- Charles J.
McDonald, MD, Professor of Medical Science and Chair,
INTRODUCTION The primary goal of the Brown Medical School Department of Dermatology is to provide residents in training, and Brown Medical School students, a high quality educational and service experience in the discipline of dermatology. The program draws its strength from the combined resources of Brown University, the affiliated hospitals and the local community. Our teaching program in dermatology is a model of inter-institutional cooperation in the delivery of medical services and in medical education. Our faculty are dedicated to a strong teaching program that crosses imaginary boundaries that may be imposed by individual institutions. They are dedicated not only to the imparting of factual knowledge, but to fostering and instilling a commitment to a process of lifelong learning, thereby inculcating qualities of respect, good judgement, patient advocacy, and the confidence to face the challenges that may appear long after matriculation in the program. The Dermatology Training Program is fully approved by the ACGME for three years of postdoctoral training leading to eligibility (for those in good standing) for examination by the American Board of Dermatology. The Department of Dermatology also offers Fellowship training in Dermatoepidemiology and Mohs surgery. Dermatology residents are required to participate in scholarly work during residency and demonstrate the ability to communicate their findings in either manuscript form or in presentations at national, local or regional meetings. Brown Medical School Department of Dermatology residents are issued Brown University identification cards that provide access to the athletic and library facilities of the University.
Most of the clinical training of residents takes place in three general hospitals located in the cities of Providence and Pawtucket, Rhode Island, as well as the Providence VA Medical Center. The combined bed capacity of the four hospitals approaches 1,500. The total number of outpatient visits in Dermatology (excluding emergencies) exceeds 25,000/year. Each resident spends a portion of their training time rotating among the four affiliated hospitals. Additional training facilities include the Hasbro Children's Hospital and Women and Infants Hospital of Rhode Island. All of the training facilities are located within 15 minutes of each other by car. The Rhode Island Hospital, Hasbro Children's Hospital, and Women & Infants Hospital, located within walking distance of each other, form Southeastern New England's largest academic medical center. They provide the setting for Resident Dermatology Clinics, a Pediatric Dermatology Clinic, the Inpatient Dermatology Service, the Photomedicine and Day Care Facility, the Dermatological Surgery Unit, the Dermatopathology Service, the Dermatopharmacology Unit, the Contact and Occupational Dermatology Service and the Pigmented Lesion Service. RHODE
ISLAND HOSPITAL Rhode Island Hospital is the core site of the Department of Dermatology. Located on a 66-acre campus in Providence, it houses over 33 ACGME approved training programs. It provides exposure to a large diverse inpatient and outpatient population that reflects its role as the prime tertiary care referral center of southeastern New England. It also houses one of the largest emergency facilities in the northeast. The Rhode Island Hospital serves as the prime location of the Department's administrative, outpatient and inpatient care facilities. The private practice outpatient area, as well as the Dermatological Surgery and Photomedicine Units, are newly designed and contain state-of-the art technology. HASBRO
CHILDREN'S HOSPITAL Hasbro Children's Hospital serves as the region's only children's hospital. Its facilities provide an outstanding environment for the training program's pediatric dermatology experience . WOMEN
& INFANTS HOSPITAL Women & Infants Hospital provides the setting for a wide range
of subspecialty experience in dermatology in the Neonatal, Obstetrical,
and Gynecological clinical setting. MEMORIAL
HOSPITAL Memorial Hospital of Rhode Island is the site of a very large Family Medicine training program and a site for additional experience in an outpatient setting. Dermatology offers a consultation service, dermatologic surgery, and dermatopathology as well. The consultation service covers the medicine, pediatric, obstetrics and family practice services. MIRIAM
HOSPITAL The Miriam Hospital is a Brown Medical School-affiliated teaching
hospital. It provides a broad range of primary, secondary, and tertiary
care and boasts having among the highest level of acuity for general
medicine patients in Rhode Island. Here, the dermatology resident's
responsibilities include inpatient consultations and assisting in
the outpatient clinical practice. The range of clinical dermatology
encompasses general dermatology, HIV-related dermatoses, travel-associated
dermatoses, and surgical dermatology. VA
MEDICAL CENTER As a leader in the development of the ambulatory care model in the VA system, the VA Medial Center in Providence provides dermatologic care in a very busy outpatient clinic. A weekly Dermatology Surgery Clinic and Dermatopathology conference provide additional experience in these areas. Residents and attendings also staff a full time consultation service and gain invaluable experience in Teledermatology.
