Cleveland Clinic Foundation Program

The Micrographic Surgery and Dermatologic Oncology Fellowship at the Cleveland Clinic offers a comprehensive one-year training program designed for dermatologists aiming to specialize in Mohs micrographic surgery and related fields. This program is particularly beneficial for those who are either board eligible or certified by the American Board of Dermatology and the Royal College of Physicians and Surgeons. Each year, the fellowship accepts three fellows through the San Francisco Match, and the program is fully accredited by the American College of Mohs Surgery (ACMS) and recognized by the Accreditation Council for Graduate Medical Education (ACGME).1

Curriculum

The fellows spend five days per week dedicated to intensive training in the Mohs Surgery Unit. The program is structured to rotate across four different clinical locations: the main campus, Avon Richard E Jacobs Family Health Center, Beachwood Family Health Center, and Independence Family Health Center. Initially, fellows serve as first assistants in surgical procedures but quickly advance to assume graded responsibility for patient care under faculty supervision. The program facilitates the treatment of approximately 6,500 skin cancers with Mohs surgery annually, with over 90% of these cases involving reconstructive procedures.1

Regular curriculum components include evening sessions that feature histology reviews, wound repair techniques, and case-based learning conferences. Additionally, fellows will actively participate in the multidisciplinary non-melanoma skin cancer tumor board, allowing them to collaborate with professionals from various specialties like Radiation Oncology and Plastic Surgery.1

Research Opportunities

Research is a vital aspect of the fellowship, as fellows are expected to complete at least one major research project and a quality improvement initiative during the year. Substantial support is provided for navigating the Institutional Review Board (IRB) process, as surgical faculty often serve as mentors or principal investigators. The program allocates significant time for research, offering four half-days per month dedicated strictly to these projects, fostering both academic and practical growth.1

Rotations and Conference Participation

The fellowship emphasizes exposure to various surgical specialties through combined cases with Facial Plastic Surgery, Oculoplastic Surgery, and Plastic Surgery. Fellows also take part in six cadaver lab sessions during the year, which allow practical skill development in surgical techniques.1

Fellows have the opportunity to attend the annual ACMS meeting, where they are expected to submit abstracts and participate in workshops, contributing to their professional development and networking opportunities.1

Unique Aspects of the Program

A defining feature of this program is its integrated approach to tumor management, reflected in protocols such as “Tissue Read,” which allows for comprehensive margin assessment in surgical cases.1

Another noteworthy element is the supportive learning environment emphasized by the program director, advocating for a culture that thrives on continuous feedback and growth, which is crucial for fellows as they navigate complex cases and develop advanced skills in dermatologic surgery.1

Application Process

Applications for the fellowship are processed through the central application service of the San Francisco Match, with a submission deadline that typically occurs in early August of the preceding year. Virtual interviews are arranged for selected candidates in the fall, with emphasis placed on candidates who exhibit a strong commitment to academic excellence and patient care.1

Visa Support

The Cleveland Clinic provides various visa options to support international applicants. The program sponsors J1, H1-B, and F1 OPT visas. Candidates should ensure that their application aligns with the appropriate visa requirements when applying for the fellowship.

Competitiveness and Special Considerations

The fellowship is highly competitive, with a robust selection process. International Medical Graduates (IMGs) and DO applicants are encouraged to apply, and the program is known for being friendly towards diverse backgrounds, fostering an inclusive environment for all applicants. However, candidates must be aware that there may be specific requirements, including completion of the necessary USMLE steps and appropriate documentation of residency training.1

Conclusion

Overall, the Micrographic Surgery and Dermatologic Oncology Fellowship at the Cleveland Clinic stands out as a unique opportunity for dermatologists committed to advancing their skills in cutaneous surgery and oncology. The combination of rigorous clinical practice, intensive research training, and strong mentorship prepares fellows to excel in their careers.