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ACGME

American Board of Dermatology

American Board of Pathology

Goals & Objectives  |  Curriculum |  Clinical Experiences  |  Research  | Well-Being

Accredited by the ACGME in 1977, the advanced program has two accredited fellowship positions – PGY5.  One position is funded by the institution and the second position requires the fellow to provide independent funding.  The completion of residency training is required which can be a preliminary year plus three years of dermatology residency or 3-4 years of pathology residency.  Successful fellows are eligible at the conclusion of their training for certification by the American Board of Dermatology.  The fellowship follows the recruiting guidelines provided by the American Society of Dermatopathology which is detailed on a separate page.  The training program is located in the Hyde Park neighborhood of south Chicago at the University of Chicago Medical Center.

Goals & Objectives

The overall goal of this subspecialty program is to train expert, subspecialist consultants in the microscopic diagnosis of diseases of the skin and mucosae. We expect that all our Fellows will devote a large part of their careers to dermatopathology, and will apply their knowledge compassionately and ethically. Furthermore we hope that, in return for the privilege of receiving an advanced medical education, they will contribute through their work to the scientific foundations of our noble profession.

On a more down-to-earth level, expertise in dermatopathology is gained by mastering several key elements. To that end, dermatopathology Fellows are expected to achieve the following objectives:

  • To participate in daily dermatopathology sign-out sessions
  • Whenever possible, to preview all the dermatopathology cases and formulate differential diagnosis before signing-out with the assigned dermatopathologist
  • To discuss with the attending dermatopathologist all the current cases being studied during sign-out sessions
  • To become comfortable in the use of immunohistochemical reagents for diagnosis and research
  • To be responsible for ordering all the special and immunohistochemical stains for dermatopathology cases
  • To learn the indications for performance of frozen sections in dermatopathology, to interpret frozen sections of skin, and to correlate frozen and permanent (formalin-fixed, paraffin-embedded) histopathologic appearances
  • To follow up all the pending cases and to be responsible to work with the attending dermatopathologist for issuing the final report in a timely manner
  • To communicate results of rush cases to the appropriate clinician(s) and to closely relate results of biopsies performed by the consult team
  • To be responsible for collecting and organizing cases for dermatopathology teaching conferences
  • To prepare a scholarly work for publication or presentation at a scientific conference

Curriculum

Surgical Pathology Experience for Dermatology Trained Fellows

The Fellows are expected, by the completion of the eight-month training period, to have accomplished or achieved the acquisition of a knowledge and skill base that will support the following goals:

  • Recognize normal anatomy and histology of organs
  • Become familiar with general surgical pathology, particularly in fields such as otorhinolaryngology, gynecologic pathology, cytopathology, soft tissue pathology, and hematopathology, which have diseases and tumors in common with dermatopathology
  • Recognize general categories of pathological processes, including tissue injury and repair, infection, inflammation, tumors, and degenerative processes
  • Understand the epidemiology, gross and microscopic pathology, natural behavior, and prognostic features of benign and malignant neoplasms
  • Grossly examine, dissect, and sample a cutaneous pathologic sample including simple biopsies and complex excisions
  • Apply ancillary diagnostic techniques appropriately, including immunohistochemistry

Dermatology Clinic Experience for Pathology-Trained Fellows

The Fellows are expected, by the completion of the eight-month training period, to have accomplished or achieved the acquisition of a knowledge and skill base that will support the following goals:

  • Permit thoughtful and a scientifically sound approach to the differential diagnosis and the effective medical and surgical management of skin diseases.
  • Confer a level of expertise worthy of specialist-consultant status.
  • Satisfy all requirements of the American Board of Dermatology the ASDP to ensure success in attaining initial and continuing board certification for dermatology portions of certification.
  • Contribute to  the  knowledge  base  of  dermatology  through  collaboration with faculty in the submission of reports  for  publication  and/or submission  of  cases for presentation.
  • Demonstrate, throughout the course   of    training, of    the    highest    level   of professionalism in patient care, learning, teaching, and interaction with faculty, peers, students, visitors, and ancillary staff.

This combination is the foundation for developing educational goals and objectives and the evaluation tools to measure the progress of training for Fellows.  Each milestone is measured in five levels of complexity from basic knowledge through advanced knowledge for the level of the Fellow’s training.

  • Evaluation Process

This is a comprehensive, 360° process that includes fellows and residents, faculty, clinical and administrative staff and program.  On the fellows level, the ACGME compentencies and milestones are the basis for determining progress in training.  In addition to evaluations from faculty and staff, the fellows also receive evaluations from dermatology and pathology residents. All evaluations are reviewed semi-annually by the Clinical Competency Committee (CCC) in accordance with the requirements of the ACGME. Evaluations completed by the felows for faculty members are included in the residents’ aggregated, anonymous report which is reviewed by the Section Chief and Fellowship Director.  Both fellows and faculty participate in the program’s evaluation by completing the institutional GME and ACGME annual surveys.  Information from these reports is used by the Program Evaluation Committee (PEC) to institute program improvements and complete the annual Annual Program Evaluation (APE) for the institution and the ACGME Accreditation Data System (ADS) report.

