THE FELLOWSHIP IN MOHS MICROGRAPHIC SURGERY/DERMATOLOGIC SURGERY AND CUTANEOUS ONCOLOGY

DIVISION OF DERMATOLOGY
VANDERBILT UNIVERSITY MEDICAL CENTER
719 Thompson Lane, Suite 26300
NASHVILLE, TENNESSEE 37204
615-343-0300
Fax 615-343-6489

Thomas Stasko, M.D., Fellowship Director
Michel McDonald, M.D.
Anna Clayton, M.D.
William Stebbins, M.D.

HISTORY


The current program in Mohs Micrographic Surgery at Vanderbilt University Medical Center began with the arrival of Dr. Stasko in July 1992. The fellowship program was approved by the American College of Mohs Micrographic Surgery and Cutaneous Oncology in January 1994 and the first one-year fellow began training in July 1995.

Previous fellows have been:

1995-1996 Marian L. MacDonald, M.D.- San Diego, CA
1996-1997 Theodore S. Sebastien, M.D.- Fairfax County, VA
1997-1998 Michel A. McDonald, M.D.- Nashville, TN
1998-1999 Mark Russell, M.D.- Charlottesville, VA
1999-2000 Judy K. Chiang, M.D.- Denver, CO
2000-2001 Kristen A. Richards, M.D. - San Diego, CA
2001-2002 Anna Sancho Clayton, M.D. - San Antonio, TX
2002-2003 Joseph Michael Webb, M.D. - Florence, AL
2003-2004

Hunter Sams, M.D. - Denver, CO

2004-2005

William B. Henghold, M.D. - Pensacola, FL

2005-2006 Fiona O'Reilly-Zwald, M.D. - Atlanta, GA
2006-2007 Steven Ritter, M.D. - Keesler A.F.B., MS
2007-2008

Amy Ross, M.D. - Palm Harbor, FL

2008-2009

Alan Levy, M.D. - Germantown, TN

2009-2010 Allison Hanlon, M.D. - Nashville, TN
2010-2011 Wilfred Lumbang, M.D. - San Diego, CA

2011-2012 

Luciano Iorizzo, M.D. - Rochester, NY

Case volume has steadily increased over the fellowship years. It is anticipated that well over 2000 Mohs cases will be performed by Vanderbilt Mohs surgeons this year. In September 1998, Dr. Michael McDonald joined the Program as a full-time faculty member. In November 2007, Dr. Anna Clayton became the third full-time surgical member. In 2010, Dr. William Stebbins became a full-time faculty surgical member. It is anticipated that the fellow will work with all of the members of the faculty.

SCOPE


The goal of the fellowship shall be to provide the trainee with the knowledge, skills and experience necessary to allow the individual to become a well-rounded dermatologic surgeon. The fellow will be provided with the tools necessary to become an academic and clinical leader. Although exposure to cosmetic procedures will be available, the focus of the fellowship is on Mohs Surgery, reconstruction and cutaneous oncology.

THE FELLOWSHIP


The fellowship is approved by the American College of Mohs Micrographic Surgery and Cutaneous Oncology. The fellowship is under the direction of Dr. Thomas Stasko. Upon successful completion of the fellowship, the fellow will be recommended for membership in the College. It is anticipated that in the future, application will be made to the Dermatology Residency Review Committee for accreditation as a Procedural Dermatology Fellowship (PGY-5). There is currently no American Board of Medical Specialties certification or sub certification in any aspect of dermatologic surgery. The fellowship shall be of a minimum of 1 year in duration. Additional fellowship time can be negotiated for individuals who desire more laboratory experience or additional clinical experiences. As currently planned, there will be only one fellow at any time (no junior and senior fellow). The fellow will participate in the following activities plus have other appropriate duties and responsibilities as the fellowship evolves:

1. Mohs Micrographic Surgery

The fellow will participate in Mohs surgery and repair at least 3 days each week. The fellow will participate in the cases, first as an assistant and gradually evolving into the primary surgeon and further beginning to instruct the residents. The fellow must master both the surgical and histologic aspects of the procedure. This involvement includes the intake, evaluation and follow-up of patients. The fellow will also learn and master the technical portion of the procedure including the ability to prepare the microscopic slides and establish a laboratory consistent with current medical and legal standards.

2. Repair of Surgical Defects

Approximately 80% of the Mohs cases are followed by an immediate repair at the same operative setting. The fellow will participate in the same manner as above. In addition the fellow will participate with the ENT, Plastic Surgery and Oculoplastic Surgery specialists as appropriate in the reconstruction of the defects.