DERMATOLOGICAL
SURGERY The surgical division offers a broad and intense exposure to dermatologic surgery and Mohs surgery. The residents gain experience in their first year, and additionally, the second and third year residents rotate for 2-3 months each year in the dermatological surgery unit. Surgical experience is also gained in all three years at the VA Medical Center and the Rhode Island Hospital. The Mohs surgery unit is a busy unit under the direction of Raymond G. Dufresne, Jr., MD. Nathaniel Jellinek, MD joined the staff in 2005. Over 1,000 cases are performed each year, the majority of which are reconstructed in the unit. Botulism toxin treatments, sclerotherapy and laser therapy, including hair removal, the treatment of vascular lesions, tattoos and other such lesions, are offered by members of the Dermatology faculty. A formal didactic series of lectures, interactive discussions, journal and book reviews, and invited guest speakers are an integral part of the surgery curriculum. DERMATOPHARMACOLOGY Clinical research has been a prominent part of Dermatology at Brown for more than three decades and these efforts are now focused in the Division of Dermatopharmacology. The Division consists of a skilled team of professionals devoted to the planning, management and execution of clinical trials. Studies are performed which span the breadth of clinical research including pharmacokinetics and phase I through IV clinical trials. The group has expertise in conducting studies which cover the spectrum of dermatology and include inflammatory, neoplastic, genetic and infectious disorders. The resident rotation through the clinical research clinics provides hands on experience with clinical trials. Medical students and residents who are interested in the many aspects of clinical research ranging from FDA regulation, IRB approval, study design and execution are encouraged to participate and learn about the process by which all new dermatologicals are approved in the U.S. Patients or physicians interested in learning
about current research studies should contact the Dermatopharmacology
Division: DERMATOPATHOLOGY The dermatopathology experience consists of weekly Dermatopathology teaching conferences, clinic-pathologic correlation, and a rotation for senior residents. At the weekly dermatopathology teaching conference, an entire textbook
of dermatopathology is reviewed each year. Lectures are presented
to the residents by a board certified Dermatopathologists,
or the rotating senior resident. Known glass slides pertaining to
the weeks' chapter are provided to the residents for review and
presentation. Junior and senior residents discuss and present unknown
slides. Patients' biopsies are routinely reviewed with a dermatopathologist
or pathologist at the VA Medical Center, Memorial Hospital of RI,
and Rhode Island Hospital. Clinical-pathologic correlation is also
emphasized at our bi-monthly clinical conferences. Teaching glass
slides and Kodachrome slides are available for review. PHOTOMEDICINE The division is based at the Rhode Island Hospital.
The Photomedicine Unit is a full-service phototherapy unit that
includes UVB (Broad-Band and Narrow Band), UVA, PUVA (topical, oral
and bath), and hand/foot therapy, as well as a Psoriasis Day Treatment
Unit. MED and MPD testing are also performed. There are over 18,000
visits per year to the unit. Treatments are administered by our
staff of five experienced phototherapy nurses. Dermatology residents
cover the unit as part of the inpatient rotation. Principles of
Phototherapy are covered in the didactic sessions for the residents. DERMATOEPIDEMIOLOGY This unit conducts epidemiologic research on cutaneous malignancies, including melanoma and other skin cancers and skin cancer precursors funded by the National Institutes of Health, the Department of Veteran's Affairs, and other sources. Interested residents are encouraged to participate in the activities of the unit. A fellowship training program is also available. PEDIATRIC
DERMATOLOGY Pediatric Dermatology training takes place at the Rhode Island Hospital, Hasbro Children's Hospital and the Women & Infants Hospitals. Dr. Candace S. Lapidus, Assistant Professor of Dermatology and Pediatrics directs the program. The educational goals are to provide residents and medical students expertise in the diagnosis and treatment of common pediatric skin conditions. Each resident and student is expected to gain a background knowledge of the special interpersonal and communication skills required for successfully interacting with parents and children with disease. Second and third year dermatology residents staff a Pediatric Dermatology clinic at the Hasbro Children's Hospital as well as perform inpatient consultations at Hasbro Children's Hospital with Dr. Jennie Muglia.
Charles J. McDonald,
MD, Chairman Lionel G. Bercovitch, MD Louis A. Fragola, MD Thomas P. Long, MD, Director, Residency Training Program Karen Medici, Residency Coordinator Residents: Brown University was a proud host of the 2006 New England Dermatology Society (NEDS) Conference. The administrative offices of the Brown Medical
School Dermatology Training Program are located on the 10th floor
of the APC building in Rhode Island Hospital. Application requests or inquiries:
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Web site designed by:
James C. Barton, MD
Updated 9/10/08, Antonio P. Cruz, MD