Department of Medicine

Dermatology Program Information

Program Description

Residents admitted to our program through the CaRMS match are selected by the Selection Subcommittee, which operates under the auspices of the Residency Program Committee (RPC). The functioning of the training program is administered by the RPC which is chaired by the Program Director; the RPC is comprised of dermatologists from academic and private practice, a dermatopathologist and one resident representative elected by peers. The RPC meets a minimum of FOUR times yearly. Residents admitted to our program through the CaRMS match are required to complete FIVE years of residency training, THREE of which are dedicated entirely to dermatology.

This program is designed to fully satisfy the goals and objectives of training in dermatology, as enunciated by the Dermatology Specialty Committee, Royal College of Physicians and Surgeons of Canada (RCPSC). Residents who are admitted under programmes other than CaRMS may have training goals which are different from those admitted through CaRMS, and their training may be individualized to meet those needs, although always satisfying the goals and objectives of the Dermatology Specialty Committee at the RCPSC. Resident candidates who satisfactorily complete their training in our division (as substantiated by In-Training Evaluations [ITER] and Final In-training evaluation [FITER]) are expected to be eligible to sit the certifying examinations in dermatology, as administered by the RCPSC.

Years One and Two:

Years One and Two, although basic clinical years, are geared towards dermatology.

The hospitals involved in this training are: University of Alberta Hospitals, Grey Nuns Hospital, Royal Alexandra Hospital, Stollery Children's Hospital, Glenrose Rehabilitation Hospital, Misericordia Community Hospital and the Cross Cancer Institute.

Mandatory rotations for dermatology residents, as stipulated by the Dermatology Specialty Committee (RCPSC), are infectious diseases and rheumatology; as well as completion of either ONE year of internal medicine OR ONE year of pediatrics during the PGY1 and PGY2 years.

PGY-1 

Sample Clinical Rotations for PGY-1 Resident in Dermatology:
Program Year ONE (1 block = 4 weeks)
Internal Medicine - 2 blocks
Rheumatology- 1 block
Pediatrics -2 blocks
Academic Dermatology - 1 block
Infectious diseases - 1 block
Emergency medicine - 1 block
Plastic surgery - 1 blocks
Medical oncology - 1 block
Allergy & Immunology - 1 block
On call/ UDC (University Dermatology Clinic) – 1 block
Vacation - 1 block

PGY-2

Comprises one full year of internal medicine or pediatrics.
Sample Clinical Rotations for PGY-2 Resident in Dermatology:
Program Year TWO Internal Medicine (1 block = 4 weeks)
Internal Medicine CTU- 1 blocks
Rheumatology - 1 block
Oncology - 1 block
Academic Dermatology - 1 blocks
Infectious diseases - 1 blocks
Geriatrics - 1 block
Elective - 1 block
Occupational Medicine - 1 block
Dermatopathology – 1 block
Genetics – 1 block
Oral Pathology* - 1 block
On call/ UDC (University Dermatology Clinic) – 1 block
Vacation - 1 block

Elective: One elective block is offered during PGY1 and 2 years. The content and location of these electives is determined by resident interest, areas of need based on ongoing resident evaluations and opportunities offered by sites of excellence and external funding. The final proposal for electives will be made by the resident in consultation with the residency program director, with final approval by the Residency Training Committee. Residents are expected to share knowledge acquired during elective with their fellow-residents through a presentation to be made most appropriately at academic day.

PGY-3

Three years of clinical dermatology training, including general adult dermatology, pediatric and geriatric dermatology, dermatologic surgery (including Moh’s surgery), melanoma clinic, multi-specialty clinics, wound healing , laser and cosmetic, and on call rotations.

