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Dermapathology Fellowhip Program

The UTMB Dermatopathology Fellowship Program accepts two new trainees each year for a one-year fellowship. The program is fully accredited by the American Boards of Pathology and Dermatology and is administered by the Departments of Dermatology and Pathology. Trainees attend conferences listed in the schedules of both departments, act as consultants for residents and faculty of both departments, and participate in the teaching of dermatology and pathology residents with review and interpretation of dermatopathology cases.

Fellows acquire special competence in this subspecialty in order to pursue a career in academia or private practice. Supervision is conducted by the faculty in charge of each of the rotations the fellow undertakes. An evaluation of the progress of the fellow is performed during the middle of the year and upon completion of the fellowship year.  

Fellows sign out cases daily from the Dermatopathology Labs at UTMB, Baytown, Methodist and Galveston and also the dermatopathology cases from the staff clinic. Over 25,000 cases are accessioned each year. The trainee also reviews Mohs frozen sections with the Dermatology Mohs surgeon. A minimum of 5 cases are studied ultrastructurally, some 30 by immunoflorescence and 500 by immunoperoxidase stains. The fellow becomes familiar with the specific markers for epithelial, mesenchymal, neural and hematopoietic tissues. The fellow also trains students and residents in dermatopathology, takes photographs for presentation at conferences, and organizes the unknown case conferences.

Trainees with backgrounds in dermatology spend the equivalent of six months in pathology, including two weeks in autopsy pathology, and rotations through surgical pathology, hematopathology, cytology and special techniques. They are also assigned at least ten cases each day for gross description, sign-out with the faculty and final diagnosis during the surgical pathology rotation. Other duties in pathology include training of residents in dermatopathology, taking photographs for presentation at conferences, and organizing unknown case conferences.

Trainees with backgrounds in pathology are assigned to clinical duties in the dermatology clinic where the fellow will function as a first- year dermatology resident under the supervision of faculty or upper level residents, for a minimum of one thousand patients. Fellows are required to attend dermatology teaching conferences and to do the appropriate reading as required for these conferences. The trainee takes biopsies, does small surgeries, potassium hydroxide preparations, cultures, Tzanck smears, and mineral oil preparations for parasites on the patients. The fellow attends yearly mycology, bacteriology and entomology conferences.

Research. The fellow is required to work on at least one clinical research project, which is to be completed during the fellowship year or shortly thereafter.

For more information about applying to our fellowship program please contact Regina Martinez at 409-763-2452, email regmarti@utmb.edu