local anesthesia and
regional blocks, destruction of
benign and malignant tumors,
excision of benign and malignant
tumors, and closures of surgical
defects using layered repairs, in
patients of all ages, with
attention to the chronologic and
developmental age of the patient
[PR IV.A.5.a).(2).(a)]
Performing and interpreting the
results of diagnostic techniques,
including dermatology-relevant
serologic testing, patch testing,
KOH examination, and Tzanck
smears
[PR IV.A.5.a).(2).(b)]
The use of and
indications/contraindications for
photomedicine, phototherapy,
and topical/systemic
pharmacologic therapies in all
age groups, including infants and
young children
[PR IV.A.5.a).(2).(c)]
Settings/Activities
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Assessment Method(s)
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Medical Knowledge
Indicate the activity(ies) (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which
residents will demonstrate competence in their knowledge in each of the following areas. Also indicate
the method(s) that will be used to assess competence.
Competency Area
Settings/Activities
Pathophysiology and diagnosis Click here to enter text.
and management of complex
medical dermatologic conditions
in both adults and children
[PR IV.A.5.b).(1)]
Risks and benefits of commonly Click here to enter text.
used dermatologic therapies in
infants and children compared to
the risks and benefits of those
therapies when used in adults
[PR IV.A.5.b).(2)]
Dermatology
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Assessment Method(s)
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Updated 04/2016
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Competency Area
Diseases specific to pediatric
patients, to include neonatal
disorders, congenital neoplasms
and hamartomas, cutaneous
signs of child abuse, and
cutaneous manifestations of
inherited and sporadic
multisystem diseases
[PR IV.A.5.b).(3)]
Proper techniques for botulinum
toxin injections, soft tissue
augmentation, repairs of
cutaneous surgical defects using
flaps and grafts, and use of light,
laser, and other energy-based
modalities for skin conditions
[PR IV.A.5.b).(4)]
Indications and contraindications
for, and complications and basic
techniques of, elective cosmetic
dermatology procedures, to
include chemical peels,
dermabrasion, hair transplants,
invasive vein therapies,
liposuction, scar revision, , and
sclerotherapy
[PR IV.A.5.b).(5)]
Interpretation of molecular
diagnostic tests and direct
immunofluorescence specimens
[PR IV.A.5.b).(6)]
Settings/Activities
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Assessment Method(s)
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Practice-based Learning and Improvement
1. Briefly describe one learning activity in which residents demonstrate the ability to investigate and
evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously
improve patient care based on constant self-evaluation and life-long learning. [PR IV.A.5.c)]
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2. Briefly describe one planned learning activity in which residents engage to identify strengths,
deficiencies, and limits in their knowledge and expertise (self-reflection and self-assessment); set
learning and improvement goals; and identify and perform appropriate learning activities to achieve
self-identified goals (life-long learning). [PR IV.A.5.c).(1)-(3)] (Limit response to 400 words)
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3. Briefly describe one planned quality improvement activity or project that will allow the resident to
demonstrate an ability to analyze, improve, and change practice or patient care. Describe planning,
implementation, evaluation, and provisions of faculty member support and supervision that will
guide this process. [PR IV.A.5.c).(4)] (Limit response to 400 words)
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Updated 04/2016
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4. Briefly describe how residents will receive and incorporate formative evaluation feedback into daily
practice. (If a specific tool is used to evaluate these skills, have it available for review by the site
visitor.) [PR IV.A.5.c).(5)] (Limit response to 400 words)
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5. Briefly describe one example of a learning activity in which residents engage to develop the skills
needed to use information technology to locate, appraise, and assimilate evidence from scientific
studies and apply it to their patients' health problems. [PR IV.A.5.c).(6)-(7)] (Limit response to 400
words)
The description should include:
 Locating information
 Using information technology
 Appraising information
 Assimilating evidence information (from scientific studies)
 Applying information to patient care
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6. Briefly describe how residents will develop teaching skills necessary to educate patients, families,
students, and other health professionals. [PR IV.A.5.c).(8)] (Limit response to 400 words)
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Interpersonal and Communication Skills
1. Briefly describe one learning activity in which residents demonstrate interpersonal and
communication skills that result in the effective exchange of information and collaboration with
patients, their families, and health professionals. [PR IV.A.5.d)] (Limit response to 400 words)
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2. Briefly describe one learning activity in which residents develop competence in communicating
effectively with patients and families across a broad range of socioeconomic and cultural
backgrounds, and with physicians, other health professionals, and health-related agencies. [PR
IV.A.5.d).(1)-(2)] (Limit response to 400 words)
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3. Briefly describe one learning activity in which residents develop their skills and habits to work
effectively as a member or leader of a health care team or other professional group. In the example,
identify the members of the team, responsibilities of the team members, and how team members
communicate to accomplish responsibilities. [PR IV.A.5.d).(3)] (Limit response to 400 words)