Clinical Experiences

The primary training location is the Dermatology Outpatient Clinic at UCM Duchossois Center for Advanced Medicine (DCAM) – Hyde Park where we provide “excellent skin care from head to toe.”   Just like our training program is a close collaboration between the two disciplines, on a clinical level dermatology and pathology coordinate the preparation and interpretation of clinical specimens to arrive at a diagnosis for clinical care.

Scholarship by Fellows

Fellows are strongly encouraged to contribute to medical knowledge through scholarly activity, presentations, and publications.  This can take the form of original research, case reports, chapters, reviews, and oral and poster presentations at medical conferences.  Fellow are strongly encouraged to pursue research projects and to submit abstracts for presentation at professional meetings.  Fellows are supported in their scholarly activities with an annual education fund which can be used to pay for related expenses such as conference registration and travel and additional study materials.  The program also provides supplemental funding for ASDP registration and presentation expenses.  Fellows frequently participate in these meetings:

  • American Society for Dermatopathology (ASDP) – Its mission is to improve quality of lives by continually advancing the theory and practice of Dermatopathology. “The ASDP serves as the hub of professional knowledge in the practice of Dermatopathology, promoting advances in the field, development opportunities, a platform for vigorous debate, and the tools to share bast practices among fellow practitioners.”
  • Chicago Dermatological Society (CDS) – a monthly meeting for Chicago-area members and residents for clinical discussion and professional growth.  The University of Chicago dermatology residents host the December meeting and present interesting cases.
  • Janet D. Rowley Research Day – Sponsored by the University of Chicago, Department of Medicine, this conference highlights the accomplishments of DOM faculty, fellows, postdoctoral fellows and graduate students, which includes trainee presentations and poster session.  Abstract submissions are encouraged.

Publication Examples

  • Linos KD, Pham AK, Castillo SA. Treatment response to checkpoint immunotherapy in a patient with a melanoma ex blue nevus. J Cutan Pathol. 2020; 47(1):108. PMID: 31518011
  • Pham AK, Castillo SA, Barton DT, Rigby W, Guill MA, Lucas R, LeBlanc RE. Kikuchi-Fujimoto Disease Proceeded by Lupus Erythematosus Panniculitis: Do these Findings Together Herald the Onset of Systemic Lupus Erythematosus? Dermatol Online J, 2020; 26:(8):13030 PMID: 32941714
  • Castillo SA, Pham AK, Dagrosa AT, Yan S, Barton DT, Lefferts JA, Linos KD. Concordance analysis of the 23-gene expression signature (myPath Melanoma) with fluorescence in situ hybridization assay and single nucleotide polymorphism array in the analysis of challenging melanocytic lesions: Results from an academic medical center Am J Dermatopathol. 2020; 42(12): 939-947. PMID: 32675469..
  • Prenner J, Kelley K, Elkeeb D, Onajin O. Hypertrophic Discoid Lupus Erythematosus of the Vulva Mimicking Lichen Simplex Chronicus: A Case Report and Review of the Literature. Am J Dermatopathol 2020; 42(3): 191-195. PMID: 31725484
  • Chan CX, Magro CM, Pham AK, LeBlanc RE, Yan S, Barton DT, Pace NC, Chapman MS, Momtahen S.Spontaneous Hair Repigmentation in an 80-Year-Old Man: A Case of Melanoma-Associated Hair Repigmentation and Review of the Literature. Am J Dermatopathol. 2019;41(9):671-674. PMID: 30730394
  • Elkeeb D, Hopkins Z, Wada D, Rhoads JLW.  A case of primary cutaneous malakoplakia in a cardiac transplant recipient. JAAD Case Rep 2018;4(10): 982-984. PMID: 30406173
  • Elkeeb D, Hopkins Z, Miles RR, Halwani A, Wada D. Ominous cutaneous presentation of acute myeloid leukemia without peripheral blood involvement upon initial presentation and relapse: case report and literature review. Eur J Dermatol 2018; 28(6):802-817. PMID: 30698150

Well-Being

As part of the supervisory responsibilities of the PD and faculty, monitoring the well-being of the Fellows is essential.  Well-being is a multi-faceted concept that can include physical and mental health all with the purpose of maximizing the quality of the Fellows’ training experience.  The foundation of the Dermatopathology Fellowship Program is to foster a safe environment for the fellows so that they can discuss any isssues directly with the PD or faculty.  Also, the faculty and clinical staff should be comfortable bringing concerns to the PD.  A Fellow has the opportunity to discuss issues or concerns one-on-one with the PD by scheduling an indivual appointment or at a scheduled Milestones review.  The Section of Dermatology supports the program’s efforts by providing team building workshops such as the Hearing One Another provided by the UC Center for Identity & Inclusion.

Fellows Well-Being Resources