https://medicine.ouhsc.edu/Academic-Departments Parent Page: Academic Departments id: 25372 Active Page: Resident Rotations and Conferencesid:25377

Resident Rotations and Conferences

Patient care experiences encompass general and complex dermatology, dermatologic surgery, pediatric dermatology, cosmetic dermatology and dermatopathology. Services are provided in the departmental clinic, OUP Children's Hospital, OUMC and OKC VA hospital. Dermatopathology rotations are spent in Tulsa, Oklahoma at Regional Medical Laboratory. Our fulltime, part-time, and volunteer faculty are strongly committed to the department’s mission.

Currently, each year the training program provides each resident with a combined 3-week pediatric derm/dermatopathology rotation, a one or two week dedicated dermatopathology rotation, a 4-week cosmetic rotation, and a 4-week Mohs rotation. Senior residents may be afforded away rotation opportunities so they may enhance specific areas of their dermatologic training. Away rotations are currently restricted due to the COVID-19 pandemic. There are specialty clinics to attend, including a complex dermatology clinic, a biologic clinic, and a monthly cutaneous T-cell lymphoma clinic.

Residents actively participate on departmental and institutional committees. Faculty and residents are engaged in teaching. Through participation and presentation in daily resident didactic conferences, Grand Rounds, M&M Conferences, Morphologic Conferences, Surgical and Cosmetic Gems of the Week, and Journal Clubs they are able to enhance their knowledge in the specialty. There is also an annual Skin of Color Symposium.

Residents are encouraged to participate in scholarly activity and quality improvement projects presenting case and projects at Oklahoma City Derm meetings, Oklahoma State Derm meetings, and the American Academy of Dermatology’s annual meeting along with other venues as appropriate.

Each month, residents participate at the Good Shepherd Free Clinic, providing dermatology services to patients who might not otherwise receive care.

General Resident Clinic (GRC) – This is a resident-centered clinic that occurs daily in the OU Dermatology Building with 3 resident physicians. Residents have responsibility for providing patient care under the direct supervision of an attending physician. Residents fully evaluate each patient including taking an H&P, formulating a differential diagnosis, and developing a treatment plan.  Every patient is presented to the supervising faculty attending who personally sees each patient and helps formulate and/or approve the patient management plan. The attending proctors the resident in any needed procedures and patient education.  Residents are responsible for reviewing labs, pathology, phone calls and answering any questions related to the patients they have seen and discuss with the supervising faculty attending as appropriate.  The resident will document all encounters and route all notes via EMR to the faculty attending for review and sign-off. 

Doctor Book Only (DBO) Clinic – This resident clinic is held in place of GRC on the 5th weeks of each quarter.  Residents appoint patients to this clinic requiring extended appointment time or special care, i.e. adult and pediatric complex dermatology, cosmetic procedures and surgical excisions. Attending supervision and resident responsibilities are similar to GRC.

Faculty Teaching Clinic (FTC) – Residents assist the faculty physician in providing care to patients in this faculty-centered clinic.  These clinics include full participation in patient care including taking an H&P, formulating a differential diagnosis, and treatment plan. Residents may or may not see all patients depending on patient volume.  Residents present the patient to the teaching faculty member who personally sees every patient and helps formulate and/or approve the patient management plan.  Residents are responsible for reviewing labs, pathology, phone calls and answering any questions related to the patients they see and discuss with the teaching faculty member.  The resident will document all encounters and route all notes via EMR to the teaching faculty member for review and sign-off.  In these clinics, Residents observe the bedside manner, communication style and management decision-making skills of the teaching faculty member.

Mohs Surgery Clinic (MOHS) – Residents assist the Mohs surgeon during the procedure.  Residents participate in all aspects of the encounter from preoperative evaluation, through the procedure and into post-operative and follow-up care. The resident will participate in the procedure under the guidance of the attending physician as appropriate to the resident’s level of training and surgical skills.  For the surgery, consultation, and follow-up patients in whose care the resident participates, the resident will participate in documentation, monitor the results of any ordered tests, including laboratory and imaging studies, participate in coordination of care with other services when needed, track the patient’s progress, and communicate the results and the clinical plan to the patient, all in direct collaboration with the attending.   