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4. Briefly describe how residents will be provided with opportunities to act in a consultative role to
other physicians and health professionals related to clinical information systems. [PR IV.A.5.d).(4)]
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(Limit response to 400 words)
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5. Briefly describe how residents will be provided with opportunities to maintain comprehensive,
timely, and legible medical records, if applicable. [PR IV.A.5.d).(5)] (Limit response to 400 words)
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6. Briefly describe how residents will be provided with opportunities to counsel patients regarding their
disease and treatment options, and provide appropriate anticipatory guidance to parents and, as
age-appropriate, to children, regarding chronic disorders, genodermatoses, and congenital
cutaneous anomalies. [PR IV.A.5.d).(6)] (Limit response to 400 words)
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Professionalism
Briefly describe the learning activity(ies), other than lecture, by which residents develop a commitment
to carrying out professional responsibilities and an adherence to ethical principles, including:
compassion, integrity, and respect for others; responsiveness to patient needs that supersedes selfinterest; respect for patient privacy and autonomy; accountability to patients, society, and the
profession; and sensitivity and responsiveness to a diverse patient population, including to diversity in
gender, age, culture, race, religion, disabilities, and sexual orientation. [PR IV.A.5.e).(1)-(5)] (Limit
response to 400 words)
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Systems-based Practice
1. Briefly describe the learning activity(ies) through which residents develop an awareness of and
responsiveness to the larger context and system of health care, as well as the ability to call
effectively on other resources in the system to provide optimal health care. [PR IV.A.2.f)] (Limit
response to 400 words)
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2. Briefly describe the learning activity(ies) through which residents achieve competence in the
elements of systems-based practice: working effectively in various health care delivery settings and
systems, coordinating patient care within the health care system; incorporating considerations of
cost-containment and risk-benefit analysis in patient care; advocating for quality patient care and
optimal patient care systems; and working in interprofessional teams to enhance patient safety and
care quality. [PR IV.A.5.f).(1)-(5)] (Limit response to 400 words)
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3. Briefly describe an activity that fulfills the requirement for experiential learning in identifying system
errors and implementing potential systems solutions. [PR IV.A.5.f).(6)] (Limit response to 400
words)
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Dermatology
©2016 Accreditation Council for Graduate Medical Education (ACGME)
Updated 04/2016
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Curriculum Organization and Resident Experiences
1. Briefly describe resident education and experience in dermatologic surgery. Is there a separate
surgery rotation? [PR IV.A.6.b).(1)]
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2. Briefly describe resident education and experience in the use of lasers. [PR IV.A.6.b).(2);
IV.A.6.c).(5)]
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3. Briefly describe the manner in which residents maintain records of their surgical experience. [PR
IV.A.6.d)]
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Dermatopathology
1. Provide the following data from a recent 12-month period for each site where residents will be
assigned for dermatopathology education. [PR IV.A.6.c).(6)]
12-Month Period Covered by
Statistics
From: Click here to enter a
date.
Dermatopathology Specimens
# cutaneous specimens from within the site
# cutaneous specimens from outside the site
# direct immunofluorescence specimens
# immunoperoxidase studies
Site #1
#
#
#
#
To: Click here to enter a date.
Site #2
#
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Site #3
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Site #4
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Row
Total
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2. Provide a concise summary of resident education in dermatopathology. Is there a separate
dermatopathology rotation? [PR IV.A.6.c).(6)]
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Phototherapy
12-Month Period Covered by
Statistics
Phototherapy
Number of PUVA
Number of UVB - broadband
Number of UVB - narrowband
Other: (specify)
Other: (specify)
From: Click here to enter a date. To: Click here to enter a date.
Site #1
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Site #2
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Site #3
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Site #4
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Residents’ Scholarly Activities
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©2016 Accreditation Council for Graduate Medical Education (ACGME)
Updated 04/2016
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Summarize program research activity, including commenting on each of the following: [PR IV.B.]
1. Describe the required basic science curriculum. [PR IV.B.4.]
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2. Will residents be provided with protected time and funding to attend at least one national meeting
during the program? [PR IV.B.5.] ................................................................................. ☐ YES ☐ NO
3. List the publications in peer-reviewed journals (during the last three years) by program residents.
Provide titles, co-authors, and dates, with resident name, in bold font. [PR IV.B.6.]
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4. List the research presentations (during the last three years) that resulted from resident research
activity during the program. [PR IV.B.6.]
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Updated 04/2016
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