Dayton Skin Surgery Center Program

The Micrographic Surgery and Dermatologic Oncology Fellowship Program at the Dayton Skin Surgery Center provides an advanced training experience in dermatologic surgery, specializing in Mohs surgery and dermatologic oncology. Accredited by the Accreditation Council for Graduate Medical Education (ACGME) and the American College of Mohs Surgery (ACMS), the program has been operational since 2004 and is designed for individuals looking to deepen their expertise in these subspecialties.

The program takes place within a state-of-the-art private academic practice that features eight surgery suites equipped with the latest medical technologies. The curriculum is extensive, covering not only Mohs surgery and reconstructive techniques but also cosmetic dermatology procedures such as blepharoplasty, microneedling, laser treatments, and injector techniques involving BOTOX® and fillers. A crucial aspect of training includes working in an on-site CLIA certified laboratory dedicated to Mohs frozen sections, where fellows learn to process and interpret tissue specimens using advanced immunostaining techniques, such as MART-1 for melanoma.

Curriculum and Rotations

The fellowship curriculum is comprehensive, comprising multiple components:

• Monthly didactic lectures and journal clubs with residents from Wright State University.
• Bi-monthly cadaver labs focusing on surgical anatomy and advanced reconstruction techniques.
• A well-structured core curriculum that integrates clinical expertise and theoretical knowledge designed to prepare fellows for the micrographic surgery and cutaneous oncology board certification exam.
• Collaboration with various specialists across disciplines including ENT and plastic surgery for complex surgical cases.
• Research opportunities culminating in the completion of a publication in a peer-reviewed journal.

Fellows also participate in off-site rotations that enhance their learning via varied perspectives from board-certified physicians in diverse specialties. Throughout the training, fellows are expected to engage in a minimum of one peer-reviewed research project that aligns with the ACGME core curriculum requirements.

Unique Aspects of Training

The program is distinguished by several unique features:

• High case volume with an annual average of 1,700 Mohs surgeries, allowing fellows to operate as the primary surgeon in approximately 70% of cases.
• A patient base at the Dayton VA, which often includes complex, advanced tumors.
• Extensive hands-on clinical experience supported by reduced patient volume during initial training phases to ensure efficient skill acquisition.
• Access to unlimited cadaver sessions, enabling fellows to practice advanced reconstructive techniques throughout the year.
• Exposure to a variety of laser modalities and cosmetic procedures through partnerships with dedicated cosmetic dermatologists, enhancing skills in aesthetic surgeries.

Application Requirements

To apply for the fellowship, candidates must meet specific criteria:

• One training position is available annually, and applicants must register on the SF Match website.
• The Central Application Service (CAS) application form must be completed with a submission deadline.
• Applicants are required to submit a video demonstrating surgical skills, and a brief presentation about their professional journey.
• Successful applicants typically come from outside the institution, reflecting the program’s outgoing match success rate.
• An externship opportunity is also available, accepting four externs annually for a one-day rotation, providing further exposure to Mohs techniques.

Visa Support

The program can sponsor various visa types for eligible international medical graduates, typically focusing on J-1 visas for fellowship training. Prospective fellows are encouraged to confirm the visa support services available through direct inquiries about specific situations.

Competitiveness

The program is particularly known for its competitive nature, attracting a high volume of applicants due to its comprehensive training and opportunities in a specialized field. Although it's competitive, it is open to candidates from diverse backgrounds, making it possible for DO and IMG applicants to be considered favorably.

Benefits and Opportunities

Fellows receive numerous benefits:

• A salary structured at the PGY5 level, with additional funding for continuing medical education (CME) and a health insurance plan.
• Four weeks of vacation, permitting ample time for personal and professional development.
• A supportive training environment aiming to help fellows achieve their full potential in surgical skill and knowledge.

In summary, the Micrographic Surgery and Dermatologic Oncology Fellowship Program at Dayton Skin Surgery Center promises rigorous training, exceptional mentorship, and diverse clinical experiences in dermatologic surgery. The fellowship encourages the development of both surgical and academic skills essential for future leaders in dermatologic oncology.