Resident Rotations and Conferences

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. 

This resident clinic is held several times a year, on a fifth Thursday morning.  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.

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.

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.  

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.

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.

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.

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.

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.

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.

Residents assist Dr. Hillary Lawrence, MD  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.