Clinical Rotations for PGY-3 Dermatology:
Year Three:
This year is dedicated entirely to dermatology training, as described below.
Program Year Three (1 block = 4 weeks):
Pediatric / Melanoma Dermatology - 2 blocks
Surgical Dermatology / Academic Dermatology - 2 blocks
On call/ UDC (University Dermatology Clinic) – 1 block
Dermatopathology - 1 block
Wound Care/ Academic Dermatology - 3 block
Community Dermatology - 1 block
Rural Dermatology – 1 block
Elective – 1 block
Vacation - 1 block

PYG-4

This year is dedicated entirely to dermatology training, as described below.
Program Year Four (1 block = 4 weeks)
Pediatric /Melanoma - 2 blocks
Dermatopathology - 1 block
Contact Dermatitis / General Dermatology - 1 block
Laser & Cosmetic - 1 block
Wound Care / Academic Dermatology - 1 block
Elective - 2 blocks
Community Dermatology – 1 block
Moh’s surgery – 1 block
On call/ UDC (University Dermatology Clinic) – 2 block
Senior resident clinic longitudinal 6 months
Vacation - 1 block
The facilities and expertise offered during Year Four and Five are similar to that described above for Year Three, except that an increased graded level of responsibility and performance/knowledge will be expected.

PGY-5

This year is dedicated entirely to dermatology training, as described below.
Program Year Five (1 block = 4 weeks)
Pediatric / Melanoma - 1 block
Community Dermatology - 3 blocks
On call/ UDC (University Dermatology Clinic) – 1 block
Dermatopathology - 1 block
Research / Modified Study - 1 block
Contact Dermatitis / General Dermatology - 1 blocks
Cosmetic Dermatology - 1 block
Elective - 2 blocks
Moh’s surgery – 1 block
Senior resident clinic longitudinal 6 months
Vacation - 1 block

General clinical dermatology:

The Division of Dermatology at the University of Alberta enjoys dedicated clinic space in the new Kaye Edmonton Clinic Building, (Level 3, 3C1.01, 11400 University Avenue, Edmonton, AB T6G 1Z1, Phone: (780) 407-1257). The space allocated to dermatology will include: TWELVE examination rooms, TWO procedural rooms (that incorporate several lasers) and a fully equipped phototherapy unit (ONE narrow-band UVB unit, ONE combination unit [UVA for PUVA and NB-UVB] and ONE hand-foot NB UVB machine).
There are NINETEEN general medical dermatology clinics per week.

Specialty clinics are addressing:

  • wound care - ONE clinic per week
  • vulvar diseases – TWO clinics per week
  • contact dermatitis/patch testing - THREE clinics per week
  • multidisciplinary (dermatology/rheumatology) lupus erythematosus clinic - ONE per month
  • low-risk melanoma and tumour surveillance clinic in immunosuppressed transplant patients - THREE per month
  • multidisciplinary (oncologist, surgical oncologist, dermatologist) melanoma clinic - ONE per week
  • multidisciplinary lymphoma clinic (dermatology/medical oncology/radiation oncology/hematology)

There are THREE procedural clinics per week. Pediatric patients are incorporated into general clinics and this is complemented by FOUR dedicated pediatric clinics per week in the Stollery Children's Hospital (see below).

Pediatric Dermatology:

This is a longitudinal clinic that is attended throughout the PGY3-5 resident years. Residents are expected to obtain a history, complete a physical exam, arrange appropriate investigations and administer /prescribe appropriate treatment. All pediatric cases are reviewed with attending staff.

The dedicated pediatric dermatology clinics are under the supervision of Dr. Loretta Fiorillo (Program Director). All residents rotate through on a sequential basis and have equal opportunity to pediatric dermatology. Dr. Fiorillo holds Royal College certification in dermatology and paediatrics. She conducts 4 to 6 high volume clinics each week that see an average of 40 patients daily. About 2 to 4 biopsies and 5 fungal scrapings are done daily. These are patients referred by family physicians, pediatricians and other dermatologists. They cover a wide variety of disorders, from common conditions to many rare and genetic disorders. Approximately 10% of all patients seen in the outpatient dermatology clinics are pediatric patients.

Dermatologic surgery:

During general dermatology clinics, patients often require biopsies. These are most commonly punch biopsies, but shave biopsy and elliptical excision are also performed. These are generally performed by the resident under the supervision of the attending dermatologist.

Dr. Salopek offers two dermatologic surgery clinics per week, on Tuesday. In these clinics, excisions of benign and malignant lesions are done. Procedures include punch biopsies, punch excisions, shave excisions, curettage, electrosurgery, wide excisions, flap closures, nail surgeries from simple avulsion to ablation of the nail unit, and cryosurgery.

Residents also participate in the surgical clinics of Dr Lortie, M. Taher and Keeling, all certified Mohs surgeons. A dedicated Mohs surgery rotation is offered in both PGY4 and 5 years. 

