1. Dermatopathology Service:
The mainstay of our educational training program is dermatopathology sign-out where slides from patient biopsies or excisions are reviewed and diagnoses rendered. The majority of slides are available the afternoon before sign-out the next morning, so fellows have the opportunity to preview them and develop differential diagnoses or specific diagnoses. Individual cases are discussed among the faculty, dermatopathology fellows, pathology and dermatology residents, and medical students at sign-out and, therefore, there is considerable real-time teaching and opportunity for questions during this activity. The fellow can expect daily feedback on a case-by-case basis, as needed. A formal evaluation of the fellow’s performance and progress will be performed at periodic intervals and at semiannual and final annual reviews.
2. Dermatology Clinics (Pathology-trained fellows):
Fellows previously trained in pathology are expected to rotate through various dermatology clinics (general dermatology, CTCL clinic, immunobullous clinic, cutaneous surgery/Mohs clinic) at Michigan Medicine to gain experience with clinicopathologic correlation. The fellow will be in the dermatology clinics in the afternoons, for a duration of eight months. The fellows will see a minimum of 1,000 patients by shadowing a dermatology faculty member.
3. Anatomic Pathology (Dermatology-trained Fellows):
A fellow who has completed a dermatology residency will rotate on some anatomic pathology rotations, during the first 8 months of the fellowship program in order to get exposure to areas of pathology that overlap with dermatopathology. The fellow will continue to participate in daily dermatopathology sign-out, but the time will depend on when each of the anatomic pathology sign-outs occurs. The fellows will participate in the gross description and dictation of skin pathology specimens. If desired by the fellow, he/she will also participate in autopsies that have relevance to dermatopathology and attend autopsy conference, surgical pathology consensus conference, and AP grand rounds. The fellow will have an opportunity to spend additional elective time in areas of surgical pathology related to the practice of dermatopathology. An example of this would be to spend a month on the consultation service with our soft tissue pathologist.
4. Dermatopathology Molecular Diagnostic Laboratory Service:
The fellows have the opportunity during the year to rotate in the Dermatopathology Molecular Diagnostic Laboratory (DPML) service. DPML is focused on developing and offering new diagnostic and prognostic assays for melanocytic neoplasms and other solid tumors. Currently, the laboratory offers two related tests intended to help discriminate between benign and malignant melanocytic tumors--one based on FISH testing and one based on SNP/CGH array. In addition, the DPML also performs SNP array on other solid neoplasms. The fellows are encouraged to attend sign-out sessions in the DPML service with Drs. Aleodor Andea and Paul Harms, and schedule time to rotate in the laboratory. Teaching is provided during sign-out sessions and through a yearly series of lectures dedicated to molecular dermatopathology (usually scheduled together with the Molecular Genetic Pathology fellows). At the end of the rotation the fellows are expected to:
Each fellow is required to do at least one research project with a faculty mentor. The goal is for each fellow to gain a thorough understanding of the process involved in conducting research. The fellow is expected to present at least one research project at a scientific meeting and write the study up for publication. To assist the fellow in accomplishing this goal, the dermatopathology fellowship program allots each fellow 3 hours a week of academic protected time to work solely on scholarly activities.