Resident Excision Clinic (REC) – Residents have direct responsibility for providing patient evaluation and surgical care under the direct supervision of the attending faculty. The Resident will participate in the surgery, as appropriate to the resident’s level of training and surgical skills.  Residents will document the surgical procedure and route all notes via EMR to the faculty attending for review and sign-off.  The resident will be responsible for communicating all laboratory findings to the patient and answering post-operative calls and questions.

VA General Derm Resident Continuity Clinic (RCC VA) – Residents follow a core group of patients at least once a month throughout each year of residency. Patients are directly assigned to a Resident.  Residents have direct responsibility for providing patient care.  This includes taking an H&P, providing diagnostic tests, formulating a differential diagnosis and treatment plan, and performing minor procedures.  Residents discuss every patient to the supervising faculty attending and assume a level of autonomy consistent with their level of training and skills. Residents are responsible for reviewing labs, pathology, phone calls and answering any questions related to the patients they see and discuss with the supervising faculty attending as appropriate.  The resident will document all encounters and route to the attending as required in the VA EMR system.

VA Dermatology Minor Surgery Clinic (DMS) - Residents have direct responsibility for providing surgical care.  Residents evaluate and present every patient to the supervising faculty who will see each patient, approve the surgical plan and oversee the procedure and assist as needed.  Residents will document the surgical procedure in the VA EMR system. The resident will be responsible for communicating all laboratory findings to the patient and answering post-operative calls and questions.

VA Transplant Clinic (VAT) – An upper-level resident is the primary physician providing patient care to solid organ transplant recipients along-side the primary transplant physicians in the weekly VA Transplant Clinic.  This includes taking an H&P, formulating a differential diagnosis and treatment plan and performing minor procedures. The residents will discuss the patients with the supervising dermatology attending faculty who sees patients as needed and helps formulate and/or approve the patient management plan. Residents are responsible for reviewing labs, pathology, phone calls and answering any questions related to the patients they see and discuss these items with the supervising faculty attending when necessary. The resident will document all encounters in the VA EMR system.

Internal Medicine - Dermatology Consult Clinic (IM-DERM) – An upper-level resident acts as a dermatology consultant for the Internal Medicine Resident Clinic patients with dermatologic issues every other week. Residents will evaluate patients along with the Internal Medicine resident and their attending and educate on history and physical clues, including morphologic terminology, differential diagnosis and appropriate management plan.  Residents will also demonstrate proper technical skills including:  liquid nitrogen use and skin biopsy techniques. Internal Medicine residents and the Internal Medicine faculty retain primary responsibility for the patient encounter, including EMR documentation and patient follow-up.  The dermatology faculty attending is readily available for consultation by phone or in person.

Cosmetic Dermatology Clinic (CD) - Residents assist the faculty physician in providing cosmetic care to the patients they encounter.  This includes taking an H&P, formulating a differential diagnosis and treatment plan. Residents may or may not see all patients depending on patient volume and time constraints.  Residents present the patient to the teaching faculty member who personally sees every patient and helps formulate and/or approve the patient management plan.  The resident will document all encounters and route all notes via EMR to the teaching faculty member for review and sign-off.  Residents observe the bedside manner, communication style and management decision-making skills of the teaching faculty member in a more private practice setting. Residents will be taught and participate in various cosmetic procedures.

Pediatric Dermatology (PD) – Residents assist the faculty physician (Dr. Hillary Lawrence at Spectrum Dermatology) in providing pediatric dermatologic care to the patients they encounter. This includes taking an H&P, formulating a differential diagnosis and treatment plan. Residents present the patient to the teaching faculty member who personally sees every patient and helps formulate and/or approve the patient management plan.  Residents will assist the faculty member in procedures such as biopsies, cryotherapy, and pulse-dye laser therapy.  Residents are not required to document encounters in the EMR system. Residents observe the bedside manner, communication style and management decision-making skills of the teaching faculty member in a private practice setting.