Dermatopathology:

This is offered through Dr. Mahmood at UofA, and Drs. Hailu, Hung, and Schloss at Dynalife. Dr Mahmood conducts monthly dermatopathology teaching on a thematic basis. Residents are given 10-12 slides on a certain theme of disorders, and are expected to review them on their own time. Then Dr. Mahmood conducts one hour monthly sessions to discuss the cases. Also, while on rotation with Dr. Mahmood, residents are given several dermatopathology textbooks to review. Residents are also expected to review independently daily dermatopathology routines in the morning before sitting and finalizing under supervision the cases in the afternoon. Further, residents are challenged with monthly dermatopathology quizzes associated to their monthly dermatology exams. 

Research:

All residents are encouraged to do research and are required to produce at least one scholarly article or presentation per year. Any faculty member can serve as supervisor. Regarding bench type research, Dr. John Elliott, is a well-respected academic researcher and immunologist, is highly experienced in the conduct of basic research and has a research lab. Dr. Robert Gniadecki also has tremendous experience in both clinical and basic research and has a research lab. The division has funds dedicated to support research, especially the kind of activity that is not amenable to application for major grants. These funds are derived from revenues generated by the annual CME meeting offered by the Division to family physicians.

All residents are highly encouraged to present at national and international academic conferences.

We are fortunate to be part of a very well-funded and research-oriented University which offers not only financial resources but also administrative and statistical assistance through the Research Services Office (RSO) at the University of Alberta.

Community dermatology:

Residents are highly encouraged to take advantage of training opportunities offered by community dermatologists. The program offers a mandatory community rotation and one rural dermatology rotation in R 3 year, one community and one cosmetic rotation (also held outside the university) in the R4 year and three community rotations in year 5 to prepare the resident for independent practice. Community rotations are held in private dermatologists’ offices throughout Edmonton. All the supervising dermatologists hold a University appointment. The residents are encouraged to rotate through different offices to be exposed to a variety of practice styles and interests.

Cosmetic and laser dermatology

This is offered to PGY4 and 5 residents at the clinics of Dr Z. Taher, who has an extensive numbers of lasers, and Dr J. Rao, who holds a laser fellowship from the University of San Diego.

Rural dermatology

In this rotation the residents are exposed to the challenges of practising in a remote community, physically away from many specialists, sophisticated resources and support. The rural locations associated with our program are Canmore a picturesque mountain town at the edge of the Banff national park, and Red Deer a city located half way between Edmonton and Calgary.

Senior dermatology resident’s clinic

This newly instituted longitudinal continuity clinic has been established to prepare the residents for independent practice and exposure to the challenges of chronic diseases. It runs for 1 year, from the last 6 months of PGY4 to the first 6 months of PGY5

Elective content of training:

Electives are meant to provide opportunities for more concentrated and/or more in-depth training in areas of resident interest or in realms of deficiency, with respect to the program and/or the specific resident. Residents are expected to discuss their elective plans with the Program Director to ensure the elective is consistent with the resident's career plans, level of training, interests and with internal offerings within the division. The Program Director then advises the RPC of the resident's elective plans.

Training Sites:

Hospital based rotations are conducted at the following sites:

  • University of Alberta Hospital Site (UDC - Kaye Edmonton Clinic)
  • Royal Alexandra Hospital Site
  • Stollery Children's Health Centre
  • W. W. Cross Cancer Institute
  • Misericordia hospital
  • Grey Nun's Hospital

All of these sites have access to electronic medical resources, through terminals located on the wards. Each resident has a personal password assigned which allows access to electronic medical records on patients, laboratory results, and web-based learning resources.

Each site has a hospital library for access to reference materials. In addition, the Walter F. Scott Health Sciences Library, located at the University of Alberta Hospital Site serves the region.

  • Weekly Dermatology academic full days with live patients rounds alternating with digital morphology and dermatopathology rounds with an emphasis on evidence-based medicine
  • Protected time to enable attendance at academic day sessions
  • Calls are from home one week at a time during the on call rotation only
  • Ratio of residents to faculty during core Dermatology years ~ 1:1
  • Ample elective and selective time is offered allowing opportunities for you to choose rotations based on your career goals.
  • Faculty and department are committed to excellence in clinical medicine, research, and medical education