New York Presbyterian Hospital (Columbia Campus) Program

Micrographic Surgery and Dermatologic Oncology Fellowship Program

The Micrographic Surgery and Dermatologic Oncology Fellowship Program at NewYork-Presbyterian Hospital/Columbia University Irving Medical Center Campus is a one-year program accredited by the Accreditation Council for Graduate Medical Education (ACGME). It offers a comprehensive experience focusing on both the clinical aspects of Micrographic Surgery and Dermatologic Oncology, while enabling fellows to pursue intensive training in an academic environment.

This fellowship is specifically designed for physicians aiming for careers in academic Dermatologic Surgery. It emphasizes elements of the discipline that are crucial for reaching this career goal. Upon completing the program successfully, fellows become eligible for board certification in micrographic surgery and dermatologic oncology, as recognized by the American Board of Medical Specialties (ABMS) 1.

Program Goals and Objectives

The fellowship is structured around several key goals:

• To promote high-quality training in Micrographic Surgery and Dermatologic Oncology through a mix of supervised hands-on experience and didactic learning.
• To cultivate surgical skills and judgment systematically.

Specific program objectives include:

• Instruction in Cutaneous Oncology, addressing medical, surgical, and dermatopathological knowledge of cutaneous neoplasms, including the technical and laboratory aspects of Mohs micrographic surgery.
• Training in Cutaneous Reconstructive Surgery, focusing on the repair of skin defects resulting from tumor removal.
• Exposure to Cutaneous Cosmetic Surgery, covering medical and surgical knowledge related to skin aging and disorders.
• Preoperative and postoperative management of surgical patients across all areas.
• Advanced competence in identifying patients for minimally invasive procedures or referrals to other specialists when necessary.

Research and Multidisciplinary Approach

Fellows are encouraged to engage in clinical and basic research pertinent to cutaneous oncology, cutaneous reconstructive surgery, and cosmetic dermatologic surgery. In addition to fostering effective interpersonal and communication skills with patients, the program aims to develop professional attitudes emphasizing responsibility and compassion 1.

Curriculum Overview

The curriculum is designed to ensure fellows acquire foundational knowledge and skills in delivery techniques, surgical anatomy, and patient management. Progressing from basic principles, the curriculum encompasses:

• Local anesthesia and aseptic technique
• Utilization of surgical equipment
• Surgical defect reconstruction
• Management of complications
• Wound healing sciences

By the end of the year, fellows will have a deep understanding of the modalities of care required in complex dermatologic surgery cases, with an emphasis on evidence-based practices 2.

Application Information

To apply for the fellowship, candidates must be board-eligible or board-certified in dermatology upon starting the fellowship. For international medical graduates, an ECFMG certificate is required. Applicants should have completed dermatology residency training prior to application.

Application materials that must be submitted include:

• Personal Statement
• Curriculum Vitae
• Medical School Transcript and Diploma
• Three Letters of Recommendation
• MSPE
• ECFMG Certificate (if applicable)

Interviews for selected applicants typically occur in September, with chosen candidates notified via email 1.

Visa Support and Competitiveness

The program offers support for candidates requiring visa sponsorship, allowing for J-1 or H-1B visas. The Micrographic Surgery and Dermatologic Oncology Fellowship is known to be highly competitive, favoring both allopathic and osteopathic candidates as well as international medical graduates. Applicants should demonstrate strong clinical competency and academic accomplishments, given the rigorous standards set by the program.

Unique Aspects of the Program

This fellowship not only focuses on clinical training but also enculturates fellows into ongoing professional development, and advocacy for quality patient care. The program prepares future academic leaders in dermatologic surgery by equipping them with the necessary diagnostic and therapeutic skills, alongside rich clinical research opportunities. Fellows gain experience in managing diverse patient populations and employing information technology for the latest scientific evidence to inform clinical decision-making 1.