3. Cutaneous Oncology

The fellow will learn how to deal with difficult tumor cases throughout the fellowship. In consultation with our colleagues in Pathology, Oncology, Radiation Therapy and the Surgical Specialties strategies for dealing with difficult cases will be developed and the fellow will become accustomed to the need for a multidisciplinary approach to many tumors.

The fellow will participate in the care of solid organ transplant patients. These patients give rapid exposure to the evolution of cutaneous malignancies.

4. General Dermatologic Surgery/Cosmetic Dermatologic Surgery

The full-range of general dermatologic surgery will be performed during the fellowship period. Several lasers are readily available. Exposure to cosmetic surgery will be limited, but a wide range of cosmetic procedures is being performed by faculty members. The opportunity for additional exposure may be made available according to the fellow's interests and skill levels.

Currently, the fellow spends one day each week at the Nashville Veterans Administration Medical Center performing general dermatologic surgery (excisions, reconstructions, etc.) and supervising and instructing the Dermatology residents in such procedures. No Mohs Surgery is currently performed at the VA.

5. Call and Consultation

The fellow, when available, will always take first call from the residents for problems relating to Dermatologic Surgery patients. A faculty member will also be available. The fellow may also be assigned periods of call and/or consultation coverage for General Dermatology in the role of a junior faculty member.

6. Teaching

As noted above, the fellow will be intimately involved in resident teaching in the clinical setting. A willingness to fully participate in resident education is essential. When appropriate the fellow will also participate in the resident conferences and reviews. The fellow is also responsible for the bimonthly dermatologic surgery journal club. The fellow will select and assign the articles as well as moderate the session.

7. Research and Publications

Adding to the knowledge base of Dermatologic Surgery and contributing to the propagation of that knowledge are essential parts of the fellowship. The fellow will be expected to publish at least two papers based on materials developed during the fellowship. Attendance and presentation of work at appropriate specialty meetings will also be required. Partial support for attendance at the combined Annual Meeting of ACMMSCO/ASDS and the Annual Meeting of the AAD may be available.

8. Additional

The fellow will attend a course on surgical anatomy. This will most likely be the Superficial Anatomy and Cutaneous Surgery Course at UCSD/Scripps in July. Other arrangements may be possible. Although tuition will be covered, the fellow will be responsible for transportation and living expenses for the course.

The fellow will be certified in Advanced Cardiac Life Support.

POSITION

THE MOHS FELLOWSHIP POSITION FOR THE JULY 2012 PROGRAM HAS BEEN FILLED WITH AN INTERNAL CANDIDATE.  THANK YOU FOR YOUR INTEREST IN APPLYING FOR THE MOHS FELLOWSHIP PROGRAM.

The fellow will be appointed as an Clinical Fellow in the Division of Dermatology, the Department of Medicine on a one year term. The salary will be at approximately the Vanderbilt Medical Center PGY-5 level. The usual house-staff benefits will be provided. Further details can be provided on request.

APPLICATIONS


The applicant must:

1. Have completed an approved residency in Dermatology.

2. Be either certified by or eligible for the American Board of Dermatology. If board eligible, must take the board at the first opportunity and obtain board certification.

3. Be eligible for a staff appointment at the VA Medical Center, which includes having a state license to practice medicine.

Application documents:

The application deadline is September 1.

  1. The Vanderbilt University Residency Application.
  2. The Mohs Fellowship Application.
  3. At least three letters of recommendation including letters from your residency program director and the director of dermatologic surgery at your institution.
  4. Medical school transcript and Dean's letter.
  5. Current Curriculum Vitae.
  6. Copies of any board certifications and provision of the board scores requested on the application.
  7. A personal statement.
  8. An e-mail address which the applicant checks regularly.

Matching Program:


The fellowship program participates in the matching program for Mohs Surgery. Information about the match and registration material can be found at http://www.sfmatch.org

Interviews:


Qualifying candidates will be invited to interview in September, October or early November. Invited candidates should plan on spending an entire day. The candidate will have the opportunity to observe surgery, see the facility and the clinic operation and meet with the faculty members.

Contact:


Thomas Stasko, M.D.
Vanderbilt Health - 100 Oaks
719 Thompson Lane, Suite 26300
Nashville, TN 37204
Phone: 615-343-0300 Fax: 615-343-6489
e-mail: tom.stasko@vanderbilt.edu